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PI4 - Kokeilu, jossa arvioidaan metformiinia raskauden pidentämiseksi ennenaikaisessa preeklampsiassa (PI4)

keskiviikko 23. syyskuuta 2026 päivittänyt: Lina Bergman

Preeklampsiainterventio 4 – Kolminaissokko vaiheen III satunnaistettu kontrolloitu koe, jossa arvioitiin metformiinia raskauden pidentämiseksi ennenaikaisessa preeklampsiassa

Preterm preeclampsia is a severe condition for both the mother and the fetus. Currently, the only treatment available to stop disease progression is termination/delivery of the fetus and placenta. Therefore, preterm preeclampsia carries the highest rates of neonatal morbidity and mortality due to iatrogenic preterm birth. There is evidence suggesting metformin, a drug commonly used to treat diabetes in and outside pregnancy, may be able to counter the pathophysiology of preeclampsia, raising the possibility that it could be used to treat the condition. This multi centre double blind randomised controlled trial aims to investigate if metformin can prolong gestation, lower neonatal length of stay and increase birthweight in a Nordic setting.

Tutkimuksen yleiskatsaus

Tila

Rekrytointi

Ehdot

Yksityiskohtainen kuvaus

Preeclampsia is globally responsible for 60,000 maternal deaths per year, and far greater numbers of fetal losses. Preterm preeclampsia is a severe variant with the highest rates of neonatal morbidity and mortality due to iatrogenic preterm birth (clinicians are forced to deliver the baby preterm for maternal or fetal health reasons).

There is preclinical evidence suggesting metformin, a drug commonly used to treat diabetes in and outside pregnancy, may be able to counter the pathophysiology of preeclampsia, raising the possibility that it could be used to treat the condition.

Previous research from the Preeclampsia Intervention 2 trial (PI2) show that metformin was able to delay delivery in early preterm preeclampsia. Metformin extended release (ER) was associated with a median 7.6-day prolongation of pregnancy (geometric mean ratio (GMR) 1.39 (95% CI 0.99 to 1.96) P=0.057).Trends towards increased birthweight (mean difference 110gm (95%CI -80 to 300), a decreased length of stay at the neonatal intensive care unit (median difference 5.0 days less; GMR 0.86, 95% CI 0.62 to 1.2) and a shorter period of admission in any neonatal ward (median difference 12.0 days less; GMR 0.82, 95% CI 0.57 to 1.18) in the metformin ER group were found. Importantly, while gastrointestinal side effects were common, no serious adverse events related to trial medications were observed.

The PI 2 trial has shown that metformin may be a disease modifying treatment for preterm preeclampsia. The trial is being repeated in a larger scale in the PI3 trial in South Africa to also assess neonatal outcomes. In the Nordic countries, the demographics of the population are different and expectant management of preeclampsia allows for the women to reach 37 weeks of gestation as opposed to 34 weeks of gestation in the PI2 trial. This trial aims to investigate if metformin can prolong gestation, lower neonatal length of stay and increase birthweight in a Nordic setting. Follow up of mothers and children will be carried out two years post partum.

Opintotyyppi

Interventio

Ilmoittautuminen (Arvioitu)

294

Vaihe

  • Vaihe 3

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskeluyhteys

Tutki yhteystietojen varmuuskopiointi

Opiskelupaikat

      • Lørenskog, Norja, N-1474
        • Rekrytointi
        • Akershus University Hospital
        • Ottaa yhteyttä:
        • Päätutkija:
          • Camilla Haavaldsen, PhD
      • Oslo, Norja, 0372
        • Rekrytointi
        • Oslo University Hospital
        • Ottaa yhteyttä:
          • Trond Michelsen, Professor
          • Puhelinnumero: 0047-23072619
          • Sähköposti: trmi1@ous-hf.no
        • Päätutkija:
          • Ingvil Krarup Sørbye, Professor
      • Borås, Ruotsi, 50455
        • Rekrytointi
        • Södra Älvsborgs Hospital
        • Ottaa yhteyttä:
        • Päätutkija:
          • Lina Bergman, Associate Professor
      • Falun, Ruotsi, 79129
      • Gothenburg, Ruotsi, 416 85
      • Linköping, Ruotsi, 581 85
      • Lund, Ruotsi, 221 85
        • Rekrytointi
        • Skåne University Hospital
        • Ottaa yhteyttä:
        • Ottaa yhteyttä:
      • Malmö, Ruotsi, 205 02
        • Rekrytointi
        • Skåne University Hospital
        • Ottaa yhteyttä:
      • Skövde, Ruotsi, 549 49
        • Rekrytointi
        • Skaraborg Hospital
        • Ottaa yhteyttä:
      • Stockholm, Ruotsi, 17176
        • Rekrytointi
        • Karolinska University Hospital Solna
        • Ottaa yhteyttä:
          • Anna Sandström, Associate Professor
          • Puhelinnumero: 0046-739829820
          • Sähköposti: anna.sandstrom@ki.se
        • Ottaa yhteyttä:
      • Stockholm, Ruotsi, 182 88
        • Rekrytointi
        • Danderyd Hospital
        • Ottaa yhteyttä:
      • Stockholm, Ruotsi, 14157
        • Rekrytointi
        • Karolinska University Hospital Huddinge
        • Ottaa yhteyttä:
          • Anna Sandström, Associate Professor
          • Puhelinnumero: 0046-739829820
          • Sähköposti: anna.sandstrom@ki.se
        • Ottaa yhteyttä:
      • Trollhättan, Ruotsi, 461 74
        • Rekrytointi
        • Norra Älvsborgs County Hospital
        • Päätutkija:
          • Lina Bergman, Associate Professor
        • Ottaa yhteyttä:
      • Umeå, Ruotsi, 901 85
        • Rekrytointi
        • Norrland´s University Hospital
        • Ottaa yhteyttä:
        • Päätutkija:
          • Marie-Therese Vinnars, PhD
      • Uppsala, Ruotsi, 75237
        • Rekrytointi
        • Uppsala University Hospital
        • Ottaa yhteyttä:
      • Västerås, Ruotsi, 72335
        • Rekrytointi
        • Västmanlands Hospital Västerås
        • Ottaa yhteyttä:
        • Päätutkija:
          • Linda Lindström, PhD
      • Helsinki, Suomi, 00290
        • Rekrytointi
        • Helsinki University Hospital
        • Ottaa yhteyttä:
        • Päätutkija:
          • Pia Villa, Associate Professor
      • Tampere, Suomi, 33520
        • Rekrytointi
        • Tampere University Hospital
        • Ottaa yhteyttä:
        • Päätutkija:
          • Hannele Laivuori, Professor

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta ja vanhemmat (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Nainen

Kuvaus

Inclusion Criteria:

  • A diagnosis of preeclampsia (defined as hypertension in combination with significant proteinuria (albumin/creatinine ratio >8 mg/mmol, protein/creatinine ratio>30 mg/mmol or >2+ protein on a urinary dipstick) has been made by the attending clinician
  • The managing clinicians have made the assessment to proceed with expectant management.
  • The subject has given written consent to participate in the study.
  • The woman must be 18 years of age or older
  • The gestational age is between 22+0 weeks to 33+6 weeks with a viable fetus
  • The woman carries a singleton pregnancy

Exclusion Criteria:

  • Contraindications to treatment with metformin as outlined in SmPC
  • Contraindications for expectant management of preeclampsia such as an immediate indication for delivery according to SFOG guidelines for preeclampsia (https://www.sfog.se/media/338533/pe-riktlinje-230214.pdf).
  • Type 1 Diabetes Mellitus
  • Current use of metformin
  • Known or suspected allergies against metformin
  • Reluctance or language difficulties that result in difficulty understanding the meaning of study participation
  • Unable to understand the informed consent process
  • Previous participation in the study
  • Established fetal compromise that necessitates imminent delivery (including planned delivery after 48 hours of corticosteroid treatment). This will be decided by the clinical team before expectant management is offered to the patient.
  • Suspicion of a major known fetal anomaly or malformation.
  • Renal disease or dysfunction, suggested by a creatinine level greater than or equal to 125 µmol/L or rapidly declining renal function
  • Known acute or chronic metabolic acidosis, including diabetic ketoacidosis
  • Not suitable for inclusion by the opinion of the investigator

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

  • Ensisijainen käyttötarkoitus: Hoito
  • Jako: Satunnaistettu
  • Inventiomalli: Rinnakkaistehtävä
  • Naamiointi: Kolminkertaistaa

Aseet ja interventiot

Osallistujaryhmä / Arm
Interventio / Hoito
Active Comparator: Metformin ER

Metformin ER oral tablet 500 mg three times daily and increased to one gram (two tablets) three times daily as tolerated.

Metformin ER, one gram three times daily taken orally. Once the participants have been recruited, they will start by taking one 500 mg tablet three times a day. If well tolerated it will be increased day two to a maximum of two tablets three times a day. Treatment will continue until delivery. If there are side effects that are not tolerable, the dose will be decreased and the participant will remain blinded. Each participant will keep a treatment diary and number of tablets taken will be documented by the participant or hospital staff. The study will not alter or interfere with treatment or care routinely given for preterm preeclampsia.

Muut nimet:
  • Glucophage SR 500 mg depottabletit
Placebo Comparator: Placebo

1 placebo tablet three times daily and increased to 2 placebo tablets three times daily as tolerated.

Placebo, two tablets three times daily taken orally. Once the participants have been recruited, they will start by taking one tablet three times a day. If well tolerated it will be increased day two to a maximum of two tablets three times a day. Treatment will continue until delivery. If there are side effects that are not tolerable, the dose will be decreased and the participant will remain blinded. Each participant will keep a treatment diary and number of tablets taken will be documented by the participant or hospital staff. The study will not alter or interfere with treatment or care routinely given for preterm preeclampsia.

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Pregnancy prolongation
Aikaikkuna: From randomisation to delivery, measured in days and hours, up to 105 days

Length of pregnancy from diagnosis of preeclampsia to delivery

From randomisation to delivery, measured in days and hours, up to 105 days

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Time for neonatal care
Aikaikkuna: From birth to discharge from neonatal care, measured in days and hours, up to 126 days

Time for neonatal care from birth to discharge

From birth to discharge from neonatal care, measured in days and hours, up to 126 days
Neonatal birth weight
Aikaikkuna: At birth

Birth wight measured in grams

At birth

Muut tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Occurrence of maternal death
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of maternal death

Registered from inclusion to two month post partum
Occurrence of Eclampsia
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of Eclampsia

Registered from inclusion to two month post partum
Occurrence of Cerebral vascular event
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of Cerebral vascular event

Registered from inclusion to two month post partum
Occurrence of posterior reversible encephalopathy syndrome
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of posterior reversible encephalopathy syndrome

Registered from inclusion to two month post partum
Occurrence of pulmonary edema
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of pulmonary edema

Registered from inclusion to two month post partum
Occurrence of left ventricular failure
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of left ventricular failure

Registered from inclusion to two month post partum
Occurrence of renal dialysis
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of renal dialysis

Registered from inclusion to two month post partum
Occurrence of renal failure
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of renal failure:≥ 90 µmol/L or no urinary output for 6 hours

Registered from inclusion to two month post partum
Occurrence of elevated liver transaminases
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of elevated liver transaminases: ALT or AST ≥ 2 times highest normal value (ALAT >1.5 µkat/L and ASAT > 1.2 µkat/L)

Registered from inclusion to two month post partum
Occurrence of HELLP syndrome
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of HELLP (Haemolysis, elevated liver enzymes and low platelets) syndrome

Registered from inclusion to two month post partum
Occurrence of thrombocytopenia
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of thrombocytopenia (platelets <100 X 109/L)

Registered from inclusion to two month post partum
Occurrence of liver haematoma or rupture
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of liver haematoma or rupture

Registered from inclusion to two month post partum
Occurrence of admission to an intensive care unit
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of admission to an intensive care unit

Registered from inclusion to two month post partum
Occurrence of severe hypertension
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of severe hypertension (BP>160/110 mm Hg)

Registered from inclusion to two month post partum
Occurrence of disseminated intravascular coagulation
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of disseminated intravascular coagulation

Registered from inclusion to two month post partum
Occurrence of caesarean section
Aikaikkuna: At birth

Occurrence of caesarean section

At birth
Occurrence of major postpartum hemorrhage
Aikaikkuna: At birth

Occurrence of major postpartum hemorrhage (>1000 ml)

At birth
Occurrence of thromboembolic disease
Aikaikkuna: Registered from inclusion to two month post partum

Occurrence of thromboembolic disease: deep venous thrombosis or pulmonary embolism

Registered from inclusion to two month post partum
Duration of maternal postpartum hospital stay
Aikaikkuna: Registered from birth to hospital discharge

Duration of maternal postpartum hospital stay (days)

Registered from birth to hospital discharge
Number of antihypertensive drugs
Aikaikkuna: At discharge

Number of antihypertensive drugs at discharge after delivery

At discharge
Duration of antihypertensive medication
Aikaikkuna: From inclusion to two month postpartum

Duration of antihypertensive medication (days)

From inclusion to two month postpartum
Occurrence of intrauterine fetal demise
Aikaikkuna: From inclusion to birth

Occurrence of intrauterine fetal demise

From inclusion to birth
Occurrence of neonatal death
Aikaikkuna: From inclusion to two month post partum

Occurrence of neonatal death

From inclusion to two month post partum
Occurrence of growth restriction at birth
Aikaikkuna: At birth

Occurrence of growth restriction at birth (less than 2 standard deviations from median weight from Swedish birth weight growth curves).

At birth
Occurrence of grade 3 or 4 intraventricular hemorrhage
Aikaikkuna: Registered from birth to two month post partum

Occurrence of grade 3 or 4 intraventricular hemorrhage

Registered from birth to two month post partum
Occurrence of necrotizing enterocolitis
Aikaikkuna: Registered from birth to two month post partum

Occurrence of necrotizing enterocolitis

Registered from birth to two month post partum
Occurrence of reversed a-wave in the ductus venosus
Aikaikkuna: Registered from birth to two month post partum

Occurrence of reversed a-wave in the ductus venosus

Registered from birth to two month post partum
Occurrence of persistent reversed flow in the umbilical artery
Aikaikkuna: Registered from inclusion to birth

Occurrence of persistent reversed flow in the umbilical artery

Registered from inclusion to birth
Occurrence of redistribution in the middle cerebral artery
Aikaikkuna: Registered from birth to two month post partum

Occurrence of redistribution in the middle cerebral artery

Registered from birth to two month post partum
Occurrence of low APGAR score
Aikaikkuna: At birth

Occurrence of low APGAR score, defined as less than 4 at 5 minutes

At birth
Occurrence of umbilical artery pH below 7.1
Aikaikkuna: At birth

Occurrence of umbilical artery pH below 7.1

At birth
Occurrence of invasive ventilation, intubation and mechanical ventilation or non-invasive ventilatione outcome
Aikaikkuna: Registered from birth to two month post partum

Occurrence of invasive ventilation, intubation and mechanical ventilation or non-invasive ventilation; continuous positive airway pressure (CPAP) support or high flow nasal oxygen

Registered from birth to two month post partum
Occurrence of grade III/IV hyaline membrane disease
Aikaikkuna: Registered from birth to two month post partum

Occurrence of grade III/IV hyaline membrane disease

Registered from birth to two month post partum
Occurrence of surfactant use
Aikaikkuna: Registered from birth to two month post partum

Occurrence of surfactant use

Registered from birth to two month post partum
Occurrence of retinopathy of prematurity
Aikaikkuna: Registered from birth to two month post partum

Occurrence of retinopathy of prematurity

Registered from birth to two month post partum
Occurrence of neonatal sepsis
Aikaikkuna: Registered from birth to two month post partum

Occurrence of neonatal sepsis

Registered from birth to two month post partum
Tolerability and safety
Aikaikkuna: From inclusion to birth

Severity of nausea measured by PHASE-20 Severity of vomiting measured by PHASE-20 Severity of diarrhoea measured by PHASE-20 Severity of headache measured by PHASE-20

From inclusion to birth
Tolerability and safety
Aikaikkuna: From inclusion to birth

Occurrence of lactic acidosis (blood pH< 7.35 or blood lactate> 5 mM)

From inclusion to birth
Tolerability and safety
Aikaikkuna: From inclusion to birth

Drug adherence (measured by treatment diary)

From inclusion to birth
Pre-eclampsia-related biomarkers
Aikaikkuna: From inclusion to two years post partum

Concentrations of Soluble Fms-like tyrosine kinase-1 Concentrations of Placental growth factor Concentrations of Soluble endoglin

From inclusion to two years post partum
Gut and vaginal microbiome composition
Aikaikkuna: From inclusion to two years post partum

Omics-based analysis of the microbiome

From inclusion to two years post partum
Breastfeeding initiation
Aikaikkuna: From birth to two month postpartum

Breastfeeding initiation (measured by unvalidated breastfeeding questionnaire with no score)

From birth to two month postpartum
Depressive symptoms
Aikaikkuna: From inclusion to two years post partum

Depressive symptoms (measured by the Edinburgh Postnatal Depression Scale; 0-30, with higher scores indicating higher self-esteem)

From inclusion to two years post partum
Self-esteem
Aikaikkuna: From inclusion to two years post partum

Self-esteem (measured by The Rosenberg Self-Esteem Scale; 0-30, higher scores indicating higher self-esteem)

From inclusion to two years post partum
Perceived stress
Aikaikkuna: From inclusion to two years postpartum

Perceived stress (measured by the 10-item Perceived Stress Scale; 0-40, with higher scores indicating greater perceived stress)

From inclusion to two years postpartum
Breastfeeding self-efficacy
Aikaikkuna: From birth to two month postpartum

Breastfeeding self-efficacy (measured by the Breastfeeding Self-Efficacy Scale-Short Form; 14-70, higher score= greater breastfeeding self-efficacy)

From birth to two month postpartum
Health-related quality of life
Aikaikkuna: From inclusion to two years post partum

Health-related quality of life (measured using the EQ-5D-5L (the official name) and reported as the EQ-5D-5L index value and the EQ VAS [0-100]). EQ-5D-5L index values will be derived using country-specific value sets where available; higher index values indicate better health-related quality of life. The EQ VAS ranges from 0 to 100, with higher scores indicating better self-rated health)

From inclusion to two years post partum
Parental-infant bonding
Aikaikkuna: From birth to two month post partum

Parental-infant bonding (measured by the Postpartum Bonding Questionnaire; 0-125, higher score= greater impairment/difficulties in parent-infant bonding)

From birth to two month post partum
Health economic outcomes
Aikaikkuna: From birth to two years post partum

Cost-effectiveness short-term: direct healthcare costs (based on drug and healthcare use) for mother and child from enrolment until discharge, will be compared to incremental effects measured as prolongation of gestation

Cost-effectiveness long-term: societal costs (based on drug and healthcare use, and social insurance transactions) for mother and child from enrolment until two years postpartum, will be compared to incremental effects measured as prolongation of gestation and health-related quality of life

From birth to two years post partum
Risk of autism spectrum disorder
Aikaikkuna: At two years corrected age

Risk of autism spectrum disorder (evaluated by the Modified Checklist for Autism in Toddlers, Revised (M-CHAT/R); 20 questions resulting in score 0-20 where 0-2 indicates no risk, 3-7 moderate risk and 8-20 high risk for autism).

At two years corrected age
Cognitive development of the child
Aikaikkuna: At two years corrected age

Developmental screening (based on parental questionnaire Ages and Stages Questionnaire, Third Edition 24-months (ASQ-3);questions covering five key developmental domains; communication, gross motor, fine motor, problem-solving and personal-social skills; answers scored from 0-60 with age-specific cut-off levels at -2 and -1SD indicating clear or suspect developmental delay)

At two years corrected age
Cognitive development of the child
Aikaikkuna: At two years corrected age

Comprehensive developmental assessment (evaluated by the Bayley Scales of Infant Development-4 (BSID-4), with main scores for motor, language and cognitive function. Results expressed as age-corrected developmental scores in each domain with clear developmental delay at scores < 70 (-2SD) and suspect developmental delay at scores < 85 (-1SD).

At two years corrected age

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Sponsori

Yhteistyökumppanit

Tutkijat

  • Päätutkija: Lina Bergman, Associate professor, Sahlgrenska University Hospital

Julkaisuja ja hyödyllisiä linkkejä

Tutkimusta koskevien tietojen syöttämisestä vastaava henkilö toimittaa nämä julkaisut vapaaehtoisesti. Nämä voivat koskea mitä tahansa tutkimukseen liittyvää.

Opintojen ennätyspäivät

Nämä päivämäärät seuraavat ClinicalTrials.gov-sivustolle lähetettyjen tutkimustietueiden ja yhteenvetojen edistymistä. National Library of Medicine (NLM) tarkistaa tutkimustiedot ja raportoidut tulokset varmistaakseen, että ne täyttävät tietyt laadunvalvontastandardit, ennen kuin ne julkaistaan ​​julkisella verkkosivustolla.

Opi tärkeimmät päivämäärät

Opiskelun aloitus (Todellinen)

Perjantai 19. tammikuuta 2024

Ensisijainen valmistuminen (Arvioitu)

Perjantai 31. joulukuuta 2027

Opintojen valmistuminen (Arvioitu)

Maanantai 31. joulukuuta 2029

Opintoihin ilmoittautumispäivät

Ensimmäinen lähetetty

Maanantai 28. elokuuta 2023

Ensimmäinen toimitettu, joka täytti QC-kriteerit

Sunnuntai 10. syyskuuta 2023

Ensimmäinen Lähetetty (Todellinen)

Keskiviikko 13. syyskuuta 2023

Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Todellinen)

Maanantai 28. syyskuuta 2026

Viimeisin lähetetty päivitys, joka täytti QC-kriteerit

Keskiviikko 23. syyskuuta 2026

Viimeksi vahvistettu

Lauantai 1. elokuuta 2026

Lisää tietoa

Tähän tutkimukseen liittyvät termit

Yksittäisten osallistujien tietojen suunnitelma (IPD)

Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?

JOO

IPD-suunnitelman kuvaus

Metadata and statistical code will be published in public repositories upon release of the trial's primary results. Deidentified data may be shared upon reasonable request following a written application including a research proposal and ethical approval, in accordance with applicable ethical and legal requirements.

We plan to share data with similar ongoing or planned trials in South Africa and The Netherlands.

Lääke- ja laitetiedot, tutkimusasiakirjat

Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta

Ei

Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta

Ei

Yhdysvalloissa valmistettu ja sieltä viety tuote

Ei

Nämä tiedot haettiin suoraan verkkosivustolta clinicaltrials.gov ilman muutoksia. Jos sinulla on pyyntöjä muuttaa, poistaa tai päivittää tutkimustietojasi, ota yhteyttä register@clinicaltrials.gov. Heti kun muutos on otettu käyttöön osoitteessa clinicaltrials.gov, se päivitetään automaattisesti myös verkkosivustollemme .

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