Mucosal Healing Study in Crohn's Disease (CD) (MUSIC)
30. srpna 2011 aktualizováno: UCB Pharma
A Phase IIIB Multicentre Open Label 54 Weeks Clinical Trial Evaluating Certolizumab Pegol, a PEGylated Fab Fragment of Humanized Antibody to Tumor Necrosis Factor Alpha (TNFα) on Endoscopic and Mucosal Healing in Patients Suffering From Active Crohn's Disease.
The aim of the study will be to investigate the effect of certolizumab pegol on the intestinal mucosa in active Crohn's disease.
Přehled studie
Typ studie
Intervenční
Zápis (Aktuální)
89
Fáze
- Fáze 3
Kontakty a umístění
Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.
Studijní místa
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Bonheiden, Belgie
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Brussels, Belgie
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Edegem, Belgie
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Leuven, Belgie
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Amiens, Francie
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Besancon, Francie
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Chambray-Les-Tours, Francie
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Clichy, Francie
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Grenoble, Francie
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Lille, Francie
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Marseille, Francie
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Nice, Francie
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Paris, Francie
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Reims, Francie
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Rouen, Francie
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Strasbourg, Francie
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Vandoeuvre Les Nancy, Francie
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Berlin, Německo
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Bonn, Německo
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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
Ne
Pohlaví způsobilá ke studiu
Všechno
Popis
Inclusion Criteria:
- Patients suffering from active Crohn's disease [Crohn's Disease Activity Index(CDAI) ≥ 220 and ≤ 450] and at least 2 segments with endoscopic ulcerative lesions with Baseline Crohn's Disease Endoscopic Index of Severity (CDEIS) ≥ 8
- Patients who need to be treated by anti-tumor necrosis factor (anti-TNF) therapy
Exclusion Criteria:
- Obstructive intestinal strictures, bowel resection, proctocolectomy or total colectomy, current total parenteral nutrition, short bowel syndrome
- History of tuberculosis or positive tests for tuberculosis at screening
- All the concomitant diseases or pathological conditions that could interfere with Crohn's disease assessment or to be harmful for the well being of the patient
- Previous clinical trials and previous biological therapy that could interfere with the results in the present clinical trial
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: Léčba
- Přidělení: N/A
- Intervenční model: Přiřazení jedné skupiny
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
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Experimentální: CDP870 400 mg
Certolizumab pegol (CDP870) 400 mg
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Certolizumab pegol (CDP870) 400 mg administered subcutaneously (sc) at Weeks 0, 2 and 4 (induction doses), then every 4 weeks (Q4W) until Week 52.
Investigators can escalate dosage to CDP870 400 mg 2-weekly (Q2W) at any time after Week 10 for lack of response/remission.
After Week 52 patients can continue to receive treatment until study drug end, either Q4W or Q2W, according to their administration frequency at Week 52.
Ostatní jména:
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Mean Change From Baseline in CDEIS (Crohn's Disease Endoscopic Index of Severity) Score at Week 10 Using Local Non-blinded Assessments
Časové okno: Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation, thus a negative change from Baseline (i.e., Week 10 score minus Baseline score) indicates improvement.
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Baseline, Week 10
|
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Mean Change From Baseline in CDEIS (Crohn's Disease Endoscopic Index of Severity) Score at Week 10 Using Central Blinded Assessments
Časové okno: Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation, thus a negative change from Baseline (i.e., Week 10 score minus Baseline score) indicates improvement.
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Baseline, Week 10
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Percentage of Patients Achieving Mucosal Healing at Week 10 Using Local Non-blinded Assessments
Časové okno: Week 10
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Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
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Week 10
|
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Percentage of Patients Achieving Mucosal Healing at Week 10 Using Central Blinded Assessments
Časové okno: Week 10
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Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
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Week 10
|
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Percentage of Patients Achieving Mucosal Healing at Week 54 Using Local Non-blinded Assessments
Časové okno: Week 54
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Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
|
Week 54
|
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Percentage of Patients Achieving Mucosal Healing at Week 54 Using Central Blinded Assessments
Časové okno: Week 54
|
Mucosal healing is defined as complete absence of ulceration contribution in the CDEIS (Crohn's Disease Endoscopic Index of Severity) score
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Week 54
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Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 10 Using Local Non-blinded Assessments
Časové okno: Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 10
|
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 10 Using Central Blinded Assessments
Časové okno: Baseline, Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 10
|
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 54 Using Local Non-blinded Assessments
Časové okno: Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
|
Percentage of Patients With Endoscopic Response (Crohn's Disease Endoscopic Index of Severity (CDEIS) Decrease From Baseline of More Than 5 Points) at Week 54 Using Central Blinded Assessments
Časové okno: Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 10 Using Local Non-blinded Assessments
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 10 Using Central Blinded Assessments
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 54 Using Local Non-blinded Assessments
Časové okno: Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
|
Percentage of Patients With Endoscopic Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 6) at Week 54 Using Central Blinded Assessments
Časové okno: Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 10 Using Local Non-blinded Assessments
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 10 Using Central Blinded Assessments
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 54 Using Local Non-blinded Assessments
Časové okno: Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
|
Percentage of Patients With Endoscopic Complete Remission (Crohn's Disease Endoscopic Index of Severity (CDEIS) Score Below 3) at Week 54 Using Central Blinded Assessments
Časové okno: Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 54
|
|
Change From Baseline in Histological Crohn's Disease Score at Week 10 Using Central Blinded Assessment
Časové okno: Baseline, Week 10
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease.
|
Baseline, Week 10
|
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Change From Baseline in Histological Crohn's Disease Score at Week 54 Using Central Blinded Assessment
Časové okno: Baseline, Week 54
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease.
|
Baseline, Week 54
|
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Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Response (Defined as a Decrease of at Least 100 Points in CDAI Score From Baseline) at Week 10
Časové okno: Baseline, Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 10
|
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Response (Defined as a Decrease of at Least 100 Points in CDAI Score From Baseline) at Week 54
Časové okno: Baseline, Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 54
|
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Remission (Defined as a CDAI Score Less Than or Equal to 150) at Week 10
Časové okno: Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 10
|
|
Percentage of Patients Achieving Crohn's Disease Activity Index (CDAI) Remission (Defined as a CDAI Score Less Than or Equal to 150) at Week 54
Časové okno: Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 54
|
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Geometric Mean C-Reactive Protein (CRP) Level (mg/L) at Week 10
Časové okno: Week 10
|
Week 10
|
|
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Ratio to Baseline of C-Reactive Protein (CRP) Level (mg/L) at Week 10
Časové okno: Baseline, Week 10
|
Ratio is calculated as the Week 10 value divided by the Baseline value for patients with data at both timepoints.
|
Baseline, Week 10
|
|
Geometric Mean C-Reactive Protein (CRP) Level (mg/L) at Week 52
Časové okno: Week 52
|
Week 52
|
|
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Ratio to Baseline of C-Reactive Protein (CRP) Level (mg/L) at Week 52
Časové okno: Baseline, Week 52
|
The ratio is calculated as the Week 52 value divided by Baseline value for patients with data at both timepoints.
|
Baseline, Week 52
|
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Activity Index (CDAI) Score at Week 10
Časové okno: Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Week 10
|
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 10 Using Local Non-blinded Assessment
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 10 Using Central Blinded Assessment
Časové okno: Week 10
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Week 10
|
|
Correlation Between Mean C-Reactive Protein (CRP) Plasma Level and Histological Crohn's Disease Score at Week 10 Using Central Blinded Assessment
Časové okno: Week 10
|
The histological Crohn's disease score combines active inflammatory changes: infiltration of mononuclear cells, polymorphonuclear cells, presence of erosions and/or ulcers, and chronic architectural changes.
Scores range from 0 to 44, with higher scores indicating greater disease
|
Week 10
|
|
Change From Baseline in Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 54 Using Local Non-blinded Assessment
Časové okno: Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
|
Change From Baseline in Crohn's Disease Endoscopic Index of Severity (CDEIS) Score at Week 54 Using Central Blinded Assessment
Časové okno: Baseline, Week 54
|
The CDEIS (Crohn's Disease Endoscopic Index of Severity) score provides a measure of mucosal inflammation.
Generally, scores range from 0-30.
A higher score indicates more severe mucosal inflammation.
|
Baseline, Week 54
|
|
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score at Week 10
Časové okno: Baseline, Week 10
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 10
|
|
Change From Baseline in Crohn's Disease Activity Index (CDAI) Score at Week 54
Časové okno: Baseline, Week 54
|
Crohn's disease activity index (CDAI) responders are patients achieving clinical response (a reduction in CDAI score of at least 100 points from Baseline).
CDAI is used to quantify the symptoms of Crohn's disease.
A score of 150 or below indicates remission and a score above 450 indicates extremely severe disease.
|
Baseline, Week 54
|
Spolupracovníci a vyšetřovatelé
Zde najdete lidi a organizace zapojené do této studie.
Sponzor
Publikace a užitečné odkazy
Osoba odpovědná za zadávání informací o studiu tyto publikace poskytuje dobrovolně. Mohou se týkat čehokoli, co souvisí se studiem.
Obecné publikace
- Colombel JF, Sandborn WJ, Allez M, Dupas JL, Dewit O, D'Haens G, Bouhnik Y, Parker G, Pierre-Louis B, Hebuterne X. Association between plasma concentrations of certolizumab pegol and endoscopic outcomes of patients with Crohn's disease. Clin Gastroenterol Hepatol. 2014 Mar;12(3):423-31.e1. doi: 10.1016/j.cgh.2013.10.025. Epub 2013 Nov 1.
- Hebuterne X, Lemann M, Bouhnik Y, Dewit O, Dupas JL, Mross M, D'Haens G, Mitchev K, Ernault E, Vermeire S, Brixi-Benmansour H, Moreels TG, Mary JY, Marteau P, Colombel JF. Endoscopic improvement of mucosal lesions in patients with moderate to severe ileocolonic Crohn's disease following treatment with certolizumab pegol. Gut. 2013 Feb;62(2):201-8. doi: 10.1136/gutjnl-2012-302262. Epub 2012 Apr 23.
Užitečné odkazy
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
1. února 2006
Primární dokončení (Aktuální)
1. ledna 2008
Dokončení studie (Aktuální)
1. prosince 2009
Termíny zápisu do studia
První předloženo
27. února 2006
První předloženo, které splnilo kritéria kontroly kvality
27. února 2006
První zveřejněno (Odhad)
28. února 2006
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Odhad)
31. srpna 2011
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
30. srpna 2011
Naposledy ověřeno
1. února 2011
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
- C87043
- EudraCT Number 2005-003977-25 (Jiný identifikátor: EudraCT)
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 .