A Study of GS-3242 in Combination With Lenacapavir Versus Biktarvy in Virologically Suppressed People With HIV-1
A Phase 2 Randomized, Active-Controlled Study Evaluating the Safety and Efficacy of an Injectable Regimen of GS-3242 in Combination With Lenacapavir Versus Biktarvy (Bictegravir/Emtricitabine/Tenofovir Alafenamide) in Virologically Suppressed People With HIV-1
The study will have two parts: Part A and Part B. In Part A, the goal of the study is to compare the effectiveness of switching to the study drugs GS-3242 plus Lenacapavir (LEN) versus continuing Biktarvy (bictegravir/emtricitabine/tenofovir alafenamide (B/F/TAF)), in virologically suppressed people with HIV-1 (PWH) in treatment Group 1, 2 and 3 at Week 35. In Part B the goal of the study is to compare the effectiveness of switching to the study drugs, GS-3242 and LEN versus continuing B/F/TAF in Groups 4 and 3 at Week 26.
The primary objective of part A is to evaluate the efficacy of switching to intramuscular (IM) GS-3242 plus IM LEN versus continuing on B/F/TAF PWH who are virologically suppressed in treatment Groups 1, 2, and 3 at Week 35 and Part B is to evaluate the efficacy of switching to IM GS-3242 plus IM LEN versus continuing on B/F/TAF in PWH who are virologically suppressed in Treatment Groups 4 and 3 at Week 26.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Gilead Clinical Study Information Center
- Telefonnummer: 1-833-445-3230 (GILEAD-0)
- E-mail: GileadClinicalTrials@gilead.com
Studiesteder
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New South Wales
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Surry Hills, New South Wales, Australien, 2010
- Rekruttering
- Taylor Square Private Clinic
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Sydney, New South Wales, Australien, 2010 NSW
- Rekruttering
- Momentum Clinical Research Darlinghurst
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Sydney, New South Wales, Australien, 2010
- Rekruttering
- East Sydney Doctors
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Victoria
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South Yarra, Victoria, Australien, 3141
- Rekruttering
- Prahran Market Clinic,
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Montreal, Canada, H2L 5B1
- Rekruttering
- CMU du Quartier Latin
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Vancouver, Canada, V6Z2T1
- Aktiv, ikke rekrutterende
- Spectrum Health
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Quebec
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Montreal, Quebec, Canada, H4A 3J1
- Rekruttering
- McGill University Health Centre
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Arizona
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Phoenix, Arizona, Forenede Stater, 85015
- Aktiv, ikke rekrutterende
- Pueblo Family Physicians
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California
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Beverly Hills, California, Forenede Stater, 90211
- Rekruttering
- Pacific Oak Medical Group
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Los Angeles, California, Forenede Stater, 90036
- Aktiv, ikke rekrutterende
- Ruane Clinical Research Group Inc.
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San Francisco, California, Forenede Stater, 94102
- Rekruttering
- Optimus Medical Group
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San Francisco, California, Forenede Stater, 94110
- Rekruttering
- University of California San Francisco, Community and Clinical Research Center
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Torrance, California, Forenede Stater, 90502
- Rekruttering
- Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
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Colorado
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Denver, Colorado, Forenede Stater, 80246
- Rekruttering
- Vivent Health
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Florida
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DeLand, Florida, Forenede Stater, 32720
- Rekruttering
- Midland Florida Clinical Research Center, LLC
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Fort Lauderdale, Florida, Forenede Stater, 33316
- Rekruttering
- CAN Community Health Fort Lauderdale
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Ft. Pierce, Florida, Forenede Stater, 34982
- Rekruttering
- Midway Immunology and Research Center
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Miami, Florida, Forenede Stater, 33133
- Rekruttering
- AIDS Healthcare Foundation -Coconut Grove
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Miami Lakes, Florida, Forenede Stater, 33016
- Rekruttering
- Floridian Clinical Research, LLC
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Orlanda, Florida, Forenede Stater, 32803
- Rekruttering
- Orlando Immunology Center, PA
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Pensacola, Florida, Forenede Stater, 32504
- Rekruttering
- AHF - Pensacola
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Sarasota, Florida, Forenede Stater, 34237
- Rekruttering
- CAN Community Health Inc.
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West Palm Beach, Florida, Forenede Stater, 33407
- Rekruttering
- Triple O Research Institute, PA
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Georgia
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Atlanta, Georgia, Forenede Stater, 30308
- Rekruttering
- Emory University Hospital Midtown Infectious Disease Clinic
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Decatur, Georgia, Forenede Stater, 30033
- Rekruttering
- Metro Infectious Disease Consultants, P.L.L.C.
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Macon, Georgia, Forenede Stater, 31201
- Rekruttering
- Mercer University, Department of Internal Medicine
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Savannah, Georgia, Forenede Stater, 31401
- Rekruttering
- Chatham County Health Department
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Michigan
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Berkeley, Michigan, Forenede Stater, 48072
- Rekruttering
- Be Well Medical Center
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Missouri
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Kansas City, Missouri, Forenede Stater, 64111
- Rekruttering
- KC Care Health Center
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St Louis, Missouri, Forenede Stater, 63139
- Rekruttering
- Southampton Community Healthcare
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New Jersey
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Hillsborough, New Jersey, Forenede Stater, 08844
- Rekruttering
- ID care
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Newark, New Jersey, Forenede Stater, 07102
- Rekruttering
- Saint Michael's Medical Center
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Somers Point, New Jersey, Forenede Stater, 08244
- Rekruttering
- South Jersey Infectious Disease
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New Mexico
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Sante Fe, New Mexico, Forenede Stater, 87505
- Rekruttering
- AXCES Research Group, LLC
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New York
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Brooklyn, New York, Forenede Stater, 11226
- Rekruttering
- Brooklyn Clinical Research
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Flushing, New York, Forenede Stater, 11355
- Rekruttering
- NewYork-Presbyterian Queens
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New York, New York, Forenede Stater, 10016
- Rekruttering
- NYU Langone Health Vaccine Center
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The Bronx, New York, Forenede Stater, 10467
- Aktiv, ikke rekrutterende
- Montefiore Medical Center
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North Carolina
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Huntersville, North Carolina, Forenede Stater, 28078
- Rekruttering
- Rosedale Health and Wellness
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19107
- Rekruttering
- Philadelphia FIGHT Community Health Centers, Jonathan Lax Treatment Center
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Texas
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Austin, Texas, Forenede Stater, 78705
- Rekruttering
- Central Texas Clinical Research
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Bellaire, Texas, Forenede Stater, 77401
- Rekruttering
- St. Hope Foundation
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Dallas, Texas, Forenede Stater, 75208
- Rekruttering
- Prism Health North Texas
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Dallas, Texas, Forenede Stater, 75246
- Rekruttering
- North Texas Infectious Disease Consultants, P.A.
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El Paso, Texas, Forenede Stater, 79902
- Rekruttering
- AXCES Research Group, LLC
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Fort Worth, Texas, Forenede Stater, 76109
- Aktiv, ikke rekrutterende
- Texas Centers for Infectious Disease Associates
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Houston, Texas, Forenede Stater, 77098
- Rekruttering
- The Crofoot Research Center, INC.
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Longview, Texas, Forenede Stater, 75605
- Rekruttering
- Diagnostic Clinic of Longview
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Utah
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Salt Lake City, Utah, Forenede Stater, 84102
- Rekruttering
- AXCES Research Group, LLC
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Virginia
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Annandale, Virginia, Forenede Stater, 22003
- Rekruttering
- Clinical Alliance for Research& Education - Infectious Diseases, LLC(CARE-ID
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Washington
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Seattle, Washington, Forenede Stater, 98104
- Rekruttering
- TribalMed PLLC
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Spokane, Washington, Forenede Stater, 99202
- Aktiv, ikke rekrutterende
- MultiCare-Deaconess Medical Office Building 2
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PR
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Rio Piedras, PR, Puerto Rico, 00925
- Rekruttering
- Proyecto ACTU
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San Juan, PR, Puerto Rico, 00909
- Rekruttering
- Clinical Research Puerto Rico
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San Juan, PR, Puerto Rico, 00909
- Rekruttering
- Hope Clinical Research
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Key Inclusion Criteria:
- Documented human immunodeficiency virus type 1 (HIV-1) ribonucleic acid (RNA) < 50 copies/mL for ≥ 6 months before screening.
- Plasma HIV-1 RNA levels < 50 copies/mL at screening.
- Receiving bictegravir/emtricitabine/tenofovir alafenamide (coformulated; Biktarvy®) (B/F/TAF) for ≥ 6 months prior to screening.
- No documented resistance to GS-3242 (integrase mutation Q148H/K/R plus at least 2 of the following integrase mutations: L74I/M, T97A, E138A/K/T, or G140A/C/S).
Key Exclusion Criteria:
- Prior use of, or exposure to GS-3242 or LEN.
- History of virologic failure while on an integrase strand transfer inhibitor (INSTI)-based regimen.
- Prior use of any long-acting parenteral antiretroviral therapy (ART) medications such as monoclonal antibodies or broadly neutralizing antibodies targeting HIV-1, injectable cabotegravir (including oral cabotegravir lead-in), or injectable rilpivirine.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Part A: Group 1 of GS-3242 + LEN
Participants will be randomized to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed by intramuscular (IM) injections of GS-3242 and LEN up to 52 weeks.
|
Indgives oralt
Andre navne:
Administered orally
Administered intramuscularly (IM)
Administered IM
Andre navne:
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Eksperimentel: Part A: Group 2 of GS-3242 + LEN
Participants will be randomized to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed by a IM injections of GS-3242 (at a different dose than Group 1) and LEN up to 52 weeks.
|
Indgives oralt
Andre navne:
Administered orally
Administered intramuscularly (IM)
Administered IM
Andre navne:
|
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Eksperimentel: Part A: Group 3 of B/F/TAF
Participants will be randomized to continue to receive 50/200/25 mg of B/F/TAF daily for up to 52 weeks.
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Indgives oralt
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Eksperimentel: Part B: Group 4 (Conditional) of GS-3242 + LEN
Participants will be enrolled (non-randomized) to receive oral loading doses of GS-3242 in combination with LEN oral tablets, followed IM injection of GS-3242 and LEN (at different doses than Groups 1 and 2) up to 52 weeks.
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Indgives oralt
Andre navne:
Administered orally
Administered intramuscularly (IM)
Administered IM
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Part A: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 35 as Determined by the United States (US) Food and Drug Administration (FDA) Snapshot Algorithm
Tidsramme: Week 35
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Week 35
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Part B: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 26 as Determined by the US FDA Snapshot Algorithm
Tidsramme: Week 26
|
Week 26
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Part A and Part B: Proportion of Participants With HIV-1 RNA ≥ 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm
Tidsramme: Week 52
|
Week 52
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Part A: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 35 as Determined by the US FDA Snapshot Algorithm
Tidsramme: Week 35
|
Week 35
|
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Part A and Part B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 52 as Determined by the US FDA Snapshot Algorithm
Tidsramme: Week 52
|
Week 52
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Part A: Change From Baseline in Clusters of Differentiation 4 (CD4) Cell Count at Week 35
Tidsramme: Baseline, Week 35
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Baseline, Week 35
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Part A and Part B: Change From Baseline in Clusters of Differentiation 4 (CD4) Cell Count at Week 52
Tidsramme: Baseline, Week 52
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Baseline, Week 52
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Part B: Change From Baseline in CD4 Cell Count at Week 26
Tidsramme: Baseline, Week 26
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Baseline, Week 26
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Part A: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 35
Tidsramme: Up to Week 35
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Up to Week 35
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Part A and Part B: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (AEs) Through Week 52
Tidsramme: Up to Week 52
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Up to Week 52
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Part B: Percentage of Participants Experiencing Treatment-Emergent AEs Through Week 26
Tidsramme: Up to Week 26
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Up to Week 26
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Part A: Group 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 18
Tidsramme: Week 18
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Week 18
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Part A: Group 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 35
Tidsramme: Week 35
|
Week 35
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Part A: Group 1 and 2 and Part B: Groups 1 and 2:Trough Concentrations of GS-3242 and LEN at Week 52
Tidsramme: Week 52
|
Week 52
|
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Part B: Trough Concentrations at GS-3242 and LEN at Week 26
Tidsramme: Week 26
|
Week 26
|
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Part B: Proportion of Participants With HIV-1 RNA < 50 Copies/mL at Week 26 as Determined by the US FDA Snapshot Algorithm
Tidsramme: Week 26
|
Week 26
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Gilead Study Director, Gilead Sciences
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- GS-US-643-7710
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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