Studie k vyhodnocení dopadu efanesoctocogu Alfa na dlouhodobé zdraví kloubů u účastníků s hemofilií A
Prospektivní, observační, multicentrická studie účinnosti Efanesoctocogu Alfa na dlouhodobé zdraví kloubů u pacientů s hemofilií A
This is a prospective, observational, multi-center longitudinal cohort study to describe the real-world effectiveness, safety and treatment usage of efanesoctocog alfa in patients with hemophilia A treated per standard of care in the US and Japan.
Patients will be enrolled in the study after the introduction of efanesoctocog alfa in the hemophilia treatment landscape in each study country. Decision to initiate treatment with commercially available efanesoctocog alfa will be made by the treating physician independently from the decision to include patients in the study. No study medication is provided. The data related to efanesoctocog alfa effectiveness, safety and usage will be collected prospectively during routine visits (expected annual/semi-annual visits) for up to 5 years following enrollment /treatment initiation.
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Kontakty a umístění
Studijní místa
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Arizona
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Gilbert, Arizona, Spojené státy, 85234-2165
- Banner MD Anderson Cancer Center- Site Number : 8400008
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California
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Loma Linda, California, Spojené státy, 92354-3450
- Loma Linda University- Site Number : 8400015
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Los Angeles, California, Spojené státy, 90007
- Orthopedic Institute for Children- Site Number : 8400004
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Orange, California, Spojené státy, 92868
- The Center for Inherited Blood Disorders- Site Number : 8400001
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Colorado
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Aurora, Colorado, Spojené státy, 80045-7202
- University of Colorado Hemophilia and Thrombosis Center- Site Number : 8400019
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Florida
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Gainesville, Florida, Spojené státy, 32610-3003
- William A. Shands Hospital at the University of Florida- Site Number : 8400032
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St. Petersburg, Florida, Spojené státy, 33701-4804
- Johns Hopkins All Childrens Hospital - Outpatient Care Center - PIN- Site Number : 8400025
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Illinois
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Chicago, Illinois, Spojené státy, 60612-3863
- Rush University Medical Center -1725 W Harrison St- Site Number : 8400014
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Peoria, Illinois, Spojené státy, 61615
- The Bleeding and Clotting Disorders Institute- Site Number : 8400005
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Indiana
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Indianapolis, Indiana, Spojené státy, 46260-1920
- Indiana Hemophilia and Thrombosis Center- Site Number : 8400013
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Iowa
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Iowa City, Iowa, Spojené státy, 52242-1009
- University Of Iowa Hospitals And Clinics- Site Number : 8400026
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Massachusetts
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Boston, Massachusetts, Spojené státy, 02114
- ~Massachusetts General Hospital- Site Number : 8400017
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Boston, Massachusetts, Spojené státy, 02215-5418
- Dana Farber and Boston Children's Hospital- Site Number : 8400031
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Michigan
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Ann Arbor, Michigan, Spojené státy, 48109-5000
- University of Michigan Hospital - 1500 E Medical Center Dr- Site Number : 8400023
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Minnesota
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Minneapolis, Minnesota, Spojené státy, 55455-4800
- M Health Fairview- Masonic Cancer Clinic - Clinics- Site Number : 8400010
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Rochester, Minnesota, Spojené státy, 55905-0001
- Mayo Clinic - PPDS- Site Number : 8400035
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Mississippi
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Madison, Mississippi, Spojené státy, 39110-6115
- Mississippi Center For Advanced Medicine - 7731 Old Canton Rd- Site Number : 8400016
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Nebraska
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Omaha, Nebraska, Spojené státy, 68114-4113
- University of Nebraska Medical Center - 985400 Nebraska Medical Center- Site Number : 8400009
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Nevada
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Las Vegas, Nevada, Spojené státy, 89109
- Children's Specialty Center - Las Vegas- Site Number : 8400007
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New York
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New York, New York, Spojené státy, 10065-4870
- Weill Cornell Medicine-New York Presbyterian Hospital- Site Number : 8400021
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Ohio
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Cincinnati, Ohio, Spojené státy, 45229-3026
- Cincinnati Children's Hospital Medical Center - PIN- Site Number : 8400006
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Pennsylvania
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Pittsburgh, Pennsylvania, Spojené státy, 15213-4306
- Hemophilia Center of Western Pennsylvania- Site Number : 8400012
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Tennessee
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Nashville, Tennessee, Spojené státy, 37232-0011
- Vanderbilt University Medical Center- Site Number : 8400003
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Texas
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Dallas, Texas, Spojené státy, 75390-7202
- University of Texas Southwestern Medical Center-2001 Inwood Rd- Site Number : 8400020
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Dallas, Texas, Spojené státy, 75390-8565
- University of Texas Southwestern Medical Center- Site Number : 8400011
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Houston, Texas, Spojené státy, 77030
- Gulf States Hemophilia and Thrombophilia Center- Site Number : 8400029
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Washington
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Seattle, Washington, Spojené státy, 98101-3932
- Washington Institute for Coagulation- Site Number : 8400022
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Wisconsin
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Milwaukee, Wisconsin, Spojené státy, 53233-2121
- Blood Center of Wisconnsin- Site Number : 8400027
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dítě
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Metoda odběru vzorků
Studijní populace
Approximately 200 patients from sites in the US and Japan will be enrolled in the study after the introduction of efanesoctocog alfa in the hemophilia treatment landscape in each of these two countries. To generate data for the broad real-world population of individuals with hemophilia A, eligible patients will include all ages, sexes and hemophilia A severities, whether on prophylactic or on-demand therapy or if efanesoctocog alfa is taken perioperatively.
Popis
Inclusion Criteria:
- Have a diagnosis of hemophilia A
- Patients starting efanesoctocog alfa treatment as per standard of care no more than one month prior to the enrollment date, for either on demand or prophylaxis. Patients starting efanesoctocog alfa treatment for a surgery event may also be enrolled only if the treatment is prescribed at enrollment.
- Physician's decision to treat the patient with efanesoctocog alfa is made prior to and independently of participation in the study.
- Signed and dated informed consent provided by the patient, or by the patient's legally acceptable representative for patients under the legal age before any study-related activities are undertaken. Assent should be obtained for pediatric patients according to local regulations.
Exclusion Criteria:
Diagnosed with other known bleeding disorder
- Participation in an investigational medicinal product trial at enrollment visit, or intake of an Investigational Medicinal Product within 3 months prior to inclusion in this study
- Current diagnosis of a FVIII inhibitor, defined as inhibitor titer ≥0.60 BU/mL
"The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial."
Studijní plán
Jak je studie koncipována?
Detaily designu
- Observační modely: COHORT
- Časové perspektivy: PROSPECTIVE
Počet skupin / kohort
Kohorty a intervence
Skupina / kohortaSkupina / kohorta |
Intervence / LéčbaIntervence / Léčba |
|---|---|
|
Cohort A (Prophylactic treatment)
All participants on efanesoctocog alfa prophylactic treatment fulfilling the overall study inclusion/exclusion criteria. The prophylactic cohort will include the following sub-cohorts: Sub-cohort A1 (Joint imaging): Participants with severe hemophilia A and joint imaging by Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) or Joint Tissue Activity and Damage Exam (JADE) protocol performed within 6 months of initiating treatment with efanesoctocog alfa or within 3 months after initiating treatment with efanesoctocog alfa available. Sub-cohort A2 (Children with no prior joint damage):Participants with severe hemophilia A who have no prior joint damage |
Given per investigator's discretion
Ostatní jména:
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Cohort B (On-Demand treatment)
Participants receiving on-demand treatment with efanesoctocog alfa who fulfil the overall study inclusion/exclusion criteria |
Given per investigator's discretion
Ostatní jména:
|
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change from baseline in Annualized joint bleeding rate (AjBR) for treated bleeds
Časové okno: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic cohort |
Up to 5 years
|
|
Change from baseline in Annualized joint bleeding rate (AjBR) for all (treated and untreated) bleeds
Časové okno: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic cohort |
Up to 5 years
|
|
Number of Target joint development, resolution and/or recurrence
Časové okno: Up to 5 years
|
Data will be reported for the effectiveness of efanesoctocog alfa prophylaxis on clinical joint status over 5-years for prophylactic coho |
Up to 5 years
|
Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Change from baseline in the Hemophilia Joint Health Score (HJHS v2.1) total/domains scores
Časové okno: At 1, 2, 3, 4, 5 years
|
HJHS total/domain scores will be reported for prophylactic cohorts (A1 ad A2) |
At 1, 2, 3, 4, 5 years
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Annual Bleeding Rate (ABR) by type for treated bleeds
Časové okno: At 1, 2, 3, 4, 5 years
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Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
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ABR by type all (treated and untreated) bleeds
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
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ABR by location for treated bleeds
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
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ABR by location for all (treated and untreated) bleeds
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
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ABR for all bleeding episodes (including untreated bleeding episodes)
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
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Percentage of patients with zero joint bleeds
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
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|
Annualized factor consumption per participant (IU/kg) assessed by prescription during the follow-up period.
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
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Annualized injection frequency per participant (assessed by prescription) during the follow- up period
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Treatment adherence (%) as judged by the physician during the follow-up period
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Number of injections of efanesoctocog alfa to treat a bleeding episode.
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (Sub Cohorts A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Total dose of efanesoctocog alfa to treat a bleeding episode.
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for prophylactic cohorts (Sub Cohorts A1 and A2) |
At 1, 2, 3, 4, 5 years
|
|
Number of injections of efanesoctocog alfa to treat a bleeding episode
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Total dose of efanesoctocog alfa to treat a bleeding episode
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Percentage of bleeding episodes treated with a single injection of efanesoctocog alfa.
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Occurrence of a change in treatment regimen (on-demand to prophylactic or prophylactic to on-demand) at baseline and follow-up.
Časové okno: At 1, 2, 3, 4, 5 years
|
Data will be reported for On-demand cohort |
At 1, 2, 3, 4, 5 years
|
|
Change from baseline in Hemophilia Early Arthropathy Detection with Ultrasound (HEAD-US) total/domain scores
Časové okno: At 1, 2, 3, 4 and 5 years
|
HEAD-US total/domain scores will be reported for joint imaging sub cohort |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in Hemophilia Early Arthropathy Detection with Joint Tissue Activity and Damage exam (JADE) musculoskeletal ultrasound (MSKUS) (JADE MSKUS)
Časové okno: At 1, 2, 3, 4 and 5 years
|
Data will be reported for consenting participants from the joint imaging sub-cohort |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in synovial hypertrophy by change in mm thickness AND/OR HEAD-US synovitis domain, AND/OR by JADE MSKUS synovial hypertrophy +/- power doppler signal
Časové okno: At 6 months, 1, 2, 3, 4 and 5 years
|
Data will be reported from the consenting participants from the joint imaging sub-cohort |
At 6 months, 1, 2, 3, 4 and 5 years
|
|
Occurrence of adverse events (AEs) and serious adverse events (SAEs)
Časové okno: Over 5 year period
|
The safety and tolerability of efanesoctocog alfa over 5 years evaluated in all participants |
Over 5 year period
|
|
Development of inhibitors (neutralizing antibodies directed against factor FVIII as determined via the Nijmegen modified Bethesda assay.
Časové okno: Over 5 year period
|
The safety and tolerability of efanesoctocog alfa over 5 years assessed in all participants |
Over 5 year period
|
|
Change from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS) pain intensity 3a questionnaire (adults)
Časové okno: At 3 months, 6 months, 1, 2, 3, 4 and 5 years
|
Effectiveness of efanesoctocog alfa assessed per participants' PROs in all participants |
At 3 months, 6 months, 1, 2, 3, 4 and 5 years
|
|
Change from baseline in Canadian Hemophilia Outcomes-Kids' Life Assessment Tool (CHO-KLAT) 3.0 (boys ≤18 years old) questionnaire (including Parent Proxy)
Časové okno: At 1, 2, 3, 4 and 5 years
|
Effectiveness of efanesoctocog alfa assessed per participants' PROs in all participants |
At 1, 2, 3, 4 and 5 years
|
|
Change from baseline in the occurrence of inpatient and outpatient visits, and length of hospital stay related to hemophilia A
Časové okno: At 1, 2, 3, 4 and 5 years
|
Healthcare resource use (HCRU) in efanesoctocog alfa related to hemophilia A over a 5-year period |
At 1, 2, 3, 4 and 5 years
|
|
Hemostatic response/physician reported during peri-operative period for surgery (major, minor) with efanesoctocog alfa.
Časové okno: Over a 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over a 5 year period
|
|
Number of injections required to maintain hemostasis during perioperative period for surgery (major, minor)
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Dose per injection required to maintain hemostasis during perioperative period for surgery (major, minor)
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Total efanesoctocog alfa consumption (IU) during perioperative period for surgery (major, minor)
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Number of blood component transfusions used during perioperative period for surgery
Časové okno: Over 5 year Period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year Period
|
|
Type of blood component transfusions used during perioperative period for surgery
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Estimated blood loss (ml) (intraoperative and post-operative period) for major surgery
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Number of transfusions required for surgery (intraoperative and post-operative period)
Časové okno: Over 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period |
Over 5 year period
|
|
Duration of hospitalization (major, minor)
Časové okno: Over 5 years period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period. |
Over 5 years period
|
|
Dose per injection required to maintain hemostasis during perioperative period for surgery (major, minor)
Časové okno: Over a 5 year period
|
Data reported to describe the usage and effectiveness of efanesoctocog alfa during the perioperative period for On-demand Cohort |
Over a 5 year period
|
Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: Clinical Sciences & Operations, Sanofi
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Začátek studia
Primární dokončení (Odhadovaný)
Primární dokončení
Dokončení studie (Odhadovaný)
Dokončení studie
Termíny zápisu do studia
První předloženo
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
První zveřejněno
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Poslední zveřejněná aktualizace
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Naposledy ověřeno
Více informací
Termíny související s touto studií
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- OBS17523
- U1111-1281-8840 (Identifikátor registru: ICTRP)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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