Tralokinumab Monotherapy for Adolescent Subjects With Moderate to Severe Atopic Dermatitis - ECZTRA 6 (ECZema TRAlokinumab Trial no. 6).

February 21, 2025 updated by: LEO Pharma

A Randomised, Double-blind, Placebo-controlled, Parallel-group, Multi-centre Trial to Evaluate the Efficacy, Safety, and Tolerability of Tralokinumab Monotherapy in Adolescent Subjects With Moderate-to-severe Atopic Dermatitis (AD) Who Are Candidates for Systemic Therapy

Primary objective:

To evaluate the efficacy of subcutaneous (SC) administration of tralokinumab compared with placebo in treating adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.

Secondary objectives:

To evaluate the efficacy of tralokinumab on severity and extent of AD, itch, and health-related quality of life compared with placebo.

To investigate the safety, immunogenicity, and tolerability of SC administration of tralokinumab compared with placebo when used to treat adolescent subjects (age 12 to <18 years) with moderate-to-severe AD.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

301

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Darlinghurst, Australia, 2010
        • Leo Pharma Investigationel Site
      • Kogarah, Australia, 2217
        • Leo Pharma Investigationel Site
      • Melbourne, Australia, 3002
        • Leo Pharma Investigationel Site
      • Woolloongabba, Australia, 4102
        • Leo Pharma Investigationel Site
      • Brussels, Belgium, 1200
        • Leo Pharma Investigationel Site
      • Gent, Belgium, B-9000
        • Leo Pharma Investigationel Site
      • Liège, Belgium, 4000
        • Leo Pharma Investigationel Site
      • Maldegem, Belgium, 9990
        • LEO Pharma Investigational Site
    • Alberta
      • Calgary, Alberta, Canada, T3A 2N1
        • LEO Pharma Investigational Site
      • Edmonton, Alberta, Canada, T6G 1C9
        • LEO Pharma Investigational Site
    • British Columbia
      • Surrey, British Columbia, Canada, V3R 6A7
        • LEO Pharma Investigational Site
    • Manitoba
      • Winnipeg, Manitoba, Canada, R3M 3Z4
        • LEO Pharma Investigational Site
      • Winnipeg, Manitoba, Canada, R3C 1T6
        • LEO Pharma Investigational Site
    • Ontario
      • Markham, Ontario, Canada, L3P 1X2
        • LEO Pharma Investigational Site
      • Oakville, Ontario, Canada, L6J 7W5
        • LEO Pharma Investigational Site
      • Toronto, Ontario, Canada, M5A 3R6
        • LEO Pharma Investigational Site
      • Windsor, Ontario, Canada, N8X 2G1
        • LEO Pharma Investigational Site
    • Quebec
      • Montreal, Quebec, Canada, H3T 1C5
        • LEO Pharma Investigational Site
    • Saskatchewan
      • Saskatoon, Saskatchewan, Canada, S7K 0H6
        • LEO Pharma Investigational Site
      • Marseille, France, 13285
        • Leo Pharma Investigationel Site
      • Nice, France, 06200
        • Leo Pharma Investigationel Site
      • Paris, France, 75015
        • Leo Pharma Investigationel Site
      • Paris, France, 75020
        • Leo Pharma Investigationel Site
      • Valence, France, 26000
        • Leo Pharma Investigationel Site
      • Berlin, Germany, 10115
        • Leo Pharma Investigationel Site
      • Dresden, Germany, 01307
        • Leo Pharma Investigationel Site
      • Jena, Germany, 49074
        • Leo Pharma Investigationel Site
      • Osnabrück, Germany, 49074
        • Leo Pharma Investigationel Site
      • Fukuoka, Japan, 814-0180
        • Leo Pharma Investigationel Site
      • Kagoshima city, Japan, 890-8520
        • Leo Pharma Investigationel Site
      • Kyoto, Japan, 602-8566
        • Leo Pharma Investigationel Site
      • Nagoya-shi, Japan, 457-8510
        • Leo Pharma Investigationel Site
      • Obihiro, Japan, 080-0013
        • Leo Pharma Investigationel Site
      • Osaka, Japan, 593-8324
        • Leo Pharma Investigationel Site
      • Osaka-fu, Japan, 560-0085
        • Leo Pharma Investigationel Site
      • Shimotsuke, Japan, 329-0498
        • Leo Pharma Investigationel Site
      • Tokyo, Japan, 136-0074
        • Leo Pharma Investigationel Site
      • Tokyo, Japan, 141-8625
        • Leo Pharma Investigationel Site
      • Tokyo, Japan, 169-0075
        • Leo Pharma Investigationel Site
      • Tokyo, Japan, 171-0022
        • Leo Pharma Investigationel Site
      • Tsu, Japan, 514-8507
        • Leo Pharma Investigationel Site
      • Yamanashi, Japan, 400-8506
        • Leo Pharma Investigationel Site
      • Bergen Op Zoom, Netherlands, 4708
        • Leo Pharma Investigationel Site
      • Breda, Netherlands, 4818
        • Leo Pharma Investigationel Site
      • Groningen, Netherlands, 9713
        • Leo Pharma Investigationel Site
      • Rotterdam, Netherlands, 3015
        • Leo Pharma Investigationel Site
      • Kraków, Poland, 30-033
        • Leo Pharma Investigationel Site
      • Kraków, Poland, 30-149
        • Leo Pharma Investigationel Site
      • Kraków, Poland, 31-011
        • Leo Pharma Investigationel Site
      • Rzeszów, Poland, 35-055
        • Leo Pharma Investigationel Site
      • Swidnik, Poland, 21-040
        • Leo Pharma Investigationel Site
      • Wrocław, Poland, 50-001
        • Leo Pharma Investigationel Site
      • Wrocław, Poland, 51-318
        • Leo Pharma Investigationel Site
      • Wrocław, Poland, 52-416
        • Leo Pharma Investigationel Site
      • Łódź, Poland, 90-265
        • Leo Pharma Investigationel Site
      • Łódź, Poland, 90-436
        • Leo Pharma Investigationel Site
      • Glasgow, United Kingdom, G51 4TF
        • Leo Pharma Investigationel Site
      • London, United Kingdom, E11 1NR
        • Leo Pharma Investigationel Site
    • Alabama
      • Birmingham, Alabama, United States, 35209
        • LEO Pharma Investigational Site
    • Arkansas
      • Fort Smith, Arkansas, United States, 72916
        • LEO Pharma Investigational Site
    • California
      • Fountain Valley, California, United States, 92708
        • LEO Pharma Investigational Site
      • Los Angeles, California, United States, 90045
        • LEO Pharma Investigational Site
      • San Francisco, California, United States, 94132
        • LEO Pharma Investigational Site
      • Stanford, California, United States, 94304
        • LEO Pharma Investigational Site
    • Connecticut
      • New Haven, Connecticut, United States, 06520-8059
        • LEO Pharma Investigational Site
    • Florida
      • Miami, Florida, United States, 33137
        • LEO Pharma Investigational Site
    • Georgia
      • Albany, Georgia, United States, 31707
        • LEO Pharma Investigational Site
    • Illinois
      • Chicago, Illinois, United States, 60611
        • LEO Pharma Investigational Site
    • Kentucky
      • Louisville, Kentucky, United States, 40215
        • LEO Pharma Investigational Site
    • Louisiana
      • Baton Rouge, Louisiana, United States, 70808
        • LEO Pharma Investigational Site
    • Michigan
      • Ann Arbor, Michigan, United States, 48103
        • LEO Pharma Investigational Site
      • Ypsilanti, Michigan, United States, 48197
        • LEO Pharma Investigational Site
    • Minnesota
      • Minneapolis, Minnesota, United States, 55402
        • LEO Pharma Investigational Site
    • New Jersey
      • East Windsor, New Jersey, United States, 08520
        • LEO Pharma Investigational Site
    • New York
      • Corning, New York, United States, 14830
        • LEO Pharma Investigational Site
      • New York, New York, United States, 10075
        • LEO Pharma Investigational Site
    • North Carolina
      • High Point, North Carolina, United States, 27262
        • LEO Pharma Investigational Site
    • Ohio
      • Bexley, Ohio, United States, 43209
        • LEO Pharma Investigational Site
    • Oklahoma
      • Tulsa, Oklahoma, United States, 74136
        • LEO Pharma Investigational Site
    • Oregon
      • Portland, Oregon, United States, 97223
        • LEO Pharma Investigational Site
      • Portland, Oregon, United States, 97239
        • LEO Pharma Investigational Site
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19104
        • LEO Pharma Investigational Site
    • South Carolina
      • North Charleston, South Carolina, United States, 29420
        • LEO Pharma Investigational Site
    • Tennessee
      • Murfreesboro, Tennessee, United States, 37130
        • LEO Pharma Investigational Site
    • Texas
      • Austin, Texas, United States, 78746
        • LEO Pharma Investigational Site
      • Houston, Texas, United States, 77030
        • LEO Pharma Investigational Site
      • San Antonio, Texas, United States, 78218
        • LEO Pharma Investigational Site

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

12 years to 17 years (Child)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Age 12 to 17.
  • Diagnosis of AD as defined by the Hanifin and Rajka (1980) criteria for AD.
  • History of AD for ≥1 year.
  • History of topical corticosteroid (TCS; Europe: Class 3 or higher; US: Class 4 or lower) and/or topical calcineurin inhibitor (TCI) treatment failure or subjects for whom these topical AD treatments are medically inadvisable.
  • AD involvement of ≥10% body surface area at screening and baseline.
  • Stable dose of emollient twice daily (or more, as needed) for at least 14 days before randomisation.

Exclusion Criteria:

  • Active dermatologic conditions that may confound the diagnosis of AD.
  • Use of tanning beds or phototherapy within 6 weeks prior to randomisation.
  • Treatment with systemic immunosuppressive/immunomodulating drugs and/or systemic corticosteroid within 4 weeks prior to randomisation.
  • Treatment with TCS, TCI, or topical phosphodiesterase 4 (PDE-4) inhibitor within 2 weeks prior to randomisation.
  • Receipt of any marketed biological therapy (i.e. immunoglobulin, anti immunoglobulin E) including dupilumab or investigational biologic agents.
  • Active skin infection within 1 week prior to randomisation.
  • Clinically significant infection within 4 weeks prior to randomisation.
  • A helminth parasitic infection within 6 months prior to the date informed consent is obtained.
  • Tuberculosis requiring treatment within the 12 months prior to screening.
  • Known primary immunodeficiency disorder.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceA

Week 0 to 16 (initial period):

Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A.

Week 16 to 52 (maintenance period):

Tralokinumab (Dose 1) maintenance SC injection regimen A.

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Tralokinumab(Dose1) initial-> Tralokinumab(Dose1) maintenanceB

Week 0 to 16 (initial period):

Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A.

Week 16 to 52 (maintenance period):

Tralokinumab (Dose 1) maintenance SC injection regimen B.

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceA

Week 0 to 16 (initial period):

Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A.

Week 16 to 52 (maintenance period):

Tralokinumab (Dose 2) maintenance SC injection regimen A.

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Tralokinumab(Dose2) initial-> Tralokinumab(Dose2) maintenanceB

Week 0 to 16 (initial period):

Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A.

Week 16 to 52 (maintenance period):

Tralokinumab (Dose 2) maintenance SC injection regimen B.

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Placebo initial-> Placebo maintenance

Week 0 to 16 (initial period):

Placebo loading SC injection on Day 0 followed by placebo injection regimen A.

Week 16 to 52 (maintenance period):

Placebo continuation SC injection regimen A.

Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Other Names:
  • Placebo
Experimental: Tralokinumab (Dose1) initial-> Open-label tralokinumab

Week 0 to 16 (initial period):

Tralokinumab (Dose 1) loading SC injection on Day 0 followed by tralokinumab (Dose 1) injection regimen A.

Week 16 to 52:

Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Tralokinumab (Dose2) initial-> Open-label tralokinumab

Week 0 to 16 (initial period):

Tralokinumab (Dose 2) loading SC injection on Day 0 followed by tralokinumab (Dose 2) injection regimen A.

Week 16 to 52:

Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Experimental: Placebo initial-> Open-label tralokinumab

Week 0 to 16 (initial period):

Placebo loading SC injection on Day 0 followed by placebo injection regimen A.

Week 16 to 52:

Tralokinumab (Dose 1) maintenance SC regimen A - open-label with allowed use of topical corticosteroids

Tralokinumab is a human recombinant monoclonal antibody of the immunoglobulin G4 (IgG4) subclass that specifically binds to human interleukin (IL) 13 and blocks interaction with the IL-13 receptors.
Placebo contains the same excipients in the same concentration only lacking tralokinumab.
Other Names:
  • Placebo

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 16
Time Frame: At Week 16
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
At Week 16
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 16
Time Frame: At Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Subjects With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 4 From Baseline to Week 16
Time Frame: At Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
At Week 16
Change in Scoring Atopic Dermatitis (SCORAD) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
The SCORAD is a validated tool to evaluate the extent and severity of AD lesions, along with subjective symptoms. The maximum total score is 103, with higher values indicating more severe disease.
From Week 0 to Week 16
Change in Children's Dermatology Life Quality Index (CDLQI) Score From Baseline to Week 16
Time Frame: From Week 0 to Week 16
The CDLQI is a validated questionnaire with content specific to those with dermatology conditions. It consists of 10 items addressing the subject's perception of the impact of their skin disease on various aspects of their quality of life over the last week such as dermatology-related symptoms and feelings, leisure, school or holidays, personal relationships, sleep, and the treatment. Each item is scored on a 4-point Likert scale (0 = 'not at all'; 1 = 'only a little'; 2 = 'quite a lot'; 3 = 'very much'). Item 7 (on school time) has one additional response category 'prevented school', which is also scored '3'. The total score of the CDLQI is the sum of the 10 items (0 to 30); a high score is indicative of a poor quality of life.
From Week 0 to Week 16
Number of Adverse Events
Time Frame: From Week 0 to Week 16
Number of AEs during the Initial treatment period is presented. For a summary of AEs and SAEs by MedDRA system organ class (SOC) and preferred term (PT) during the initial treatment period, maintenance treatment period, open-label treatment period, and safety follow-up period, see the Adverse Events Overview section.
From Week 0 to Week 16
Presence of Anti-drug Antibodies
Time Frame: From Week 0 to Week 16
Anti-tralokinumab antibody levels were analysed using a validated bioanalytical method.
From Week 0 to Week 16
Subjects With at Least 50% Reduction in Eczema Area and Severity Index (EASI50) at Week 16.
Time Frame: At Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16
Subjects With at Least 90% Reduction in Eczema Area and Severity Index (EASI90) at Week 16.
Time Frame: At Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 16
Change in Eczema Area and Severity Index (EASI) Score From Baseline to Week 16
Time Frame: From Week 0 to Week 16
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
From Week 0 to Week 16
Subjects With at Least 75% Reduction in Scoring Atopic Dermatitis (SCORAD75) at Week 16
Time Frame: At Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
At Week 16
Subjects With at Least 50% Reduction in Scoring Atopic Dermatitis (SCORAD50) at Week 16
Time Frame: At Week 16
The SCORAD is a validated tool to evaluate the extent and severity of atopic dermatitis lesions, along with subjective symptoms. The score ranges from 0 to 103, with a higher values indicating a more extensive and/or severe condition.
At Week 16
Change in Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
From Week 0 to Week 16
Participants With Reduction of Adolescent Worst Pruritus Numeric Rating Scale (NRS) (Weekly Average) of at Least 3 From Baseline to Week 16
Time Frame: At Week 16
The Adolescent Worst Pruritus NRS is used by subjects to assess their worst itch over the past 24 hours using an 11-point NRS with 0 indicating 'no itch' and 10 indicating 'worst itch possible'.
At Week 16
Change in Patient Oriented Eczema Measure (POEM) From Baseline to Week 16
Time Frame: From Week 0 to Week 16
The POEM is a validated questionnaire used to assess disease symptoms in atopic eczema patients in both clinical practice and clinical trials. The tool consists of 7 items each addressing a specific symptom (itching, sleep, bleeding, weeping, cracking, flaking, and dryness). Subjects will score how often they have experienced each symptom over the previous week on a 5-point categorical response scale (0 = 'no days'; 1 = '1 to 2 days'; 2 = '3 to 4 days'; 3 = '5 to 6' days; 4 = 'every day'). The total score is the sum of the 7 items (range 0 to 28) and reflects disease-related morbidity; a high score is indicative of a worse disease severity.
From Week 0 to Week 16
Tralokinumab Serum Trough Concentration at Week 16
Time Frame: At Week 16
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
At Week 16
Subjects With Investigator's Global Assessment (IGA) Score of 0 (Clear) or 1 (Almost Clear) at Week 52 Among Subjects With IGA Score of 0 or 1 at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Time Frame: At Week 52
The IGA is an instrument used in clinical trials to rate the severity of the subject's global AD and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
At Week 52
Subjects With at Least 75% Reduction in Eczema Area and Severity Index (EASI75) at Week 52 Among Subjects With at Least 75% Reduction in EASI at Week 16 After Initial Randomisation to Tralokinumab and Without Use of Rescue From Week 2 to Week 16
Time Frame: At Week 52
The EASI is a validated measure used in clinical practice and clinical trials to assess the severity and extent of AD. The EASI is a composite index with scores ranging from 0 to 72, with higher values indicating more severe and/or more extensive condition.
At Week 52
Tralokinumab Serum Trough Concentration at Week 66
Time Frame: At Week 66
Serum samples for determination of tralokinumab concentrations were analysed by a laboratory using a validated bioanalytical method.
At Week 66

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Medical Expert, LEO Pharma

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 19, 2018

Primary Completion (Actual)

April 15, 2020

Study Completion (Actual)

March 16, 2021

Study Registration Dates

First Submitted

May 4, 2018

First Submitted That Met QC Criteria

May 4, 2018

First Posted (Actual)

May 16, 2018

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

February 21, 2025

Last Verified

May 1, 2023

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

De-identified IPD can be made available to researchers in a closed environment for a specified period of time.

IPD Sharing Time Frame

Data are available to request after results of the trial are available on leopharmatrials.com.

IPD Sharing Access Criteria

De-identified Individual Participant Data can be made available to researchers and is subject to approved scientifically sound research proposal and signed data-sharing agreement.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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