Onderzoek naar het therapeutische effect van eluxadoline bij de behandeling van prikkelbaredarmsyndroom met diarree bij kinderen
Fase 2, gerandomiseerde, dubbelblinde, placebogecontroleerde, parallelle groep, dosisbereikstudie om de veiligheid en werkzaamheid van eluxadoline te evalueren bij pediatrische deelnemers (leeftijd 6 tot 17 jaar) met prikkelbaredarmsyndroom met diarree (PDS-D)
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.
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Kozloduy, Bulgarije, 3320
- MHATSv.Ivan Rilski /ID# 235399
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Plovdiv, Bulgarije, 4001
- University Hospital Plovdiv /ID# 235450
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Gabrovo
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Sevlievo, Gabrovo, Bulgarije, 5400
- Medical center 1 Sevlievo /ID# 237473
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Edmonton, Canada, T6G 1C9
- Duplicate_Edmonton Clinic Health Academy (ECHA) /ID# 234917
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Winnepeg, Canada, R3E 3P4
- Manitoba Institute of Child Health /ID# 235448
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Wuppertal, Duitsland, 42283
- HELIOS Klinikum Wuppertal /ID# 237322
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Budapest, Hongarije, 1125
- Eszak-Kozep-budai Centrum, Uj Szent Janos Korhaz /ID# 236993
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Sopron, Hongarije, 9400
- Soproni Erzsebet Oktato Korhaz es Rehabilitacios Intezet /ID# 237341
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Székesfehérvár, Hongarije, 8000
- Vita Verum Medical Bt. /ID# 234321
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North Holland
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Amsterdam, North Holland, Nederland, 1105 AZ
- Duplicate_Academisch Medisch Centrum /ID# 237117
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Lesser Poland Voivodeship
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Krakow, Lesser Poland Voivodeship, Polen, 30-539
- Specjalistyczne Gabinety Sp. z o.o. /ID# 236347
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Masovian Voivodeship
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Warsaw, Masovian Voivodeship, Polen, 00-189
- Centrum Zdrowia MDM /ID# 237269
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Warsaw, Masovian Voivodeship, Polen, 04-730
- Duplicate_Instytut Pomnik - Centrum Zdrowia Dziecka /ID# 234311
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Podkarpackie Voivodeship
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Rzeszów, Podkarpackie Voivodeship, Polen, 35-302
- Korczowski Bartosz Gabinet Lekarski /ID# 234683
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Pomeranian Voivodeship
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Gdansk, Pomeranian Voivodeship, Polen, 80-803
- Copertnicus Podmiot Leczniczy Sp. z o.o. /ID# 235656
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Łódź Voivodeship
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Lodz, Łódź Voivodeship, Polen, 93-338
- Instytut Centrum Zdrowia Matki Polki /ID# 237438
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Valencia, Spanje, 46017
- Hospital Universitario Dr. Peset /ID# 236755
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Blackpool, Verenigd Koninkrijk, FY3 8NR
- Blackpool Teaching Hospitals NHS Foundation Trust /ID# 237273
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Greater London
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London, Greater London, Verenigd Koninkrijk, SE5 9RS
- Kings College Hospital NHS Foundation Trust /ID# 236305
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Lancashire
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Manchester, Lancashire, Verenigd Koninkrijk, M13 9WL
- Duplicate_Manchester University NHS Foundation Trust /ID# 234663
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Arkansas
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Hot Springs, Arkansas, Verenigde Staten, 71913
- HealthStar Research of Hot Springs PLLC /ID# 234609
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Little Rock, Arkansas, Verenigde Staten, 72212-4187
- Applied Research Center of Arkansas /ID# 238070
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California
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Corona, California, Verenigde Staten, 92879
- Kindred Medical Institute, LLC /ID# 237368
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Garden Grove, California, Verenigde Staten, 92845
- Duplicate_VVCRD Research /ID# 234606
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Paramount, California, Verenigde Staten, 90723
- Duplicate_Center for Clinical Trials LLC /ID# 234630
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Florida
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Miami, Florida, Verenigde Staten, 33130
- Sunrise Research Institute /ID# 237382
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Miami, Florida, Verenigde Staten, 33155
- South Miami Medical & Research Group Inc. /ID# 234655
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Miami, Florida, Verenigde Staten, 33165
- Valencia Medical & Research Center /ID# 234672
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Miami, Florida, Verenigde Staten, 33174
- Florida Research Center, Inc. /ID# 236514
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Miami Lakes, Florida, Verenigde Staten, 33016
- Duplicate_Wellness Clinical Research /ID# 237401
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Georgia
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Atlanta, Georgia, Verenigde Staten, 30315
- Global Research Associates /ID# 234646
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Atlanta, Georgia, Verenigde Staten, 30342
- Children's Ctr Digestive, US /ID# 237575
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Stockbridge, Georgia, Verenigde Staten, 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, Verenigde Staten, 60068
- Advocate Children's Hospital-Park Ridge /ID# 235388
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Indiana
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Indianapolis, Indiana, Verenigde Staten, 46202
- Indiana University Health Riley Hospital for Children /ID# 235400
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Kentucky
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Lexington, Kentucky, Verenigde Staten, 40517
- Michael W. Simon, MD, PSC /ID# 236517
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Maryland
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New Market, Maryland, Verenigde Staten, 21774-6154
- Frederick County Pediatrics /ID# 234519
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Minnesota
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Minneapolis, Minnesota, Verenigde Staten, 55413-2195
- MNGI Digestive Health, P. A. /ID# 238057
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New Jersey
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Marlton, New Jersey, Verenigde Staten, 08053
- Celen Medical Group Corp - Marlton /ID# 234922
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Oklahoma
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Oklahoma City, Oklahoma, Verenigde Staten, 73106
- IPS Research Company /ID# 237672
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Pennsylvania
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Philadelphia, Pennsylvania, Verenigde Staten, 19104-4319
- Children's Hospital of Philadelphia - Main /ID# 234313
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Pittsburgh, Pennsylvania, Verenigde Staten, 15236
- Preferred Primary Care Physicians, Inc. /ID# 236436
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Texas
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Fort Worth, Texas, Verenigde Staten, 76104
- Cook Children's Med. Center /ID# 237537
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Houston, Texas, Verenigde Staten, 77030-2608
- Texas Children's Hospital /ID# 238304
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San Antonio, Texas, Verenigde Staten, 78215
- Sun Research Institute /ID# 236933
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West Virginia
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Morgantown, West Virginia, Verenigde Staten, 26506
- West Virginia University Hospitals /ID# 256841
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verdrievoudigen
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
|---|---|
|
Experimenteel: Eluxadoline 25mg
Eluxadoline 25mg, oral administration, twice daily |
Oral tablets
Andere namen:
|
|
Experimenteel: Eluxadoline 50mg
Eluxadoline 50mg, oral administration, twice daily |
Oral tablets
Andere namen:
|
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Experimenteel: Eluxadoline 100mg
Eluxadoline 100mg, oral administration, twice daily |
Oral tablets
Andere namen:
|
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Experimenteel: Placebo
Dose-matched placebo, oral administration, twice daily |
Oral tablets |
Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change from baseline in stool consistency averaged over the 4-week Treatment Period
Tijdsspanne: 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
|
Secundaire uitkomstmaten
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Change from baseline in stool consistency for daily daytime and nighttime stool consistency scores
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
|
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Change from baseline for daytime, nighttime, and 24 hour urgency-free days
Tijdsspanne: 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
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Change from baseline for daytime, nighttime, and 24 hour number of fecal incontinence-free days
Tijdsspanne: 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
|
Medewerkers en onderzoekers
Sponsor
Sponsor
Onderzoekers
Onderzoekers
- Studie directeur: ABBVIE INC., AbbVie
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- 3030-202-002
- 2017 (Subsidie/contract van de Amerikaanse NIH)
- 2017-003770-14 (EudraCT-nummer)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
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-tijdsbestek voor delen
For details on when studies are available for sharing visit https://vivli.org/ourmember/abbvie/
IPD-toegangscriteria voor delen
To learn more about the process, or to submit a request, visit the following link https://www.abbvieclinicaltrials.com/hcp/data-sharing/
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
- MVO
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
product vervaardigd in en geëxporteerd uit de V.S.
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