이전에 라니비주맙 이외의 유리체강내 제제로 치료받은 신생혈관성 연령관련황반변성 환자에서 라니비주맙[수스비모(라니비주맙주)]을 이용한 포트 전달 시스템으로의 전환 후 치료 반응에 관한 연구 (Belvedere)
이전에 유리체 강내 제제로 치료받은 신생 혈관 연령 관련 황반 변성 환자에서 Ranibizumab [Susvimo (Ranibizumab 주사제)]을 사용하여 포트 전달 시스템으로 전환 한 후 치료 반응에 대한 IV 상, 다기관, 공개, 단일 군 연구 기타 라니비주맙보다
This study will assess corneal endothelial cells in participants with nAMD treated with PDS refilled every 24 weeks (Q24W).
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (추정된)
등록
단계
단계
- 4단계
연락처 및 위치
연구 장소
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Arizona
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Mesa, Arizona, 미국, 85206-2747
- Barnet Dulaney Perkins Eye Center
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California
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Bakersfield, California, 미국, 93309
- California Retina Consultants
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Huntington Beach, California, 미국, 92647
- Retina Associates of Southern California
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Pasadena, California, 미국, 91107-3747
- California Eye Specialists Medical group Inc.
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Sacramento, California, 미국, 95841-2013
- Retinal Consultants Med Group
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San Francisco, California, 미국, 94158-2510
- University of California San Francisco
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Santa Ana, California, 미국, 92705-6504
- Orange County Retina Med Group
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Torrance, California, 미국, 90503-3270
- Macula Retina Vitreous Research Institute
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Colorado
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Durango, Colorado, 미국, 81303
- Southwest Retina Consultants
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Longmont, Colorado, 미국, 80503-6499
- Advanced Vision Research Institute
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Florida
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Pensacola, Florida, 미국, 32503-2030
- Retina Specialty Institute
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St. Petersburg, Florida, 미국, 33711-1141
- Retina Vitreous Associates of Florida
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Georgia
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Augusta, Georgia, 미국, 30909-6440
- Southeast Retina Center
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Illinois
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Lemont, Illinois, 미국, 60439-7421
- University Retina and Macula Associates, PC
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Maine
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Portland, Maine, 미국, 04101
- Maine Eye Center
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Maryland
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Baltimore, Maryland, 미국, 21287-0005
- Wilmer Eye Institute Johns Hopkins University
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Baltimore, Maryland, 미국, 21209-2219
- The Retina Care Center
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Hagerstown, Maryland, 미국, 21740
- Cumberland Valley Retina Consultants PC
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Michigan
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Royal Oak, Michigan, 미국, 48073
- Associated Retinal Consultants PC
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Minnesota
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Minneapolis, Minnesota, 미국, 55435-3004
- VitreoRetinal Surgery, PLLC.
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Missouri
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Chesterfield, Missouri, 미국, 63017-5065
- Midwest Vision Research Foundation
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Nevada
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Reno, Nevada, 미국, 89502-1605
- Sierra Eye Associates
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New Jersey
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Bloomfield, New Jersey, 미국, 07003
- Envision Ocular, LLC
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New York
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Poughkeepsie, New York, 미국, 12603-2416
- Seeta Eye Centers
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North Carolina
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Durham, North Carolina, 미국, 27705-4699
- Duke Eye Center
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Hickory, North Carolina, 미국, 28602
- Graystone Eye-Hickory - 2415 Century Pl
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North Dakota
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Fargo, North Dakota, 미국, 58047
- Fargo Retina Consultants
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Ohio
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Blue Ash, Ohio, 미국, 45242-5537
- Cincinnati Eye Institute
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Cleveland, Ohio, 미국, 44195
- Cleveland Clinic
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Pennsylvania
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Erie, Pennsylvania, 미국, 16505
- Erie Retina Research
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Tennessee
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Germantown, Tennessee, 미국, 38138-2405
- Charles Retina Institute
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Nashville, Tennessee, 미국, 37203-1596
- Tennessee Retina PC
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Texas
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Amarillo, Texas, 미국, 79106-1835
- Panhandle Eye Group LLP Southwest Retina Specialists
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Austin, Texas, 미국, 78750-2298
- Austin Clinical Research, LLC
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Bellaire, Texas, 미국, 77401
- Retina Consultants of Texas
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Schertz, Texas, 미국, 78154
- Retina Consultants of Texas
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Utah
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Salt Lake City, Utah, 미국, 84107-6767
- Retina Associates of Utah, PLLC
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Virginia
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Lynchburg, Virginia, 미국, 24502-4271
- Piedmont Eye Center
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Norfolk, Virginia, 미국, 23502-3933
- Wagner Kapoor Institute
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Washington
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Spokane, Washington, 미국, 99204-2509
- Spokane Eye Clinical Research
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria
Ocular Inclusion Criteria:
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Diagnosis of nAMD prior to screening as determined by the investigator
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Difference of <10% in ECD at screening between the 2 eyes as measured by specular microscopy and determined by the independent reading center
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Availability of historical visual acuity (VA) data and spectral-domain optical coherence tomography (SD-OCT). Additionally, fluorescein angiography or color fundus photography can both be used to support participant eligibility per protocol at investigator discretion
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Availability of comprehensive historical anti-vascular endothelial growth factor (VEGF) injection data, including agent administered and date of administration from the time of diagnosis, or for at least 2 years prior to screening if diagnosis was made more than 2 years before screening
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Response to at least two prior anti-VEGF IVT injections as determined by the investigator based on the following:
- Overall decrease in nAMD disease activity detected on historical or screening OCT
- Stable or improved best-corrected visual acuity (BCVA)
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BCVA of 34 letters (approximate 20/200 Snellen equivalent) or better, using Early Treatment of Diabetic Retinopathy Study (ETDRS) chart at a starting distance of 4 meters at screening and enrollment
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All subtypes of nAMD lesions are permissible
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nAMD lesions at the time of diagnosis must involve the macula
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Sufficiently clear ocular media and adequate pupillary dilation to allow for clinical examination and analysis and grading by the central reading center of SD-OCT images
Exclusion Criteria
Prior Ocular Treatment
Study Eye:
- Prior treatment with external-beam radiation therapy or transpupillary thermotherapy
- Previous treatment with verteporfin injection (PDT) or corticosteroid IVT injection within 2 years of screening
- Previous laser (except PDT as stated above) used for age related macular degeneration (AMD) treatment
- History of corneal transplant
- History of conjunctival surgery in the superotemporal quadrant
- History of intraocular inflammation following anti-VEGF injection
Either Eye:
- Previous PDS implantation
- Previous intraocular surgery (including cataract surgery) within 6 months of study enrollment
- Prior vitrectomy surgery, submacular surgery, or other surgical intervention for age-related macular degeneration (AMD)
- Prior pars plana vitrectomy surgery
- Previous intraocular device implantation, excluding intraocular lenses
- History of glaucoma-filtering surgery, tube shunts, or microinvasive glaucoma surgery
- Prior participation in a clinical trial involving any intravitreal agents that are not approved at time of screening
- Intraocular laser therapy, including selective laser trabeculoplasty, yttrium-aluminum garnet (YAG), prophylactic peripheral iridotomy within 1 year of screening, or YAG capsulotomy within 3 months of screening
- Contact lens wear in either eye within 2 months of screening
- Any prior penetrating ocular trauma
- Any prior ocular blunt trauma affecting corneal or retinal health in the opinion of the investigator, or any ocular blunt trauma within 6 months of screening
- History of corneal transplantation, including partial-thickness corneal grafts
- Prior treatment with brolucizumab
- Prior treatment with external-beam radiation therapy or brachytherapy
- History of hypersensitivity to ranibizumab or any excipients of Susvimo
Macular Neovascularization Lesion (MNV) Characteristics
Study Eye:
- Subretinal hemorrhage that involves the center of the fovea, if the hemorrhage is greater than 0.5-disc area [1.27 square millimeters (mm^2)] in size
- Subfoveal fibrosis or subfoveal atrophy
Either Eye:
- MNV due to other causes, such as ocular histoplasmosis, trauma, or pathologic myopia
- MNV masquerading lesions (e.g., cone dystrophy, adult vitelliform dystrophy, pattern dystrophy)
Current or Historical Ocular Conditions
Study Eye:
- Retinal pigment epithelial tear
- Retinal tears or peripheral retinal breaks on depressed fundus exam that are untreated, or treated within the 3 months prior to study enrollment
- Current vitreous hemorrhage
- Current or history of retinal detachment
- Previous violation of the posterior capsule is also an exclusion criterion unless it occurred as a result of YAG laser posterior capsulotomy in association with prior, posterior chamber intraocular lens implantation
- Spherical equivalent of the refractive error demonstrating more than 8 diopters of myopia or evidence of pathologic myopia on depressed fundus examination
- Preoperative refractive error that exceeds 8 diopters of myopia, for participants who have undergone prior refractive or cataract surgery
- Spherical equivalent of the refractive error demonstrating more than 5 diopters of hyperopia
- Preoperative refractive error that exceeds 5 diopters of hyperopia, for participants who have undergone prior refractive or cataract surgery
- Uncontrolled ocular hypertension or glaucoma and any such condition the investigator determines may require a glaucoma-filtering surgery during a patient's participation in the study
- Scleral pathology in the superotemporal quadrant (e.g., scleral thinning or calcification)
- Conjunctival pathologies in the superotemporal quadrant
- History or presence of severe posterior blepharitis, recurrent chalazia or hordeolum, severe dry eye syndrome, or severe allergic conjunctivitis
- Ectropion, entropion or other impairment of the upper or lower eyelid impacting lid functionality needed to protect the ocular surface from exposure
- Trichiasis
- Corneal neuropathy
- Lagophthalmos or incomplete blink
- Active or history of facial nerve palsy/paresis
Fellow (Non-Study) Eye:
• Concurrent or history of PDS implantation
Either Eye:
- Aphakia or absence of the posterior capsule
- Any concurrent intraocular condition that would either require surgical intervention during the study to prevent or treat visual loss that might result from that condition or affect interpretation of study results
- Corneal ECD ≤1500 cells/mm2 in either eye at screening as determined by the independent reading center
- Fuchs endothelial corneal dystrophy Grade ≥ 2
- Previous corneal endothelial cell damage, including from blunt or surgical trauma
- Any ocular condition that precludes obtaining an analyzable specular microscopy image
- Active or history of corneal edema
- Active or history of corneal dystrophies
- Active or history of iridocorneal endothelial syndrome
- Active or history of pseudoexfoliation syndrome
- Active or history of herpetic keratitis or kerato-uveitis
- Any active or history of uveitis
- Active intraocular inflammation
- Active or history of keratitis, scleritis, or endophthalmitis
- Active ocular or periocular infection
- Active or history of Sjogren's syndrome or keratoconjunctivitis sicca
- Active or history of floppy eyelid syndrome
- Active or history of chronic eye rubbing
- Active thyroid eye disease
Concurrent Systemic Conditions:
- History of uncontrolled blood pressure
- Active or history of autoimmune diseases such as rheumatoid arthritis, lupus, granulomatosis with polyangiitis (Wegener's)
- History of stroke within the last 3 months prior to screening
- Uncontrolled atrial fibrillation within 3 months of screening
- History of myocardial infarction within the last 3 months prior to screening
- History of other disease, metabolic dysfunction, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of ranibizumab or placement of the implant and that might affect interpretation of the results of the study or renders the patient at high risk of treatment complications, in the opinion of the investigator
- Current active systemic infection
- Use of any systemic anti-VEGF agents
- Chronic use of oral corticosteroids
- Active cancer within 12 months of enrollment except for appropriately treated carcinoma in situ of the cervix, non-melanoma skin carcinoma, and prostate cancer with a Gleason score of ≤ 6 and a stable prostate-specific antigen for > 12 months
- Previous participation in any non-ocular (systemic) disease studies of investigational drugs within 1 month prior to screening (excluding vitamins and minerals)
- Use of antimitotic or antimetabolite therapy within 30 days or 5 elimination half-lives of the screening visit
- Requirement for continuous use of any medications or treatments indicated as prohibited therapy
- Pregnant or breastfeeding, or intention to become pregnant during the study
- Women of childbearing potential must have a negative urine pregnancy test result within 28 days prior to initiation of study treatment. If the urine pregnancy test is positive, it must be confirmed by a serum pregnancy test
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: SUSVIMO
Participants will have the PDS implant (filled prior to implantation with approximately 20 microlitres [uL] of the 100 milligrams/millilitres [mg/ml] formulation of ranibizumab [approximately 2 milligrams (mg) dose of ranibizumab]) surgically inserted in the study eye at the Day 1 visit following their enrollment visit. After the initial fill of the implant with ranibizumab, participants will receive implant refill-exchanges at fixed Q24W intervals. |
Ranibizumab 100 mg/mL will be delivered via PDS Ranibizumab (0.5 mg intravitreal [IVT] injections of 10 mg/mL formulation) will be used in the study eye as supplemental treatment. If a participant discontinues study treatment, he/she may start receiving IVT ranibizumab injections in the study eye, per investigator's discretion. |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
기간 |
|---|---|
|
정반사현미경으로 평가한, 다른 눈과 비교하여 연구 눈에서 48주차 기준선 대비 각막 내피 세포 밀도(ECD)의 백분율 변화
기간: 기준선, 48주차
|
기준선, 48주차
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
다른 눈과 비교하여 연구 눈에서 24주차 기준선 대비 각막 ECD의 백분율 변화
기간: 기준선, 24주차
|
기준선, 24주차
|
|
|
다른 눈과 비교하여 연구 눈에서 24주 및 48주차 기준선 대비 각막 내피 세포 면적의 변이계수(CV) 변화율(%)
기간: 기준선, 24주차, 48주차
|
기준선, 24주차, 48주차
|
|
|
다른 눈과 비교하여 연구 눈에서 24주 및 48주차 기준선으로부터 육각형 세포(HEX)의 변화율(%)
기간: 기준선, 24주차, 48주차
|
기준선, 24주차, 48주차
|
|
|
안구 심각한 부작용(SAE)이 있는 참가자의 비율 및 SAE의 심각도
기간: 1일차부터 약 52주차까지
|
1일차부터 약 52주차까지
|
|
|
특별 관심분야의 안구 이상반응(AESI)이 있는 참가자의 비율 및 안구 AESI의 심각도
기간: 1일차 ~ 52주차
|
1일차 ~ 52주차
|
|
|
안구 AESI의 지속 시간
기간: 1일차 ~ 52주차
|
1일차 ~ 52주차
|
|
|
수술 후 기간 동안 안구 AESI가 있는 참가자의 비율
기간: 초기 이식 후 최대 37일까지의 기준
|
초기 이식 후 최대 37일까지의 기준
|
|
|
수술 후 중간 기간 동안 안구 AESI를 경험한 참가자의 비율
기간: 이식 후 38~93일
|
이식 후 38~93일
|
|
|
기기 부작용(ADE)이 있는 참가자의 비율
기간: 1일차 ~ 52주차
|
1일차 ~ 52주차
|
|
|
예상되는 심각한 부작용(ASADE)이 있는 참가자 수 및 ASADE의 심각도
기간: 1일차 ~ 52주차
|
1일차 ~ 52주차
|
|
|
ASADE 기간
기간: 1일차 ~ 52주차
|
1일차 ~ 52주차
|
|
|
Percentage of Participants With Ocular AESIs During the Follow-up Period
기간: Week 52
|
The investigator will follow each adverse event (AE) until the event has resolved to baseline grade or better, the event is assessed as stable by the investigator, the participant is lost to follow-up, or the participant withdraws consent. |
Week 52
|
공동 작업자 및 조사자
수사관
수사관
- 연구 책임자: Clinical Trials, Genentech, Inc.
간행물 및 유용한 링크
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
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- ML43000
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
For eligible studies, qualified researchers may request access to individual patient level clinical data. See Roche's commitment to transparency of clinical study information here: https://go.roche.com/data_sharing
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .