Fáze III klinické studie srovnávající BNT324 s docetaxelem u metastatického kastračně rezistentního karcinomu prostaty
Fáze III, randomizovaná, otevřená studie srovnávající BNT324 s docetaxelem v kombinaci s prednisonem/prednisolonem u metastatického kastračně rezistentního karcinomu prostaty
This study will test whether BNT324 is safe and works better against metastatic castration-resistant prostate cancer (mCRPC) than the current standard of care (SoC) chemotherapy, which is docetaxel (given together with the steroid medicines prednisone or prednisolone). The study will include participants with mCRPC that have been previously treated with androgen receptor pathway inhibitor, but with no previous taxane-based systematic chemotherapy for mCRPC.
The main goals of this study are:
- To find out if BNT324 helps participants live longer without their cancer getting worse (radiographic progression-free survival [rPFS]).
- To find out if BNT324 helps participants live longer overall (overall survival [OS]).
Přehled studie
Postavení
Postavení
Podmínky
Podmínky
Intervence / Léčba
Intervence / Léčba
Detailní popis
The study consists of a screening period (up to 28 days), a treatment period with 21-day cycles, and an after-treatment period that includes a 30-day safety follow-up period and a long-term survival follow-up period.
Treatment continues until the cancer clearly gets worse (in scans, based on blinded independent central review [BICR] assessment or investigator's decision), side effects become unacceptable, the participant chooses to stop, or the study ends.
Participants are put into one of two groups in a 1:1 ratio, which means they will have an equal chance to be in either treatment group, i.e., BNT324 group, or docetaxel plus prednisone/prednisolone group (current SoC). An independent committee will help ensure participant safety, by regularly reviewing safety and early results.
For each participant, the treatment and follow-up periods are projected to be up to ~58 months.
Typ studie
Typ studie
Zápis (Odhadovaný)
Zápis
Fáze
Fáze
- Fáze 3
Kontakty a umístění
Studijní kontakt
Studijní kontakt
- Jméno: BioNTech clinical trials patient information
- Telefonní číslo: +49 6131 9084
- E-mail: patients@biontech.de
Studijní místa
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Southport, Austrálie, 4215
- Nábor
- Tasman Onco Research Pty Ltd
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Brussels, Belgie, 1200
- Nábor
- Cliniques Universitaires Saint-Luc
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Dresden, Německo, 1307
- Nábor
- Universitätsklinikum Carl Gustav Carus
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Hamburg, Německo, 22763
- Nábor
- Asklepios Klinik Altona
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Krakow, Polsko, 30-727
- Nábor
- Pratia MCM Krakow
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Warsaw, Polsko, 02-781
- Nábor
- National Research Institute of Oncology - National Research Institute (NIO-PIB)
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Cambridge, Spojené království, CB2 0QQ
- Nábor
- Addenbrooke's Hospital
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Cardiff, Spojené království, CF14 2TL
- Nábor
- Velindre Cancer Centre
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Leeds, Spojené království, LS9 7TF
- Nábor
- St James's University Hospital
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London, Spojené království, SW3 6JJ
- Nábor
- Royal Marsden Hospital
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Newcastle upon Tyne, Spojené království, NE7 7DN
- Nábor
- Freeman Hospital
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Southampton, Spojené království, SO16 6YD
- Nábor
- Southampton General Hospital
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Sutton, Spojené království, SM2 5PT
- Nábor
- Royal Marsden Hospital
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California
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Santa Barbara, California, Spojené státy, 93105
- Nábor
- Sansum Clinic
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Colorado
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Aurora, Colorado, Spojené státy, 80012
- Nábor
- Rocky Mountain Cancer Centers
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Florida
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Fort Myers, Florida, Spojené státy, 33901
- Nábor
- Florida Cancer Specialists- Fort Myers
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St. Petersburg, Florida, Spojené státy, 33701
- Nábor
- Florida Cancer Specialists- St. Petersburg
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West Palm Beach, Florida, Spojené státy, 33401
- Nábor
- Florida Cancer Specialists- West Palm Beach
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Georgia
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Atlanta, Georgia, Spojené státy, 30318
- Nábor
- Piedmont Cancer Institute
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Illinois
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Niles, Illinois, Spojené státy, 60714
- Nábor
- Illinois Cancer Specialists
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Peoria, Illinois, Spojené státy, 61615
- Nábor
- Illinois CancerCare PC
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Maryland
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Rockville, Maryland, Spojené státy, 20850
- Nábor
- Maryland Oncology Hematology
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New York
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Albany, New York, Spojené státy, 12206
- Nábor
- NYOH Albany Cancer Center
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White Plains, New York, Spojené státy, 10601
- Nábor
- White Plains Hospital
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Ohio
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Cincinnati, Ohio, Spojené státy, 45242
- Nábor
- Oncology/Hematology Care, Inc.
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South Carolina
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Myrtle Beach, South Carolina, Spojené státy, 29572
- Nábor
- START Carolinas
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Tennessee
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Nashville, Tennessee, Spojené státy, 37203
- Nábor
- Tennessee Oncology
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Nashville, Tennessee, Spojené státy, 37203
- Nábor
- SCRI Oncology Partners
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Texas
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Austin, Texas, Spojené státy, 78731
- Nábor
- Texas Oncology South Austin
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Houston, Texas, Spojené státy, 77024
- Nábor
- Texas Oncology Gulf Coast
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Tyler, Texas, Spojené státy, 75702
- Nábor
- Texas Oncology, P.A. - Tyler
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Wichita Falls, Texas, Spojené státy, 76310
- Nábor
- Texas Oncology - West Texas
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Virginia
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Fairfax, Virginia, Spojené státy, 22031
- Nábor
- Virginia Cancer Specialists PC
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Norfolk, Virginia, Spojené státy, 23502
- Nábor
- Virginia Oncology Associates
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Beijing, Čína, 100142
- Nábor
- Beijing Cancer Hospital
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Beijing, Čína, 100034
- Nábor
- Peking University First Hospital
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Changsha, Čína, 410005
- Nábor
- The First Affiliated Hospital of Hunan Normal University
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Chengdu, Čína, 610041
- Nábor
- West China Hospital, Sichuan University
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Chongqing, Čína, 400072
- Nábor
- The Second Affiliated Hospital of Chongqing Medical University
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Fuzhou, Čína, 350001
- Nábor
- Fujian Medical University Union Hospital
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Hangzhou, Čína, 310022
- Nábor
- Zhejiang Cancer Hospital
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Hangzhou, Čína, 310016
- Nábor
- Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University
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Hefei, Čína, 230601
- Nábor
- Second Hospital of Anhui Medical University
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Nanchang, Čína, 330006
- Nábor
- The First Affiliated Hospital of Nanchang University
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Nanjing, Čína, 210008
- Nábor
- Nanjing Drum Tower Hospital
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Shanghai, Čína, 200032
- Nábor
- Shanghai Cancer Center
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Shanghai, Čína, 200072
- Nábor
- No. 10 People's Hospital of Shanghai
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Wenzhou, Čína, 325000
- Nábor
- The First Affiliated Hospital of Wenzhou Medical University
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Wuhan, Čína, 430079
- Nábor
- Hubei Cancer Hospital
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Wuhan, Čína, 420104
- Nábor
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Wuhu, Čína, 241001
- Nábor
- Yijishan Hospital of Wannan Medical College
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Yantai, Čína, 264000
- Nábor
- Yantai Yuhuangding Hospital
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Kritéria účasti
Kritéria způsobilosti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Key Inclusion Criteria:
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Are male adults (defined as ≥18 years of age or of an acceptable age according to local regulations at the time of giving informed consent).
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Must have documented progressive prostate cancer based on at least one of the following criteria:
- Serum/plasma PSA progression, by local laboratory, defined as two consecutive increases in PSA over a previous reference value, each measured sequentially at least 1 week apart. The PSA value at screening is required to be ≥1.0 ng/mL.
- Radiographic soft tissue progression as per PCWG3-modified RECIST v1.1.
- Radiographic progression of bone disease: evaluable disease or new bone lesion(s) by bone scan per PCWG3 criteria.
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Had previously received one or two prior androgen receptor pathway inhibitor treatments and experienced disease progression during or after a minimum of 8 weeks of therapy.
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Must not have received systemic cytotoxic chemotherapy, including taxane-based chemotherapy, for mCRPC.
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Must have had prior orchiectomy and/or have ongoing androgen-deprivation therapy and a castrate-level of serum/plasma testosterone (<50 ng/dL or <1.7 nmol/L). Participant being treated with luteinizing hormone-releasing hormone agonists or antagonists must continue such treatment throughout the study.
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Must have an Eastern Cooperative Oncology Group performance score of 0 or 1.
Key Exclusion Criteria:
- Have received prior treatment with B7-H3 targeted therapy, including B7-H3 ADCs.
- Have uncontrolled or significant cardiovascular disease, as defined in the protocol.
- Have a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids or have current ILD/pneumonitis.
NOTE: Other protocol defined Inclusion/Exclusion criteria apply.
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Počet zbraní
Zbraně a zásahy
Skupina účastníků / ArmSkupina účastníků / Arm |
Intervence / LéčbaIntervence / Léčba |
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Experimentální: BNT324
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Intravenous infusion
Ostatní jména:
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Aktivní komparátor: Docetaxel plus prednison/ prednisolon
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Intravenous infusion Oral |
Co je měření studie?
Primární výstupní opatření
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
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rPFS assessed by BICR
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. rPFS is defined as time from randomization to radiographic disease progression per Prostate Cancer Working Group 3 (PCWG3)-modified Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) criteria, or death from any cause, whichever occurs first. |
From randomization to end of study, i.e., up to 58 months
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OS
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. OS is defined as time from randomization to death from any cause. |
From randomization to end of study, i.e., up to 58 months
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Sekundární výstupní opatření
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Time to first subsequent therapy (TFTS)
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. TFST is defined as time from randomization to initiation of the first subsequent systemic anticancer therapy or death, whichever occurs first. |
From randomization to end of study, i.e., up to 58 months
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Objective response rate (ORR)
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. ORR is defined as the proportion of participants in whom a confirmed complete response (CR) or partial response (PR) (per PCWG3-modifed RECIST v1.1 as assessed by BICR) is observed as best overall response. |
From randomization to end of study, i.e., up to 58 months
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Duration of response (DOR)
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. DOR is defined as time from first objective response (confirmed CR or PR per PCWG3-modified RECIST v1.1 criteria as assessed by BICR) to first occurrence of objective tumor progression (progressive disease per PCWG3-modified RECIST v1.1 criteria as assessed by BICR) or death from any cause, whichever occurs first. |
From randomization to end of study, i.e., up to 58 months
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Time to pain progression (TTPP)
Časové okno: From randomization to safety follow-up visit (30 days after the last dose), i.e., up to 58 months
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By arm. TTPP is defined as time from randomization to pain progression as determined by Brief Pain Inventory-Short Form Item 3 "worst pain in 24 hours" and opiate analgesic use (Analgesic Quantification Algorithm score). |
From randomization to safety follow-up visit (30 days after the last dose), i.e., up to 58 months
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rPFS as assessed by investigator
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. rPFS is defined as time from randomization to radiographic disease progression per PCWG3-modified RECIST v1.1 criteria, or death from any cause, whichever occurs first. |
From randomization to end of study, i.e., up to 58 months
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Time to first symptomatic skeletal-related event (SSRE)
Časové okno: From randomization to end of study, i.e., up to 58 months
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By arm. Time to first SSRE is defined as time from randomization to first occurrence of any of the following SSREs:
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From randomization to end of study, i.e., up to 58 months
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Time to prostate-specific antigen (PSA) progression (by central lab testing results)
Časové okno: From baseline to end of treatment visit, i.e., up to 58 months
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By arm. Time to PSA progression is defined as time from randomization to PSA progression per PCWG3 criteria. |
From baseline to end of treatment visit, i.e., up to 58 months
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PSA response (by central lab testing results)
Časové okno: From baseline to end of treatment visit, i.e., up to 58 months
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By arm. PSA response is defined as having a post-baseline PSA reduction ≥50% from baseline with a consecutive confirmation assessment at least 3 weeks later per PCWG3 criteria. |
From baseline to end of treatment visit, i.e., up to 58 months
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Number and percentage of participants with treatment-emergent adverse events (TEAEs) including Grade ≥3, serious, and fatal TEAEs
Časové okno: From the start of study treatment until 30 days after the last dose of study treatment or until start of new systemic anticancer therapy, whichever occurs first, i.e., up to 58 months
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TEAEs by relationship and by arm. |
From the start of study treatment until 30 days after the last dose of study treatment or until start of new systemic anticancer therapy, whichever occurs first, i.e., up to 58 months
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Number and percentage of participants with dose interruptions, reductions or discontinuations of study treatment due to TEAEs
Časové okno: From the start of study treatment until 30 days after the last dose of study treatment or until start of new systemic anticancer therapy, whichever occurs first, i.e., up to 58 months
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By arm. |
From the start of study treatment until 30 days after the last dose of study treatment or until start of new systemic anticancer therapy, whichever occurs first, i.e., up to 58 months
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Spolupracovníci a vyšetřovatelé
Sponzor
Sponzor
Spolupracovníci
Spolupracovníci
Vyšetřovatelé
Vyšetřovatelé
- Ředitel studie: BioNTech Responsible Person, BioNTech SE
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
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
Další identifikační čísla studie
- BNT324-03
- 2025-524445-27-00 (Ctis)
- 2025 (Grant/smlouva NIH USA)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
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