Studio per valutare la sicurezza e la tollerabilità di VTx-002 nei partecipanti con SLA (ALS)
Studio di Fase 1/2 su un Nuovo Regime Sperimentale nella Sclerosi Laterale Amiotrofica (Pioneer-ALS): Uno Studio Multicentrico, Aperto e Non Controllato per Valutare la Sicurezza e la Tollerabilità di Due Dosi di VTx-002
PIONEER-ALS is a Phase 1/2, multicenter, open-label, ascending dose, uncontrolled, first-in-human study that will evaluate the safety, tolerability and effects on clinical and biomarker endpoints of intracisternal administration of Vtx-002 in participants with Amyotrophic Lateral Sclerosis (ALS).
Two escalating dose (low dose and high dose) cohorts are planned. The duration of the study will be a maximum of 5 years and 5 weeks (265 weeks) for each participant. The screening period may last up to 5 weeks to complete screening procedures.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
All participants will receive a single injection of the study drug. During the first year of the study there will be 12 visits to the study center, including an overnight stay after dosing of at least 1 night. There will be a further 4 remote visits (telephone or video call).
From Year 2-5 there will be 8 further visits. These will be every 6 months and will be either in-person at the study site or remote (telephone or video call) if needed or preferred.
Throughout the 5-year observation period, there will be up to 20 study visits to complete follow-up tests and assessments and monitor the ongoing effects of the study drug.
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Fase
Fase
- Fase 2
- Fase 1
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Dr Olga Uspenskaya Chief medical Officer, VectorY Therapeutics, M.D; PhD
- Numero di telefono: patients@vectorytx.com
- Email: patients@vectorytx.com
Luoghi di studio
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Leuven, Belgio
- Reclutamento
- UZ Leuven
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Contatto:
- Evi Parente Study Coordinator
- Numero di telefono: + 32 1638668
- Email: evi.parente@uzleuven.be
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Contatto:
- Ann Dhondt Study Coordinator
- Numero di telefono: + 32 16347577
- Email: ann.dhondt@uzleuven.be
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Investigatore principale:
- Dr Philip Van Damme, Doctor of Medicine
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Utrecht, Olanda
- Reclutamento
- UMC Utrecht
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Contatto:
- Prof Leonard Van Den Berg, Doctor of Medicine
- Numero di telefono: +31 887555555
- Email: l.h.vandenberg@umcutrecht.nl
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Investigatore principale:
- Prof Leonard Van Den Berg, Doctor of Medicine
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Sheffield, Regno Unito, S10 2JF
- Reclutamento
- Royal Hallamshire Hospital
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Contatto:
- Dr Chris McDermott, Doctor of medicine
- Numero di telefono: +44 114 226 1049
- Email: c.j.mcdermott@sheffield.ac.uk
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Arizona
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Phoenix, Arizona, Stati Uniti, 85013
- Non ancora reclutamento
- St Joseph's Hospital and medical Center - Barrow Neurological Institute
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Investigatore principale:
- Dr Shafeeq Ladha, Doctor of Medicine
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Contatto:
- Dr S Ladha, Doctor of Medicine
- Numero di telefono: (602) 406-6262
- Email: fulton.research@commonspirit.org
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California
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San Diego, California, Stati Uniti, 92121
- Reclutamento
- University of California San Diego Medical Center
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Contatto:
- Dr John Ravits, Doctor of Medicine
- Numero di telefono: (858) 246-1154
- Email: jravits@health.ucsd.edu
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Investigatore principale:
- Dr John Ravits, Doctor of Medicine
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Florida
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Jacksonville, Florida, Stati Uniti, 32224
- Reclutamento
- Mayo Clinic in Florida
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Contatto:
- Dr Bjorn Oskarsson, Doctor of Medicine
- Numero di telefono: (904) 953-0407
- Email: oskarsson.bjorn@mayo.edu
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Investigatore principale:
- Dr Bjorn Oskarsson, Doctor of Medicine
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02114
- Reclutamento
- Sean M. Healey & AMG Center for ALS at Massachusetts General Hospital
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Investigatore principale:
- Dr Doreen Ho, Doctor of Medicine
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Contatto:
- Winifred Asigri Study Coordinator
- Numero di telefono: (617) 724-5659
- Email: pioneeralshealey@mgb.org
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New York
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New York, New York, Stati Uniti, 10032
- Non ancora reclutamento
- The Eleanor & Lou Gehrig ALS Center
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Investigatore principale:
- Dr Neil Schneider, Doctor of Medicine
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Contatto:
- The Eleanor & Lou Gehrig ALS Center
- Numero di telefono: (212) 305-6788
- Email: alsresearch@cumc.columbia.edu
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Pennsylvania
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Philadelphia, Pennsylvania, Stati Uniti, 19104
- Reclutamento
- University of Pennsylvania
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Investigatore principale:
- Dr Colin Quinn, Doctor of Medicine
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Contatto:
- Spriha Thapa Study Coordinator
- Numero di telefono: 267-610-8822
- Email: Spriha.Thapa@pennmedicine.upenn.edu
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Key Inclusion Criteria:
- Capable of, and willing to, provide written informed consent and comply with study procedures, including visits to the study site and visit requirements
- Male or female ≥ 18 years of age
- Has a diagnosis of ALS according to the El Escorial criteria (Brooks, et al., 2000) (probable, laboratory results supported; clinically probable, clinically definite)
- Confirmed absence of ALS caused by FUS and SOD1 gene mutations confirmed by laboratory tests.
- A maximum of 18 months since first appearance of weakness (e.g., limb weakness, dysarthria, dysphagia, shortness of breath)
- Erect (seated) SVC % predicted ≥ 80% at Screening
- Treatment Research Initiative to Cure ALS (TRICALS) risk score between -2 and -6 at Screening
- Has a reliable caregiver/partner/legal representative willing and able to support the participant in participation in the study and to give informed consent on behalf of the participant in the case that disease progression prevents the participant of giving consent (local legal rules will apply).
- Treatment with riluzole and/or edaravone is allowed if treatment was started and has remained at a stable dose for at least 2 weeks (riluzole) or one treatment cycle (edaravone) before the Screening visit
- Women of childbearing potential (WOCBP) and male participants with female partners who are WOCBP must agree to use highly effective contraception during and after the study. WOCBP cannot be pregnant or breastfeeding
- Women of nonchildbearing potential must be post-menopausal or surgically sterile (e.g. hysterectomy, bilateral tubal ligation, ovaries removed)
Key Exclusion Criteria:
- Diagnosis of a significant CNS or peripheral nervous system disease other than ALS that may be a cause for the participant's ALS symptoms or may confound study objectives
- Spinal, cervical, or brain MRI/MRA indicating clinically significant abnormality
- Presence of tracheostomy and feeding tube at Screening
- Contraindications to corticosteroid use (e.g. due to osteoporosis, uncontrolled blood pressure, diabetes or cholesterol).
5. Significant concomitant disease or condition within 6 months of Screening that could pose an unacceptable safety risk to the participant or interfere with the participant's ability to comply with study procedures, e.g. heart disease, uncontrolled diabetes, liver disease, autoimmune diseases needing strong immune-suppressing drugs, cancer, etc or a current psychiatric diagnosis.
6. Clinically significant abnormalities in laboratory test results at Screening for example poor liver or kidney function, abnormal clotting or infections such as Hepatitis or HIV
7. Use of blood thinners (e.g., warfarin, heparin, and novel oral anticoagulants) and being unable to safely stop them before certain study procedures.
8. Contraindications to imaging methods MRI, MRA, CT due to claustrophobia and/or intolerance to contrast agents.
9. Contraindications to general anaesthesia (GA) or deep sedation
10 Positive test for illegal drugs (except prescribed medications or permitted medicinal/recreational marijuana if used responsibly)
11. Generally frail or if the Investigator deems participation in the study would not be in the best interest of the participant or is likely to prohibit further participation during the study
Other protocol-defined inclusion/exclusion criteria may apply
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Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione sequenziale
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Gene Therapy Group 1: Dose 1 (Low Dose)
Gene Therapy: VTx-002 18 participants will receive dose 1 administered intra cisterna magna. Dosing of the first 3 participants will be staggered at specific timepoints apart and with a safety monitoring committee review of health-related information in between each participant being dosed. VTx-002 is a single dose therapy Drug: Preventative (Prophylactic) Medication: Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Altri nomi:
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Sperimentale: Gene Therapy Group 2: Dose 2 (High Dose)
Gene Therapy: VTx-002 18 participants will receive dose 2 administered intra cisterna magna. The participant dosing in group 2 will be staggered as it was in group 1. VTx-002 is a single dose therapy. Drug: Preventative (Prophylactic) Medication - Methylprednisolone |
An investigational gene therapy targeting a specific protein. To reduce the risk of reactions caused by the study treatment, steroid medicines will be given in advance.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: Over 5 years
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Assessed by reviewing the nature, incidence, severity, relatedness, seriousness and outcome of treatment emergent adverse events. |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: Over 5 years
|
Assessed by reviewing laboratory values |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: Over 5 years
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Assessed by reviewing Magnetic Resonance Imaging (MRI) findings. |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: over 5 years
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Assessed by review of Treatment Induced Peripheral Neuropathy Assessment Scale (TNAS) *TNAS a brief participant-reported questionnaire used to measure the severity and progression of peripheral neuropathy. Each item is rated on a scale of 0 to 10, where 0 means no symptom and 10 means the symptom is as bad as it can possibly be. |
over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: Over 5 years
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Assessed by reviewing cellular responses by analyzing blood samples. |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: Over 5 years
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Assessed by reviewing scores of the Columbia Suicide Severity Rating Scale (C-SSRS) *C-SSRS is a widely used, evidence-based suicide risk assessment tool that helps identify whether someone is at risk for suicide and gauge the level of support needed. A low score is associated with a lower risk level in this brief questionnaire. |
Over 5 years
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The number of participants with treatment related adverse events (AEs) and Serious Adverse Events (SAEs)
Lasso di tempo: At month 6 and month 12
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Assessed by performing 4 formal interim analyses
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At month 6 and month 12
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: At month 6 and month 12
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Changes certain blood values |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: over 12 months
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Time to assisted permanent ventilation or death |
over 12 months
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: Over 5 years
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Immune responses assessed by analyzing blood samples |
Over 5 years
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: At month 6 and month 12
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Change in Slow Vital Capacity |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: At month 6 and month 12
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Changes in CSF values |
At month 6 and month 12
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To assess whether VTx-002 works to prevent the progression of ALS and what dose can be used for future clinical studies.
Lasso di tempo: At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
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Change in Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R) |
At month 6 and month 12 *ALSFRS-R is a scale used to monitor disease progression. The 12 questions. Questions are scored from 0 to 4, with a maximum score of 48 indicating full function and a minimum score of 0 indicating significant impairment.
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Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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To assess changes in biomarkers
Lasso di tempo: Over 5 years
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Analysis of blood samples to assess viral shedding |
Over 5 years
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To assess changes in muscle strength assessments from baseline.
Lasso di tempo: Measured at month 6 and month 12
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Change in muscle strength measured by Hand-held Dynamometry |
Measured at month 6 and month 12
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To assess disease severity and improvement
Lasso di tempo: over 12 months
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Disease severity and improvement measured using the Clinical Global Impression (CGI) scales for Severity (CGI-S) and Improvement (CGI-I). The CGI scales each use a seven-point scale where 1 indicates less severe (CGI-S) or most improved (CGI-I) and 7 indicates more severe illness (CGI-S) or worsening of condition (CGI-I) |
over 12 months
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To assess immunogenicity of VTx002
Lasso di tempo: Over 5 years
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Assessed by the review of the immunogenicity to the capsid and transgene by analyzing blood samples. |
Over 5 years
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To assess changes Health Related Quality of Life
Lasso di tempo: Measured at month 6 and month 12
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Change in Health Related Quality of Life measured using the EQ5D-L questionnaire. *The EQ5D-L is a self-completed questionnaire assessing five core dimensions (Mobility, Self-care, Usual Activities, Pain/Discomfort, Anxiety/Depression). It is scored by combining patient responses across the five dimensions and then converting to a single utility score whereby 1.0 indicates perfect health and 0 indicates death |
Measured at month 6 and month 12
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To assess changes Health Related Quality of Life
Lasso di tempo: Measured at month 6 and month 12
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Change in Health Related Quality of Life measured using the ALSAQ-5 questionnaire. *The ALSAQ-5 is a brief, 5-item questionnaire used to measure the impact of Amyotrophic Lateral Sclerosis on a patient's quality of life. Five key areas are rated for difficulties and converted to a total score from 0 (worst) to 100 (best) |
Measured at month 6 and month 12
|
Collaboratori e investigatori
Sponsor
Sponsor
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie del sistema nervoso centrale
- Malattie del sistema nervoso
- Malattie neuromuscolari
- Malattie metaboliche
- Malattie Neurodegenerative
- Malattie del midollo spinale
- TDP-43 Proteinopatie
- Carenze di proteostasi
- Malattia del motoneurone
- Malattie nutrizionali e metaboliche
- Sclerosi laterale amiotrofica
- Composti policiclici
- Incinta
- In gravidanza
- Steroidi
- Composti anelli fusi
- Incintadienetrioli
- Incintadienediols
- Prednisone
- Prednisolone
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- VTx-002-01-001
- 2025-522697-37-00 (Ctis)
- PIONEER-ALS (Altro identificatore: VectoryTherapeutics)
- 2025 (Sovvenzione/contratto NIH degli Stati Uniti)
Piano per i dati dei singoli partecipanti (IPD)
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Informazioni su farmaci e dispositivi, documenti di studio
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