- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07514221
Project Yes+ for unge MSM, der lever med hiv i Vietnam (To-Hieu)
5. juni 2026 opdateret af: Hanoi Medical University
Tilpasning af Project Yes+ til at forbedre mental sundhed og reducere HIV-relateret stigma blandt unge mænd, der har sex med mænd og lever med HIV i Vietnam
I Vietnam er unge mænd, der har sex med mænd (AYMSM), blandt dem, der er mest påvirket af HIV, og de oplever også betydelige HIV-relaterede mentale helbreds- og stigmatiseringsudfordringer.
Studiegruppen foreslår at tilpasse Project YES+ for at adressere både mental sundhed og internaliseret HIV-stigma blandt AYMSM, der lever med HIV i Vietnam.
Denne forskning vil opbygge lokal kapacitet og udvikle netværk til samarbejdsbaseret forskning om mental sundhed og stigma i denne befolkningsgruppe mellem Vietnam, Zambia og USA.
Studieoversigt
Status
Ikke rekrutterer endnu
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Formålet med dette forslag er at (1) tilpasse Project YES+ for at skabe To Hieu (Jeg forstår) med henblik på at forbedre mental sundhed og internaliseret hiv-stigmatisering blandt AYMSM, der lever med hiv i Vietnam, og (2) undersøge acceptabilitet og gennemførlighed af To Hieu blandt AYMSM, der lever med hiv i Vietnam, gennem et pilotrandomiseret kontrolleret forsøg.
Undersøgelsestype
Interventionel
Tilmelding (Anslået)
80
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiekontakt
- Navn: Julie Denison, PhD, MHS
- E-mail: jdenison@jhu.edu
Undersøgelse Kontakt Backup
- Navn: Trang T. Nguyen, PhD
- Telefonnummer: +84988424871
- E-mail: trangthu@hmu.edu.vn
Studiesteder
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Hanoi
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Hanoi, Hanoi, Vietnam, 100000
- Hanoi Medical University
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Kontakt:
- Thuy T. T. Dinh, PhD
- E-mail: dinhthuy@hmu.edu.vn
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
Tager imod sunde frivillige
Ingen
Beskrivelse
Inklusionskriterier:
- 16-24 år gamle vietnamesere;
- tildelt mandligt køn ved fødslen og identificerer sig som mand;
- anal samleje med en anden mand inden for de sidste 12 måneder;
- HIV-positiv status og modtager i øjeblikket ART på undersøgelsesstederne;
- bor i øjeblikket i Hanoi og har ikke planer om at flytte i de næste 12 måneder;
- mindst en score på 5 på enten Patient Health Questionnaire (PHQ-9) eller Generalized Anxiety Disorder - 7 (GAD-7)
Eksklusionskriterier:
- Er i øjeblikket tilmeldt en anden HIV-intervention;
- Alvorlige psykotiske lidelser eller andre forstyrrende problemer, der kræver specialiseret behandling
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Ingen indgriben: Standardbehandling
Deltagerne vil modtage standardbehandling på deres klinikker.
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Eksperimentel: To-Hieu
The participants will receive the To Hieu intervention for 4 months
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Project YES+ was developed from two evidence-based interventions - Project Yes! and Self-Help Plus, based on Social Cognitive Theory (Project Yes!) and Acceptance and Commitment Therapy (Self-Help Plus).
The youth-focused intervention component comprises 6 individual sessions with a youth peer mentor, 3 youth group sessions facilitated by a youth peer mentor and 5 group sessions to learn stress management skills.
The original intervention was designed for 4 months and involves caregivers.
The adaptation of Project YES+ for adolescents and young men who have sex with men living with HIV in Vietnam will make revisions on the content, frequency and delivery format of the intervention.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Acceptabilitet: opfattelse af implementering
Tidsramme: Ved interventionens afslutning efter 4 måneder.
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Acceptabilitet vil blive vurderet kvalitativt med afsluttende interviews med AYMSMLH og unge peer-mentorer
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Ved interventionens afslutning efter 4 måneder.
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Gennemførlighed: Opfattelse af implementering
Tidsramme: Ved afslutningen af interventionen efter 4 måneder
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Gennemførligheden vil blive vurderet kvalitativt i afsluttende interviews med AYMSMLH og unge peermentorer.
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Ved afslutningen af interventionen efter 4 måneder
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Acceptability: Client satisfaction
Tidsramme: At the end of the intervention at 4 months.
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Scores on the Client Satisfaction Questionnaire (CSQ-8).
Total scores range from 8 to 32, with the higher number indicating greater satisfaction.
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At the end of the intervention at 4 months.
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Feasibility: intervention attendance
Tidsramme: From enrollment to the end of the intervention at 4 months
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Percentage of participants who complete at least 80% of the required sessions of To-Hieu
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From enrollment to the end of the intervention at 4 months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Foreløbig effektivitet: HIV-viralmængde
Tidsramme: Baseline og ved afslutningen af interventionen efter 4 måneder
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HIV-virallasten vil blive vurderet med en test leveret af undersøgelsen eller gennem deltagernes medicinske journaler (hvis tilgængelige)
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Baseline og ved afslutningen af interventionen efter 4 måneder
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Preliminary effectiveness: changes in mental health symptom severity
Tidsramme: Baseline and at the end of the intervention at 4 months
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Depression and anxiety symptoms over the past two weeks will be assessed using the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7) questionnaire.
PHQ-9 scores range from 0 to 27 and GAD-7 scores range from 0 to 21, with higher scores indicate greater symptom severity.
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Baseline and at the end of the intervention at 4 months
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Preliminary effectiveness: Change in percentage of ART adherence
Tidsramme: Baseline and at the end of the intervention at 4 months
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ART adherence will be assessed as the percentage of prescribed doses taken over the past 4 days, calculated using the self-reported number of missed doses and the total number of prescribed doses during that period.
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Baseline and at the end of the intervention at 4 months
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Preliminary effectiveness: changes in internalized HIV stigma scores
Tidsramme: Baseline and at the end of the intervention at 4 months
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Changes in internalized HIV stigma scores will be measured using the 6-item Internalized AIDS-Related Stigma Scale.
Scores range from 6 to 24, with higher scores indicate greater internalized stigma.
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Baseline and at the end of the intervention at 4 months
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Preliminary effectiveness: changes in sexual minority stigma
Tidsramme: Baseline and at the end of the intervention at 4 months
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Changes in sexual minority stigma will be assessed using the 7-item, 3-factor Reactions to Homosexuality Scale.
Total scores range from 7 to 49, with higher scores indicate lower levels of internalized stigma.
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Baseline and at the end of the intervention at 4 months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.
- Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.
- Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol. 2001;52:1-26. doi: 10.1146/annurev.psych.52.1.1.
- Vreeman RC, McCoy BM, Lee S. Mental health challenges among adolescents living with HIV. J Int AIDS Soc. 2017 May 16;20(Suppl 3):21497. doi: 10.7448/IAS.20.4.21497.
- Kalichman SC, Simbayi LC, Cloete A, Mthembu PP, Mkhonta RN, Ginindza T. Measuring AIDS stigmas in people living with HIV/AIDS: the Internalized AIDS-Related Stigma Scale. AIDS Care. 2009 Jan;21(1):87-93. doi: 10.1080/09540120802032627.
- Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013 Apr;35(2):121-6. doi: 10.4103/0253-7176.116232.
- Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychol Bull. 2003 Sep;129(5):674-697. doi: 10.1037/0033-2909.129.5.674.
- Broglio K. Randomization in Clinical Trials: Permuted Blocks and Stratification. JAMA. 2018 Jun 5;319(21):2223-2224. doi: 10.1001/jama.2018.6360. No abstract available.
- Fox AB, Earnshaw VA, Taverna EC, Vogt D. Conceptualizing and Measuring Mental Illness Stigma: The Mental Illness Stigma Framework and Critical Review of Measures. Stigma Health. 2018 Nov;3(4):348-376. doi: 10.1037/sah0000104. Epub 2017 Sep 21.
- Li Z, Shang W, Wang C, Yang K, Guo J. Characteristics and trends in acceptance and commitment therapy research: A bibliometric analysis. Front Psychol. 2022 Nov 14;13:980848. doi: 10.3389/fpsyg.2022.980848. eCollection 2022.
- Nguyen MX, Dowdy D, Latkin CA, Hutton HE, Chander G, Frangakis C, Lancaster KE, Sripaipan T, Bui QX, Tran HV, Go VF. Social support modifies the association between hazardous drinking and depression symptoms among ART clients in Vietnam. Drug Alcohol Depend. 2020 Oct 1;215:108249. doi: 10.1016/j.drugalcdep.2020.108249. Epub 2020 Aug 25.
- World Health Organization. SELF-HELP PLUS (SH+): A group-based stress management course for adults. 2023.
- Fowler JA, Viskovich S, Buckley L, Dean JA. A call for ACTion: A systematic review of empirical evidence for the use of Acceptance and Commitment Therapy (ACT) with LGBTQI+ individuals. Journal of Contextual Behavioral Science. 2022;25:78-89
- Lerner JV, Bowers EP, Minor K, et al. Positive youth development: Processes, philosophies, and programs. In: Handbook of psychology: Developmental psychology, Vol. 6, 2nd ed. Hoboken, NJ, US: John Wiley & Sons, Inc.; 2013:365-392.
- Safarnejad A, Nga NT, Son VH. Population Size Estimation of Men Who Have Sex with Men in Ho Chi Minh City and Nghe An Using Social App Multiplier Method. J Urban Health. 2017 Jun;94(3):339-349. doi: 10.1007/s11524-016-0123-0.
- PEPFAR. Country Operational Plan of Vietnam: Strategic Direction Summary. 2019.
- Hamilton AB, Finley EP. Qualitative methods in implementation research: An introduction. Psychiatry Res. 2019 Oct;280:112516. doi: 10.1016/j.psychres.2019.112516. Epub 2019 Aug 10.
- Schexnayder J, Perry KR, Sheahan K, Majette Elliott N, Subramaniam S, Strawbridge E, Webel AR, Bosworth HB, Gierisch JM. Team-Based Qualitative Rapid Analysis: Approach and Considerations for Conducting Developmental Formative Evaluation for Intervention Design. Qual Health Res. 2023 Jul;33(8-9):778-789. doi: 10.1177/10497323231167348. Epub 2023 Jun 6.
- Muessig KE, Knudtson KA, Soni K, Larsen MA, Traum D, Dong W, Conserve DF, Leuski A, Artstein R, Hightow-Weidman LB. "I DIDN'T TELL YOU SOONER BECAUSE I DIDN'T KNOW HOW TO HANDLE IT MYSELF." DEVELOPING A VIRTUAL REALITY PROGRAM TO SUPPORT HIV-STATUS DISCLOSURE DECISIONS. Digit Cult Educ. 2018;10:22-48. Epub 2018 Jul 13.
- Ross MW, Rosser BR. Measurement and correlates of internalized homophobia: a factor analytic study. J Clin Psychol. 1996 Jan;52(1):15-21. doi: 10.1002/(SICI)1097-4679(199601)52:13.0.CO;2-V.
- Vietnam Ministry of Health. Decision 5968/QD-BYT 2021: Guidelines on treatment of HIV/AIDS. In:2021
- World Health Organization. Doing What Matters in Times of Stress. An illustrated guide. 2020; https://www.who.int/publications/i/item/9789240003927. Accessed December 4th, 2024
- Knettel BA, Fernandez KM, Wanda L, Amiri I, Cassiello-Robbins C, Watt MH, Mmbaga BT, Relf MV. The Role of Community Health Workers in HIV Care Engagement: A Qualitative Study of Stakeholder Perspectives in Tanzania. J Assoc Nurses AIDS Care. 2021 Nov-Dec 01;32(6):682-692. doi: 10.1097/JNC.0000000000000267.
- Bateganya MH, Amanyeiwe U, Roxo U, Dong M. Impact of support groups for people living with HIV on clinical outcomes: a systematic review of the literature. J Acquir Immune Defic Syndr. 2015 Apr 15;68 Suppl 3(0 3):S368-74. doi: 10.1097/QAI.0000000000000519.
- Ogard-Repal A, Berg RC, Fossum M. Peer Support for People Living With HIV: A Scoping Review. Health Promot Pract. 2023 Jan;24(1):172-190. doi: 10.1177/15248399211049824. Epub 2021 Oct 23.
- Nguyen MX, Li C, Muessig K, Gaynes BN, Go VF. A Systematic Review of Interventions for Young Men Who Have Sex With Men and Young Transgender Women Living with HIV. AIDS Behav. 2024 May;28(5):1485-1511. doi: 10.1007/s10461-023-04166-1. Epub 2023 Sep 28.
- Boyes ME, Cluver LD, Meinck F, Casale M, Newnham E. Mental health in South African adolescents living with HIV: correlates of internalising and externalising symptoms. AIDS Care. 2019 Jan;31(1):95-104. doi: 10.1080/09540121.2018.1524121. Epub 2018 Sep 21.
- Zhan S, Ouyang F, Zhai W, Yang H. Prevalence of mental disorders among young people living with HIV: a systematic review and meta-analysis. Front Public Health. 2024 Aug 21;12:1392872. doi: 10.3389/fpubh.2024.1392872. eCollection 2024.
- Mhlongo S, Mason-Jones AJ, Ford K. Sexual, reproductive and mental health among young men (10-24) in low-and-middle income countries: a scoping review. Front Reprod Health. 2023 Dec 4;5:1119407. doi: 10.3389/frph.2023.1119407. eCollection 2023.
- Tao J, Wang L, Kipp AM, Qian HZ, Yin L, Ruan Y, Shao Y, Lu H, Vermund SH. Relationship of Stigma and Depression Among Newly HIV-Diagnosed Chinese Men Who Have Sex with Men. AIDS Behav. 2017 Jan;21(1):292-299. doi: 10.1007/s10461-016-1477-8.
- Zhang R, Qiao S, Aggarwal A, Yuan G, Muttau N, Sharma A, Lwatula C, Ngosa L, Kabwe M, Manasyan A, Menon A, Ostermann J, Weissman S, Li X, Harper GW. Impact of enacted stigma on mental health, substance use, and HIV-related behaviors among sexual minority men in Zambia. Arch Psychiatr Nurs. 2024 Feb;48:51-58. doi: 10.1016/j.apnu.2024.01.004. Epub 2024 Jan 9.
- Haas AD, Lienhard R, Didden C, Cornell M, Folb N, Boshomane TMG, Salazar-Vizcaya L, Ruffieux Y, Nyakato P, Wettstein AE, Tlali M, Davies MA, von Groote P, Wainberg M, Egger M, Maartens G, Joska JA. Mental Health, ART Adherence, and Viral Suppression Among Adolescents and Adults Living with HIV in South Africa: A Cohort Study. AIDS Behav. 2023 Jun;27(6):1849-1861. doi: 10.1007/s10461-022-03916-x. Epub 2023 Jan 2.
- Dada D, Abu-Ba'are GR, Turner D, Mashoud IW, Owusu-Dampare F, Apreku A, Ni Z, Djiadeu P, Aidoo-Frimpong G, Zigah EY, Nyhan K, Nyblade L, Nelson LE. Scoping review of HIV-related intersectional stigma among sexual and gender minorities in sub-Saharan Africa. BMJ Open. 2024 Feb 12;14(2):e078794. doi: 10.1136/bmjopen-2023-078794.
- Trang K, Jovanovic T, Hinton DE, Sullivan P, Worthman CM, Lam LX, Chi NK, Thanh NC, Ha TV, Go V, Hoffman I, Giang LM. Elevated trauma exposure and mental health burden among men who have sex with men in Vietnam. Transcult Psychiatry. 2022 Jun;59(3):362-379. doi: 10.1177/13634615211058348. Epub 2022 Jan 24.
- Nyblade L, Mingkwan P, Stockton MA. Stigma reduction: an essential ingredient to ending AIDS by 2030. Lancet HIV. 2021 Feb;8(2):e106-e113. doi: 10.1016/S2352-3018(20)30309-X.
- Beres LK, Simbeza S, Holmes CB, Mwamba C, Mukamba N, Sharma A, Munamunungu V, Mwachande M, Sikombe K, Bolton Moore C, Mody A, Koyuncu A, Christopoulos K, Jere L, Pry J, Ehrenkranz PD, Budden A, Geng E, Sikazwe I. Human-Centered Design Lessons for Implementation Science: Improving the Implementation of a Patient-Centered Care Intervention. J Acquir Immune Defic Syndr. 2019 Dec;82 Suppl 3:S230-S243. doi: 10.1097/QAI.0000000000002216.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Anslået)
1. juni 2026
Primær færdiggørelse (Anslået)
30. november 2027
Studieafslutning (Anslået)
28. februar 2028
Datoer for studieregistrering
Først indsendt
30. marts 2026
Først indsendt, der opfyldte QC-kriterier
6. april 2026
Først opslået (Faktiske)
7. april 2026
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
9. juni 2026
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
5. juni 2026
Sidst verificeret
1. marts 2026
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- R21TW013174 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
JA
IPD-planbeskrivelse
De-identified individual participant data underlying the primary and secondary outcomes reported in publications will be shared, including baseline characteristics, intervention allocation, and follow-up outcome measures.
Identifiable information and sensitive qualitative data will not be shared.
IPD-delingstidsramme
De-identified IPD and supporting information will be available beginning 12 months after publication of the main trial results and ending 5 years after publication.
IPD-delingsadgangskriterier
De-identified IPD and supporting information will be made available upon reasonable request to qualified researchers with a methodologically sound proposal.
Requests will be reviewed by the study investigators, and approved researchers may be required to sign a data use agreement.
Data and supporting documents will be shared through a secure data-sharing platform or another secure transfer method.
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- ICF
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Ingen
Studerer et amerikansk FDA-reguleret enhedsprodukt
Ingen
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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