재발성 또는 불응성 혈액암 환자에서 CA-4948에 대한 연구
TakeAim 림프종: 재발성 또는 불응성 혈액 악성종양 환자에서 경구 투여된 CA-4948의 안전성, 약동학, 약력학 및 임상 활성을 평가하는 공개, 용량 증량 및 용량 확장 시험
This is a multi-center, open-label study to evaluate the safety, pharmacokinetics (PK), and anti-cancer activity of oral administration of emavusertib alone or in combination with ibrutinib in adult participants with relapsed or refractory (R/R) hematologic malignancies.
This trial will be completed in four parts. In Part A1, emavusertib will be evaluated first in a dose escalating monotherapy setting to establish the safety and tolerability (complete). In Part A2, emavusertib will be evaluated in combination with ibrutinib at 560 milligrams (mg) once daily (QD) or 420 mg QD as indicated by disease (Part A2 complete).
Part B will comprise 2 cohorts to assess safety and efficacy of emavusertib in combination with ibrutinib in participants with R/R primary central nervous system lymphoma (PCNSL) who have directly progressed on a bruton tyrosine kinase inhibitor (BTKi). In this part of the study, emavusertib will be dosed at 100 mg or 200 mg twice daily (BID) in combination with ibrutinib in 28-day treatment cycles.
Part C will comprise 3 treatment arms in the second-line setting to assess the efficacy and safety of emavusertib monotherapy, ibrutinib monotherapy, and emavusertib in combination with ibrutinib in participants with R/R PCNSL who are naïve to BTKi treatment. In this part of the study, eligible second-line participants with R/R PCNSL who are naïve to BTKi treatment will be randomized 1:1:1 to 1 of 3 treatment arms: (1) emavusertib 200 mg BID, (2) ibrutinib 560 mg QD, or (3) emavusertib 200 mg BID in combination with ibrutinib 560 mg QD.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 2 단계
- 1단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Ahmed Hamdy, MD
- 전화번호: 617-503-6500
- 이메일: clinicaltrials@curis.com
연구 장소
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Arizona
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Phoenix, Arizona, 미국, 85013
- 모병
- St. Joseph's Hospital and Medical Center
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Phoenix, Arizona, 미국, 85054
- 완전한
- Mayo Clinic
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California
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Duarte, California, 미국, 91010
- 모병
- City of Hope
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Santa Monica, California, 미국, 90404
- 모병
- Providence St. John's Health Center
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Santa Monica, California, 미국, 90404
- 빼는
- UCLA Department of Medicine - Hematology/Oncology
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Connecticut
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New Haven, Connecticut, 미국, 06510
- 완전한
- Smilow Cancer Hospital at Yale-New Haven
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Florida
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Jacksonville, Florida, 미국, 32224
- 모병
- Mayo Clinic
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Illinois
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Chicago, Illinois, 미국, 60611
- 모병
- Northwestern Memorial Hospital
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Massachusetts
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Boston, Massachusetts, 미국, 02215
- 모병
- Dana Farber Cancer Institute
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Minnesota
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Rochester, Minnesota, 미국, 55905
- 모병
- Mayo Clinic
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Nebraska
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Omaha, Nebraska, 미국, 68198
- 모병
- Fred and Pamela Buffett Cancer Center
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New Jersey
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Hackensack, New Jersey, 미국, 07601
- 완전한
- Hackensack University Medical Center
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New York
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Buffalo, New York, 미국, 14263
- 모병
- Roswell Park Comprehensive Cancer Center
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New York, New York, 미국, 10065
- 모병
- Memorial Sloan Kettering Cancer Center
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New York, New York, 미국, 10032
- 빼는
- Columbia University Irving Medical Center
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New York, New York, 미국, 10029
- 모병
- Mt Sinai
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North Carolina
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Durham, North Carolina, 미국, 27710
- 모병
- Duke University Medical Center, Duke Cancer Center
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Ohio
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Cleveland, Ohio, 미국, 44195
- 모병
- Cleveland Clinic
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Oregon
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Portland, Oregon, 미국, 97225
- 모병
- Providence Neurological Specialties West
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Pennsylvania
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Philadelphia, Pennsylvania, 미국, 19104
- 완전한
- Hospital of the University of Pennsylvania
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Pittsburgh, Pennsylvania, 미국, 15232
- 모병
- UPMC Hilman Cancer Center
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Tennessee
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Knoxville, Tennessee, 미국, 37920
- 완전한
- University of Tennessee Medical Center
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Texas
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Dallas, Texas, 미국, 75235
- 모집하지 않고 적극적으로
- UT Southwestern Medical Center
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Houston, Texas, 미국, 77030
- 모병
- The University of Texas MD Anderson Cancer Center
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Utah
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Salt Lake City, Utah, 미국, 84112
- 모병
- Huntsman Cancer Institute, University of Utah
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Washington
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Seattle, Washington, 미국, 98195
- 모병
- University of Washington Medical Center
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Seattle, Washington, 미국, 98104
- 완전한
- Swedish Cancer Institute
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Barcelona, 스페인
- 모병
- University Hospital Vall d'Hebron
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Madrid, 스페인
- 모병
- MD Anderson Cancer Center Madrid
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Seville, 스페인
- 모병
- Hospital Universitario Virgen del Rocio
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Beersheba, 이스라엘
- 모병
- Hematology Department Soroka UMC / Heanatology Department
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Haifa, 이스라엘
- 모병
- Rambam Medical Center
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Jerusalem, 이스라엘
- 모병
- Hadassah Medical Center / Ein-Carem
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Cuneo, 이탈리아
- 모병
- Università di Torino Croce e Carle
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Florence, 이탈리아
- 모병
- SODc Ematologia Azienda Ospedaliera Universitaria Careggi
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Meldola, 이탈리아
- 모병
- IRST - Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milan, 이탈리아
- 모병
- IRCCS San Raffaele Scientific Institute
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Prague, 체코
- 모병
- Všeobecná fakultní nemocnice v Praze
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Gdansk, 폴란드
- 모병
- Uniwersyteckie Centrum Kliniczne Osrodek Badan Klinicznych Wczesnych Faz
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Krakow, 폴란드
- 빼는
- Oddzial Kliniczny Hematologii
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Warsaw, 폴란드
- 모병
- NarodowyInstytutu Onkologii im. Marii Sklodowskiej-Curie-Panstwowy Instytutu Badawczy
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Bordeaux, 프랑스
- 모병
- Institut Bergonie
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Marseille, 프랑스
- 모병
- Hopital de la Timone
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Paris, 프랑스
- 모병
- Hospital Pitie Salpetriere
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Paris, 프랑스
- 모병
- Institut Curie Hospital
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
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Males and females greater than or equal to 18 years of age
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Life expectancy of at least 3 months
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Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1 or 2
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Histopathologically confirmed diagnosis of PCNSL (medical record is acceptable). Cerebral biopsies are not required if imaging reveals typical images of PCNSL.
- Participants with parenchymal lesions must have unequivocal evidence of disease progression (e.g., presence of at least 1 measurable target lesion [≥ 10 millimeters (mm) and ≤ 40 mm in the longest diameter on brain magnetic resonance imaging [MRI] or head computed tomography [CT] on imaging within 28 days prior to Cycle 1 Day 1]). In cases where the tumor size is smaller but still measurable and located at a critical central nervous system (CNS) location, disabling the participant and/or causing symptoms, this participant may be eligible following a discussion with the Sponsor Medical Monitor.
- For participants limited to leptomeningeal involvement, cerebrospinal fluid (CSF) analysis (cytology and/or flow cytometry) with or without additional imaging (MRI) of the spine as clinically indicated is required to document abnormal cells within 28 days prior to Cycle 1 Day 1.
Exclusion Criteria for Part B and Part C
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Participants with only intraocular PCNSL without brain lesion or CSF involvement, T-cell lymphoma, systemic presence of lymphoma, or non-CNS lymphoma metastatic to the CNS
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Evidence of systemic lymphoma. This must be demonstrated by a positron emission tomography (PET) scan (or CT scan with contrast if applicable) of the chest, abdomen, and pelvis at Screening (testicular ultrasound may be considered to exclude a testicular lymphoma disseminated to the brain).
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Prior history of malignancies other than lymphoma (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast) or prior history of systemic lymphoma, unless the participant has been free of the disease for ≥ 3 years.
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Active malignancy other than PCNSL requiring systemic therapy
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Previous BTKi treatment (Part C only).
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History of Grade ≥ 3 rhabdomyolysis without complete recovery
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Requirement for urgent therapy due to uncontrolled tumor mass/edema effects.
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Received external beam radiation therapy to the CNS within 28 days prior to Cycle 1 Day 1.
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Received prior investigational drugs (including treatment in clinical research, unapproved combination products, and new dosage forms) within 28 days or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1; allogeneic hematopoietic stem cell transplant (HSCT) within 60 days prior to Cycle 1 Day 1; or had clinically significant graft-versus-host disease (GVHD) requiring ongoing up-titration of immunosuppressive medications prior to Screening (with the exception of a BTKi for Part B only).
Note: The use of a stable or tapering dose of immunosuppressive therapy post-HSCT and/or topical steroids for ongoing skin GVHD is permitted with Sponsor Medical Monitor approval
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Any prior systemic anti-cancer treatment such as chemotherapy, immunomodulatory drug therapy, etc., received within 14 days or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1 (with the exception of ibrutinib or other BTKi for Part B only, which may be continued until the day before Cycle 1 Day 1)
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Prior history of hypersensitivity or anaphylaxis to emavusertib, ibrutinib or any of their excipients.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위화되지 않음
- 중재 모델: 순차적 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Emavusertib (CA-4948) dose escalation
Part A1: Dose-level cohorts with up to approximately 6 participants each will be used to define the Maximum Tolerated Dose (MTD) for emavusertib. |
Emavusertib will be provided as a tablet dosage form to be taken BID.
다른 이름들:
|
|
실험적: Emavusertib (CA-4948) and ibrutinib dose escalation
Part A2: Evaluate escalating dose levels of oral emavusertib in combination with 560 mg QD or 420 mg QD of oral ibrutinib. The starting dose of emavusertib to be used in combination will be 200 mg BID. It is anticipated that 12 to 20 participants at a potential dose level will be required to establish optimal combination dosing. |
Emavusertib will be provided as a tablet dosage form to be taken BID.
다른 이름들:
Ibrutinib will be provided as a tablet or capsule dosage form to be taken QD. |
|
실험적: Emavusertib (CA-4948) and ibrutinib dose expansion
In two Expansion Cohorts (Part B), emavusertib in combination with ibrutinib will be administered in participants with R/R PCNSL who have progressed on a BTKi. In Cohort 1, emavusertib 100 mg BID will be administered with ibrutinib 560 mg QD consecutively in 28-day treatment cycles. In Cohort 2, emavusertib 200 mg BID will be administered with ibrutinib 560 mg QD consecutively in 28-day treatment cycles. |
Emavusertib will be provided as a tablet dosage form to be taken BID.
다른 이름들:
Ibrutinib will be provided as a tablet or capsule dosage form to be taken QD. |
|
실험적: Emavusertib (CA-4948) and ibrutinib
In this part of the study (Part C), eligible second-line participants with R/R PCNSL who are naïve to BTKi treatment will receive 1 of 3 treatment arms: (1) emavusertib 200 mg BID, (2) ibrutinib 560 mg QD, or (3) emavusertib 200 mg BID in combination with ibrutinib 560 mg QD. Treatments will be administered continuously in 28-day treatment cycles. |
Emavusertib will be provided as a tablet dosage form to be taken BID.
다른 이름들:
Ibrutinib will be provided as a tablet or capsule dosage form to be taken QD. |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
파트 B : R/R PCNSL 참가자의 전체 응답률 (ORR)
기간: 18개월
|
18개월
|
|
|
파트 C: R/R PCNSL 참가자의 ORR
기간: 18 개월
|
18 개월
|
|
|
Part A: To determine the safety and tolerability of emavusertib as a monotherapy and in combination with ibrutinib: dose-limiting toxicity (DLT)
기간: 12 months
|
The number of participants with a dose-limiting toxicity (DLT) in the first treatment cycle |
12 months
|
|
Part A: Maximum tolerated dose (MTD) of emavusertib as a monotherapy and in combination with ibrutinib measured by dose-limiting toxicities (DLTs)
기간: 12 months
|
MTD determined by the highest dose level studied at which fewer than 2 out of 6 subjects (<33%) experience a dose limiting toxicity. |
12 months
|
|
Part A: Recommended Phase 2 Dose (RP2D) of emavusertib as a monotherapy and in combination with ibrutinib based on overall tolerability data
기간: 12 months
|
RP2D selected based on overall tolerability data from all participants treated at different dose levels and will not exceed the MTD. |
12 months
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Parts A, B and C: Pharmacokinetic (PK) profile of emavusertib and ibrutinib measured by AUC
기간: 24- 66 months
|
Area Under the concentration-time curve (AUC) |
24- 66 months
|
|
Parts A, B and C: Pharmacokinetic (PK) profile of emavusertib and ibrutinib measured by Cmax
기간: 24- 66 months
|
Maximum plasma concentration (Cmax) |
24- 66 months
|
|
Parts A, B and C: Pharmacokinetic (PK) profile of emavusertib and ibrutinib measured by Cmin
기간: 24- 66 months
|
Minimum plasma concentration (Cmin) |
24- 66 months
|
|
Parts A, B and C: Pharmacokinetic (PK) profile of emavusertib and ibrutinib measured by Tmax
기간: 24- 66 months
|
Time to maximum plasma concentration (Tmax) |
24- 66 months
|
|
Parts A, B and C: Pharmacokinetic (PK) profile of emavusertib and ibrutinib measured by plasma terminal half-life
기간: 24- 66 months
|
Plasma terminal elimination half-life (T 1/2) |
24- 66 months
|
|
Part A: To assess efficacy of emavusertib as a monotherapy and in combination with ibrutinib measured by ORR
기간: 24- 36 months
|
Assessed by ORR |
24- 36 months
|
|
Parts A, B and C: To assess efficacy of emavusertib as a monotherapy and in combination with ibrutinib and ibrutinib as monotherapy measured by duration of response (DOR)
기간: 24- 66 months
|
Assessed by DOR |
24- 66 months
|
|
Part A: To assess efficacy of emavusertib as a monotherapy and in combination with ibrutinib measured by disease control rate (DCR)
기간: 24- 36 months
|
Assessed by DCR |
24- 36 months
|
|
Parts A, B and C: To assess efficacy of emavusertib as a monotherapy and in combination with ibrutinib and ibrutinib as monotherapy measured by progression free survival (PFS)
기간: 24- 66 months
|
Assessed by PFS |
24- 66 months
|
|
Parts A, B and C: To assess efficacy of emavusertib as a monotherapy, in combination with ibrutinib and ibrutinib as monotherapy measured by overall survival (OS)
기간: 24 - 66 months
|
Assessed by OS |
24 - 66 months
|
|
Parts B and C: To assess the safety and tolerability of emavusertib as monotherapy, ibrutinib as monotherapy and emavusertib in combination with ibrutinib in participants with R/R PCNSL
기간: up to 66 months
|
Measured by the number of participants with treatment-emergent adverse events (TEAEs) and treatment-related adverse events |
up to 66 months
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (추정된)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
키워드
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- CA-4948-101
- 2024-513312-95-00 (씨티스)
- 2022-000891-20 (EudraCT 번호)
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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