전신 요법이 필요한 중등도에서 중증의 아토피성 손습진 환자를 대상으로 트랄로키누맙의 효능 및 안전성을 평가하기 위한 32주 시험 (ADHAND)
전신 요법의 후보인 중등도에서 중증의 아토피성 손 습진 피험자를 대상으로 2주마다 트랄로키누맙 300mg 단일 요법과 위약의 효능 및 안전성을 평가하기 위한 3b상, 중재, 적응, 임상 시험
이 연구의 목적은 tralokinumab을 사용한 치료가 중등도에서 중증의 아토피성 손 습진을 치료하는 데 안전하고 효과적인지 테스트하는 것입니다. 이것은 아토피성 손 습진과 그 증상의 심각도와 정도, 일반적인 건강 상태와 삶의 질을 평가하는 다양한 평가에 의해 판단됩니다.
시험은 최대 40주 동안 지속됩니다. 방문은 최대 15회이며 그중 3회는 전화로 진행됩니다. 시험의 첫 번째 부분은 선별 기간이라고 하며 최대 4주 동안 지속됩니다. 스크리닝 후 처음 16주 동안 시험 참가자는 2주마다 트랄로키누맙 또는 더미 주사를 받게 됩니다. 첫 16주 후, 모든 시험 참가자는 16주 동안 2주마다 트랄로키누맙 주사를 맞을 것입니다. 시험의 마지막 부분은 치료 기간 종료 후 4주간의 기간으로, 시험 참가자는 안전 추적을 위해 약물을 중단합니다.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 3단계
연락처 및 위치
연구 연락처
연구 연락처
- 이름: Clinical Disclosure
- 전화번호: (+1) 8775571168
- 이메일: disclosure@leo-pharma.com
연구 장소
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Amsterdam, 네덜란드, 1105 AZ
- LEO Pharma Investigational Site
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Groningen, 네덜란드, 9713 GZ
- LEO Pharma Investigational Site
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Daegu, 대한민국, 41944
- LEO Pharma Investigational Site
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Seoul, 대한민국, 03080
- LEO Pharma Investigational Site
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Seoul, 대한민국, 04763
- LEO Pharma Investigational Site
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Seoul, 대한민국, 05030
- LEO Pharma Investigational Site
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Seoul, 대한민국, 05278
- LEO Pharma Investigational Site
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Seoul, 대한민국, 4564
- LEO Pharma Investigational Site
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Gangwon-do
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Wŏnju, Gangwon-do, 대한민국, 26426
- LEO Pharma Investigational Site
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Gyeonggi-do
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Ansan-si, Gyeonggi-do, 대한민국, 15355
- LEO Pharma Investigational Site
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Gyeongsangnam-do
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Yangsan, Gyeongsangnam-do, 대한민국, 05278
- LEO Pharma Investigational Site
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Bretzenheim, 독일, 55128
- LEO Investigational Site
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Frankfurt am Main, 독일, 60590
- LEO Pharma Investigational Site
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Haßfurt, 독일, 97437
- LEO Pharma Investigational Site
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Osnabrück, 독일, 49074
- LEO Pharma Investigational Site
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Tübingen, 독일, 72076
- LEO Pharma Investigational Site
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Wuppertal, 독일, 42283
- LEO Pharma Investigational Site
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Alabama
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Birmingham, Alabama, 미국, 35209
- LEO Pharma Investigational Site
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Arkansas
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Fort Smith, Arkansas, 미국, 72916
- LEO Pharma Investigational Site
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California
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Fountain Valley, California, 미국, 92708
- LEO Pharma Investigational Site
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Los Angeles, California, 미국, 90025
- LEO Pharma Investigational Site
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Sacramento, California, 미국, 95816
- LEO Pharma Investigational Site
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Connecticut
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Farmington, Connecticut, 미국, 06032
- LEO Pharma Investigational Site
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Florida
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Hialeah, Florida, 미국, 33012
- LEO Pharma Investigational Site
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Indiana
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Plainfield, Indiana, 미국, 46168
- LEO Pharma Investigational Site
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Kentucky
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Louisville, Kentucky, 미국, 40217
- LEO Pharma Investigational Site
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Louisiana
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New Orleans, Louisiana, 미국, 70115
- LEO Pharma Investigational Site
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Maine
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Bangor, Maine, 미국, 04401
- LEO Pharma Investigational Site
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Michigan
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Caledonia, Michigan, 미국, 49316
- LEO Pharma Investigational Site
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Detroit, Michigan, 미국, 48202
- LEO Pharma Investigational Site
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New Hampshire
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Portsmouth, New Hampshire, 미국, 03801
- LEO Pharma Investigational Site
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New York
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Cortland, New York, 미국, 13045
- LEO Pharma Investigational Site
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New York, New York, 미국, 10075
- LEO Pharma Investigational Site
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Oregon
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Portland, Oregon, 미국, 97210
- LEO Pharma Investigational Site
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Portland, Oregon, 미국, 97201
- LEO Pharma Investigational Site
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Tennessee
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Nashville, Tennessee, 미국, 37211
- LEO Pharma Investigational Site
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Texas
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Dallas, Texas, 미국, 75225
- LEO Pharma Investigational Site
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Frisco, Texas, 미국, 75034
- LEO Pharma Investigational Site
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San Antonio, Texas, 미국, 78213
- LEO Pharma Investigational Site
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Webster, Texas, 미국, 77598
- LEO Pharma Investigational Site
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Brussels, 벨기에, 1200
- LEO Pharma Investigational Site
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Edegem, 벨기에, 2650
- LEO Pharma Investigational Site
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Ghent, 벨기에, 9000
- LEO Pharma Investigational Site
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Alicante, 스페인, 03010
- LEO Pharma Investigational Site
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Barcelona, 스페인, 08916
- LEO Pharma Investigational Site
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Granada, 스페인, 18016
- LEO Pharma Investigational Site
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Barcelona
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Badalona, Barcelona, 스페인, 08916
- LEO Pharma Investigational Site
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London, 영국, SE1 7EH
- LEO Pharma Investigational Site
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Greater Manchester
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Salford, Greater Manchester, 영국, M6 8HD
- LEO Pharma Investigational Site
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North Yorkshire
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Middlesbrough, North Yorkshire, 영국, TS4 3BW
- LEO Pharma Investigational Site
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Québec, 캐나다, G1W 4R4
- LEO Pharma Investigational Site
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Québec, 캐나다, G1V 4X7
- LEO Pharma Investigational Site
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Alberta
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Calgary, Alberta, 캐나다, T3E 0B2
- LEO Pharma Investigational Site
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Edmonton, Alberta, 캐나다, T5J 3S9
- LEO Pharma Investigational Site
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Edmonton, Alberta, 캐나다, T6X 0N9
- LEO Pharma Investigational Site
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Red Deer, Alberta, 캐나다, T4P 1K4
- LEO Pharma Investigational Site
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British Columbia
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Surrey, British Columbia, 캐나다, V3R 6A7
- LEO Pharma Investigational Site
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New Brunswick
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Fredericton, New Brunswick, 캐나다, E3B 1G9
- LEO Pharma Investigational Site
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Ontario
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Hamilton, Ontario, 캐나다, L8L 3C3
- LEO Pharma Investigational Site
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Richmond Hill, Ontario, 캐나다, L4B 1A5
- LEO Pharma Investigational Site
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Toronto, Ontario, 캐나다, M2N 3A6
- LEO Pharma Investigational Site
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Windsor, Ontario, 캐나다, N8T 1E6
- LEO Pharma Investigational Site
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Quebec
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Saint-Jérôme, Quebec, 캐나다, J7Z 7E2
- LEO Pharma Investigational Site
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Gdansk, 폴란드, 80-462
- LEO Pharma Investigational Site
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Krakow, 폴란드, 30-033
- LEO Pharma Investigational Site
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Krakow, 폴란드, 31-011
- LEO Pharma Investigational Site
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Nantes, 프랑스, 44093
- LEO Pharma Investigational Site
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Pierre-Bénite, 프랑스, 69495
- LEO Pharma Investigational Site
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Rouen, 프랑스, 76031
- LEO Pharma Investigational Site
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
포함 기준:
- 스크리닝 시 18세 이상
- Hanifin과 Rajka(1980)의 AD 기준에 의한 아토피성 피부염(AD)의 진단
- 1년 이상 AD 병력
- 3개월 이상 지속되었거나 지난 12개월 이내에 2회 이상 재발한 아토피성 손 습진(AHE)의 존재
- 스크리닝 시 손 및 손목 이외의 적어도 하나의 신체 부위의 AD 침범
- 스크리닝 및 기준선에서 조사자의 전반적 평가 AHE 점수 3 또는 4(중등도에서 중증)
- 베이스라인에서 ≥4의 HESD 가려움증 점수(주간 평균)
- 국소 처방약을 사용한 AHE 치료에 대한 부적절한 반응의 문서화된 최근 병력(스크리닝 방문 전 12개월 이내)이 있거나 국소 치료가 달리 의학적으로 권장되지 않는 피험자(예: 중요한 부작용 또는 안전 위험으로 인해)
제외 기준:
현재 손 습진의 주요 원인으로 간주되는 AHE 이외의 활동성 하위 유형의 손 습진이 있는 피험자는 다음을 포함하여 시험에 참가해서는 안 됩니다.
- 활동성 자극성 접촉 피부염
- 활동성 알레르기 접촉 피부염
- 활동성 단백질 접촉성 피부염/접촉성 두드러기
- 활동성 과각화성 손 습진
- 활동성 수포성 손 습진(pompholyx)
- AD 또는 AHE의 진단을 혼란스럽게 만들거나 치료 평가를 방해할 수 있는 활성 피부 상태
- 기준선 이전 28일 이내에 태닝 베드 또는 광선 요법(예: UVB, UVA1, PUVA) 또는 손 또는 손목에 Grenz 광선 요법 사용 또는 기준선 이전 7일 이내에 손 또는 손목에 표백 목욕 사용
- 베이스라인 전 28일 이내에 전신 면역억제/면역조절 약물 및/또는 전신 코르티코스테로이드 치료
- 베이스라인 전 7일 이내에 국소 코르티코스테로이드, 국소 칼시뉴린 억제제, 국소 포스포디에스테라제 4 억제제 또는 국소 야누스 키나제 억제제를 사용한 치료
- 시판된 모든 생물학적 요법(즉, 면역글로불린, 항면역글로불린 E) 두필루맙 또는 연구용 생물학적 제제를 포함하여 베이스라인 3~6개월 전에
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
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실험적: 트랄로키누맙
트랄로키누맙은 32주(이중 맹검 기간 16주 + 공개 라벨 기간 16주) 동안 투여됩니다.
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기준선에서 피하(s.c.) 600mg 부하 용량 후, 시험 참가자에게 32주 동안 2주마다 300mg 용량을 투여합니다.
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위약 비교기: 위약 + 트랄로키누맙
위약은 트랄로키누맙이 투여되는 16주의 공개 라벨 기간으로 롤오버되기 전 16주(이중 맹검 기간) 동안 투여됩니다.
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기준선에서 피하(s.c.) 부하 용량 후, 시험 참가자에게 16주 동안 2주마다 위약 용량을 투여합니다.
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연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Percentage of Participants With IGA-AHE Score of 0 (Clear) or 1 (Almost Clear)
기간: At Week 16
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IGA-AHE: The Investigator's Global Assessment for atopic hand eczema (IGA-AHE) is an instrument to rate the severity of the subject's AHE and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
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At Week 16
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2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Percentage of Participants Having a ≥2-point Reduction in IGA-AHE Score
기간: From baseline to Week 16
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IGA-AHE: The Investigator's Global Assessment for atopic hand eczema (IGA-AHE) is an instrument to rate the severity of the subject's AHE and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
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From baseline to Week 16
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Percentage of Participants Having a Decrease in HECSI of at Least 75% (HECSI-75)
기간: From baseline (Day 1) to Week 16
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The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales.
The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity.
HECSI-75 is defined as at least 75% improvement in HECSI score from baseline.
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From baseline (Day 1) to Week 16
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Percentage of Participants Having a Decrease in HECSI of at Least 50% (HECSI-50)
기간: From baseline to Week 16
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The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales.
The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity.
HECSI-50 is defined as at least 50% improvement in HECSI score from baseline.
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From baseline to Week 16
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Percentage of Participants Having a Decrease in HECSI of at Least 90% (HECSI-90)
기간: From baseline to Week 16
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The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales.
The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity.
HECSI-90 is defined as at least 90% improvement in HECSI score from baseline.
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From baseline to Week 16
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Percentage Change in HECSI Score
기간: From baseline to Week 16
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The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales.
The HECSI score will range from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity.
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From baseline to Week 16
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Percentage of Participants With Reduction in HESD Itch Score (Weekly Average) of ≥4 Points
기간: From baseline to Week 16
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The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'itch' component and will be evaluated among participants with a baseline HESD itch score (weekly average) ≥4 points.
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From baseline to Week 16
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Percentage Change in HESD Itch Score (Weekly Average)
기간: From baseline to Week 16
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The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'itch' component and will be evaluated among participants with a baseline HESD itch score (weekly average) ≥4 points.
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From baseline to Week 16
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Percentage of Participants With Reduction in HESD Pain Score (Weekly Average) of ≥4 Points
기간: From baseline to Week 16
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The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'pain' component and will be evaluated among participants with a baseline HESD pain score (weekly average) ≥4 points.
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From baseline to Week 16
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Percentage Change in HESD Pain Score (Weekly Average)
기간: From baseline to Week 16
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The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'pain' component and will be evaluated among participants with a baseline HESD pain score (weekly average) ≥4 points.
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From baseline to Week 16
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Percentage Change in HEIS Score
기간: From baseline to Week 16
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HEIS: The Hand Eczema Impact Scale (HEIS) includes 9 items addressing the participant's perception of the impact of hand eczema on their daily activities: embarrassment, frustration, sleep, work, and physical functioning over the past 7 days.
Each item is scored on a 5-point scale (0='not at all', 1='a little', 2='moderately', 3='a lot', 4='extremely').
The HEIS score is the average of the 9 items.
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From baseline to Week 16
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Percentage Change in DLQI Score
기간: From baseline to Week 16
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The Dermatology Life Quality Index (DLQI) consists of 10 items addressing the subject's perception of the impact of their skin disease on different aspects of their quality of life over the last week.
The DLQI score is the sum of the 10 items (score ranging from 0 to 30); a high score is indicative of a poor quality of life.
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From baseline to Week 16
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Change in WPAI+CIQ:AHE Domain Scores
기간: From baseline to Week 16
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The impact of AHE on the subject's ability to work/school and perform regular activities was assessed by Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire in atopic hand eczema (WPAI+CIQ:AHE), which is an instrument to measure impairments in both paid work and unpaid work/school attendance.
Only domain scores where an estimand analysis was possible are presented.
Scores are on a scale from 0 to 100 and reflect the percentage impairment due to AHE during the past 7 days, with higher numbers indicating greater impairment and less productivity/school attendance.
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From baseline to Week 16
|
|
Number of Participants With IGA-AHE Score of 0 (Clear) or 1 (Almost Clear)
기간: At Week 32
|
The Investigator's Global Assessment for atopic hand eczema (IGA-AHE) is an instrument to rate the severity of the subject's AHE and is based on a 5-point scale ranging from 0 (clear) to 4 (severe).
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At Week 32
|
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Number of Participants Having a Decrease in HECSI of at Least 75% (HECSI-75)
기간: From baseline to Week 32
|
The Hand Eczema Severity Index (HECSI) is an instrument used in clinical trials to rate the severity of 6 clinical signs (erythema, infiltration/papulation, vesicles, fissures, scaling, and oedema) and the extent of the lesions in each of the 5 hand regions (fingertips, fingers [except fingertips], palm of hands, back of hands, and wrists) by use of standard scales.
The HECSI score ranges from 0 (lowest possible score) to 360 (highest possible score), with a higher score indicating greater severity.
HECSI-75 is defined as at least 75% improvement in HECSI score from baseline.
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From baseline to Week 32
|
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Number of Participants With Reduction in HESD Itch Score (Weekly Average) of ≥4 Points
기간: From baseline to Week 32
|
The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'itch' component and will be evaluated among participants with a baseline HESD itch score (weekly average) ≥4 points.
|
From baseline to Week 32
|
|
Number of Participants With Reduction in HESD Pain Score (Weekly Average) of ≥4 Points
기간: From baseline to Week 32
|
The Hand Eczema Symptom Diary (HESD) is a 6-item patient-reported outcome where the subject assesses the worst severity of 6 individual signs and symptoms of hand eczema over the past 24 hours using an 11-point numeric rating scale with anchors of 0 ='no (symptom)' and 10 ='severe (symptom)' throughout the trial on a daily basis.
This endpoint assessed only the 'itch' component and will be evaluated among participants with a baseline HESD itch score (weekly average) ≥4 points.
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From baseline to Week 32
|
|
Percentage Change in HEIS Score
기간: From baseline to Week 32
|
HEIS: The Hand Eczema Impact Scale (HEIS) includes 9 items addressing the participant's perception of the impact of hand eczema on their daily activities: embarrassment, frustration, sleep, work, and physical functioning over the past 7 days.
Each item is scored on a 5-point scale (0='not at all', 1='a little', 2='moderately', 3='a lot', 4='extremely').
The HEIS score is the average of the 9 items.
|
From baseline to Week 32
|
|
Percentage Change in DLQI Score
기간: From baseline to Week 32
|
The Dermatology Life Quality Index (DLQI) consists of 10 items addressing the subject's perception of the impact of their skin disease on different aspects of their quality of life over the last week.
The DLQI score is the sum of the 10 items (score ranging from 0 to 30); a high score is indicative of a poor quality of life.
|
From baseline to Week 32
|
|
Change in WPAI+CIQ:AHE Domain Scores
기간: From baseline to Week 32
|
The impact of AHE on the subject's ability to work/school and perform regular activities was assessed by Work Productivity and Activity Impairment plus Classroom Impairment Questionnaire in atopic hand eczema (WPAI+CIQ:AHE), which is an instrument to measure impairments in both paid work and unpaid work/school attendance.
Only domain scores where an estimand analysis was possible are presented.
Scores are on a scale from 0 to 100 and reflect the percentage impairment due to AHE during the past 7 days, with higher numbers indicating greater impairment and less productivity/school attendance.
|
From baseline to Week 32
|
|
Number of Treatment-emergent Adverse Events
기간: From baseline to Week 16
|
An event was considered treatment-emergent if started after the first use of IMP or if started before the first use of IMP and worsened in severity after first dose of IMP.
|
From baseline to Week 16
|
|
Number of Treatment-emergent Adverse Events During the Open-label Treatment Period
기간: Week 16 to Week 32
|
An event was considered treatment-emergent if started after the first use of IMP or if started before the first use of IMP and worsened in severity after first dose of IMP.
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Week 16 to Week 32
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공동 작업자 및 조사자
수사관
수사관
- 연구 책임자: Medical Expert, LEO Pharma
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (실제)
기본 완료
연구 완료 (실제)
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
- LP0162-2328
- U1111-1285-7014 (기타 식별자: World Health Organization (WHO))
- 2022-502653-34-00 (씨티스: European Medicines Agency (EMA))
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
IPD 공유 액세스 기준
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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