- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT06436703
Tutkimus modifioiduista RNA-rokotteista influenssaa vastaan terveillä aikuisilla
TUTKIMUS TERVEILLÄ AIKUISILLE MUODOTETTUJEN RNA-ROKOTTEIDEN TURVALLISUUDEN, SIEDETTÄVYYDEN JA IMMUNOGEENISUUDEN arvioimiseksi influenssaa vastaan
Tämän tutkimuksen tarkoituksena on selvittää, ovatko muunnetut RNA-rokotteet (modRNA) influenssan ehkäisyyn:
- turvallinen; ja
- miten nämä rokotteet tuottavat immuunivasteen yleensä terveillä aikuisilla. Immuunivaste on tapa, jolla keho suojelee itseään haitallisina tai vieraina näkemyksiltä.
RNA (kutsutaan myös ribonukleiinihapoksi) on yksi kahdesta solujen tuottamasta nukleiinihaposta. RNA sisältää tietoa, joka on kopioitu DNA:sta (toinen nukleiinihappotyyppi). Solut valmistavat useita eri muotoja RNA:ta, ja jokaisella muodolla on tietty tehtävä solussa. Monilla RNA:n muodoilla on proteiinien valmistukseen liittyviä toimintoja. RNA on myös joidenkin virusten geneettinen materiaali DNA:n sijasta. RNA:ta voidaan valmistaa laboratoriossa ja käyttää tutkimuksissa. Kutsutaan myös ribonukleiinihapoksi.
Influenssaa käytetään termiä flunssasairaus. Se on viruksen aiheuttama infektio, joka vaikuttaa suuhun, nenään ja kurkkuun.
Tutkimukseen haetaan osallistujia, jotka:
- ovat vähintään 18-vuotiaita
- eivät ole saaneet influenssarokotetta viimeisen 6 kuukauden aikana
- ovat yleensä terveitä
Tämä tutkimus jaetaan kolmeen osatutkimukseen: osatutkimus A (SSA), osatutkimus B (SSB) ja osatutkimus C (SSC).
Kaikki osallistujat, riippumatta osatutkimuksesta, saavat 1 annoksen jompaakumpaa seuraavista rokotteista pistoksena käteensä:
- yksi modRNA-influenssarokotteista, joita tutkitaan; tai
- hyväksytty influenssarokote, joka on hyväksytty käytettäväksi heidän ikäryhmässään.
Osallistujat ovat mukana tässä tutkimuksessa noin 6 kuukauden ajan. Tänä aikana osallistujilla on vähintään 3 klinikkakäyntiä.
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 2
- Vaihe 1
Yhteystiedot ja paikat
Opiskelupaikat
-
-
Alabama
-
Mobile, Alabama, Yhdysvallat, 36608
- AMR Clinical
-
-
Arizona
-
Scottsdale, Arizona, Yhdysvallat, 85260
- Headlands Research - Scottsdale
-
-
California
-
Anaheim, California, Yhdysvallat, 92801
- Anaheim Clinical Trials, LLC
-
Lake Forest, California, Yhdysvallat, 92630
- Orange County Research Center
-
San Diego, California, Yhdysvallat, 92103
- Artemis Institute for Clinical Research
-
Walnut Creek, California, Yhdysvallat, 94598
- Diablo Clinical Research, Inc.
-
-
Connecticut
-
Milford, Connecticut, Yhdysvallat, 06460
- Clinical Research Consulting
-
-
Florida
-
Hialeah, Florida, Yhdysvallat, 33012
- Indago Research & Health Center, Inc
-
Hollywood, Florida, Yhdysvallat, 33024
- Research Centers of America
-
Hollywood, Florida, Yhdysvallat, 33024
- Research Centers of America ( Hollywood )
-
Miami Lakes, Florida, Yhdysvallat, 33014
- Palm Springs Community Health Center
-
Orlando, Florida, Yhdysvallat, 32801
- Clinical Neuroscience Solutions, Inc.
-
Orlando, Florida, Yhdysvallat, 32819
- Headlands Research Orlando
-
South Miami, Florida, Yhdysvallat, 33143
- Qps-Mra, Llc
-
-
Hawaii
-
Honolulu, Hawaii, Yhdysvallat, 96814
- East-West Medical Research Institute
-
-
Louisiana
-
New Orleans, Louisiana, Yhdysvallat, 70119
- Alliance for Multispecialty Research, LLC
-
-
Minnesota
-
Saint Paul, Minnesota, Yhdysvallat, 55114
- Prism Research LLC dba Nucleus Network
-
-
Missouri
-
Chesterfield, Missouri, Yhdysvallat, 63005
- Clinical Research Professionals
-
Kansas City, Missouri, Yhdysvallat, 64114
- Alliance for Multispecialty Research, LLC
-
-
New York
-
Rochester, New York, Yhdysvallat, 14609
- Rochester Clinical Research, LLC
-
-
North Carolina
-
Durham, North Carolina, Yhdysvallat, 27703
- Duke Vaccine and Trials Unit
-
Raleigh, North Carolina, Yhdysvallat, 27612
- M3 Wake Research, Inc.
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, Yhdysvallat, 19107
- DM Clinical Research - Philadelphia
-
-
Texas
-
Brownsville, Texas, Yhdysvallat, 78526
- Headlands Horizons LLC
-
Mesquite, Texas, Yhdysvallat, 75149
- SMS Clinical Research
-
San Antonio, Texas, Yhdysvallat, 78229
- Clinical Trials of Texas, LLC
-
San Antonio, Texas, Yhdysvallat, 78229
- Clinical Trials of Texas, LLC dba Flourish Research
-
Tomball, Texas, Yhdysvallat, 77375
- Dynamed Clinical Research, LP d/b/a DM Clinical Research
-
-
Utah
-
Salt Lake City, Utah, Yhdysvallat, 84109
- J. Lewis Research, Inc. / Foothill Family Clinic
-
Salt Lake City, Utah, Yhdysvallat, 84121
- J. Lewis Research, Inc. / Foothill Family Clinic South
-
-
Virginia
-
Charlottesville, Virginia, Yhdysvallat, 22911
- Charlottesville Medical Research
-
Norfolk, Virginia, Yhdysvallat, 23502
- AMR Clinical
-
-
Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
- Aikuinen
- Vanhempi Aikuinen
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Keskeiset sisällyttämiskriteerit
Koskee kaikkia kolmea alatutkimusta:
- osallistujat ≥ 18-vuotiaat.
- yleensä terveitä osallistujia.
VAIN alatutkimus C:
- influenssakaudelle 2023-2024 luvan saaneen influenssarokotteen vähintään 6 kuukautta sitten.
Keskeiset poissulkemiskriteerit
Kaikki 3 alatutkimusta:
- influenssadiagnoosi (kliinisillä testeillä) viimeisen 6 kuukauden aikana.
- immuunipuutospotilaat, joilla tiedetään tai epäillään olevan immuunipuutos
- tutkittavat tai luvan saaneet influenssarokotteet kuuden kuukauden kuluessa.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Ennaltaehkäisy
- Jako: Satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Nelinkertaistaa
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: SSA: Influenza ModRNA Vaccine 2A
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSA: Influenza ModRNA Vaccine 3A
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSA: Influenza ModRNA Vaccine 4A
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSA: Influenza ModRNA Vaccine 5A
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Active Comparator: SSA: QIV1
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSB: Influenza ModRNA -rokote 3B
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSB: Influenza ModRNA -rokote 4B
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSB: Influenza ModRNA -rokote 5B
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Active Comparator: SSB: QIV2
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Active Comparator: SSB: QIV3
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 3C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 4C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 5C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 6C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 7C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 8C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Kokeellinen: SSC: Influenza ModRNA Vaccine 9C
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Active Comparator: SSC: QIV2
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
|
Active Comparator: SSC: QIV3
- Kerta-annos päivänä 1
|
Lihaksensisäinen injektio
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
SSA: Percentage of Participants With Local Reactions for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Local reactions included pain at the injection site, redness and swelling and were recorded by participants in the electronic dairy (e-diary) or by investigators in case report form (CRF) after vaccination.
All local reactions were graded based on center for biologics evaluation and research (CBER) toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any local reaction of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSB: Percentage of Participants With Local Reactions for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Local reactions included pain at the injection site, redness and swelling and were recorded by participants in the e-diary or by investigators in CRF after vaccination.
All local reactions were graded based on CBER toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any local reaction of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSC: Percentage of Participants With Local Reactions for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Local reactions included pain at the injection site, redness and swelling and were recorded by participants in the e-diary or by investigators in CRF after vaccination.
All local reactions were graded based on CBER toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any local reaction of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSA: Percentage of Participants With Systemic Events for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Systemic events (fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and joint pain) were recorded by participants in the e-diary or by investigators in CRF after vaccination.
All systemic events were graded based on CBER toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any systemic events of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSB: Percentage of Participants With Systemic Events for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Systemic events (fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and joint pain) were recorded by participants in the e-diary or by investigators in CRF after vaccination.
All systemic events were graded based on CBER toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any systemic events of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSC: Percentage of Participants With Systemic Events for up to 7 Days Following Vaccination
Aikaikkuna: From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
Systemic events (fever, vomiting, diarrhea, headache, fatigue, chills, new or worsened muscle pain and joint pain) were recorded by participants in the e-diary or by investigators in CRF after vaccination.
All systemic events were graded based on CBER toxicity guidelines as Grade 1 (Mild), Grade 2 (Moderate), Grade 3 (Severe) and Grade 4 (potentially life-threatening).
In this outcome measure, data is reported as percentage of participants with any systemic events of any grade.
|
From Day 1 through Day 7 after study vaccination [Vaccination on Day 1]
|
|
SSA: Percentage of Participants With Adverse Events (AEs) From Vaccination Through 4 Weeks After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 4 weeks after study vaccination
|
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
|
From study vaccination on Day 1 through 4 weeks after study vaccination
|
|
SSB: Percentage of Participants With AEs From Vaccination Through 4 Weeks After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 4 weeks after study vaccination
|
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
|
From study vaccination on Day 1 through 4 weeks after study vaccination
|
|
SSC: Percentage of Participants With AEs From Vaccination Through 4 Weeks After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 4 weeks after study vaccination
|
An AE was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Only AEs collected by non-systematic assessment (excluding local reactions and systematic events) were included in this outcome measure.
|
From study vaccination on Day 1 through 4 weeks after study vaccination
|
|
SSA: Percentage of Participants With SAEs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, any other pre-specified criteria in protocol of the study or other important medical event judged by the investigator.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSB: Percentage of Participants With SAEs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, any other pre-specified criteria in protocol of the study or other important medical event judged by the investigator.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSC: Percentage of Participants With SAEs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An SAE was defined as any untoward medical occurrence that, at any dose, met one or more of the following criteria: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect, any other pre-specified criteria in protocol of the study or other important medical event judged by the investigator.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSA: Percentage of Participants With Medically Attended Adverse Events (MAEs) From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSB: Percentage of Participants With MAEs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSC: Percentage of Participants With MAEs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An MAE was defined as a non-serious AE that resulted in an evaluation at a medical facility.
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSA: Percentage of Participants With Newly Diagnosed Chronic Medical Conditions (NDCMCs) From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects (e.g., asthma).
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSB: Percentage of Participants With NDCMCs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects (e.g., asthma).
|
From study vaccination on Day 1 through 6 months after study vaccination
|
|
SSC: Percentage of Participants With NDCMCs From Vaccination Through 6 Months After Vaccination
Aikaikkuna: From study vaccination on Day 1 through 6 months after study vaccination
|
An NDCMC was defined as a disease or medical condition, not previously identified, that was expected to be persistent or otherwise long-lasting in its effects (e.g., asthma).
|
From study vaccination on Day 1 through 6 months after study vaccination
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
SSA: Geometric Mean Titers (GMTs) of Strain-Specific Hemagglutination Inhibition Assay (HAI) Titers at Baseline and 4 Weeks After Vaccination
Aikaikkuna: Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
GMTs and the corresponding 2-sided 95% confidence intervals (CIs) were calculated by exponentiating the mean logarithm of the titers and the corresponding CIs (based on the Student t distribution).
|
Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
|
SSA: Geometric Mean Fold Rise (GMFR) of Strain-Specific HAI Titers From Before Vaccination to 4 Weeks After Vaccination
Aikaikkuna: From before study vaccination on Day 1 up to 4 weeks after study vaccination
|
GMFR was defined as the geometric mean of the fold rise in the assay results from before vaccination to a specified time point after vaccination.
|
From before study vaccination on Day 1 up to 4 weeks after study vaccination
|
|
SSA: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination
Aikaikkuna: 4 weeks after study vaccination
|
Seroconversion was defined as an HAI titer <1:10 prior to vaccination and >=1:40 at the time point of interest, or an HAI titer of >=1:10 prior to vaccination with at least a 4-fold rise at the time point of interest.
|
4 weeks after study vaccination
|
|
SSA: Percentage of Participants With HAI Titers >=1:40 For Each Strain at Baseline and 4 Weeks After Vaccination
Aikaikkuna: Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
This measure is for percentage of participants achieving HAI titers >=1:40 for each strain.
|
Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
|
SSB: GMTs of Strain-Specific HAI Titers at Baseline and 4 Weeks After Vaccination
Aikaikkuna: Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
|
|
SSB: GMFRs of Strain-Specific HAI Titers From Before Vaccination to 4 Weeks After Vaccination
Aikaikkuna: From before study vaccination on Day 1 up to 4 weeks after study vaccination
|
From before study vaccination on Day 1 up to 4 weeks after study vaccination
|
|
|
SSB: Percentage of Participants Achieving HAI Seroconversion for Each Strain at 4 Weeks After Vaccination
Aikaikkuna: 4 weeks after study vaccination
|
4 weeks after study vaccination
|
|
|
SSB: Percentage of Participants With HAI Titers >=1:40 For Each Strain at Baseline and 4 Weeks After Vaccination
Aikaikkuna: Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
This measure is for percentage of participants achieving HAI titers >=1:40 for each strain.
|
Baseline (before study vaccination on Day 1), 4 weeks after study vaccination
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Pfizer CT.gov Call Center, Pfizer
Julkaisuja ja hyödyllisiä linkkejä
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
- C4781013
- NCT06436703 (Rekisterin tunniste: ClinicalTrials.gov)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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