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Uno studio di fase 3 per valutare petosemtamab rispetto alla monoterapia scelta dallo sperimentatore in pazienti con carcinoma a cellule squamose della testa e del collo precedentemente trattati

29 ottobre 2026 aggiornato da: Genmab

Uno studio di fase 3, in aperto, randomizzato e controllato per valutare l'efficacia e la sicurezza di petosemtamab rispetto al trattamento in monoterapia scelto dallo sperimentatore in pazienti precedentemente trattati con carcinoma a cellule squamose della testa e del collo incurabile, metastatico/recidivante

This is a phase 3 open-label, randomized, controlled, multicenter study to compare petosemtamab vs investigator's choice monotherapy in HNSCC patients for the second- and third-line treatment of incurable metastatic/recurrent disease.

Panoramica dello studio

Stato

Attivo, non reclutante

Condizioni

Intervento / Trattamento

Descrizione dettagliata

This is a phase 3 open-label, randomized, controlled, multicenter study to compare petosemtamab vs investigator's choice monotherapy in HNSCC patients for the second- and third-line treatment of incurable metastatic/recurrent disease. HNSCC patients must have progressive disease (PD) on or after anti-PD-1 therapy and platinum-containing therapy. Patients treated with platinum-containing therapy only in the adjuvant setting, or in the context of multimodal therapy for locally advanced disease, should have PD within 6 months of the last dose of platinum-containing therapy.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

621

Fase

  • Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

      • Caba, Argentina, C1280AEB
        • Site 58
      • Córdoba, Argentina, X5008HHW
        • Site 45
      • Rosario, Argentina, S2000KZE
        • Site 110
      • Viedma, Argentina, 8500
        • Site 57
      • Darlinghurst, Australia, 2010
        • Site 3
      • Herston, Australia, 4060
        • Site 170
      • Melbourne, Australia, 3000
        • Site 38
      • Nedlands, Australia, 6009
        • Site 30
      • Saint Leonards, Australia, 2065
        • Site 11
      • Sydney, Australia, 2050
        • Site 73
      • Brussels, Belgio, 1200
        • Site 56
      • Ghent, Belgio, 9000
        • Site 92
      • Leuven, Belgio, 3000
        • Site 72
      • Liège, Belgio, 4000
        • Site 108
      • Namur, Belgio, 5000
        • Site 69
      • Brasília, Brasile, 70390-140
        • Site 154
      • Porto Alegre, Brasile, 90110-270
        • Site 145
      • Porto Alegre, Brasile, 90610-000
        • Site 150
      • Recife, Brasile, 50040-000
        • Site 146
      • Rio de Janeiro, Brasile, 22281-100
        • Site 148
      • São Paulo, Brasile, 01509-900
        • Site 147
      • São Paulo, Brasile, 04538-132
        • Site 144
      • Montreal, Canada, H2X 0A9
        • Site 172
      • Toronto, Canada, M4N 3M5
        • Site 196
      • Olomouc, Cechia, 779 00
        • Site 201
      • Providencia, Chile, 7500859
        • Site 16
      • Recoleta, Chile, 8420000
        • Site 20
      • Santiago, Chile, 7500921
        • Site 27
      • Santiago, Chile, 7560908
        • Site 21
      • Busan, Corea del Sud, 48108
        • Site 161
      • Goyang-si, Corea del Sud, 10408
        • Site 13
      • Hwasun, Corea del Sud, 58128
        • Site 29
      • Seoul, Corea del Sud, 03080
        • Site 137
      • Seoul, Corea del Sud, 05505
        • Site 36
      • Seoul, Corea del Sud, 06351
        • Site 47
      • Soeul, Corea del Sud, 03722
        • Site 33
      • Suwon, Corea del Sud, 16499
        • Site 164
      • Bordeaux, Francia, 33075
        • Site 105
      • Brest, Francia, 29200
        • Site 211
      • Le Mans, Francia, 72000
        • Site 162
      • Lille, Francia, 59000
        • Site 149
      • Lyon, Francia, 69373
        • Site 118
      • Marseille, Francia, 13005
        • Site 115
      • Montpellier, Francia, 34298
        • Site 106
      • Nice, Francia, 06189
        • Site 169
      • Paris, Francia, 75005
        • Site 114
      • Paris, Francia, 75013
        • Site 167
      • Poitiers, Francia, 86000
        • Site 136
      • Rennes, Francia, 35042
        • Site 141
      • Rouen, Francia, 76038
        • Site 107
      • Toulouse, Francia, 31059
        • Site 119
      • Vandœuvre-lès-Nancy, Francia, 54519
        • Site 142
      • Villejuif, Francia, 94800
        • Site 113
      • Berlin, Germania, 12203
        • Site 121
      • Dresden, Germania, 01307
        • Site 210
      • Essen, Germania, 45147
        • Site 165
      • Giessen, Germania, 35390
        • Site 84
      • Greifswald, Germania, 17475
        • Site 62
      • Hanover, Germania, 30625
        • Site 112
      • Leipzig, Germania, 04103
        • Site 116
      • München, Germania, 81675
        • Site 168
      • Würzburg, Germania, 97080
        • Site 99
      • Chūōku, Giappone, 104-0045
        • Site 132
      • Fukuoka, Giappone, 812-8582
        • Site 192
      • Kashiwa, Giappone, 277-8577
        • Site 131
      • Miki, Giappone, 761-0793
        • Site 135
      • Nagoya, Giappone, 464-8681
        • Site 139
      • Natori, Giappone, 981-1293
        • Site 186
      • Sendai, Giappone, 980-8574
        • Site 134
      • Ōsaka-sayama, Giappone, 589-8511
        • Site 133
      • Athens, Grecia, 124 62
        • Site 91
      • Heraklion, Grecia, 71500
        • Site 120
      • Thessaloniki, Grecia, 55236
        • Site 83
      • Haifa, Israele, 3109601
        • Site 19
      • Jerusalem, Israele, 9112001
        • Site 1
      • Ramat Gan, Israele, 5265601
        • Site 14
      • Tel Aviv, Israele, 6423906
        • Site 2
      • Brescia, Italia, 25123
        • Site 93
      • Cuneo, Italia, 12100
        • Site 111
      • Milan, Italia, 20133
        • Site 128
      • Milan, Italia, 20141
        • Site 81
      • Naples, Italia, 80131
        • Site 209
      • Naples, Italia, 80131
        • Site 89
      • Roma, Italia, 00161
        • Site 203
      • Rozzano, Italia, 20089
        • Site 85
      • Kaunas, Lituania, 50161
        • Site 180
      • Vilnius, Lituania, 08406
        • Site 181
      • Amsterdam, Olanda, 1066 CX
        • Site 76
      • Nijmegen, Olanda, 6525 GA
        • Site 61
      • Utrecht, Olanda, 3584 CX
        • Site 66
      • Bydgoszcz, Polonia, 85-796
        • Site 190
      • Gdansk, Polonia, 80-214
        • Site 143
      • Gliwice, Polonia, 44-102
        • Site 97
      • Krakow, Polonia, 31-826
        • Site 177
      • Lodz, Polonia, 93-513
        • Site 200
      • Poznan, Polonia, 60-185
        • Site 117
      • Warsaw, Polonia, 02-781
        • Site 179
      • Coimbra, Portogallo, 3004-561
        • Site 182
      • Lisbon, Portogallo, 1998-018
        • Site 183
      • Porto, Portogallo, 4200-072
        • Site 185
      • Cambridge, Regno Unito, CB2 0QQ
        • Site 65
      • Cardiff, Regno Unito, CF14 2TL
        • Site 174
      • Glasgow, Regno Unito, G12 0YN
        • Site 171
      • Liverpool, Regno Unito, L7 8YA
        • Site 44
      • London, Regno Unito, E20 1JQ
        • Site 157
      • London, Regno Unito, EC1A 7BE
        • Site 140
      • London, Regno Unito, SE1 9RT
        • Site 90
      • London, Regno Unito, SW3 6JJ
        • Site 42
      • Manchester, Regno Unito, M20 4BX
        • Site 48
      • Middlesex, Regno Unito, HA6 2RN
        • Site 70
      • Newcastle upon Tyne, Regno Unito, NE7 7DN
        • Site 191
      • Sutton, Regno Unito, SM2 5PT
        • Site 43
      • Barcelona, Spagna, 08035
        • Site 78
      • Madrid, Spagna, 28040
        • Site 109
      • Madrid, Spagna, 28040
        • Site 75
      • Madrid, Spagna, 28041
        • Site 71
      • Madrid, Spagna, 28050
        • Site 166
      • Pamplona, Spagna, 31008
        • Site 63
      • Pamplona, Spagna, 31008
        • Site 64
      • Valencia, Spagna, 46009
        • Site 74
    • Alabama
      • Mobile, Alabama, Stati Uniti, 36608
        • Site 160
    • Arizona
      • Prescott, Arizona, Stati Uniti, 86301
        • Site 102
      • Scottsdale, Arizona, Stati Uniti, 85054
        • Site 125
    • California
      • Duarte, California, Stati Uniti, 91010
        • Site 82
      • La Jolla, California, Stati Uniti, 92037
        • Site 25
      • Orange, California, Stati Uniti, 92868
        • Site 173
      • Palo Alto, California, Stati Uniti, 94304
        • Site 28
      • Sacramento, California, Stati Uniti, 95817
        • Site 127
      • San Francisco, California, Stati Uniti, 94158
        • Site 46
    • Colorado
      • Lone Tree, Colorado, Stati Uniti, 80124
        • Site 130
    • District of Columbia
      • Washington D.C., District of Columbia, Stati Uniti, 20010
        • Site 104
    • Florida
      • Fort Myers, Florida, Stati Uniti, 33901
        • Site 12
      • Jacksonville, Florida, Stati Uniti, 32224
        • Site 123
      • Orlando, Florida, Stati Uniti, 32827
        • Site 9
      • Tampa, Florida, Stati Uniti, 33612
        • Site 138
    • Georgia
      • Atlanta, Georgia, Stati Uniti, 30322
        • Site 187
    • Illinois
      • Chicago, Illinois, Stati Uniti, 60607
        • Site 152
      • Chicago, Illinois, Stati Uniti, 60611
        • Site 213
      • Chicago, Illinois, Stati Uniti, 60637
        • Site 68
    • Indiana
      • Indianapolis, Indiana, Stati Uniti, 46202
        • Site 31
    • Kentucky
      • Louisville, Kentucky, Stati Uniti, 40202
        • Site 8
    • Louisiana
      • Baton Rouge, Louisiana, Stati Uniti, 70809
        • Site 40
      • New Orleans, Louisiana, Stati Uniti, 70121
        • Site 100
    • Maryland
      • Columbia, Maryland, Stati Uniti, 21044
        • Site 153
    • Massachusetts
      • Boston, Massachusetts, Stati Uniti, 02215
        • Site 77
    • Michigan
      • Ann Arbor, Michigan, Stati Uniti, 48109
        • Site 103
      • Detroit, Michigan, Stati Uniti, 48201
        • Site 5
    • Minnesota
      • Maple Grove, Minnesota, Stati Uniti, 55369
        • Site 49
      • Rochester, Minnesota, Stati Uniti, 55905
        • Site 124
    • Missouri
      • St Louis, Missouri, Stati Uniti, 63110
        • Site 18
    • New Jersey
      • Hackensack, New Jersey, Stati Uniti, 07601
        • Site 86
    • New Mexico
      • Albuquerque, New Mexico, Stati Uniti, 87131
        • Site 15
    • New York
      • New York, New York, Stati Uniti, 10029
        • Site 24
      • The Bronx, New York, Stati Uniti, 10461
        • Site 214
    • North Carolina
      • Chapel Hill, North Carolina, Stati Uniti, 27514
        • Site 98
      • Durham, North Carolina, Stati Uniti, 27710
        • Site 122
    • Ohio
      • Cincinnati, Ohio, Stati Uniti, 45219
        • Site 23
      • Cleveland, Ohio, Stati Uniti, 44106
        • Site 218
      • Cleveland, Ohio, Stati Uniti, 44195
        • Site 87
      • Columbus, Ohio, Stati Uniti, 43210
        • Site 32
    • Oregon
      • Portland, Oregon, Stati Uniti, 97213
        • Site 26
    • Pennsylvania
      • Bensalem, Pennsylvania, Stati Uniti, 19020
        • Site 151
      • Philadelphia, Pennsylvania, Stati Uniti, 19107
        • Site 158
    • South Carolina
      • Charleston, South Carolina, Stati Uniti, 29425
        • Site 50
    • Tennessee
      • Chattanooga, Tennessee, Stati Uniti, 37404
        • Site 60
      • Memphis, Tennessee, Stati Uniti, 38103
        • Site 54
      • Nashville, Tennessee, Stati Uniti, 37203
        • Site 59
      • Nashville, Tennessee, Stati Uniti, 37232
        • Site 67
    • Texas
      • Denison, Texas, Stati Uniti, 75020
        • Site 55
      • El Paso, Texas, Stati Uniti, 79915
        • Site 34
      • Houston, Texas, Stati Uniti, 77030
        • Site 51
      • Houston, Texas, Stati Uniti, 77030
        • Site 7
      • Pearland, Texas, Stati Uniti, 77584
        • Site 94
    • Utah
      • Salt Lake City, Utah, Stati Uniti, 84112
        • Site 4
    • Virginia
      • Blacksburg, Virginia, Stati Uniti, 24060
        • Site 10
      • Charlottesville, Virginia, Stati Uniti, 22908
        • Site 22
      • Winchester, Virginia, Stati Uniti, 22601
        • Site 156
    • Washington
      • Seattle, Washington, Stati Uniti, 98109
        • Site 163
      • Spokane, Washington, Stati Uniti, 99202
        • Site 6
    • Wisconsin
      • Madison, Wisconsin, Stati Uniti, 53705
        • Site 216
      • Bellinzona, Svizzera, CH-6500
        • Site 184
      • Geneva, Svizzera, 1211
        • Site 189
      • Lausanne, Svizzera, 1011
        • Site 194
      • Sankt Gallen, Svizzera, 9007
        • Site 178
      • Kaohsiung City, Taiwan, 807
        • Site 17
      • Kaohsiung City, Taiwan, 833
        • Site 95
      • Taichung, Taiwan, 40447
        • Site 53
      • Tainan, Taiwan, 70428
        • Site 176
      • Taipei, Taiwan, 112
        • Site 35
      • Taoyuan City, Taiwan, 333
        • Site 52
      • Nyíregyháza, Ungheria, 4400
        • Site 204
      • Pécs, Ungheria, 7624
        • Site 195
      • Szeged, Ungheria, 6725
        • Site 198

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

Inclusion Criteria:

  • Signed ICF before initiation of any study procedures.
  • Age ≥ 18 years at signing of ICF.
  • Histologically previously confirmed HNSCC with evidence of metastatic or locally advanced disease not amenable to standard therapy with curative intent.
  • HNSCC participants progressed on or after anti-PD-1 therapy and platinum-containing therapy.
  • The eligible HNSCC primary tumor locations are oropharynx, oral cavity, hypopharynx, and larynx.
  • A baseline new tumor sample unless the participant has an available tumor sample as an FFPE block with sufficient material.
  • Measurable disease as defined by RECIST v1.1 by radiologic methods.
  • ECOG PS of 0 or 1
  • Life expectancy ≥ 12 weeks, as per investigator
  • Adequate organ function (as per protocol)

Exclusion Criteria:

  • Central nervous system metastases that are untreated or symptomatic, or require radiation, surgery, or continued steroid therapy to control symptoms within 14 days prior to randomization.
  • Known leptomeningeal involvement
  • Any systemic anticancer therapy within 4 weeks prior to randomization.
  • Major surgery within 3 weeks or palliative radiotherapy within 2 weeks prior to randomization.
  • Persistent Grade >1 clinically significant toxicities related to prior antineoplastic therapies
  • History of hypersensitivity reaction to any of the excipients of treatment required for this study.
  • Unstable angina; history of congestive heart failure of Class II-IV New York Heart Association (NYHA) criteria, or serious cardiac arrhythmia requiring treatment or history of myocardial infarction within 6 months of study entry
  • History of prior malignancies with the exception of localized cancer with curative resection (e.g. cervical intraepithelial neoplasia or nonmelanoma skin cancer)
  • Current dyspnea at rest of any origin, or other diseases requiring continuous oxygen therapy
  • Current serious illness or medical conditions including, but not limited to, uncontrolled active infection, clinically significant pulmonary, metabolic or psychiatric disorders
  • Participants with known infectious diseases (as per protocol)
  • Pregnant or breastfeeding participants

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: La scelta dell'investigatore

Cetuximab

Methotrexate

Docetaxel

Sperimentale: MCLA-158

MCLA-158

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Overall Survival (OS)
Lasso di tempo: Up to approximately 3 years

OS was defined as the time from randomization to death due to any cause.

Up to approximately 3 years

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Objective Response Rate (ORR) as Assessed by Blinded Independent Central Review
Lasso di tempo: Up to approximately 2 years

ORR was defined as the proportion of participants in the analysis population who had a Complete Response or Partial Response based per RECIST v1.1 with confirmation.

Up to approximately 2 years
Progression Free Survival (PFS) as Assessed by Blinded Independent Central Review
Lasso di tempo: Up to approximately 2 years

PFS was defined as the time from randomization to the first documented disease progression per RECIST v1.1 or death due to any cause.

Up to approximately 2 years
Duration of Response (DOR) as Assessed by Blinded Independent Central Review
Lasso di tempo: Up to approximately 2 years

For participants with a confirmed CR or PR per RECIST v1.1, DOR was defined as the time from the date of first documented response of CR or PR per RECIST v1.1 to the date of first documented progression or death due to underlying cancer.

Up to approximately 2 years
Objective Response Rate (ORR) as Assessed by Investigator Review
Lasso di tempo: Up to approximately 2 years

ORR was defined as the proportion of participants in the analysis population who had a Complete Response or Partial Response based per RECIST v1.1 with confirmation.

Up to approximately 2 years
Progression Free Survival (PFS) as Assessed by Investigator Review
Lasso di tempo: Up to approximately 2 years

PFS was defined as the time from randomization to the first documented disease progression per RECIST v1.1 or death due to any cause.

Up to approximately 2 years
Duration of Response (DOR) as Assessed by Investigator Review
Lasso di tempo: Up to approximately 2 years

For participants with a confirmed CR or PR per RECIST v1.1, DOR was defined as the time from the date of the first documented response of CR or PR per RECIST v1.1 to the date of first documented progression or death due to underlying cancer.

Up to approximately 2 years
Time to Response (TTR) as Assessed by Blinded Independent Central Review
Lasso di tempo: Up to approximately 2 years

For participants with a confirmed CR or PR per RECIST v1.1, TTR was defined as the time from randomization to the first documented response per RECIST v1.1.

Up to approximately 2 years
Time to Response (TTR) as Assessed by Investigator Review
Lasso di tempo: Up to approximately 2 years

For participants with a confirmed CR or PR per RECIST v1.1, TTR was defined as the time from randomization to the first documented response per RECIST v1.1.

Up to approximately 2 years
Clinical Benefit Rate (CBR) as Assessed by Blinded Independent Central Review
Lasso di tempo: Up to approximately 2 years

CBR was defined as the proportion of participants with a confirmed CR or PR, or SD lasting 16 weeks for longer per RECIST v1.1

Up to approximately 2 years
Clinical Benefit Rate (CBR) as Assessed by Investigator Review
Lasso di tempo: Up to approximately 2 years

CBR was defined as the proportion of participants with a confirmed CR or PR, or SD lasting 16 weeks for longer per RECIST v1.1

Up to approximately 2 years
Number of Participants who Experienced At Least One Treatment Emergent Adverse Event (TEAE)
Lasso di tempo: Up to 30 days post-last dose

An AE means any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. The term TEAE covers any unfavorable and unintended sign, symptom, syndrome, or illness that develops or worsens during the period of observation after the first treatment administration in the clinical study. The number of all participants who experienced at least one TEAE is presented.

Up to 30 days post-last dose
Number of Participants who Experienced At Least One Serious TEAE
Lasso di tempo: Up to 30 days post-last dose

An AE means any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. The term TEAE covers any unfavorable and unintended sign, symptom, syndrome, or illness that develops or worsens during the period of observation after the first treatment administration in the clinical study. The number of all participants who experienced at least one serious TEAE is presented.

Up to 30 days post-last dose
Number of Participants who Discontinued Study Treatment Due to TEAEs
Lasso di tempo: Up to 30 days post-last dose

An AE means any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. The term TEAE covers any unfavorable and unintended sign, symptom, syndrome, or illness that develops or worsens during the period of observation after the first treatment administration in the clinical study. The number of all participants who discontinued study treatment due to TEAEs is presented.

Up to 30 days post-last dose
Number of Participants who had Dose Modification Due to TEAEs
Lasso di tempo: Up to 30 days post-last dose

An AE means any untoward medical occurrence associated with use of a drug in humans, whether or not considered drug related. The term TEAE covers any unfavorable and unintended sign, symptom, syndrome, or illness that develops or worsens during the period of observation after the first treatment administration in the clinical study. The number of all participants who had dose modification due to TEAEs is presented.

Up to 30 days post-last dose
Pharmacokinetic parameters
Lasso di tempo: Up to first 6 cycles

Clearance of plasma and central volume of distribution based on population PK model

Up to first 6 cycles

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Investigatori

  • Direttore dello studio: Study Official, Genmab

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

25 giugno 2024

Completamento primario (Stimato)

1 febbraio 2028

Completamento dello studio (Stimato)

1 marzo 2029

Date di iscrizione allo studio

Primo inviato

3 luglio 2024

Primo inviato che soddisfa i criteri di controllo qualità

3 luglio 2024

Primo Inserito (Effettivo)

11 luglio 2024

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

2 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

29 ottobre 2026

Ultimo verificato

1 ottobre 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Altri numeri di identificazione dello studio

  • MCLA-158-CL02
  • 2023-510322-32-00 (Ctis)
  • 2023 (Sovvenzione/contratto NIH degli Stati Uniti)

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

Sì

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .