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Vzdělávání a mentorství poskytovatelů pokročilých praxe ke zvýšení komunitního výzkumu v síti NCORP, pokus o trenér-aplikaci (COACH-APP)

1. října 2026 aktualizováno: Wake Forest University Health Sciences

Budování kapacity v síti NCORP prostřednictvím intervence vzdělávání a mentorství pro poskytovatele pokročilých praxe (Coach-App)

This clinical trial evaluates whether a mentorship and education intervention called COACH-APP works to improve advanced practice providers' (APPs) confidence in their ability to participate in clinical research (research self-efficacy). APPs are skilled clinicians who are routinely part of cancer care teams, but who may not routinely be part of the research care team at community oncology sites. The COACH-APP program provides focused education and structured mentorship to assist in meaningful integration to the research care team, which may increase research self-efficacy among APPs and ultimately improve patient care and access to clinical trials.

Přehled studie

Postavení

Nábor

Podmínky

Intervence / Léčba

Detailní popis

PRIMARY OBJECTIVE:

I. To compare change in research self-efficacy (RSE) scores from baseline to end of study (12 months post-randomization) between APPs in the COACH-APP intervention compared to the education control.

SECONDARY OBJECTIVES:

I. To compare National Cancer Institute (NCI) Community Oncology Research Program (NCORP) engagement post-study (12-months) for APPs in the COACH-APP intervention compared to the education control.

II. To compare changes from baseline to post-study in APP ratings of research care team integration (Assessment for Collaborative Environments [ACE]-15) between the COACH-APP intervention and education control.

III. To compare practice-level NCORP and National Clinical Trial Network (NCTN) study activity as measured by total number of accruals (patient, non-patient, and organizational) and number of actively recruiting NCORP and NCTN studies over 24 months between practices with APPs receiving the COACH-APP intervention versus those in education control.

IV. Within the COACH-APP intervention group, to measure acceptability, feasibility, and appropriateness of the COACH-APP intervention for APPs and COACH-APP mentors to guide future implementation.

V. Within the COACH-APP intervention group, conduct semi-structured interviews with a sub-set of mentors, APPs, and other key research team members (collaborating oncologists and clinical research professionals) to assess:

  • Va. Perceptions of feasibility, acceptability, and appropriateness of the COACH-APP intervention;
  • Vb. Potential effects of the COACH-APP intervention on the research care team functioning and environment;
  • Vc. Potential effects of the COACH-APP intervention on patient care quality and access to clinical trials;
  • Vd. Practice-level barriers and facilitators of APP engagement in research activities.

Typ studie

Intervenční

Zápis (Odhadovaný)

97

Fáze

  • Nelze použít

Kontakty a umístění

Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.

Studijní kontakt

  • Jméno: Karen Craver
  • Telefonní číslo: 336-716-0891
  • E-mail: NCORP@wfusm.edu

Studijní místa

    • Delaware
      • Newark, Delaware, Spojené státy, 19713
        • Nábor
        • Helen F Graham Cancer Center
        • Vrchní vyšetřovatel:
          • Gregory A Masters
        • Kontakt:
    • Georgia
      • Hinesville, Georgia, Spojené státy, 31313
        • Nábor
        • Liberty County Cancer Care
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Leonard R Henry
      • Jesup, Georgia, Spojené státy, 31545
        • Nábor
        • Regional Cancer Care - Jesup
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Leonard R Henry
      • Savannah, Georgia, Spojené státy, 31405
        • Nábor
        • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Leonard R Henry
    • Hawaii
      • Honolulu, Hawaii, Spojené státy, 96813
        • Nábor
        • Queen's Medical Center
        • Kontakt:
          • Telefonní číslo: 808-545-8548
        • Vrchní vyšetřovatel:
          • Christa Braun-Inglis
      • Honolulu, Hawaii, Spojené státy, 96813
        • Nábor
        • University of Hawaii Cancer Center
        • Kontakt:
          • Telefonní číslo: 808-586-2979
        • Vrchní vyšetřovatel:
          • Christa Braun-Inglis
      • ‘Ewa Beach, Hawaii, Spojené státy, 96706
        • Nábor
        • The Queen's Medical Center - West Oahu
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Christa Braun-Inglis
    • Illinois
      • Bloomington, Illinois, Spojené státy, 61704
        • Nábor
        • Illinois Cancer Care-Bloomington
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Bryan A Faller
      • Chicago, Illinois, Spojené státy, 60612
        • Nábor
        • John H Stroger Jr Hospital of Cook County
        • Kontakt:
          • Telefonní číslo: 312-864-5204
        • Vrchní vyšetřovatel:
          • Deimante M Tamkus
      • Eureka, Illinois, Spojené státy, 61530
        • Nábor
        • Illinois Cancer Care - Eureka
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Bryan A Faller
      • Galesburg, Illinois, Spojené státy, 61401
        • Nábor
        • Illinois CancerCare-Galesburg
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Bryan A Faller
      • Macomb, Illinois, Spojené státy, 61455
      • Mount Vernon, Illinois, Spojené státy, 62864
        • Nábor
        • SSM Health Good Samaritan
        • Vrchní vyšetřovatel:
          • Jay W Carlson
        • Kontakt:
      • Pekin, Illinois, Spojené státy, 61554
      • Peoria, Illinois, Spojené státy, 61615
      • Washington, Illinois, Spojené státy, 61571
        • Nábor
        • Illinois Cancer Care - Washington
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Bryan A Faller
    • Kansas
      • Hays, Kansas, Spojené státy, 67601
        • Nábor
        • HaysMed
        • Vrchní vyšetřovatel:
          • Jamie Myers
        • Kontakt:
          • Telefonní číslo: 785-623-5774
      • Overland Park, Kansas, Spojené státy, 66210
        • Nábor
        • University of Kansas Cancer Center-Overland Park
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Jamie Myers
      • Westwood, Kansas, Spojené státy, 66205
        • Nábor
        • University of Kansas Hospital-Westwood Cancer Center
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Jamie Myers
    • Maine
      • Augusta, Maine, Spojené státy, 04330
        • Nábor
        • Harold Alfond Center for Cancer Care
        • Kontakt:
          • Telefonní číslo: 207-626-4855
        • Vrchní vyšetřovatel:
          • Scot C Remick
      • Brunswick, Maine, Spojené státy, 04011
        • Nábor
        • MaineHealth Cancer Care and IV Therapy - Brunswick
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Scot C Remick
      • Portland, Maine, Spojené státy, 04102
        • Nábor
        • MaineHealth Maine Medical Center - Portland
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Scot C Remick
      • Scarborough, Maine, Spojené státy, 04074
        • Nábor
        • MaineHealth Maine Medical Center- Scarborough
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Scot C Remick
      • South Portland, Maine, Spojené státy, 04106
        • Nábor
        • Maine Health Cancer Care and IV Therapy - South Portland
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Scot C Remick
    • Michigan
      • Chelsea, Michigan, Spojené státy, 48118
        • Nábor
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Rose A Juhasz
      • Reed City, Michigan, Spojené státy, 49677
        • Nábor
        • Corewell Health Reed City Hospital
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Kathleen Y Butler
      • Ypsilanti, Michigan, Spojené státy, 48197
        • Nábor
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Rose A Juhasz
    • Minnesota
    • Mississippi
      • Columbus, Mississippi, Spojené státy, 39705
        • Nábor
        • Baptist Memorial Hospital and Cancer Center-Golden Triangle
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Leanna R Fendley
    • Missouri
      • Joplin, Missouri, Spojené státy, 64804
        • Nábor
        • Mercy Hospital Joplin
        • Vrchní vyšetřovatel:
          • Jay W Carlson
        • Kontakt:
      • Kansas City, Missouri, Spojené státy, 64154
        • Nábor
        • University of Kansas Cancer Center - North
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Jamie Myers
      • Kansas City, Missouri, Spojené státy, 64116
        • Nábor
        • University of Kansas Cancer Center - Briarcliff
        • Vrchní vyšetřovatel:
          • Jamie Myers
        • Kontakt:
          • Telefonní číslo: 913-588-3671
    • New Mexico
      • Albuquerque, New Mexico, Spojené státy, 87109
        • Nábor
        • Lovelace Women's Hospital
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Bernard Tawfik
      • Albuquerque, New Mexico, Spojené státy, 87102
    • North Carolina
      • Winston-Salem, North Carolina, Spojené státy, 27157
        • Nábor
        • Wake Forest NCORP Research Base
        • Kontakt:
        • Kontakt:
    • Pennsylvania
      • Lewistown, Pennsylvania, Spojené státy, 17044
        • Nábor
        • Lewistown Hospital
        • Vrchní vyšetřovatel:
          • Christian S Adonizio
        • Kontakt:
    • South Carolina
      • Greenville, South Carolina, Spojené státy, 29605
        • Nábor
        • Prisma Health Cancer Institute - Faris
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Matgthew F Hudson
      • Greenville, South Carolina, Spojené státy, 29615
        • Nábor
        • Prisma Health Cancer Institute - Eastside
        • Vrchní vyšetřovatel:
          • Matthew F Hudson
        • Kontakt:
      • Greer, South Carolina, Spojené státy, 29651
        • Nábor
        • Gibbs Cancer Center-Pelham
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Michael Humeniuk
      • Spartanburg, South Carolina, Spojené státy, 29303
        • Nábor
        • Spartanburg Medical Center
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Michael Humeniuk
    • South Dakota
      • Sioux Falls, South Dakota, Spojené státy, 57104
    • Tennessee
      • Memphis, Tennessee, Spojené státy, 38120
        • Nábor
        • Baptist Memorial Hospital and Cancer Center-Memphis
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Leanna R Fendley
    • Virginia
      • Richmond, Virginia, Spojené státy, 23298
        • Nábor
        • VCU Massey Comprehensive Cancer Center
        • Kontakt:
        • Vrchní vyšetřovatel:
          • Mary H Hackney
    • Wisconsin
      • Green Bay, Wisconsin, Spojené státy, 54303
        • Nábor
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Vrchní vyšetřovatel:
          • Anthony J Jaslowski
        • Kontakt:

Kritéria účasti

Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.

Kritéria způsobilosti

Věk způsobilý ke studiu

18 let a starší (Dospělý, Starší dospělý)

Přijímá zdravé dobrovolníky

Ano

Pohlaví způsobilá ke studiu

Všechno

Popis

Inclusion Criteria:

  • APP PRACTICE: Must have one practicing APP who can dedicate approximately 2 hours/month to participate in the intervention and study activities over a 12-month period, supported by their direct supervisor via the APP Support Statement

  • APP PRACTICE: Must attest to research infrastructure that can support APP trial enrollment, as declared on the APP Practice Attestation

  • APP PRACTICE: Must have submitted the APP Practice Attestation within the Study Interest Survey

  • APP PRACTICE: Must have received the required APP practice ID for Oncology Patient Enrollment Network (OPEN) enrollment in the Study Selection Email prior to enrollment

  • APP PRACTICE: Must enroll eligible practice site(s) in OPEN within 14 days of receiving the Study Selection Email.

  • APP: Practicing nurse practitioner (NP) or physician assistant (PA) registered as an active non-physician investigators (NPIVR) within the National Cancer Institute (NCI) Registration and Credential Repository (RCR)

  • APP: Treats oncology patients at practice that is actively recruiting to NCORP and/or NCTN trials

  • APP: Not planning to leave their clinical position within the APP practice (defined as one or more NCORP affiliate or sub-affiliate site[s] where the APP participating in the study sees patients and clinical research activities occur) in the next 12 months at enrollment

  • APP: Willing to participate in a 30-minute recorded phone interview, if selected

  • APP: Completed and submitted the APP Attestation within the Study Interest Survey

  • APP: Completed and submitted an APP Support Statement from their direct supervisor approving participation in this study, within the Study Interest Survey

  • APP: Identify and obtain signed Research Care (RC) Team Acknowledgements from two members (defined below) of their research care team to assist them in this study. The RC team for this study will consist of an oncologist and clinical research professional (i.e., clinical research coordinator, clinical research associate clinical research nurse, etc.) that the APP collaborated with over the past 6 months or could collaborate with in the future to enroll patients on NCORP and/or NCTN trials

  • APP: Must have received the required APP practice ID for OPEN enrollment in the Study Selection Email

  • APP: Must enroll consented APPs in OPEN within 14 days of receiving the Study Selection Email

  • MENTOR: Must be a practicing APP chosen by the WF-2403 COACH-APP Study MPIs

  • MENTOR: Must have the following criteria:

    • Clinical practice experience in a practice that enrolls to NCORP and/or NCTN trials.
    • Participation in a leadership role within NCTN or NCORP (i.e., serving on a Research Base committee, working group, taskforce or as a site PI)
    • Willing to complete COACH-APP mentor training.
    • Willing to complete a 30-minute recorded phone interview about their experience with the COACH-APP intervention
  • RESEARCH CARE TEAM INTERVIEW: Must be an identified member of the Research Care Team for an APP assigned to the COACH-APP intervention arm. The Research Care Team will be reviewed by the APP in the 12 month survey for any changes

  • RESEARCH CARE TEAM INTERVIEW: Willing to participate in a recorded phone interview (approximately 30 minutes) to assess their perceptions of the COACH-APP intervention, including feasibility, acceptability, and impact

Exclusion Criteria:

  • APP PRACTICE: APP practice has an APP serving as a COACH-APP intervention mentor
  • APP PRACTICE: Another APP at the same APP practice is already enrolled in this study (i.e., only 1 APP is allowed per APP practice)
  • APP PRACTICE: Affiliate/sub-affiliate site(s) within this APP practice are already enrolled or are intended to be enrolled in this study under another APP practice
  • APP: Has already completed the SWOG APP workshop
  • APP: Served as a site principal investigator (PI) for an NCORP or NCTN study at any time
  • APP: Participated as a presenter for the SWOG APP workshop
  • APP: Participated on the planning committee for The Advanced Practice Provider Clinical Trials Research Manual
  • APP: Participated on the planning committee for the SWOG APP workshop
  • APP: Past or current member of SWOG APP Task Force Committee
  • APP: Past or current member of Eastern Cooperative Oncology Group- American College of Radiology Imaging Network (ECOG-ACRIN) APP Committee
  • MENTOR: Must not work at NC002-Wake Forest University Health Sciences or its affiliate/subaffiliate sites

Studijní plán

Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.

Jak je studie koncipována?

Detaily designu

  • Primární účel: Jiný
  • Přidělení: Randomizované
  • Intervenční model: Paralelní přiřazení
  • Maskování: Žádné (otevřený štítek)

Zbraně a zásahy

Skupina účastníků / Arm
Intervence / Léčba
Experimentální: Arm I (COACH-APP)

APPs complete the SWOG APP Clinical Research Workshop, consisting of 6 modules, over 2 hours and receive The Advanced Practice Provider Clinical Trials Research Manual. APPs also complete 5 mentoring sessions, over 15-60 minutes each, over 12 months.

Ancillary studies

Ancillary studies

Receive access to SWOG APP Clinical Research workshop. Receive The Advanced Practice Provider Clinical Trials Research Manual

Complete mentorship intervention

Aktivní komparátor: Arm II (education control)

APPs receive access to the SWOG APP Clinical Research Workshop and The Advanced Practice Provider Clinical Trials Research Manual for 12 months.

Ancillary studies

Receive access to SWOG APP Clinical Research workshop. Receive The Advanced Practice Provider Clinical Trials Research Manual

Jiný: Mentors

The seven COACH-APP Mentors who provide the mentorship in the COACH-APP arm will also be enrolled as participants in the study.

Ancillary studies

Ancillary studies

Jiný: Research Care Team Members

20 Research Care Team Members will also be enrolled in the study to participate in qualitative interviews to assess their perceptions of the COACH-APP intervention.

Ancillary studies

Co je měření studie?

Primární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
Research self-efficacy (RSE)
Časové okno: From baseline to 12 months post-randomization

RSE score is calculated as sum of the 22-items measured on a 5-point Likert scale. Will be compared between the COACH-APP intervention and education control arms using a two-sample t-test.

From baseline to 12 months post-randomization

Sekundární výstupní opatření

Měření výsledku
Popis opatření
Časové okno
National Cancer Institute Community Oncology Research Program (NCORP) engagement
Časové okno: At 12 months post randomization

Measured by the sum of 8-items measured on a 5-point Likert scale. Will be compared between the COACH-APP intervention and education control arms using linear regression.

At 12 months post randomization
Change in research care team integration
Časové okno: From baseline to 12 months post randomization

Measured by the Assessment for Collaborative Environments (ACE)-15. Will follow the same analysis plan as for the primary outcome.

From baseline to 12 months post randomization
Practice-level NCORP and National Clinical Trials Network (NCTN) study activity
Časové okno: Up to 24 months

Measured by total number of accruals (patient, non-patient, and organizational) and number of actively recruiting NCORP and NCTN studies. Will be compared between the COACH-APP intervention and education control arms using linear regression.

Up to 24 months
Acceptability of COACH-APP intervention (COACH-APP arm only)
Časové okno: At 12 months

As measured by Acceptability of Intervention Measure (AIM). Will be summarized for the APPs in the COACH-APP intervention arm using mean and standard deviation and by capturing the percent who agree or strongly agree with the items.

At 12 months
Feasibility of COACH-APP intervention (COACH-APP arm only)
Časové okno: At 12 months

As measured by Feasibility of Intervention Measure (FIM). Will be summarized for the APPs in the COACH-APP intervention arm using mean and standard deviation and by capturing the percent who agree or strongly agree with the items.

At 12 months
Appropriateness of COACH-APP intervention (COACH-APP arm only)
Časové okno: At 12 months

As measured by Intervention Appropriateness Measure (IAM). Will be summarized for the APPs in the COACH-APP intervention arm using mean and standard deviation and by capturing the percent who agree or strongly agree with the items.

At 12 months
Perceptions of feasibility of the COACH-APP intervention
Časové okno: Day 1 (At time of interview)

Measured via qualitative interview. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)
Perceptions of acceptability of the COACH-APP intervention
Časové okno: Day 1 (At time of interview)

Measured via qualitative interview. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)
Perceptions of appropriateness of the COACH-APP intervention
Časové okno: Day 1 (At time of interview)

Measured via qualitative interview. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)
Potential effects of the COACH-APP intervention on the research care team functioning and environment
Časové okno: Day 1 (At time of interview)

Measured via qualitative interviews. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)
Potential effects of the COACH-APP intervention on patient care quality and access to clinical trials
Časové okno: Day 1 (At time of interview)

Measured via qualitative interviews. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)
Practice-level barriers and facilitators of APP engagement in research activities
Časové okno: Day 1 (At time of interview)

Measured via qualitative interviews. Thematic analysis of the qualitative data will be used to summarize key themes from the APP, Mentor and RC Team semi-structured interview recordings and transcripts.

Day 1 (At time of interview)

Spolupracovníci a vyšetřovatelé

Zde najdete lidi a organizace zapojené do této studie.

Sponzor

Spolupracovníci

Vyšetřovatelé

  • Studijní židle: Glenn Lesser, MD, Wake Forest University Health Sciences

Termíny studijních záznamů

Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.

Hlavní termíny studia

Začátek studia (Aktuální)

5. září 2025

Primární dokončení (Odhadovaný)

30. června 2028

Dokončení studie (Odhadovaný)

30. června 2028

Termíny zápisu do studia

První předloženo

24. března 2025

První předloženo, které splnilo kritéria kontroly kvality

31. března 2025

První zveřejněno (Aktuální)

1. dubna 2025

Aktualizace studijních záznamů

Poslední zveřejněná aktualizace (Aktuální)

5. října 2026

Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality

1. října 2026

Naposledy ověřeno

1. října 2026

Více informací

Termíny související s touto studií

Další identifikační čísla studie

  • IRB00129381
  • UG1CA189824 (Grant/smlouva NIH USA)
  • NCI-2025-01059 (Jiný identifikátor: NCI Trial Identifier)

Plán pro data jednotlivých účastníků (IPD)

Plánujete sdílet data jednotlivých účastníků (IPD)?

ANO

Popis plánu IPD

Wake Forest NCORP Research Base is committed to following the NIH Statement on Sharing Research Data (http://grants.nih.gov/grants/guide/notice-files/NOT-OD-03-032.html). As of July 2018, the WF NCORP RB signed an agreement with NCI to contribute de-identified data and data dictionaries from clinical trials conducted through our RB to the NCI NCTN/NCORP data archive within 6 months of primary and non-primary publications of phase II/III and phase III trials to https://nctn-data-archive.nci.nih.gov/. This will become the primary means for sharing raw data, and we will adhere to the guidelines spelled out in the NCTN/NCORP Data Archive Usage Guide. De-identified data from studies not covered by the agreement (e.g., phase II and observational studies) will be made available upon request. All data files will be de-identified. De-identification procedures will meet the HIPAA criteria as detailed in the Code of Federal Regulations, Part 45, Section 164.514.

Časový rámec sdílení IPD

6 months after publication for a 2 year duration

Kritéria přístupu pro sdílení IPD

upon request to NCORP@wakehealth.edu

Informace o lécích a zařízeních, studijní dokumenty

Studuje lékový produkt regulovaný americkým FDA

Ne

Studuje produkt zařízení regulovaný americkým úřadem FDA

Ne

Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .