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Un estudio de talquetamab en participantes con mieloma múltiple en recaída o refractario (MonumenTAL-1)

2 de noviembre de 2026 actualizado por: Janssen Research & Development, LLC

Un estudio de fase 1/2, primero en humanos, abierto, de aumento de dosis de talquetamab, un anticuerpo biespecífico GPRC5D x CD3 humanizado, en sujetos con mieloma múltiple en recaída o refractario

The purpose of this study is to evaluate the efficacy and safety of talquetamab in participants with relapsed or refractory multiple myeloma at the recommended Phase 2 dose(s) (RP2Ds) (Part 3).

Descripción general del estudio

Estado

Reclutamiento

Intervención / Tratamiento

Tipo de estudio

Intervencionista

Inscripción (Estimado)

510

Fase

  • Fase 2

Acceso ampliado

Aprobado en venta al público. Ver registro de acceso ampliado.

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Estudio Contacto

Ubicaciones de estudio

      • Berlin, Alemania, 12203
        • Activo, no reclutando
        • Charite Campus Benjamin Franklin
      • Heidelberg, Alemania, 69120
        • Activo, no reclutando
        • Universitaetsklinikum Heidelberg
      • Münster, Alemania, 48149
        • Terminado
        • Universitaetsklinikum Muenster
      • Würzburg, Alemania, 97080
        • Activo, no reclutando
        • Universitatsklinikum Wurzburg
      • Edegem, Bélgica, 2650
        • Terminado
        • UZ Antwerpen
      • Leuven, Bélgica, 3000
        • Activo, no reclutando
        • UZ Leuven
      • Liège, Bélgica, 4000
        • Activo, no reclutando
        • CHU de Liège - Domaine Universitaire du Sart Tilman
      • Woluwe-Saint-Lambert, Bélgica, 1200
        • Terminado
        • UCL - Saint Luc
      • Jeollanam-do, Corea del Sur, 58128
        • Terminado
        • Chonnam National University Hwasun Hospital
      • Seoul, Corea del Sur, 06351
        • Terminado
        • Samsung Medical Center
      • Seoul, Corea del Sur, 05505
        • Terminado
        • Asan Medical Center
      • Seoul, Corea del Sur, 03080
        • Terminado
        • Seoul National University Hospital
      • Seoul, Corea del Sur, 03722
        • Terminado
        • Severance Hospital Yonsei University Health System
      • Seoul, Corea del Sur, 06591
        • Terminado
        • The Catholic University of Korea Seoul St Marys Hospital
      • Badalona, España, 08916
        • Terminado
        • Hosp. Univ. Germans Trias I Pujol
      • Barcelona, España, 8908
        • Activo, no reclutando
        • Inst. Cat. Doncologia-H Duran I Reynals
      • Barcelona, España, 08035
        • Reclutamiento
        • Hosp Univ Vall D Hebron
      • Madrid, España, 28041
        • Terminado
        • Hosp. Univ. 12 de Octubre
      • Madrid, España, 28040
        • Terminado
        • Hosp Univ Fund Jimenez Diaz
      • Murcia, España, 30120
        • Activo, no reclutando
        • Hosp. Univ. Virgen de La Arrixaca
      • Pamplona, España, 31008
        • Reclutamiento
        • Clinica Univ. de Navarra
      • Pozuelo de Alarcón, España, 28223
        • Terminado
        • Hosp. Quiron Madrid Pozuelo
      • Salamanca, España, 37007
        • Reclutamiento
        • Hosp Clinico Univ de Salamanca
      • Santander, España, 39008
        • Reclutamiento
        • Hosp. Univ. Marques de Valdecilla
      • Seville, España, 41013
        • Reclutamiento
        • Hosp. Virgen Del Rocio
    • Alabama
      • Birmingham, Alabama, Estados Unidos, 35294
        • Reclutamiento
        • University of Alabama Birmingham
    • Arkansas
      • Little Rock, Arkansas, Estados Unidos, 72205
        • Reclutamiento
        • University of Arkansas for Medical Sciences
    • California
      • Duarte, California, Estados Unidos, 91010
        • Terminado
        • City of Hope
    • Florida
      • Hollywood, Florida, Estados Unidos, 33021
        • Reclutamiento
        • Memorial Healthcare System
    • Georgia
      • Atlanta, Georgia, Estados Unidos, 30322
        • Reclutamiento
        • Emory University Winship Cancer Institute
    • Illinois
      • Chicago, Illinois, Estados Unidos, 60637
        • Terminado
        • University of Chicago
    • Kentucky
      • Louisville, Kentucky, Estados Unidos, 40207
        • Reclutamiento
        • Norton Cancer Institute
    • Michigan
      • Ann Arbor, Michigan, Estados Unidos, 48109
        • Reclutamiento
        • University of Michigan Health System
    • Missouri
      • St Louis, Missouri, Estados Unidos, 63110
        • Reclutamiento
        • Washington University School Of Medicine
    • New York
      • New York, New York, Estados Unidos, 10023
        • Reclutamiento
        • Mount Sinai Medical Center
      • New York, New York, Estados Unidos, 10016
        • Activo, no reclutando
        • NYU Langone Health
      • Rochester, New York, Estados Unidos, 14642
        • Reclutamiento
        • University of Rochester Medical Center
    • Oregon
      • Portland, Oregon, Estados Unidos, 97213
        • Terminado
        • Providence Portland Medical Center
    • Tennessee
      • Nashville, Tennessee, Estados Unidos, 37203
        • Terminado
        • Tennessee Oncology
      • Créteil, Francia, 94000
        • Activo, no reclutando
        • CHU Henri Mondor
      • Lyon, Francia, 69002
        • Activo, no reclutando
        • Hospices Civils de Lyon HCL
      • Montpellier, Francia, 34295
        • Activo, no reclutando
        • CHU de Montpellier Hopital Saint Eloi
      • Nantes, Francia, 44093
        • Activo, no reclutando
        • C.H.U. Hotel Dieu - France
      • Pessac, Francia, 33604
        • Activo, no reclutando
        • CHU de Bordeaux - Hospital Haut-Leveque
      • Toulouse, Francia, 31059
        • Activo, no reclutando
        • Pôle IUC Oncopole CHU
      • Haifa, Israel, 31096
        • Activo, no reclutando
        • Rambam Medical Center
      • Haifa, Israel, 3436212
        • Activo, no reclutando
        • Carmel Medical Center
      • Jerusalem, Israel, 91120
        • Activo, no reclutando
        • Hadassah Medical Center
      • Ramat Gan, Israel, 52621
        • Activo, no reclutando
        • Sheba Medical Center
      • Tel Aviv, Israel, 64239
        • Activo, no reclutando
        • Tel Aviv Sourasky Medical Center
      • Chiba, Japón, 296-8602
        • Terminado
        • Kameda Medical Center
      • Fukuoka, Japón, 814-0180
        • Terminado
        • Fukuoka University Hospital
      • Gifu, Japón, 503-8502
        • Terminado
        • Ogaki Municipal Hospital
      • Hokkaido, Japón, 006-8555
        • Terminado
        • Teine Keijinkai Hospital
      • Kobe, Japón, 650 0047
        • Terminado
        • Kobe City Medical Center General Hospital
      • Koshigaya, Japón, 343-8555
        • Terminado
        • Dokkyo Medical University Saitama Medical Center
      • Kumamoto, Japón, 860-8556
        • Terminado
        • Kumamoto University Hospital
      • Kurashiki, Japón, 710-8602
        • Terminado
        • Kurashiki Central Hospital
      • Matsumoto, Japón, 399-8701
        • Terminado
        • National Hospital Organization Matsumoto Medical Center
      • Okayama, Japón, 701-1192
        • Terminado
        • National Hospital Organization Okayama Medical Center
      • Osaka, Japón, 543 8555
        • Terminado
        • Japanese Red Cross Osaka Hospital
      • Shiwa-gun, Japón, 028-3695
        • Terminado
        • Iwate Medical University Hospital
      • Ōtake, Japón, 739-0696
        • Activo, no reclutando
        • National Hospital Organization Hiroshima-Nishi Medical Center
      • Amsterdam, Países Bajos, 1081 HV
        • Terminado
        • VU Medisch Centrum
      • Utrecht, Países Bajos, 3584 CX
        • Terminado
        • UMCU
      • Gdansk, Polonia, 80 214
        • Activo, no reclutando
        • Uniwersyteckie Centrum Kliniczne
      • Gliwice, Polonia, 44102
        • Terminado
        • Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut BadawczyOddz w Gliwicach
      • Poznan, Polonia, 60-569
        • Activo, no reclutando
        • Uniwersytecki Szpital Kliniczny w Poznaniu
      • Warsaw, Polonia, 02-781
        • Terminado
        • Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy
      • Wroclaw, Polonia, 50 367
        • Activo, no reclutando
        • Uniwersytecki Szpital Kliniczny im Jana Mikulicza Radeckiego we Wroclawiu
      • Beijing, Porcelana, 100191
        • Terminado
        • Peking University Third Hospital
      • Guangzhou, Porcelana, 510060
        • Activo, no reclutando
        • Sun Yat Sen University Cancer Center
      • Hangzhou, Porcelana, 310003
        • Activo, no reclutando
        • The 1St Affiliated Hospital of Medical College Zhejiang University
      • Hangzhou, Porcelana, 310003
        • Activo, no reclutando
        • The 1st Affiliated Hospital Of Medical College Zhejiang University 1
      • Suzhou, Porcelana, 215006
        • Activo, no reclutando
        • First Affiliated Hospital SooChow University
      • Tianjin, Porcelana, 300320
        • Activo, no reclutando
        • Institute of Hematology & Blood Disease Hospital Chinese Academy of Medical Science
      • Xi'an, Porcelana, 710004
        • Terminado
        • The Second Affiliated Hospital of Xi'an Jiaotong University
      • Xi'an, Porcelana, 710063
        • Terminado
        • The First Affiliated Hospital of Xian Jiaotong University

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • Documented initial diagnosis of multiple myeloma according to international myeloma working group (IMWG) diagnostic criteria
  • Part 3: Measurable disease cohort A, cohort B, cohort C and cohort D: multiple myeloma must be measurable by central laboratory assessment; Cohort E: Multiple myeloma must be measurable by local laboratory assessment
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2
  • Women of childbearing potential must have a negative pregnancy test at screening and prior to the first dose of study drug using a highly sensitive pregnancy test either serum (beta human chorionic gonadotropin [hCG]) or urine
  • Willing and able to adhere to the prohibitions and restrictions specified in this protocol

Exclusion Criteria:

  • Part 3 only: Cohort A and Cohort C only: exposed to a CAR-T or T cell redirection therapy at any time. Cohort B, Cohort D and Cohort E: T cell redirection therapy within 3 months
  • Toxicities from previous anticancer therapies should have resolved to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
  • Received a cumulative dose of corticosteroids equivalent to >= 140 milligram (mg) of prednisone within the 14-day period before the first dose of study drug (does not include pretreatment medication)
  • Stroke or seizure within 6 months prior to signing the informed consent form (ICF)

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: No aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Part 3: Cohort A (Talquetamab)

Cohort A will enroll participants with multiple myeloma who have previously received greater than or equal to (>=) 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to open-label extension (OLE) phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the long-term extension (LTE) and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Otros nombres:
  • JNJ-64407564
Experimental: Part 3: Cohort B (Talquetamab)

Cohort B will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy and have been exposed to T cell redirection therapies. Participants will receive talquetamab subcutaneously (SC) at a recommended Phase 2 dose (RP2D) selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Otros nombres:
  • JNJ-64407564
Experimental: Part 3: Cohort C (Talquetamab)

Cohort C will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy and have not been exposed to T cell redirection therapies. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. All participants (ongoing and those who are in follow-up) will transition to OLE phase and will continue to receive the study treatment. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Otros nombres:
  • JNJ-64407564
Experimental: Part 3: Cohort D (Talquetamab)

Cohort D will enroll participants with multiple myeloma who have previously received >= 3 prior lines of therapy. Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants in this cohort will receive tocilizumab prophylaxis for cytokine release syndrome (CRS) including all outpatient dosing. Participants will transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Otros nombres:
  • JNJ-64407564
Experimental: Part 3: Cohort E (Talquetamab)

Cohort E will enroll participants with multiple myeloma who have previously received at least 1 proteasome inhibitor (PI), 1 immunomodulatory imide drug (IMiD), and 1 anti-cluster of differentiation 38 (CD38) monoclonal antibody.

Participants will receive talquetamab SC biweekly at a RP2D selected after review of safety, efficacy, PK, and pharmacodynamic data from Part 1 and Part 2 of this study. Participants will receive tocilizumab prophylaxis for CRS with consolidated priming dose schedules as well as possible transition to outpatient priming dosing transition to OLE upon communication by the sponsor. Upon approval of amendment 19 and notification from the sponsor, participants will transition to the LTE and will continue to receive study treatment.

Talquetamab will be administered SC until disease progression.

Otros nombres:
  • JNJ-64407564

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Overall Response Rate (ORR)
Periodo de tiempo: Up to 2 years and 10 months

ORR is defined as the proportion of participants who have a partial response (PR) or better according to the international myeloma working group (IMWG) criteria.

Up to 2 years and 10 months

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Duration of Response (DOR)
Periodo de tiempo: Up to 2 years and 10 months

DOR is defined as time from date of initial documentation of a response (PR or better) to date of first documented evidence of progressive disease (PD), per IMWG criteria, or death due to PD, whichever occurs first.

Up to 2 years and 10 months
Very Good Partial Response (VGPR) or Better Rate
Periodo de tiempo: Up to 2 years and 10 months

VGPR or better rate is defined as the percentage of patients who achieve a VGPR or better according to IMWG response criteria.

Up to 2 years and 10 months
Complete Response (CR) or Better Rate
Periodo de tiempo: Up to 2 years and 10 months

CR or better rate is defined as the percentage of patients who achieve CR or better according to IMWG response criteria.

Up to 2 years and 10 months
Stringent Complete Response (sCR) Rate
Periodo de tiempo: Up to 2 years and 10 months

sCR rate is defined as the percentage of patients who achieve sCR according to IMWG response criteria.

Up to 2 years and 10 months
Time to Response (TTR)
Periodo de tiempo: Up to 2 years and 10 months

TTR is defined as the time between date of first dose of study drug and the first efficacy evaluation that the participant has met all criteria for PR or better.

Up to 2 years and 10 months
Progression-Free Survival (PFS)
Periodo de tiempo: Up to 2 years and 10 months

PFS is defined as time from date of first dose of study drug to date of first documented PD, per IMWG criteria, or death due to any cause, whichever occurs first.

Up to 2 years and 10 months
Overall Survival (OS)
Periodo de tiempo: Up to 2 years and 10 months

OS is defined as the time from the date of first dose of study drug to the date of the participant's death.

Up to 2 years and 10 months
Minimal Residual Disease (MRD) Negative Rate
Periodo de tiempo: Up to 2 years and 10 months

MRD negativity rate is measured only for participants who achieve at least a CR but is reported based on all treated similar to the other response data.

Up to 2 years and 10 months
Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Periodo de tiempo: Up to 2 years and 10 months

An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

Up to 2 years and 10 months
Number of Participants with Serious Adverse Events (SAEs) as a Measure of Safety and Tolerability
Periodo de tiempo: Up to 2 years and 10 months

An SAE is any AE that results in: death, persistent or significant disability/incapacity, requires inpatient hospitalization or prolongation of existing hospitalization, is life-threatening, is a congenital anomaly/birth defect and may jeopardize participant and/or may require medical or surgical intervention to prevent one of the outcomes listed above.

Up to 2 years and 10 months
Number of Participants with AEs by Severity
Periodo de tiempo: Up to 2 years and 10 months

Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening, and Grade 5= Death related to adverse event.

Up to 2 years and 10 months
Number of Participants with Abnormalities in Clinical Laboratory Values
Periodo de tiempo: Up to 2 years and 10 months

Number of participants with abnormalities in clinical laboratory values (such as hematology, serum chemistry and coagulation) will be reported.

Up to 2 years and 10 months
Serum Concentration of Talquetamab
Periodo de tiempo: Up to 2 years and 10 months

Serum samples will be analyzed to determine concentrations of talquetamab.

Up to 2 years and 10 months
Number of Participants with Talquetamab Antibodies
Periodo de tiempo: Up to 2 years and 10 months

Antibodies to talquetamab will be assessed to evaluate potential immunogenicity.

Up to 2 years and 10 months
Change from Baseline in Health-Related Quality of Life (HRQoL) as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 item (EORTC QLQ-C30)
Periodo de tiempo: Baseline up to 2 years and 10 months

The EORTC- QLQ-Core-30 includes 30 items that make up 5 functional scales (physical, role, emotional, cognitive, and social), 1 global health status scale, 3 symptom scales (pain, fatigue, and nausea/vomiting), and 6 single symptom items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). The recall period is 1 week ("past week") and responses are reported using a verbal and numeric rating scales. The item and scale scores are transformed to a 0 to 100 scale. A higher score represents greater HRQoL, better functioning, and more (worse) symptoms.

Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by EuroQol Five Dimension Five Level Questionnaire (EQ-5D-5L)
Periodo de tiempo: Baseline up to 2 years and 10 months

The EQ-5D-5L is a generic measure of health status. The EQ-5D-5L is a 5-item questionnaire that assesses 5 domains including mobility, self-care, usual activities, pain/discomfort and anxiety/depression plus a visual analog scale rating "health today" with anchors ranging from 0 (worst imaginable health state) to 100 (best imaginable health state). The scores for the 5 separate questions are categorical and cannot be analyzed as cardinal numbers.

Baseline up to 2 years and 10 months
Change from Baseline in HRQoL as Assessed by Patient Global Impression of Severity (PGIS)
Periodo de tiempo: Baseline up to 2 years and 10 months

The PGIS is a single item that assesses severity of the participant's health state, on a 5-point verbal rating scale. Score ranges from 1 (None) to 5 (Very Severe).

Baseline up to 2 years and 10 months
Overall Response Rate (ORR) in Participants with High-risk Molecular Features
Periodo de tiempo: Up to 2 years and 10 months

ORR in participants with high risk is defined as the overall response rate among the high risk molecular subgroups or other high-risk molecular subtypes.

Up to 2 years and 10 months

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Investigadores

  • Director de estudio: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC

Publicaciones y enlaces útiles

La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.

Publicaciones Generales

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

1 de febrero de 2021

Finalización primaria (Estimado)

30 de junio de 2027

Finalización del estudio (Estimado)

30 de marzo de 2029

Fechas de registro del estudio

Enviado por primera vez

16 de noviembre de 2020

Primero enviado que cumplió con los criterios de control de calidad

16 de noviembre de 2020

Publicado por primera vez (Actual)

18 de noviembre de 2020

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

3 de noviembre de 2026

Última actualización enviada que cumplió con los criterios de control de calidad

2 de noviembre de 2026

Última verificación

1 de noviembre de 2026

Más información

Términos relacionados con este estudio

Palabras clave

Otros números de identificación del estudio

  • CR108920
  • 2017-002400-26 (Número EudraCT)
  • TALMMY1001-PT3 (Otro identificador: Janssen Research & Development, LLC)
  • 2017 (Subvención/contrato del NIH de EE. UU.)
  • 2023-504581-29-00 (Identificador de registro: EUCT number)
  • 2023 (Subvención/contrato del NIH de EE. UU.)

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

SÍ

Descripción del plan IPD

The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Información sobre medicamentos y dispositivos, documentos del estudio

Estudia un producto farmacéutico regulado por la FDA de EE. UU.

Sí

Estudia un producto de dispositivo regulado por la FDA de EE. UU.

No

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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