D9319C00001- 1L OC Mono Global RCT (MONO-OLA1)

April 22, 2024 updated by: AstraZeneca

A Randomised, Double-blind, Placebo-controlled, Phase III Study of Olaparib Maintenance Monotherapy in Participants With BRCA Wild Type Advanced High Grade Serous or Endometrioid Ovarian Cancer Following Response to Standard First-line Platinum-based Chemotherapy (MONO-OLA1)

This is a Phase III, randomised, double-blind, placebo-controlled, multicentre, international study assessing the efficacy and safety of maintenance olaparib compared with placebo in BRCAwt participants with Stage III to IV high grade serous or endometroid ovarian cancer (including fallopian tube cancer or primary peritoneal cancer) who are in complete or partial response following treatment with standard first-line platinum-based chemotherapy.

Study Overview

Status

Recruiting

Conditions

Study Type

Interventional

Enrollment (Estimated)

420

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 Contact

Study Locations

      • Santiago, Chile, 8241479
        • Active, not recruiting
        • Research Site
      • Santiago, Chile, 8420383
        • Active, not recruiting
        • Research Site
      • Temuco, Chile, 4810218
        • Active, not recruiting
        • Research Site
      • Temuco, Chile, 4800827
        • Active, not recruiting
        • Research Site
      • Viña del Mar, Chile, 2540488
        • Terminated
        • Research Site
      • Baoji, China, 721008
        • Active, not recruiting
        • Research Site
      • Beijing, China, 100142
        • Recruiting
        • Research Site
      • Beijing, China, 100034
        • Terminated
        • Research Site
      • Changchun, China, 130021
        • Recruiting
        • Research Site
      • Changsha, China, 410013
        • Recruiting
        • Research Site
      • Chengdu, China, 610041
        • Recruiting
        • Research Site
      • Chengdu, China, 610072
        • Active, not recruiting
        • Research Site
      • Chongqing, China, 400038
        • Active, not recruiting
        • Research Site
      • Chongqing, China, 400042
        • Active, not recruiting
        • Research Site
      • Guangzhou, China, 510120
        • Completed
        • Research Site
      • Guangzhou, China, 510095
        • Active, not recruiting
        • Research Site
      • Guiyang, China, 550004
        • Active, not recruiting
        • Research Site
      • Haikou, China, 570312
        • Withdrawn
        • Research Site
      • Haikou, China, 570311
        • Active, not recruiting
        • Research Site
      • Hangzhou, China, 310006
        • Withdrawn
        • Research Site
      • Hangzhou, China, 310022
        • Recruiting
        • Research Site
      • Hefei, China, 230601
        • Recruiting
        • Research Site
      • Hefei, China, 230001
        • Recruiting
        • Research Site
      • Jiaxing, China, 314001
        • Recruiting
        • Research Site
      • Jinan, China, 250117
        • Withdrawn
        • Research Site
      • Jining, China, 272029
        • Recruiting
        • Research Site
      • Lanzhou, China, 730030
        • Withdrawn
        • Research Site
      • Lanzhou, China, 730030
        • Active, not recruiting
        • Research Site
      • Linyi, China, 276000
        • Recruiting
        • Research Site
      • Nanjing, China, 210009
        • Recruiting
        • Research Site
      • Qingdao, China, 266034
        • Recruiting
        • Research Site
      • Qingdao, China, 266103
        • Withdrawn
        • Research Site
      • Rui'an, China, 325200
        • Terminated
        • Research Site
      • Shanghai, China, 200032
        • Recruiting
        • Research Site
      • Shanghai, China, 200011
        • Recruiting
        • Research Site
      • Shengyang, China, 110004
        • Withdrawn
        • Research Site
      • Shenyang, China, 110042
        • Recruiting
        • Research Site
      • Shijiazhuang, China, 050000
        • Withdrawn
        • Research Site
      • Suzhou, China, 215004
        • Recruiting
        • Research Site
      • Tianjin, China, 300060
        • Recruiting
        • Research Site
      • Tianjin, China, 300052
        • Recruiting
        • Research Site
      • Urumqi, China, 830000
        • Active, not recruiting
        • Research Site
      • Urumqi, China
        • Completed
        • Research Site
      • Wenzhou, China, 325027
        • Recruiting
        • Research Site
      • Wenzhou, China, CN-325000
        • Recruiting
        • Research Site
      • Wuhan, China, 430022
        • Recruiting
        • Research Site
      • Wuhan, China, 430000
        • Recruiting
        • Research Site
      • Wuhan, China, 430022
        • Active, not recruiting
        • Research Site
      • Wuxi, China, 214062
        • Recruiting
        • Research Site
      • Xi'an, China, 710000
        • Recruiting
        • Research Site
      • Xiamen, China, 361004
        • Withdrawn
        • Research Site
      • Xianyang, China, 712000
        • Withdrawn
        • Research Site
      • Xuzhou, China, 221000
        • Active, not recruiting
        • Research Site
      • Xuzhou, China, 221009
        • Active, not recruiting
        • Research Site
      • Yanji, China, 133000
        • Recruiting
        • Research Site
      • Zibo, China, 255200
        • Terminated
        • Research Site
      • Zunyi, China, 563100
        • Active, not recruiting
        • Research Site
      • Barranquilla, Colombia, 80020
        • Withdrawn
        • Research Site
      • Bogota, Colombia, 111321
        • Withdrawn
        • Research Site
      • Bogota D.C., Colombia, 110131
        • Withdrawn
        • Research Site
      • Bogotá, Colombia, 110221
        • Active, not recruiting
        • Research Site
      • Bogotá, Colombia
        • Active, not recruiting
        • Research Site
      • Ibague, Colombia, 730006
        • Withdrawn
        • Research Site
      • Medellin, Colombia, 50030
        • Active, not recruiting
        • Research Site
      • Medellín, Colombia, 50025
        • Withdrawn
        • Research Site
      • Gurgaon, India, 122001
        • Active, not recruiting
        • Research Site
      • Jaipur, India, 302017
        • Active, not recruiting
        • Research Site
      • Kolkata, India, 700160
        • Active, not recruiting
        • Research Site
      • Kolkata, India, 700026
        • Withdrawn
        • Research Site
      • Madurai, India, 625107
        • Active, not recruiting
        • Research Site
      • Namakkal, India, 637001
        • Active, not recruiting
        • Research Site
      • Nashik, India, 422002
        • Active, not recruiting
        • Research Site
      • New Delhi, India, 11029
        • Active, not recruiting
        • Research Site
      • New Delhi, India, 110085
        • Completed
        • Research Site
      • Arequipa, Peru, AREQUIPA01
        • Active, not recruiting
        • Research Site
      • Lima, Peru, LIMA 34
        • Active, not recruiting
        • Research Site
      • Lima, Peru, 15036
        • Active, not recruiting
        • Research Site
      • Lima, Peru, LIMA 29
        • Active, not recruiting
        • Research Site
      • San Isidro, Peru, 27
        • Active, not recruiting
        • Research Site
      • Cebu, Philippines, 6000
        • Withdrawn
        • Research Site
      • Quezon City, Philippines, 1112
        • Withdrawn
        • Research Site
      • West San Juan City, Philippines, 1502
        • Withdrawn
        • Research Site
      • Gdynia, Poland, 81-519
        • Withdrawn
        • Research Site
      • Gliwice, Poland, 44-102
        • Withdrawn
        • Research Site
      • Grzepnica, Poland, 72-003
        • Withdrawn
        • Research Site
      • Poznań, Poland, 61- 848
        • Withdrawn
        • Research Site
      • Szczecin, Poland, 70-111
        • Withdrawn
        • Research Site
      • Arkhangelsk, Russian Federation, 163045
        • Terminated
        • Research Site
      • Chelyabinsk, Russian Federation, 454087
        • Active, not recruiting
        • Research Site
      • Ekaterinburg, Russian Federation, 620905
        • Active, not recruiting
        • Research Site
      • Moscow, Russian Federation, 115478
        • Active, not recruiting
        • Research Site
      • Moscow, Russian Federation, 117997
        • Active, not recruiting
        • Research Site
      • Moscow, Russian Federation, 111123
        • Withdrawn
        • Research Site
      • Nizhniy Novgorod, Russian Federation, 603089
        • Withdrawn
        • Research Site
      • Obninsk, Russian Federation, 249036
        • Withdrawn
        • Research Site
      • Saint Petersburg, Russian Federation, 197758
        • Active, not recruiting
        • Research Site
      • Saint-Petersburg, Russian Federation, 198255
        • Completed
        • Research Site
      • Sankt-Peterburg, Russian Federation, 197758
        • Withdrawn
        • Research Site
      • St Petersburg, Russian Federation, 197341
        • Withdrawn
        • Research Site
      • Tomsk, Russian Federation, 634028
        • Active, not recruiting
        • Research Site
      • Cape Town, South Africa, 7570
        • Withdrawn
        • Research Site
      • Johannesburg, South Africa, 2196
        • Withdrawn
        • Research Site
      • Parktown, South Africa, 2193
        • Withdrawn
        • Research Site
      • Port Elizabeth, South Africa, 6045
        • Terminated
        • Research Site
      • Rondebosch, South Africa, 7700
        • Withdrawn
        • Research Site
      • Adana, Turkey, 01120
        • Active, not recruiting
        • Research Site
      • Ankara, Turkey, 06100
        • Active, not recruiting
        • Research Site
      • Ankara, Turkey, 06800
        • Active, not recruiting
        • Research Site
      • Istanbul, Turkey, 34010
        • Active, not recruiting
        • Research Site
      • Karsiyaka, Turkey, 35575
        • Active, not recruiting
        • Research Site
      • Samsun, Turkey, 55139
        • Active, not recruiting
        • Research Site
      • Chernihiv, Ukraine, 14029
        • Active, not recruiting
        • Research Site
      • Dnipro, Ukraine, 49102
        • Completed
        • Research Site
      • Ivano-Frankivsk, Ukraine, 76018
        • Active, not recruiting
        • Research Site
      • Kharkiv, Ukraine, 61103
        • Active, not recruiting
        • Research Site
      • Kryvyi Rih, Ukraine, 50048
        • Active, not recruiting
        • Research Site
      • Kyiv, Ukraine, 03022
        • Active, not recruiting
        • Research Site
      • Kyiv, Ukraine, 04050
        • Completed
        • Research Site
      • Zaporizhzhia, Ukraine
        • Completed
        • Research Site
      • Ha noi, Vietnam, 100000
        • Active, not recruiting
        • Research Site
      • Hanoi, Vietnam, 100000
        • Active, not recruiting
        • Research Site
      • Ho Chi Minh, Vietnam, 700000
        • Active, not recruiting
        • Research Site
      • Ho Chi Minh city, Vietnam
        • Active, not recruiting
        • Research 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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Key Inclusion Criteria:

  • 1,Participants must be ≥18 years at the time of (pre-)screening

    2,Histological and staging criteria:Female participants who must have histologically newly diagnosed high-grade serous or endometrioid ovarian cancer, fallopian tube cancer, or primary peritoneal cancer that is Stage III or IV according to the International FIGO 2009.

    3, Participants are eligible if they fulfil any of the following surgical criteria:

  • Stage III: primary debulking surgery with macroscopic residual disease post-surgery, neoadjuvant chemotherapy, or inoperable.
  • Stage IV: primary debulking surgery regardless of residual disease, neoadjuvant chemotherapy, or inoperable.

    4, Chemotherapy criteria:

  • Participants must have received platinum-based chemotherapy consisting of a minimum of 6 treatment cycles and a maximum of 9, however, if platinum-based therapy must be discontinued early as a result of toxicities specifically related to the platinum regimen, participants must have received a minimum of 4 cycles of the platinum regimen.
  • Participants must have, in the opinion of the investigator, clinical CR or PR as per RECIST 1.1 criteria with no measurable lesion > 2 cm on the post-treatment scan and have no clinical evidence of disease progression or a rising CA-125 level (see inclusion criterion 5), following completion of this chemotherapy course.
  • A participant who received interval debulking surgery must have had ≥ 2 postoperative cycles of platinum-based therapy.

    5, Participants must meet one of the criteria specified below for pre-treatment CA-125 measurements as follows:

  • CA-125 in the normal range or
  • CA-125 decrease by ≥ 90% during their front-line therapy that is stable for at least 7 days (ie, no increase > 15% from nadir. If the first value is greater than the upper limit of normal (ULN), a second assessment must be performed at least 7 days after the first. If the second assessment is > 15% more than the first value, the participant is not eligible).

    6, Participants should not have received bevacizumab with first-line chemotherapy or be planned to receive bevacizumab maintenance therapy.

    7, ECOG performance status of 0 or 1 with no deterioration over the previous 2 weeks prior to randomisation.

    8, Provision, at pre-screening, of a formalin-fixed, paraffin-embedded (FFPE) tumour sample to assess tBRCA status and for HRD testing centrally. The centrally performed tBRCA test results must be available prior to randomisation and must indicate that the participant has a BRCAwt tumour, defined by the absence of a deleterious or suspected deleterious BRCA mutation by central testing.

    9, Adequate organ and marrow function.

Key Exclusion Criteria:

  • 1, Participants with stable disease or progressive disease on the post-treatment scan or clinical evidence of progression at the end of the participant's first-line chemotherapy treatment, or any evidence of progressive disease prior to randomization.

    2, Participant has mucinous or clear cell subtypes of epithelial ovarian cancer, carcinosarcoma, undifferentiated ovarian cancer, non-epithelial ovarian cancer, borderline tumours or low grade epithelial ovarian tumours (applies to fallopian tube and primary peritoneal tumours where applicable).

    3, Participants with Stage III disease who have had complete cytoreduction (ie, no macroscopic residual disease) at their primary debulking surgery.

    4, Participants who have undergone ˃ 2 debulking (cytoreductive) surgeries.

    5, History of another primary malignancy except for malignancy treated with curative intent with no known active disease ≥ 5 years before the first dose of study intervention including adequately treated non-melanoma skin cancer, curatively treated in situ cancer of the cervix, ductal carcinoma in situ (DCIS), Stage 1, Grade 1 endometrial carcinoma. Participants with a history of localised triple negative breast cancer may be eligible, provided they completed their adjuvant chemotherapy more than three years prior to registration, and that the participant remains free of recurrent or metastatic disease.

    6, Persistent toxicities (CTCAE Grade ≥2) caused by previous anticancer therapy, excluding alopecia and CTCAE Grade 2 peripheral neuropathy. Participants with irreversible toxicity that is not reasonably expected to be exacerbated by study intervention may be included after consultation with the AstraZeneca study physician.

    7, Participant is immunocompromised

    8, Prior exposure to a PARP inhibitor, including olaparib

    9, Any concurrent anticancer treatment

    10, Currently pregnant or breast-feeding

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: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Group A: Olaparib tablets 300 mg oral twice daily (n=280).
Participants in Group A will receive olaparib tablets taken orally at a dose of 300 mg twice daily for up to 2 years or until objective radiological disease progression as per RECIST 1.1 as assessed by the investigator, whichever is earlier, and as long as in the investigator's opinion they are benefiting from treatment and do not meet any other discontinuation criteria.
Olaparib tablets 300 mg oral twice daily
Placebo Comparator: Group B: Placebo tablets 300 mg oral twice daily (n=140)
Participants in Group B will receive matching placebo tablets taken orally at a dose of 300 mg twice daily for up to 2 years or until objective radiological disease progression as per RECIST 1.1 as assessed by the investigator, whichever is earlier, and as long as in the investigator's opinion they are benefiting from treatment and do not meet any other discontinuation criteria.
Matching placebo tablets taken orally at a dose of 300 mg twice daily

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Superiority of olaparib as maintenance treatment relative to placebo by assessment of PFS in participants with Stage III/IV ovarian cancer with a BRCAwt HRD positive tumour and a CR/PR following standard 1st line platinum based chemotherapy treatment.
Time Frame: Approximately 3 years
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by the investigator at the local site, or death due to any cause.
Approximately 3 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of PFS in participants with Stage III/IV ovarian cancer with a BRCAwt tumour and a CR/PR following standard 1st line platinum-based chemotherapy treatment.
Time Frame: Approximately 3 years
PFS is defined as time from randomisation until progression per RECIST 1.1 as assessed by the investigator at the local site, or death due to any cause.
Approximately 3 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Superiority of olaparib as maintenance treatment relative to placebo by assessment of OS in participants with Stage III/IV ovarian cancer with a BRCAwt HRD positive tumour and a CR/PR following standard first line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
OS is defined as time from randomisation until the date of death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of OS in participants with Stage III/IV ovarian cancer with a BRCAwt tumour and a CR/PR following standard first-line platinum-based chemotherapy treatment.
Time Frame: Approximately 4 years
OS is defined as time from randomisation until the date of death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of TFST in participants with a BRCAwt HRD positive tumour and a CR or PR following standard first-line platinum-based chemotherapy treatment.
Time Frame: Approximately 4 years
TFST is defined as time from randomisation until the start date of the first subsequent anti-cancer therapy after discontinuation of randomised treatment, or death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of TFST in participants with a BRCAwt tumour and a CR or PR following standard first line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
TFST is defined as time from randomisation until the start date of the first subsequent anti-cancer therapy after discontinuation of randomised treatment, or death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of PFS2 in participants with a BRCAwt HRD positive tumour and a CR or PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
PFS2 is defined as the time from the randomisation to the earliest of the progression event (following the initial progression), subsequent to first subsequent therapy or death.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of PFS2 in participants with a BRCAwt tumour and a CR or PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
PFS2 is defined as the time from the randomisation to the earliest of the progression event (following the initial progression), subsequent to first subsequent therapy or death.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of TSST in participants with a BRCAwt HRD positive tumour and a CR or PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
TSST is defined as time from randomisation until the start date of the second subsequent anti-cancer therapy after discontinuation of first subsequent treatment, or death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of TSST in participants with a BRCAwt tumour and a CR or PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 4 years
TSST is defined as time from randomisation until the start date of the second subsequent anti-cancer therapy after discontinuation of first subsequent treatment, or death due to any cause.
Approximately 4 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of time to TDT in participants with a BRCAwt HRD positive tumour and a CR/PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 3 years
TDT is defined as time from randomisation until discontinuation of treatment for any reason, including disease progression, toxicity and death.
Approximately 3 years
To demonstrate superiority of olaparib as maintenance treatment relative to placebo by assessment of time to TDT in participants with a BRCAwt tumour and a CR or PR following standard first-line platinum based chemotherapy treatment.
Time Frame: Approximately 3 years
TDT is defined as time from randomisation until discontinuation of treatment for any reason, including disease progression, toxicity and death.
Approximately 3 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of time to earliest progression by RECIST 1.1/CA 125/death in participants with a BRCAwt HRD positive tumour and a CR/PR following 1st line platinum based chemotherapy
Time Frame: Approximately 3 years
Time to earliest progression by RECIST 1.1/CA 125 or death will be measured from time of randomisation to the earlier date of RECIST 1.1/CA-125 progression or death by any cause.
Approximately 3 years
Superiority of olaparib as maintenance treatment relative to placebo by assessment of time to earliest progression by RECIST 1.1/CA 125/death in participants with a BRCAwt tumour and a CR/PR following first-line platinum based chemotherapy.
Time Frame: Approximately 3 years
Time to earliest progression by RECIST 1.1 or CA 125 or death will be measured from time of randomisation to the earlier date of RECIST 1.1 or CA-125 progression or death by any cause.
Approximately 3 years
Assess Health-related quality of life in participants treated with olaparib compared with placebo in participants with a BRCAwt HRD positive tumour and a CR or PR following standard first-line platinum based chemotherapy treatment
Time Frame: Approximately 3 years
Change from baseline in EORTC QLQ C30.
Approximately 3 years
Assess Health-related quality of life in participants treated with olaparib compared with placebo in participants with BRCAwt tumour and a CR or PR following standard first-line platinum based chemotherapy treatment
Time Frame: Approximately 3 years
Change from baseline in EORTC QLQ C30.
Approximately 3 years

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Assess the safety and tolerability of olaparib in terms of AEs/SAEs as compared with placebo in participants with a BRCAwt tumour and a CR or PR following standard first-line platinum-based chemotherapy treatment.
Time Frame: Approximately 3 years
Graded according to the National Cancer Institute (NCI CTCAE)
Approximately 3 years

Collaborators and Investigators

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

Sponsor

Investigators

  • Principal Investigator: Xiaohua Wu, Fudan University

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)

May 31, 2021

Primary Completion (Estimated)

July 2, 2024

Study Completion (Estimated)

July 2, 2025

Study Registration Dates

First Submitted

April 20, 2021

First Submitted That Met QC Criteria

May 11, 2021

First Posted (Actual)

May 13, 2021

Study Record Updates

Last Update Posted (Actual)

April 23, 2024

Last Update Submitted That Met QC Criteria

April 22, 2024

Last Verified

April 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Time Frame

AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Access Criteria

When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

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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