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アプリベース認定糖尿病教育療法(AB-CDE) (AB-CDE)

2026年9月18日 更新者:Linda Lester、Oregon Health and Science University

MDIを使用したT1D患者向けアプリベース認定糖尿病教育(AB-CDE)療法の開発と評価

The purpose of this study is to learn more about a smartphone application (app) called DailyDose, an investigational decision support tool that may help in managing your diabetes. DailyDose tracks your continuous glucose monitoring (CGM) data, insulin use, and exercise, and uses this information to provide personalized recommendations for insulin dosing and carbohydrate intake during exercise or low blood sugar events. We want to find out if DailyDose can help lower blood sugar levels as measured by the hemoglobin A1c (HbA1c) test.

調査の概要

状態

募集

詳細な説明

Participants will be on study for 38 weeks (2-week run-in period and 36 weeks of intervention). Participants will begin the study with a training visit on the Dexcom G6 CGM system, the insulin dose capture system, and the Data-logging Mode of DailyDose. Participants will be provided with Novalog InPens for use with the insulin dose capture system. Participants will also receive an iPhone and Apple smart watch for acquiring sleep metrics and exercise data. Participants will use these devices during the next 14 days at home (2-week run-in). At the end of the run-in, participants will start the intervention. They will be trained at Visit 3 on using the DailyDose system. Participants will then use the DailyDose system for 12 weeks. Sensor glucose, exercise, insulin and meal data will be collected during the DailyDose portion of the study in order to produce recommendations for insulin dosing. Participants will wear the Dexcom G6 for the entire study. Insulin data will be collected using the insulin dose capture system (InPens). Participants will be instructed to use the bolus calculator within the DailyDose app. Participants will be asked to complete a 30-minute aerobic exercise video at home once per week starting with the first 12-week period. After 12 weeks, time in range (70-180 mg/dL, TIR) and time in hypoglycemia (<70 mg/dL) will be assessed from the prior 4 weeks based on the Dexcom G6. Participants that have TIR ≥ 60% and time in hypoglycemia <4% will continue with use of DailyDose. Those that have TIR < 60% and/or time in hypoglycemia ≥ 4% will receive DSMES and, if recommended, behavioral health based on the T1-Diabetes Distress Assessment System (T1-DDAS) for the next 12 weeks. Additionally, if the DSMES provider feels the participant would benefit from behavioral health intervention, they can refer the participant for this even if T1-DDAS scores do not meet the cut off. All participants will then be followed for a final 12-week period using DailyDose alone to assess sustainability of any improvements in glycemic outcomes.

研究の種類

介入

入学 (推定)

99

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究連絡先

  • 名前:Linda Lester, MD
  • 電話番号:503-418-8478
  • メール:lesterl@ohsu.edu

研究連絡先のバックアップ

  • 名前:Samrita Thapa, MPH
  • 電話番号:503-494-8421
  • メール:thapasa@ohsu.edu

研究場所

    • California
      • Los Angeles、California、アメリカ、90022
        • 募集
        • University of Southern California
        • コンタクト:
        • コンタクト:
    • Colorado
      • Aurora、Colorado、アメリカ、80045
    • Indiana
      • Indianapolis、Indiana、アメリカ、46202
        • 募集
        • Indiana University
        • コンタクト:
          • Viral Shah, MD
          • 電話番号:317-274-7605
          • メール:shahvi@iu.edu
        • コンタクト:
          • Brittany Thorne
          • 電話番号:317-278-0532
          • メール:thorneb@iu.edu
    • Massachusetts
    • New York
      • New York、New York、アメリカ、10029
        • 募集
        • Mount Sinai School of Medicine
        • コンタクト:
        • コンタクト:
        • 副調査官:
          • Camilla Levister
    • Oregon
      • Portland、Oregon、アメリカ、97239
        • 募集
        • Oregon Health & Science University , Portland
        • 主任研究者:
          • Peter Jacobs, PhD
        • コンタクト:

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Diagnosis of type 1 diabetes mellitus for at least 1 year.
  2. Age 18 years and older.
  3. Able to read, write and understand spoken English
  4. HbA1c or GMI 7.5- 11.5% at screening. GMI (%) = 3.31 + 0.02392 × [mean glucose in mg/dL] based on prior 30 days of CGM data with at least 70% time CGM active[6]
  5. Use of multiple daily insulin injections (MDI) for at least 30 days at the time of screening visit.
  6. Willing to use the approved study insulin and devices while on study - Humalog and Basaglar Tempo pens, Dexcom G6 CGM, study iPhone, Apple watch
  7. Willingness and ability to independently follow all study procedures, including attending all clinic and DSMES and behavioral health visits.
  8. Total daily insulin requirements of less than 200 units

Exclusion Criteria:

  1. Female of childbearing potential who is pregnant or intending to become pregnant or breast-feeding or is not using adequate contraceptive methods. Acceptable contraception includes birth control pill / patch / vaginal ring, Depo-Provera, Norplant, an IUD, the double barrier method (the woman uses a diaphragm and spermicide, and the man uses a condom), or abstinence.
  2. History of stroke, heart failure, myocardial infarction, angina pectoris, or coronary arterial bypass graft or angioplasty.
  3. Renal insufficiency (GFR < 60 ml/min, using either MDRD** or CKD-EPI# equation as reported by the laboratory).
  4. Liver failure, cirrhosis, or any other liver disease that compromises liver function as determined by the investigator.
  5. History of severe hypoglycemia during the 3 months prior to screening or hypoglycemia unawareness as judged by the investigator. Participants will complete a hypoglycemia awareness questionnaire. Participants will be excluded for four or more R responses.
  6. History of diabetes ketoacidosis during the 3 months prior to screening, as diagnosed on hospital admission or as judged by the investigator.
  7. History of psychiatric admission during the 6 months prior to screening.
  8. Adrenal insufficiency.
  9. Any active infection.
  10. Known or suspected abuse of alcohol, narcotics, or illicit drugs.
  11. Uncontrolled seizure disorder.
  12. Active foot ulceration.
  13. Severe peripheral arterial disease characterized by ischemic rest pain or severe claudication.
  14. Major surgical operation within 30 days prior to screening.
  15. Use of an investigational drug within 30 days prior to screening.
  16. Chronic usage of any immunosuppressive medication (such as cyclosporine, azathioprine, sirolimus, or tacrolimus).
  17. Bleeding disorder, treatment with warfarin, or platelet count below 50,000.
  18. Allergy to Humalog or Basaglar insulin.
  19. Current chronic administration of oral or parenteral corticosteroids.
  20. Any life-threatening disease, including malignant neoplasms and medical history of malignant neoplasms within the 5 years prior to screening (except basal and squamous cell skin cancer).
  21. Initiation or titration of any medication used to lower glucose other than insulin in the 6 weeks prior to screening (e.g. metformin or semaglutide). Participants will not be excluded if they are non-insulin glucose lowering medication at a stable dose with no plans for discontinuation or dose modification during the course of the study). A positive response to any of the questions from the Physical Activity Readiness Questionnaire (see Appendix A) with one exception: participant will not be excluded if taking a single blood pressure medication and blood pressure is controlled on the medication (blood pressure is less than 140/90 mmHg).
  22. Any chest discomfort with physical activity, including pain or pressure, or other types of discomfort.
  23. Gastroparesis.
  24. On a very low carbohydrate diet (less than 50g per day)
  25. Taking part in another diabetes or obesity-related treatment study.
  26. Any clinically significant disease or disorder which, in the opinion of the Investigator, may jeopardize the participant's safety or compliance with the protocol.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

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:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:Intervention Group

AB-CDE intervention using DailyDose, study CGM, and CDE and BH counselling if indicated

Our team has developed a smartphone-based application, DailyDose Decision Support Tool (DailyDose), that combines continuous glucose monitoring data and insulin data to provide decision support for people living with T1D taking MDI. DailyDose is an iPhone application that is designed to support this population by 1) allowing for bolus calculation based on inputs including carbohydrate intake, CGM value and trend, and exercise information, 2) providing recommendations for carbohydrate intake based on exercise type, intensity, and duration, and 3) providing weekly recommendations for adjustments in insulin doses at specific times of day, including basal insulin dose, carbohydrate ratios or fixed mealtime doses, and correction factors .

介入なし:Control Group

Usual care including MDI insulin therapy with study CGM and DailyDose in Data-logging Mode.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Change in hemoglobin A1c (HbA1c) from baseline to 24 weeks
時間枠:Enrollment and 24 weeks after randomization

Hemoglobin A1c will be processed by a central lab. Lower values generally indicate better glucose control.

Enrollment and 24 weeks after randomization

二次結果の測定

結果測定
メジャーの説明
時間枠
Change in hemoglobin A1c (HbA1c) from baseline to 36 weeks
時間枠:Enrollment and 36 weeks

Hemoglobin A1c will be processed by a central lab.

Enrollment and 36 weeks
Change in percent of time in range (70-180 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in range (70-180 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in percent of time in tight range (70-140 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in tight range (70-140 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in percent of time in low glucose range (<70 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in low glucose range (<70 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in percent of time in very low glucose range (<54 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in very low glucose range (<54 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in percent of time in high glucose range (>180 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in high glucose range (>180 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in percent of time in extreme high glucose range (>250 mg/dL) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in percent of time in extreme high glucose range (>250 mg/dL) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. Percent of time in this range during the two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in mean blood glucose from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. The average of values collected during the two weeks before a study time point will be treated as representing mean glucose at that study time point.

Week 24 after randomization compared with baseline
Change in mean blood glucose from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. The average of values collected during the two weeks before a study time point will be treated as representing mean glucose at that study time point.

Week 36 after randomization compared with baseline
Change in coefficient of variation of blood glucose from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. The coefficient of variation (CV) of CGM values is calculated as SD / mean * 100, where SD = standard deviation. The two weeks before a study time point will be used to represent that study time point.

Week 24 after randomization compared with baseline
Change in coefficient of variation of blood glucose from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Continuous Blood Glucose Monitor (CGM) values are recorded every 5 minutes. The coefficient of variation (CV) of CGM values is calculated as SD / mean * 100, where SD = standard deviation. The two weeks before a study time point will be used to represent that study time point.

Week 36 after randomization compared with baseline
Change in Low Blood Glucose Index (LBGI) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The Low Blood Glucose Index (LBGI) is designed to reflect the risk of hypoglycemia and increases with the extent and frequency of hypoglycemic excursions. It is calculated by first taking f(BG) = (ln(BG)^1.084 - 5.381) for each blood glucose (BG) reading, then calculating rl(BG) = 22.7 * f(BG)^2 if f(BG) ≤ 0 and rl(BG) = 0 otherwise, and finally, by taking the average of the calculated rl(BG) values over all of the glucose readings measured in mg/dL.

Week 24 after randomization compared with baseline
Change in Low Blood Glucose Index (LBGI) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The Low Blood Glucose Index (LBGI) is designed to reflect the risk of hypoglycemia and increases with the extent and frequency of hypoglycemic excursions. It is calculated by first taking f(BG) = (ln(BG)^1.084 - 5.381) for each blood glucose (BG) reading, then calculating rl(BG) = 22.7 * f(BG)^2 if f(BG) ≤ 0 and rl(BG) = 0 otherwise, and finally, by taking the average of the calculated rl(BG) values over all of the glucose readings measured in mg/dL.

Week 36 after randomization compared with baseline
Change in High Blood Glucose Index (HBGI) from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The High Blood Glucose Index (HBGI) is designed to reflect the risk of hyperglycemia and increases with the extent and frequency of hyperglycemic excursions. It is calculated by first taking f(BG) = (ln(BG)^1.084 - 5.381) for each blood glucose (BG) reading, then calculating rh(BG) = 22.7 * f(BG)^2 if f(BG) > 0 and rh(BG) = 0 otherwise, and finally, by taking the average of the calculated rh(BG) values over all of the glucose readings measured in mg/dL.

Week 24 after randomization compared with baseline
Change in High Blood Glucose Index (HBGI) from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The High Blood Glucose Index (HBGI) is designed to reflect the risk of hyperglycemia and increases with the extent and frequency of hyperglycemic excursions. It is calculated by first taking f(BG) = (ln(BG)^1.084 - 5.381) for each blood glucose (BG) reading, then calculating rh(BG) = 22.7 * f(BG)^2 if f(BG) > 0 and rh(BG) = 0 otherwise, and finally, by taking the average of the calculated rh(BG) values over all of the glucose readings measured in mg/dL.

Week 36 after randomization compared with baseline
Change in T1-DDAS Core Score from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Core Score is the average of 8 items on a scale from 1 to 5, where 1 is low distress and 5 is high distress associated with having type 1 diabetes.

Week 24 after randomization compared with baseline
Change in T1-DDAS Core Score from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Core Score is the average of 8 items on a scale from 1 to 5, where 1 is low distress and 5 is high distress associated with having type 1 diabetes.

Week 36 after randomization compared with baseline
Change in T1-DDAS Management Difficulties Source Score from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Management Difficulties Source Score is the average of 3 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to management of type 1 diabetes.

Week 24 after randomization compared with baseline
Change in T1-DDAS Management Difficulties Source Score from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Management Difficulties Source Score is the average of 3 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to management of type 1 diabetes.

Week 36 after randomization compared with baseline
Change in T1-DDAS Hypoglycemia Concerns Source Score from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Hypoglycemia Concerns Source Score is the average of 2 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to hypoglycemia.

Week 24 after randomization compared with baseline
Change in T1-DDAS Hypoglycemia Concerns Source Score from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Hypoglycemia Concerns Source Score is the average of 2 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to hypoglycemia.

Week 36 after randomization compared with baseline
Change in T1-DDAS Technology Challenges Source Score from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Technology Challenges Source Score is the average of 3 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to using devices to manage type 1 diabetes.

Week 24 after randomization compared with baseline
Change in T1-DDAS Technology Challenges Source Score from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

The Type 1 Diabetes Distress Assessment System (T1-DDAS) Technology Challenges Source Score is the average of 3 items rated from 1 to 5, where 1 is low distress and 5 is high distress. A higher score reflects higher distress related to using devices to manage type 1 diabetes.

Week 36 after randomization compared with baseline

その他の成果指標

結果測定
メジャーの説明
時間枠
Change in mean number of low glucose events / week from baseline to 24 weeks after randomization
時間枠:Week 24 after randomization compared with baseline

A single low glucose event is defined to start when the CGM drops below 70 mg/dL for at least three measurements and ends when the CGM rises above 69 mg/dL for at least three measurements. The two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 24 after randomization compared with baseline
Change in mean number of low glucose events / week from baseline to 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

A single low glucose event is defined to start when the CGM drops below 70 mg/dL for at least three measurements and ends when the CGM rises above 69 mg/dL for at least three measurements. The two weeks before a study time point will be treated as representing blood glucose control at that study time point.

Week 36 after randomization compared with baseline
Change in total daily dose of insulin (units) from baseline to 24 weeks
時間枠:Week 24 after randomization compared with baseline

Insulin use will be tracked using bluetooth-enabled insulin pens. The two weeks before a study time point will be treated as representing that study time point.

Week 24 after randomization compared with baseline
Change in total daily dose of insulin (units) from baseline to 36 weeks
時間枠:Week 36 after randomization compared with baseline

Insulin use will be tracked using bluetooth-enabled insulin pens. The two weeks before a study time point will be treated as representing that study time point.

Week 36 after randomization compared with baseline
Change in total daily dose of insulin per kilogram (units/kg) from baseline to 36 weeks
時間枠:Week 36 after randomization compared with baseline

Insulin use will be tracked using bluetooth-enabled insulin pens. The two weeks before a study time point will be treated as representing that study time point.

Week 36 after randomization compared with baseline
Change in body weight measured at 36 weeks after randomization
時間枠:Week 36 after randomization compared with baseline

Maintaining or losing weight, rather than gaining, would be considered a positive outcome.

Week 36 after randomization compared with baseline

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

捜査官

  • スタディチェア:Peter Jacobs, PhD、Oregon Health and Science University

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2026年7月8日

一次修了 (推定)

2027年7月15日

研究の完了 (推定)

2027年12月15日

試験登録日

最初に提出

2025年12月5日

QC基準を満たした最初の提出物

2025年12月5日

最初の投稿 (実際)

2025年12月15日

学習記録の更新

投稿された最後の更新 (実際)

2026年9月23日

QC基準を満たした最後の更新が送信されました

2026年9月18日

最終確認日

2026年9月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • 25791
  • 2207 (その他の助成金/資金番号:Helmsley Charitable Trust)

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?

いいえ

IPD プランの説明

IPD cannot be shared due to concerns about participant privacy and confidentiality.

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

いいえ

米国FDA規制機器製品の研究

はい

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。

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