- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06413498
A Study Comparing Anitocabtagene Autoleucel to Standard of Care Therapy in Participants With Relapsed/ Refractory Multiple Myeloma (iMMagine-3)
A Phase 3, Randomized, Open-Label Study to Compare the Efficacy and Safety of Anitocabtagene Autoleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Multiple Myeloma
The goal of this study (iMMagine-3) is to compare the study drug, anitocabtagene autoleucel to standard of care therapy (SOCT) in participants with relapsed/refractory multiple myeloma who have received 1 to 3 prior lines of therapy, including an anti-CD38 monoclonal antibody and an immunomodulatory drug.
The primary objective of this study is to compare the efficacy of anitocabtagene autoleucel versus SOCT in participants with RRMM.
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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New South Wales
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Camperdown, New South Wales, Australia, NSW 2050
- Royal Prince Alfred Hospital
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St Leonards, New South Wales, Australia, 2065
- Royal North Shore Hospital
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South Australia
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Adelaide, South Australia, Australia, 5000
- Royal Adelaide Hospital
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Victoria
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Richmond, Victoria, Australia, 3121
- Epworth Healthcare
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Western Australia
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Nedlands, Western Australia, Australia, 6009
- Sir Charles Gairdner Hospital
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Linz, Austria
- Ordensklinikum Linz GmbH Elisabethinen, Hamatologie mit Stammzelltransplantation, Hamostaseologie und medizinische Onkologie
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Salzburg, Austria, A-5020
- Paracelsus Medizinischen Privatuniversitaet
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Sankt Pölten, Austria, 3100
- University Hospital St. Poelten, Department of Internal Medicine I
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Vienna, Austria, 1090
- Medical University of Vienna
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Brussels, Belgium, 1200
- Cliniques universitaires Saint-Luc
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Edegem, Belgium
- University Hospital of Antwerp
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Flemish Brabant, Belgium, 3000
- UZ Leuven
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Gent Oost-Vlaanderen, Belgium, 9000
- UZ Gent
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Halifax, Canada, B3H 2Y9
- QEII Health Sciences Centre
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Montreal, Canada, H4A 3J1
- McGill University Health Center
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Ottawa, Canada, K1H 8L6
- The Ottawa Hospital - General Campus
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Toronto, Canada, M5G 2M9
- University Health Network - The Princess Margaret Cancer Centre
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Severomoravsky KRAJ, Czechia, 708 52
- Fakultni Nemocnice Ostrava
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Lille, France, 59037
- CHU de Lille- Hopital Claude Huriez
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Marseille, France, 13273
- Institut Paoli Calmettes
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Montpellier, France, 34080
- CHU de Montpellier - Hopital Saint Eloi
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Nantes, France, 44093
- Centre Hospitalier Universitaire de Nantes
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Paris, France, 75010
- Hopital Saint Louis
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Paris, France, 75571
- Hopital Saint Antoine
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Pierre-Bénite, France, 69495
- Hopital Lyon Sud
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Poitiers, France, 86021
- Centre Hospitalier Universitaire de Poitiers
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Rennes, France, 59037
- CHU de Rennes
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Toulouse, France, 31100
- CHU de Toulouse. IUCT Oncopole
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Berlin, Germany, 12203
- Charité - Universitätsmedizin Berlin
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Cologne, Germany
- Universitatsklinikum Koln, Klinik I fOr lnnere Medizin
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Essen, Germany
- Universitätsklinikum Essen
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Freiburg im Breisgau, Germany, 79106
- Universitatsklinikum Freiburg
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Hamburg, Germany, 20246
- Universitatsklinikum Hamburg Eppendorf
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Leipzig, Germany, 4103
- Universitatsklinikum Leipzig
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München, Germany, 80333
- TUM Klinikum, Rechts der Isar, Klinik und Poliklinik fur Innere Medizin III, Hamatologie und Onkologie
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Tübingen, Germany, 72076
- Universitätsklinikum Würzburg
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Bologna, Italy, 40138
- IRCCS AOU di Bologna
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Milan, Italy, 3302
- Ospedale San Raffaele
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Roma, Italy, 00168
- Policlinico Universitario Argostino Gemelli
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Torino, Italy, 10126
- AOU Città della Salute e della Scienza Presidio Ospedaliero Molinette
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MI
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Milan, MI, Italy, 20133
- Fondazione IRCCS Istituto Nazionale dei Tumori
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Hyōgo, Japan, 663-8501
- Hyogo Medical University Hospital
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Nagoya, Japan, 467-8602
- Nagoya City University Hospital
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Osaka, Japan, 565-0871
- The University of Osaka Hospital
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Tochigi, Japan, 329-0498
- Jichi Medical University Hospital
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Tokyo, Japan, 150-8935
- Japanese Red Cross Medical Center
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Tokyo, Japan, 113-8431
- Juntendo University School of Medicine Juntendo Clinic
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Amsterdam, Netherlands, 1081 HV
- Amsterdam UMC - location VUmc
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Groningen, Netherlands, 9700 RB
- University Medical Center Groningen
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Rotterdam, Netherlands, 3015GD
- Erasmus Medical Center
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Warsaw, Poland, 02-776
- Instytut Hematologii i Transfuzjologii
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Warsaw, Poland, 02-097
- Warszawa-Uniwersyteckie Centrum Kliniczne Warszawskiego Uniwersytetu Medycznego
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Wroclaw, Poland, 50-367
- Uniwersytecki Szpital Kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu
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Badalona, Spain, 08916
- ICO Badalona-H.U. Germans Trias i Pujol
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Barcelona, Spain, 08036
- Hospital Clinic de Barcelona
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Barcelona, Spain, 08908
- Hospital Duran i Reynals
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El Palmar, Spain, 30120
- Hospital Clínico Universitario Virgen de la Arrixaca
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Madrid, Spain, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Spain, 28041
- Hospital Universitario 12 de Octubre
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Pamplona, Spain, 31008
- Clinica Universidad de Navarra
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Salamanca, Spain, 37007
- Complejo Asistencial Universitario de Salamanca
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Santander, Spain, 39008
- Hospital Universitario Marqués de Valdecilla
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Seville, Spain, 41013
- Hospital Universitario Virgen del Rocío
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Valencia, Spain, 46026
- Hospital Universitari i Politecnic La Fe de Valencia
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Bern, Switzerland, 3010
- Inselspital - Universitätsspital Bern
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Bristol, United Kingdom, BS2 8ED
- University Hospitals Bristol NHS Foundation Trust, Bristol Haematology and Oncology Centre
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Cardiff, United Kingdom, CF14 4XW
- University Hospital of Wales
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Leeds, United Kingdom, LS9 7TF
- Leeds Teaching Hospitals NHS Trust, St James's University Hospital
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London, United Kingdom, SE5 9NU
- King's College Hospital
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London, United Kingdom, WC1E 6JN
- University College London Hospital
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Newcastle, United Kingdom, NE7 7DN
- Newcastle Hospitals NHS Foundation Trust, Freeman Hospital
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Arizona
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Gilbert, Arizona, United States, 85234
- Banner MD Anderson Cancer Center
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Gilbert, Arizona, United States, 85234
- Mayo Clinic Hospital
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California
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Duarte, California, United States, 91010
- City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
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Los Angeles, California, United States, 90033
- USC/Norris Comprehensive Cancer Center
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Sacramento, California, United States, 95817
- University of California Davis Comprehensive Cancer Center
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San Diego, California, United States, 92037
- UC San Diego Moores Cancer Center
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Santa Monica, California, United States, 90404
- UCLA Hematology/Oncology (Bowyer Infusion Clinic)
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Stanford, California, United States, 94305
- Stanford Cancer Institute
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Colorado
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Denver, Colorado, United States, 80218
- Colorado Blood Cancer Institute
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Florida
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Coral Gables, Florida, United States, 33146
- Sylvester Comprehensive Cancer Center
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Jacksonville, Florida, United States, 32256
- Mayo Clinic
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Tampa, Florida, United States, 33612
- Moffitt Cancer Center
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Georgia
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Atlanta, Georgia, United States, 30322
- Winship Cancer Institute, Emory University
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Newnan, Georgia, United States, 30265
- Southeastern Regional Medical Center, Inc. dba City of Hope Atlanta
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Idaho
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Boise, Idaho, United States, 83712
- St. Luke's Cancer Institute
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Illinois
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Chicago, Illinois, United States, 60612
- University of Illinois Hospital and Health Sciences System
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Indiana
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Indianapolis, Indiana, United States, 46202
- IU Melvin and Bren Simon Comprehensive Cancer Center
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Kentucky
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Louisville, Kentucky, United States, 40207
- Norton Cancer Institute, St. Matthews Campus
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Louisiana
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New Orleans, Louisiana, United States, 70121
- Ochsner Clinical Foundation
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Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland Greenebaum Comprehensive Cancer Center
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02118
- Boston Medical Center
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan
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Grand Rapids, Michigan, United States, 49503
- Corewell Health - Lemmen-Holton Cancer Pavilion
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Minnesota
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Rochester, Minnesota, United States, 55902
- Mayo Clinic
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Nebraska
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Omaha, Nebraska, United States, 68130
- Oncology Hematology West, PC dba Nebraska Cancer Specialists - Legacy
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New Hampshire
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Lebanon, New Hampshire, United States, 03756
- Dartmouth Hitchcock Medical Center
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New Mexico
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Albuquerque, New Mexico, United States, 87102
- New Mexico Cancer Research Alliance
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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New York, New York, United States, 10016
- Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
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New York, New York, United States, 10021
- Weill Cornell Medicine - New York Presbyterian Hosptial
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North Carolina
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Charlotte, North Carolina, United States, 28204
- Levine Cancer Institute
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Winston-Salem, North Carolina, United States, 27103
- Novant Health Cancer Institute Hematology- Forsyth
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Ohio
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Cincinnati, Ohio, United States, 45219
- University of Cincinnati Cancer Center
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Tennessee
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Knoxville, Tennessee, United States, 37920
- University of Tennessee Medical Center
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Memphis, Tennessee, United States, 38104
- Baptist Cancer Center
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Nashville, Tennessee, United States, 37232
- Henry-Joyce Cancer Clinic
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Nashville, Tennessee, United States, 37203
- Tennessee Oncology, PLLC - Greco-Hainsworth Centers for Research
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Texas
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Austin, Texas, United States, 78704
- St. David's South Austin Medical Center
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Houston, Texas, United States, 77030
- The University of Texas MD Anderson Cancer Center
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Houston, Texas, United States, 77030
- Houston Methodist Hospital Cancer Center
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Utah
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Salt Lake City, Utah, United States, 84143
- LDS Hospital
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Salt Lake City, Utah, United States, 84112
- Huntsman Cancer Institute, University of Utah
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Washington
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Seattle, Washington, United States, 98104
- Swedish Cancer Institute
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Seattle, Washington, United States, 98109
- Fred Hutchinson Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion Criteria:
- Documented historical diagnosis of multiple myeloma (MM)
- Received 1 to 3 prior lines of antimyeloma therapy, including an immunomodulatory drug (IMiD) and an anti-cluster of differentiation 38 (CD38) monoclonal antibody (mAb). A minimum of 2 consecutive cycles of an IMiD and an anti-CD38 mAb in any prior line of therapy is required. The IMiD and anti-CD38 mAb do not need to be from the same regimen in the prior line(s) of therapy.
- Documented evidence of progressive disease by IMWG criteria based on the investigator's determination on or within 12 months of the last dose of the last regimen
Measurable disease at screening per IMWG, defined as any of the following:
- Serum M-protein level ≥ 0.5 g/dL or urine M-protein level ≥ 200 mg/24 hours; or
- Light chain MM without measurable disease in the serum or urine: serum free light chain ≥ 10 mg/dL and abnormal serum free light chain ratio
- Only individuals who are candidates to receive at least 1 of the 4 SOCT regimens (PVd, DPd, KDd, or Kd), as determined by the investigator, should be considered for this study
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Females of childbearing potential must have a negative serum or urine pregnancy test with a sensitivity of at least 25 mIU/mL (females who have undergone surgical sterilization or who have been postmenopausal for at least 2 years are not considered to be of childbearing potential)
Key Exclusion Criteria:
- Prior B-cell maturation antigen (BCMA)-targeted therapy
- Prior T-cell engager therapy
- Prior CAR therapy or other genetically modified T-cell therapy
- Active or prior history of central nervous system (CNS) or meningeal involvement of MM
- Cardiac atrial or cardiac ventricular MM involvement
- History of or active plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or amyloidosis
- Active malignancy (other than MM) requiring ongoing treatment for disease control within the last 24 months. Myelodysplastic syndrome (even without ongoing treatment) is not permitted.
- Prior auto-SCT within 12 weeks before randomization
- Prior allogeneic stem cell transplant (allo-SCT)
- High-dose (eg, cumulative > 70 mg prednisone or equivalent) systemic steroid therapy or any other form of immunosuppressive therapy within 14 days before randomization
- Live vaccine ≤ 4 weeks before randomization
- Contraindication to fludarabine or cyclophosphamide
- History of allergy or hypersensitivity to any study agent or study drug components. Individuals with a history of severe hypersensitivity reaction to dimethyl sulfoxide (DMSO) are excluded.
- Life expectancy < 12 weeks
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Anitocabtagene Autoleucel
Participants with RRMM will receive lymphodepletion chemotherapy with cyclophosphamide and fludarabine for 3 days followed by single dose of anitocabtagene autoleucel chimeric antigen receptor positive (CAR+) on Day 1.
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Administered intravenously
Administered intravenously
A single infusion of CAR+ transduced autologous T cells
Other Names:
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Active Comparator: Standard of Care Therapy (SOCT)
Participants will receive the investigator's choice of one of the following therapies:
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Tablet administered orally
Administered intravenously or subcutaneously
Tablet administered orally
Administered intravenously or subcutaneously
Administered intravenously
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Progression-Free Survival (PFS)
Time Frame: Up to 4 years
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PFS is defined as the time from randomization to disease progression per International Myeloma Working Group (IMWG) criteria as determined by independent review committee (IRC), or death due to any cause, whichever occurs first.
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Up to 4 years
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Minimal Residual Disease (MRD) Complete Response (CR) Rate at 9 Months
Time Frame: Up to 9 months
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Minimal MRD is defined as the proportion of participants achieving CR/stringent CR (sCR) and MRD-negative status at 9 months.
MRD negativity at 9 months is defined as negative MRD value at 9 months (± 3 months) in bone marrow assessment (< 1 in 105 nucleated cells per IMWG criteria using NGS) (Kumar 2016).
CR/sCR per IMWG criteria is determined by IRC.
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Up to 9 months
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall survival (OS)
Time Frame: Up to 7 years
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OS is defined as the time from randomization to death due to any cause.
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Up to 7 years
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Overall Response Rate (ORR)
Time Frame: Up to 7 years
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ORR is defined as the proportion of participants who achieve a best overall response of at least partial response (PR) or better (sCR, CR, very good partial response (VGPR), or PR) per IMWG criteria.
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Up to 7 years
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MRD-negative CR/sCR
Time Frame: Up to 7 years
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MRD-negative CR/sCR is defined as the proportion of participants achieving MRD-negative CR/sCR until disease progression, subsequent anti-MM therapy, or death.
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Up to 7 years
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MRD-negative VGPR+
Time Frame: Up to 7 years
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MRD-negative VGPR+ is defined as the proportion of participants achieving MRD negativity and sCR/CR/VGPR until disease progression, subsequent anti-MM therapy, or death.
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Up to 7 years
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Sustained MRD Negativity
Time Frame: Up to 7 years
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Sustained MRD negativity is defined as the proportion of participants remaining MRD-negative at the 10^-5 sensitivity threshold for the specified number of months starting from the first MRD-negative assessment date to the last MRD-negative assessment date prior to disease progression, subsequent anti-MM therapy, or death.
Duration may include ≥ 12 months.
Sustained MRD negativity will be evaluated for overall MRD negativity, MRD-negative CR/sCR, and MRD-negative VGPR+.
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Up to 7 years
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Duration of Response (DOR)
Time Frame: Up to 7 years
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DOR is derived only among participants who experience an overall response (sCR, CR, VGPR, or PR) per IMWG criteria and is defined as the time from first overall response to disease progression per IMWG criteria, or death from any cause, whichever occurs first.
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Up to 7 years
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Time to Progression
Time Frame: Up to 7 years
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Time to progression is defined as the time from randomization to the first documented disease progression per IMWG criteria, or death due to disease progression, whichever occurs first.
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Up to 7 years
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Time to Next Treatment
Time Frame: Up to 7 years
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Time to next treatment is defined as the time from randomization to the start of subsequent anti-MM therapy or death from any cause, whichever occurs first.
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Up to 7 years
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Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time Frame: First dose up to 7 years
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First dose up to 7 years
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Percentage of Participants With Anti-Anitocabtagene Autoleucel CAR Antibodies (Anitocabtagene Autoleucel Arm)
Time Frame: Up to 7 years
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Up to 7 years
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Percentage of Participants With Presence of Replication-Competent Lentivirus (Anitocabtagene Autoleucel Arm)
Time Frame: Up to 7 years
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Up to 7 years
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Change From Baseline in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) Score
Time Frame: Up to 7 years
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The EORTC-QLQ-C30 is a multi-item questionnaire measuring the following content: five (5) multi-item functional scales, three (3) multi-item symptom scales, six (6) single item symptoms scales, one (1) global health status scale, and one (1) global health-related quality of life (HRQoL).
Each scale is measured from 0 to 100 after a linear transformation.
Higher scores for functioning scales and for the Global Health Status or Global HRQoL scales indicate a higher level of functioning and a better HRQoL respectively, whereas higher scores in symptom scales represent a high level of symptoms.
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Up to 7 years
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Change From Baseline in the EORTC - Multiple Myeloma Module (EORTC QLQ-MY20) Score
Time Frame: Up to 7 years
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The EORTC QLQ-MY20 has 20 items across 4 independent subscales; 2 functional subscales (body image, future perspective), and 2 symptoms scales (disease symptoms, and side effects of treatment) with a recall period of one week.
Scores from each subscale are transformed from 0 to 100.
For the functional scales, high scores represent improvement.
For the symptom scales, higher scores represent worsening.
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Up to 7 years
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Change From Baseline in the European Quality of Life 5-Dimension 5-Level Scale (EQ-5D-5L) Score
Time Frame: Up to 7 years
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The EQ-5D-5L questionnaire is a generic measure of health status that provides a simple descriptive profile and a single index value.
The EQ-5D-5L comprises 2 components: a questionnaire covering 5 dimensions and a tariff of values based upon direct valuations of health states using a visual analog scale (VAS).
The total score for EQ-5D-5L index is presented on a range where higher scores indicate better outcome.
A positive change from Baseline indicates improvement.
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Up to 7 years
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Percentage of Participants Using Healthcare Resources
Time Frame: Up to 7 years
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Healthcare resource utilization will be assessed based on the numbers of hospitalizations, intensive care unit (ICU) inpatient days, and non-ICU inpatient days.
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Up to 7 years
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CR Rate (CR/ Stringent Complete Response (sCR))
Time Frame: Up to 4 years
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CR rate is defined as the proportion of participants who achieved a best overall response of CR or sCR per IMWG criteria as determined by IRC.
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Up to 4 years
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Overall MRD Negativity
Time Frame: Up to 7 years
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Overall MRD negativity, defined as the proportion of any MRD negativity in participants with bone marrow aspirate (< 1 in 10^5 nucleated cells per IMWG criteria using next-generation sequencing (NGS)) at any time after randomization until disease progression, subsequent anti-multiple myeloma (MM) therapy, or death.
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Up to 7 years
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Kite Study Director, Kite, A Gilead Company
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Neoplasms
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Hemic and Lymphatic Diseases
- Multiple Myeloma
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Hydrocarbons
- Polycyclic Compounds
- Inorganic Chemicals
- Pregnadienes
- Pregnanes
- Steroids
- Fused-Ring Compounds
- Steroids, Fluorinated
- Phosphoramide Mustards
- Nitrogen Mustard Compounds
- Mustard Compounds
- Hydrocarbons, Halogenated
- Phosphoramides
- Organophosphorus Compounds
- Pregnadienetriols
- Boronic Acids
- Acids, Noncarboxylic
- Acids
- Boron Compounds
- Pyrazines
- Bortezomib
- Dexamethasone
- Cyclophosphamide
- fludarabine
- carfilzomib
- pomalidomide
- daratumumab
Other Study ID Numbers
- KT-US-679-0788
- 2024-511188-26 (Other Identifier: European Medicines Agency)
- jRCT2043240170 (Other Identifier: Japan Registry of Clinical Trials)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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