- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT07287670
EncompaSSc : Évaluation du MTX-474 chez les participants atteints de sclérodermie systémique cutanée diffuse (dcSSc)
Une étude randomisée de phase 2, en double aveugle et contrôlée par placebo, pour évaluer l'innocuité et l'efficacité du MTX-474 dans le traitement des participants atteints de sclérodermie systémique cutanée diffuse (dcSSc)
A Phase 2 Randomized, Double-blind, Placebo-Controlled Study of the Safety and Efficacy of MTX-474 in Participants with Diffuse Cutaneous Systemic Sclerosis (dcSSc)
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Participants with dcSSc who meet the study's inclusion and exclusion criteria will be randomly assigned in a 3:2 ratio to receive MTX-474 or a matching placebo by intravenous (IV) infusion. Concomitant use of one of the approved dcSSc therapies (immunosuppressive therapy, systemic glucocorticoids or other antifibrotic agents) is permitted under certain criteria. Participants randomized to the MTX-474 arm of the study will receive an IV infusion every 4 weeks, beginning at Day 0 and ending at Week 20. The End of Treatment Visit will occur at Week 24, and a Safety Follow-Up Visit will occur at Week 28, 8 weeks after the final infusion. mRSS assessments will occur at Screening, Baseline, and at all subsequent treatment visits up to and including Week 24. Spirometry will be performed at screening and Weeks 12. HRCT will be performed at screening and week 24. DLCO will be performed at Screening. Skin biopsies will be performed at Baseline and Week 12. Participants will have blood drawn for safety assessment and to assess Ephrin receptor levels at Screening, Baseline and every 4 weeks until Week 28. Blood will be drawn for serum PK analyses relative to the first and last doses of MTX-474.
Type d'étude
Inscription (Estimé)
Phase
- Phase 2
Contacts et emplacements
Coordonnées de l'étude
- Nom: Jeffrey Bornstein, MD
- Numéro de téléphone: 803 (617) 936-0960
- E-mail: jeffrey@mediartx.com
Lieux d'étude
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Queensland
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Southport, Queensland, Australie, 4222
- Recrutement
- Griffith University (Clinical Trial Unit)
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Chercheur principal:
- Gerald Tracey
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Woolloongabba, Queensland, Australie, 4102
- Recrutement
- Veracity Clinical Research
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Chercheur principal:
- Lynda Spelman
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Victoria
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Heidelberg, Victoria, Australie, 3084
- Recrutement
- Austin Health
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Chercheur principal:
- Jessica Leung
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Contact:
- Rheumatology Department
- Numéro de téléphone: 617-802-6568
- E-mail: rheumatology@austin.org.au
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Barcelona, Espagne, 08003
- Pas encore de recrutement
- EncompaSSc site in Barcelona, Spain
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Barcelona, Espagne, 08025
- Pas encore de recrutement
- EncompaSSc site in Barcelona, Spain
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Córdoba, Espagne, 14004
- Pas encore de recrutement
- EncompaSSc site in Córdoba, Spain
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Málaga, Espagne, 29004
- Pas encore de recrutement
- EncompaSSc site in Malaga, Spain
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Valencia, Espagne, 46026
- Pas encore de recrutement
- EncompaSSc site in Valencia, Spain
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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La Tronche, France, 38700
- Pas encore de recrutement
- EncompaSSc site in La Tronche, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Montpellier, France, 34090
- Pas encore de recrutement
- EncompaSSc site in Montpellier, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Paris, France, 75014
- Pas encore de recrutement
- EncompaSSc site in Paris, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Strasbourg, France, 67000
- Pas encore de recrutement
- EncompaSSc site in Strasbourg, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Toulouse, France, 31059
- Pas encore de recrutement
- EncompaSSc site in Toulouse, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Vandœuvre-lès-Nancy, France, 54500
- Pas encore de recrutement
- EncompaSSc site in Vandœuvre-lès-Nancy, France
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Ancona, Italie, 60126
- Pas encore de recrutement
- EncompaSSc site in Ancona, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Catania, Italie, 95123
- Pas encore de recrutement
- EncompaSSc site in Catania, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Genoa, Italie, 16132
- Pas encore de recrutement
- EncompaSSc site in Genoa, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Milan, Italie, 20122
- Pas encore de recrutement
- EncompaSSc site in Milan, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Modena, Italie, 41124
- Pas encore de recrutement
- EncompaSSc site in Modena, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Roma, Italie, 00128
- Pas encore de recrutement
- EncompaSSc site in Roma, Italy
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Auckland, Nouvelle-Zélande, 2025
- Recrutement
- Aotearoa Clinical Trials
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Chercheur principal:
- Mark Sapsford
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Contact:
- Research Department
- Numéro de téléphone: 617-802-6568
- E-mail: info@aotearoatrials.nz
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Hamilton, Nouvelle-Zélande, 3204
- Recrutement
- Waikato Hospital
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Chercheur principal:
- Kamal Solanki
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Groningen, Pays-Bas, 9713 GZ
- Pas encore de recrutement
- EncompaSSc site in Groningen, Netherlands
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Bydgoszcz, Pologne, 85-168
- Pas encore de recrutement
- EncompaSSc site in Bydgoszcz, Poland
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Nowa Sól, Pologne, 67-100
- Pas encore de recrutement
- EncompaSSc site in Nowa Sól, Poland
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Warsaw, Pologne, 00-874
- Pas encore de recrutement
- EncompaSSc site in Warszawa, Poland
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Warsaw, Pologne, 02-507
- Pas encore de recrutement
- EncompaSSc site in Warszawa, Poland
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Brasov, Roumanie, 500283
- Pas encore de recrutement
- EncompaSSc site in Brasov, Romania
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Bucharest, Roumanie, 030463
- Pas encore de recrutement
- EncompaSSc site in Bucharest, Romania
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Bucharest, Roumanie, 041303
- Pas encore de recrutement
- EncompaSSc site in Bucharest, Romania
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Timișoara, Roumanie, 300133
- Pas encore de recrutement
- EncompaSSc site in Timişoara, Romania
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Coventry, Royaume-Uni, CV2 2DX
- Pas encore de recrutement
- EncompaSSc site in Walsgrave Coventry, UK
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Liverpool, Royaume-Uni, L7 8XP
- Recrutement
- Royal Liverpool University Hospital
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Chercheur principal:
- Marina Anderson
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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London, Royaume-Uni, SW8 3RN
- Pas encore de recrutement
- EncompaSSc site in London, UK
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617 802 6568
- E-mail: EncompaSSc@mediartx.com
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Westcliff-on-Sea, Royaume-Uni, SS0 0RY
- Pas encore de recrutement
- EncompaSSc site in Westcliff-on-Sea, UK
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Arizona
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Phoenix, Arizona, États-Unis, 85054
- Pas encore de recrutement
- EncompaSSc site in Phoenix, AZ
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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California
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La Jolla, California, États-Unis, 92037
- Pas encore de recrutement
- EncompaSSc site in La Jolla, CA
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Loma Linda, California, États-Unis, 92350
- Pas encore de recrutement
- EncompaSSc site in Loma Linda, CA
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Los Angeles, California, États-Unis, 90095
- Recrutement
- University of California Los Angeles Scleroderma Center
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Chercheur principal:
- Elizabeth Volkmann
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Contact:
- Nahal Ghanoongooi
- Numéro de téléphone: 617-802-6568
- E-mail: nghanoongooi@mednet.ucla.edu
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Newport Beach, California, États-Unis, 92663
- Recrutement
- NewportNativeMD, Inc.
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Chercheur principal:
- Ryan Klein
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Contact:
- Jennifer Gonzolez
- Numéro de téléphone: 617 802 6568
- E-mail: jennifer@newportnativemd.com
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Palo Alto, California, États-Unis, 94304
- Pas encore de recrutement
- EncompaSSc site in Palo Alto, CA
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Colorado
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Aurora, Colorado, États-Unis, 80045
- Recrutement
- University of Colorado Center for Lungs/Breathing/Scleroderma Clinic
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Contact:
- Chong Pedrick
- Numéro de téléphone: 617-802-6568
- E-mail: CHONG.PEDRICK@CUANSCHUTZ.EDU
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Chercheur principal:
- Melissa Griffith
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Florida
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Clearwater, Florida, États-Unis, 33765
- Recrutement
- Clinical Research of West Florida
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Chercheur principal:
- Rodney Daniel
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Contact:
- Amber Tipker
- Numéro de téléphone: 617 802 6568
- E-mail: atipker@crwf.com
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Sarasota, Florida, États-Unis, 34239
- Recrutement
- Sarasota Arthritis Center
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Chercheur principal:
- Jesse Boodoo
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Contact:
- Research Department
- Numéro de téléphone: 1-941-365-0770 ext:1052
- E-mail: research@arthritiscenters.net
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Tampa, Florida, États-Unis, 33606
- Recrutement
- Clinical Research of West Florida
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Chercheur principal:
- John Carter
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Contact:
- Michelle Villela
- Numéro de téléphone: 617 802 6568
- E-mail: mvillela@crwf.com
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Kansas
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Kansas City, Kansas, États-Unis, 66103
- Pas encore de recrutement
- EncompaSSc site in Kansas City, KS
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Maryland
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Baltimore, Maryland, États-Unis, 21205
- Recrutement
- Johns Hopkins University
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Chercheur principal:
- Laura Hummers
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Contact:
- Gwen Leatherman
- Numéro de téléphone: 617 802 6568
- E-mail: gleathe1@jh.edu
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Massachusetts
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Boston, Massachusetts, États-Unis, 02115
- Recrutement
- Brigham and Women's Hospital
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Contact:
- Joyce Shen
- Numéro de téléphone: 617-802-6568
- E-mail: jshen0@bwh.harvard.edu
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Chercheur principal:
- Avery LaChance
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Boston, Massachusetts, États-Unis, 02118
- Recrutement
- Boston Medical Center
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Contact:
- Kimberly Finch
- Numéro de téléphone: 617 802 6568
- E-mail: kimtobin@bu.edu
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Chercheur principal:
- Andreea Bujor
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Minnesota
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Minneapolis, Minnesota, États-Unis, 55455
- Pas encore de recrutement
- EncompaSSc site in Minneapolis, MN
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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New York
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Brooklyn, New York, États-Unis, 11201
- Recrutement
- NYU Langone Health
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Chercheur principal:
- David Goddard
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Contact:
- Debra London
- Numéro de téléphone: 617-802-6568
- E-mail: Debra.London@nyulangone.org
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Ohio
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Cleveland, Ohio, États-Unis, 44195
- Pas encore de recrutement
- EncompaSSc site in Cleveland, OH
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73104
- Recrutement
- The University of Oklahoma Health Sciences Center
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Contact:
- Tiffany Moore
- Numéro de téléphone: 405-271-3480
- E-mail: OSCTR@ouhsc.edu
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Chercheur principal:
- Aikaterini Thanou
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Pennsylvania
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Philadelphia, Pennsylvania, États-Unis, 19107
- Pas encore de recrutement
- EncompaSSc site in Philadelphia, PA
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Pittsburgh, Pennsylvania, États-Unis, 15219
- Recrutement
- University of Pittsburgh Medical Center
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Contact:
- UPMC
- Numéro de téléphone: 617-802-6568
- E-mail: kal128@pitt.edu
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Chercheur principal:
- Christina Padilla
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Texas
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Allen, Texas, États-Unis, 75013
- Recrutement
- Stryde Research - DFW
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Chercheur principal:
- John Lavery
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Contact:
- Moraima Avalos
- Numéro de téléphone: 617-802-6568
- E-mail: patients@stryderesearch.com
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Dallas, Texas, États-Unis, 75246
- Recrutement
- Baylor Scott & White Research Institute
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Contact:
- Felicia Padilla
- Numéro de téléphone: 617-802-6568
- E-mail: felicia.padilla@bswhealth.org
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Chercheur principal:
- Susan Mathai
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Houston, Texas, États-Unis, 77030
- Pas encore de recrutement
- EncompaSSc site in Houston, TX
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Contact:
- EncompaSSc contact
- Numéro de téléphone: 617-802-6568
- E-mail: EncompaSSc@mediartx.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
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Diagnosis of diffuse cutaneous systemic sclerosis, classified according to 2013 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR)
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Participant is either:
- Within 2 years of their first non-Raynaud's symptom and their mRSS is >7; OR
- >2 and ≤5 years from their first non-Raynaud's symptom, their mRSS is between 10 and 30, they are negative for the RNA polymerase 3 autoantibody, and (1) they have never had any previous spontaneous improvement in skin thickening of ≥4 points by mRSS on exams performed by the same clinician, or (2) they were never clinically noted to have a meaningful spontaneous reduction in skin thickness if mRSS was never done; OR
- >5 and ≤10 years from their first non-Raynaud's symptom, their mRSS is between >15 and ≤25, they are negative for the RNA polymerase 3 autoantibody, and (1) they have never had any previous spontaneous improvement in skin thickening of ≥4 points by mRSS, or (2) were never clinically noted to have a meaningful spontaneous reduction in skin thickness if mRSS was never done.
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Participant is ≥18 years of age at time of signing the ICF.
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Able to understand the study and provide a signed, written ICF
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Able to read and understand the language of the ICF and other study-related materials
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Forced vital capacity (FVCpp) of ≥45 pp10
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Have diffusing capacity of the lungs for carbon monoxide (DLCO) of ≥30 percent predicted at Screening
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Willing and able to complete all protocol-required study visits and procedures
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Participants of childbearing potential must have a negative serum pregnancy test at Screening.
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All participants with reproductive potential must agree to use and follow medically approved, highly effective methods of contraception during treatment and until 5 half-lives or 125 days after the last dose, whichever is longer
Exclusion Criteria:
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Concomitantly have another serious medical illness, which, in the opinion of the Investigator, would interfere with the participant's ability to complete the study
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Participant is currently on immunosuppressive therapy, systemic glucocorticoids or other antifibrotic agents detailed as follows:
- Immunosuppresive agents: Cyclophosphamide (IV or oral if used in the 6 months prior to Screening), calcineurin inhibitors (if used in the 30 days prior to Screening), azathioprine (if used in the 30 days prior to Screening), Janus-kinase inhibitors (if used in the 30 days prior to Screening), rituximab (if used in the 6 months prior to Screening), tocilizumab (if used in the 60 days prior to Screening) or any other biologic Disease-Modifying Antirheumatic Drugs (DMARD, if used in the last 30 days or 3 half-lives prior to Screening, whichever is longer)
- Antifibrotic agents: nintedanib or pirfenidone (if used in the 30 days prior to Screening). Also, exclusionary if used within 3 months of Screening are tyrosine-kinase inhibitors with recognized anti-fibrotic activity (imatinib, nilotinib, etc.)
- Systemic glucocorticoids: equivalent doses of prednisone greater than 10 mg/day (≤10 mg/day allowed). Has received any pulse intramuscular (IM) or intravenous (IV) steroid within 1 month of Screening
- Other agents:
i. mycophenolate mofetil unless on a stable dose for at least 6 months prior to Screening and there are no plans to adjust the dose during the study; ii. mycophenolic acid unless on a stable dose for at least 6 months prior to Screening and there are no plans to adjust the dose during the study; iii. hydroxychloroquine unless on a stable dose for at least 3 months prior to Screening and there are no plans to adjust the dose during the study; and iv. methotrexate unless on a stable dose for at least 3 months prior to Screening and there are no plans to adjust the dose during the study.
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Previous or planned hematopoietic stem cell or solid organ transplantation
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Previous treatment with chimeric antigen receptor (CAR)-T/CAR-NK therapy
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Clinically significant PAH as determined by the Investigator at, or prior to first day of dosing (Baseline)
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Current use of PAH medication (endothelin receptor antagonists, prostacyclin analogues, soluble guanylate cyclase stimulators) excluding calcium channel blockers and phosphodiesterase-5 inhibitors
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Pregnant or currently breastfeeding
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Aspartate transaminase (AST) or alanine transaminase (ALT) >2.0 upper limit of normal
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Creatinine clearance <45mL/min
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History of myocardial infarction, angina or congestive heart failure
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International normalized ratio >2 or partial thromboplastin time >1.5 × upper limit of normal
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Active infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
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History of clinically significant thrombotic event within 12 months prior to Screening
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Positive anticentromere antibody
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Systemic sclerosis renal crisis within 12 months prior to Screening
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Confirmed diagnosis of overlap syndrome, systemic lupus erythematosus with anti-double strand (ds)DNA antibody, rheumatoid arthritis with anti-cyclic citrullinated peptide (anti-CCP) antibody, or systemic sclerosis mimics (eosinophilic fasciitis, scleromyxedema) at the time of inclusion in the study
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Known malignancy or history of malignancy within 5 years of Screening other than non-melanoma skin cancer and in situ cervical cancer
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Major surgery within 8 weeks prior to Screening or planned surgery during study period
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Unable to routinely access veins for blood draws and IV infusions
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Currently receiving another experimental agent or participating in another clinical trial. If a participant has recently received another experimental agent, then the last dose must have been at least 5 half-lives or 30 days (whichever is longer) prior to Screening
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History of myocardial infarction, angina or congestive heart failure
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Quadruple
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Comparateur placebo: Placebo
Placebo |
Placebo |
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Expérimental: MTX-474
MTX-474 |
Dosage level: 4 mg/kg Unit dose strength: 50mg/ml MTX-474 is a human immunoglobulin G1 (IgG1) monoclonal antibody that binds the human EphrinB2 with high specificity and high affinity. MTX-474 is being developed as a therapy for patients with systemic sclerosis (SSc). |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change from baseline in Modified Rodnan Skin Score (mRSS)
Délai: Baseline to week 24
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Mean change from baseline to week 24 in the modified Rodnan Skin Score, a clinician-assessed measure of skin thickness across 17 body areas. Unit of measure: Score (range 0-51) |
Baseline to week 24
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Proportion of participants with a gene signature response in skin biopsy
Délai: 12 weeks
|
Proportion of participants in each arm (MTX-474 and placebo) demonstrating a dcSSc gene expression signature response on skin biopsy at Week 12. Unit of Measure: Participants (%) |
12 weeks
|
|
Number of participants with clinically significant findings on physical examination, vital signs, and clinical laboratory tests
Délai: Baseline through end of study (week 28)
|
Number of participants with clinically significant findings on physical examination, vital signs, and clinical laboratory tests Unit of Measure: Participants (%) |
Baseline through end of study (week 28)
|
|
Number of participants with dose interruptions or treatment discontinuations due to adverse events
Délai: Baseline through end of study (week 28)
|
Number of participants with dose interruptions or treatment discontinuations due to adverse events Unit of Measure: Participants (%) |
Baseline through end of study (week 28)
|
|
Safety and tolerability of MTX-474 in participants with dcSSc: Number of participants with treatment-emergent adverse events (TEAEs) and treatment-related adverse events (TRAEs)
Délai: Baseline through end of study (week 28)
|
Incidence, seriousness, and severity of TEAEs and TRAEs as determined by investigator assessment. Unit of measure: Participants (%) |
Baseline through end of study (week 28)
|
|
Serum concentration of MTX-474 at sparse PK time points
Délai: Baseline to week 28
|
Serum MTX-474 concentrations collected at predefined sparse PK time points to support population pharmacokinetic (popPK) analysis Unit of Measure: ng/mL |
Baseline to week 28
|
|
Clearance (CL) of MTX-474
Délai: Baseline to week 28
|
Clearance of MTX-474 calculated from serial PK sampling using noncompartmental analysis Unit of Measure: L/hour |
Baseline to week 28
|
|
Terminal elimination half-life (t½) of MTX-474
Délai: Baseline to week 28
|
Terminal elimination half-life of MTX-474 derived from serial PK sampling. Unit of Measure: Hours |
Baseline to week 28
|
|
Area under the plasma concentration-time curve (AUC) of MTX-474
Délai: Baseline to week 28
|
AUC of MTX-474 calculated from serial PK sampling using noncompartmental analysis. Unit of Measure: ng·h/mL |
Baseline to week 28
|
Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Proportion of participants with a response on the revised American College of Rheumatology Composite Response Index in Systemic Sclerosis (rACR-CRISS)
Délai: Baseline to week 24
|
Proportion of participants achieving rACR-CRISS composite response Unit of Measure: Participants (%) |
Baseline to week 24
|
|
Change from baseline in Physician Global Assessment (PhGA) of disease status
Délai: Baseline to week 24
|
Mean change from baseline to week 24 in the physician global assessment (phGA) of disease status in each arm Unit of Measure: Units on 0-10 visual analog scale (higher score = worse disease) |
Baseline to week 24
|
|
Change from baseline in Patient Global Assessment (PtGA) of disease status
Délai: Baseline to week 24
|
Mean change from baseline to week 24 in the patient global assessment (PtGA) of disease status in each arm Unit of Measure: Units on 0-10 visual analog scale (higher score = worse disease) |
Baseline to week 24
|
|
Change from baseline in percent predicted forced vital capacity (FVCpp)
Délai: Baseline to week 24
|
Mean change from baseline to week 24 on percent predicted forced vital capacity (FVCpp) Unit of Measure: Percent predicted (%) |
Baseline to week 24
|
|
Change from baseline in quantitative interstitial lung disease (QILD) score by high-resolution computed tomography (HRCT)
Délai: Baseline to week 24
|
Mean change from baseline to week 24 in the QILD score by high resolution computed tomography scan (HRCT) in each arm Unit of Measure: Units on QILD score (0-100 scale; higher score = greater fibrosis) |
Baseline to week 24
|
|
Change from Baseline in free EphrinB2 levels
Délai: Baseline to week 24
|
Median change from baseline to Week 24 in serum free EphrinB2 levels in each treatment arm. Unit of Measure: pg/mL |
Baseline to week 24
|
|
Change from baseline in forced vital capacity (FVC) by EphrinB2 levels
Délai: Baseline to week 24
|
Mean change from baseline to Week 24 in FVC, analyzed by baseline EphrinB2 levels, in the subset of participants with interstitial lung disease (ILD). Unit of Measure: Percent predicted (%) |
Baseline to week 24
|
|
Proportion of participants achieving rACR-CRISS response by EphrinB2 levels
Délai: Up to 24 weeks
|
Proportion of participants achieving a response on the revised ACR Composite Response Index in Systemic Sclerosis (rACR-CRISS), stratified by baseline EphrinB2 levels. Unit of Measure: Participants (%) |
Up to 24 weeks
|
|
To assess the presence, titer and impact of antidrug antibodies (ADA) against MTX-474
Délai: Baseline to week 28
|
Samples will be collected from baseline until Week 28 to assess the rate at which antibodies develop to the study drug Unit of Measure: Titer units |
Baseline to week 28
|
|
Change from baseline in expression of total and phosphorylated EphB2, EphB3, and EphB4 receptors in skin
Délai: Baseline to Week 12
|
Mean change from baseline to Week 12 in total and phosphorylated EphB2, EphB3, and EphB4 receptor expression in skin biopsy samples. Unit of Measure: Relative expression units (fold change from baseline) |
Baseline to Week 12
|
|
Change from baseline in transcriptomic profile
Délai: Baseline to Week 12
|
Change from baseline to Week 12 in global transcriptomic profile via bulk RNA sequencing analysis of skin biopsies in each arm. Unit of Measure: Differential gene expression (log₂ fold change) |
Baseline to Week 12
|
|
Change from baseline in serum biomarkers of organ involvement
Délai: Baseline to weeks 12 and 24
|
Change from baseline to Weeks 12 and 24 in serum levels biomarkers, including but not limited to, ProC3 and IL-6 associated with organ involvement Unit of Measure: ng/mL (or unit per biomarker) |
Baseline to weeks 12 and 24
|
|
Change from baseline in fatigue symptoms (FACIT-Fatigue score)
Délai: Baseline to week 24
|
Mean change from baseline to Week 24 in fatigue symptoms as measured by the Functional Assessment of Chronic Illness Therapy-Fatigue Scale. Unit of Measure: Units on FACIT-Fatigue scale (range 0-52; higher score = less fatigue) |
Baseline to week 24
|
|
Change from baseline in gastrointestinal (GI) symptoms (UCLA SCTC GIT 2.0 score)
Délai: Baseline to week 24
|
Mean change from baseline to Week 24 in GI symptom burden assessed by the UCLA SCTC GIT 2.0 questionnaire. Unit of Measure: Units on UCLA SCTC GIT 2.0 total score (range 0-3; higher score = worse symptoms) |
Baseline to week 24
|
|
Change from baseline in anxiety and depression symptoms (HADS)
Délai: Baseline to week 24
|
Mean change from baseline to Week 24 in symptoms of anxiety and depression measured by the HADS instrument. Unit of Measure: Units on Hospital Anxiety and Depression Scale (HADS total and subscale scores; range 0-21 per subscale; higher score = worse symptoms) |
Baseline to week 24
|
|
Change from baseline in HAQ-DI
Délai: Baseline to week 24
|
Mean change from Baseline in functional disability as assessed by HAQ-DI. Unit of measure: Score (0-3 scale) |
Baseline to week 24
|
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Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- MTX-474-S201
- 2025-523288-39 (Numéro EudraCT)
- 2025 (Subvention/contrat des NIH des États-Unis)
Plan pour les données individuelles des participants (IPD)
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Informations sur les médicaments et les dispositifs, documents d'étude
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