子供の下痢を伴う過敏性腸症候群の治療におけるエルクサドリンの治療効果を調査するための研究
下痢を伴う過敏性腸症候群(IBS-D)の小児参加者(6歳から17歳)におけるエルクサドリンの安全性と有効性を評価するための第2相、無作為化、二重盲検、プラセボ対照、並行群間、用量範囲研究
The primary objectives of this study are to explore the therapeutic effect of eluxadoline in treating irritable bowel syndrome with diarrhea (IBS-D) in pediatric participants 6-17 years of age, to evaluate the pharmacokinetics of eluxadoline in pediatric participants with IBS-D, and to evaluate the safety and tolerability of eluxadoline in pediatric participants with IBS-D. Enrollment of 12-17 years old age group is closed, enrollment of the 6-11 years old age group will continue.
調査の概要
状態
状態
条件
条件
介入・治療
介入・治療
研究の種類
研究の種類
入学 (実際)
入学
段階
段階
- フェーズ2
連絡先と場所
研究場所
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Arkansas
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Hot Springs、Arkansas、アメリカ、71913
- HealthStar Research of Hot Springs PLLC /ID# 234609
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Little Rock、Arkansas、アメリカ、72212-4187
- Applied Research Center of Arkansas /ID# 238070
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California
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Corona、California、アメリカ、92879
- Kindred Medical Institute, LLC /ID# 237368
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Garden Grove、California、アメリカ、92845
- Duplicate_VVCRD Research /ID# 234606
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Paramount、California、アメリカ、90723
- Duplicate_Center for Clinical Trials LLC /ID# 234630
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Florida
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Miami、Florida、アメリカ、33130
- Sunrise Research Institute /ID# 237382
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Miami、Florida、アメリカ、33155
- South Miami Medical & Research Group Inc. /ID# 234655
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Miami、Florida、アメリカ、33165
- Valencia Medical & Research Center /ID# 234672
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Miami、Florida、アメリカ、33174
- Florida Research Center, Inc. /ID# 236514
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Miami Lakes、Florida、アメリカ、33016
- Duplicate_Wellness Clinical Research /ID# 237401
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Georgia
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Atlanta、Georgia、アメリカ、30315
- Global Research Associates /ID# 234646
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Atlanta、Georgia、アメリカ、30342
- Children's Ctr Digestive, US /ID# 237575
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Stockbridge、Georgia、アメリカ、30281
- Sleep Care Research Institute d/b/a Clinical Research Institute /ID# 236343
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Illinois
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Park Ridge、Illinois、アメリカ、60068
- Advocate Children's Hospital-Park Ridge /ID# 235388
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Indiana
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Indianapolis、Indiana、アメリカ、46202
- Indiana University Health Riley Hospital for Children /ID# 235400
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Kentucky
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Lexington、Kentucky、アメリカ、40517
- Michael W. Simon, MD, PSC /ID# 236517
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Maryland
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New Market、Maryland、アメリカ、21774-6154
- Frederick County Pediatrics /ID# 234519
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Minnesota
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Minneapolis、Minnesota、アメリカ、55413-2195
- MNGI Digestive Health, P. A. /ID# 238057
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New Jersey
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Marlton、New Jersey、アメリカ、08053
- Celen Medical Group Corp - Marlton /ID# 234922
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Oklahoma
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Oklahoma City、Oklahoma、アメリカ、73106
- IPS Research Company /ID# 237672
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Pennsylvania
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Philadelphia、Pennsylvania、アメリカ、19104-4319
- Children's Hospital of Philadelphia - Main /ID# 234313
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Pittsburgh、Pennsylvania、アメリカ、15236
- Preferred Primary Care Physicians, Inc. /ID# 236436
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Texas
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Fort Worth、Texas、アメリカ、76104
- Cook Children's Med. Center /ID# 237537
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Houston、Texas、アメリカ、77030-2608
- Texas Children's Hospital /ID# 238304
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San Antonio、Texas、アメリカ、78215
- Sun Research Institute /ID# 236933
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West Virginia
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Morgantown、West Virginia、アメリカ、26506
- West Virginia University Hospitals /ID# 256841
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Blackpool、イギリス、FY3 8NR
- Blackpool Teaching Hospitals NHS Foundation Trust /ID# 237273
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Greater London
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London、Greater London、イギリス、SE5 9RS
- Kings College Hospital NHS Foundation Trust /ID# 236305
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Lancashire
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Manchester、Lancashire、イギリス、M13 9WL
- Duplicate_Manchester University NHS Foundation Trust /ID# 234663
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North Holland
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Amsterdam、North Holland、オランダ、1105 AZ
- Duplicate_Academisch Medisch Centrum /ID# 237117
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Edmonton、カナダ、T6G 1C9
- Duplicate_Edmonton Clinic Health Academy (ECHA) /ID# 234917
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Winnepeg、カナダ、R3E 3P4
- Manitoba Institute of Child Health /ID# 235448
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Valencia、スペイン、46017
- Hospital Universitario Dr. Peset /ID# 236755
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Wuppertal、ドイツ、42283
- HELIOS Klinikum Wuppertal /ID# 237322
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Budapest、ハンガリー、1125
- Eszak-Kozep-budai Centrum, Uj Szent Janos Korhaz /ID# 236993
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Sopron、ハンガリー、9400
- Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet /ID# 237341
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Székesfehérvár、ハンガリー、8000
- Vita Verum Medical Bt. /ID# 234321
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Kozloduy、ブルガリア、3320
- MHATSv.Ivan Rilski /ID# 235399
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Plovdiv、ブルガリア、4001
- University Hospital Plovdiv /ID# 235450
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Gabrovo
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Sevlievo、Gabrovo、ブルガリア、5400
- Medical center 1 Sevlievo /ID# 237473
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Lesser Poland Voivodeship
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Krakow、Lesser Poland Voivodeship、ポーランド、30-539
- Specjalistyczne Gabinety Sp. z o.o. /ID# 236347
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Masovian Voivodeship
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Warsaw、Masovian Voivodeship、ポーランド、00-189
- Centrum Zdrowia MDM /ID# 237269
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Warsaw、Masovian Voivodeship、ポーランド、04-730
- Duplicate_Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 234311
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Podkarpackie Voivodeship
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Rzeszów、Podkarpackie Voivodeship、ポーランド、35-302
- Korczowski Bartosz Gabinet Lekarski /ID# 234683
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Pomeranian Voivodeship
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Gdansk、Pomeranian Voivodeship、ポーランド、80-803
- Copertnicus Podmiot Leczniczy Sp. z o.o. /ID# 235656
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Łódź Voivodeship
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Lodz、Łódź Voivodeship、ポーランド、93-338
- Instytut Centrum Zdrowia Matki Polki /ID# 237438
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参加基準
適格基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
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Participant must provide written or verbal informed assent and the parent/guardian/LAR must provide written informed consent before the initiation of any study-specific procedures.
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Participant is a male or female outpatient, 6 to 17 years of age inclusive, at the time the participant provides assent for the study and parent/guardian/LAR has provided signed consent.
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Participant is able to read and understand the assessments in the eDiary. If the participant is 6 to 11 years of age and does not meet this criterion, the interviewer-administered version of the eDiary must be used and the parent/guardian/LAR or caregiver who will be administering the interviewer-administered version of the eDiary must be able to read and understand the assessments in the eDiary and must undergo training.
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Female participants must not be pregnant, breastfeeding, or considering becoming pregnant during the study or for approximately 30 days after the last dose of study drug. Female participants of childbearing potential must have a negative serum pregnancy test at Visit 1 (screening) and a negative urine pregnancy test at Visit 3 (randomization) prior to dosing.
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Female participants of childbearing potential must practice at least 1 protocol-specified method of birth control, that is effective from Study Day 1 through at least 30 days after the last dose of study drug. Local practices may require 2 methods of birth control. Female participants of non-childbearing potential do not need to use birth control.
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Participant has a diagnosis of IBS-D as defined by the modified Rome IV child/adolescent criteria: Must include all of the following:
-- Abdominal pain at least 4 days per month over at least 2 months associated with one or more of the following:
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Related to defecation
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A change in frequency of stool
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A change in form (appearance) of stool
- After appropriate evaluation, the symptoms cannot be fully explained by another medical condition.
- Participant has predominantly diarrheal stool symptoms defined as Bristol stool types 6 or 7 for more than 25% of bowel movements and Bristol stool types 1 or 2 for less than 25% of bowel movements that occur in the absence of laxative.
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Participant may be newly diagnosed with IBS-D by the investigator at Visit 1. All criteria for diagnosis must be fulfilled for at least 2 months prior to Visit 1 (screening).
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Participant has been compliant with the eDiary by completing both the morning and evening assessments for at least 8 out of the 14 days immediately preceding Visit 3 (randomization).
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Participant has an average daytime abdominal pain score greater than or equal to 1.0 over the 2 weeks prior to randomization.
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Participant has at least 1 daytime bowel movement with a consistency of Type 6 or Type 7 on the pediatric Bristol Stool Form Scale (p-BSFS) on at least 2 days per week during the 2 weeks immediately prior to randomization and that occurs in the absence of laxatives.
Exclusion Criteria:
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Participant has no gallbladder, (ie, agenesis of the gallbladder or cholecystectomy).
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Participant has had any of the following surgeries:
- Any abdominal surgery within the 3 months prior to Screening; or
- A history of major gastric, hepatic, pancreatic, or intestinal surgery. (Note: appendectomy, hemorrhoidectomy, or polypectomy greater than 3 months post-surgery are allowed. For the purposes of this study, laparoscopic surgeries without complication are considered minor and non-exclusionary, provided the condition for which the surgery was performed was not exclusionary.)
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Participant has a history of chronic or severe constipation or sequelae from constipation, or known or suspected mechanical GI obstruction or pseudo obstruction.
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Participant has a history or current diagnosis of constipation with encopresis.
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Participant meets the child/adolescent Rome IV criteria of IBS with constipation, IBS with constipation and diarrhea (mixed), unspecified IBS, or functional constipation.
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Participant has a history of intestinal obstruction, stricture, toxic megacolon, GI perforation, fecal impaction, gastric banding, bariatric surgery, adhesions, ischemic colitis, or impaired intestinal circulation.
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Participant has a documented history of hepatic impairment as defined by Child-Pugh Classification Grade A, B or C.
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Participant has a history or current diagnosis of inflammatory or immune-mediated lower GI disorders including inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis, microscopic colitis). Crohn's disease affecting the upper GI tract would also be exclusionary.
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Participant has celiac disease, or a positive serological test for celiac disease and the condition has not been ruled out by endoscopic biopsy.
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Participant has any congenital and/or acquired malabsorption syndrome (eg, Shwachman-Diamond syndrome).
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Participant has a history of a microbiologically documented (ie, stool culture or medical history) GI infection within 3 months prior to Screening.
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Participant has a known lactose or fructose intolerance that is associated with diarrhea, abdominal pain or discomfort, and that could confound assessments in the study.
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Participant has a history of diverticulitis within 3 months prior to Screening.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:トリプル
アーム数
武器と介入
参加者グループ / アーム参加者グループ / アーム |
介入・治療介入・治療 |
|---|---|
|
実験的:Eluxadoline 25mg
Eluxadoline 25mg, oral administration, twice daily |
Oral tablets
他の名前:
|
|
実験的:Eluxadoline 50mg
Eluxadoline 50mg, oral administration, twice daily |
Oral tablets
他の名前:
|
|
実験的:Eluxadoline 100mg
Eluxadoline 100mg, oral administration, twice daily |
Oral tablets
他の名前:
|
|
実験的:Placebo
Dose-matched placebo, oral administration, twice daily |
Oral tablets |
この研究は何を測定していますか?
主要な結果の測定
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from baseline in stool consistency averaged over the 4-week Treatment Period
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
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Stool consistency will be assessed using the Pediatric Bristol Stool Form Scale (p-BSFS) on a range from 1 (Hard Lumps) to 7 (Watery). |
Baseline (2 Weeks prior to randomization) to Week 4
|
二次結果の測定
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change from baseline in stool consistency for daily daytime and nighttime stool consistency scores
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
|
Stool consistency will be assessed using the Pediatric Bristol Stool Form Scale (p-BSFS) on a range from 1 (Hard Lumps) to 7 (Watery). |
Baseline (2 Weeks prior to randomization) to Week 4
|
|
Change from baseline for daytime, nighttime, and 24-hour abdominal pain scores
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
|
Abdominal Pain is scored on a five-point ordinal scale, with 0 meaning no pain, and 4 meaning a lot of pain. |
Baseline (2 Weeks prior to randomization) to Week 4
|
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Change from baseline for daytime, nighttime, and 24-hour bowel movement frequency
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
|
Change from baseline in the number of bowel movements. |
Baseline (2 Weeks prior to randomization) to Week 4
|
|
Change from baseline for daytime, nighttime, and 24 hour urgency-free days
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
|
Change from baseline in the number of urgency free days in a week. |
Baseline (2 Weeks prior to randomization) to Week 4
|
|
Change from baseline for daytime, nighttime, and 24 hour number of fecal incontinence-free days
時間枠:Baseline (2 Weeks prior to randomization) to Week 4
|
Change from baseline in the number of fecal incontinence-free days in a week. |
Baseline (2 Weeks prior to randomization) to Week 4
|
協力者と研究者
捜査官
捜査官
- スタディディレクター:ABBVIE INC.、AbbVie
研究記録日
主要日程の研究
研究開始 (実際)
研究開始
一次修了 (実際)
一次修了
研究の完了 (実際)
研究の完了
試験登録日
最初に提出
最初に提出
QC基準を満たした最初の提出物
QC基準を満たした最初の提出物
最初の投稿 (実際)
最初の投稿
学習記録の更新
投稿された最後の更新 (実際)
投稿された最後の更新
QC基準を満たした最後の更新が送信されました
QC基準を満たした最後の更新が送信されました
最終確認日
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
その他の研究ID番号
- 3030-202-002
- 2017 (米国 NIH グラント/契約)
- 2017-003770-14 (EudraCT番号)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
AbbVie is committed to responsible clinical trial data sharing. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information.
IPD 共有時間枠
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
IPD 共有アクセス基準
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- CSR
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
米国で製造され、米国から輸出された製品。
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。