- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT04801420
Fase 2-studie van VLA15, een kandidaat-vaccin tegen Lyme-borreliose, in een gezonde pediatrische en volwassen onderzoekspopulatie
Veiligheids- en immunogeniciteitsstudie van VLA15, een multivalent recombinant OspA-gebaseerd kandidaat-vaccin tegen Lyme-borreliose: een gerandomiseerde, gecontroleerde, waarnemer-blinde fase 2-studie in een gezonde pediatrische en volwassen onderzoekspopulatie
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
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Connecticut
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Bridgeport, Connecticut, Verenigde Staten, 06606
- New England Research Associates
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Stamford, Connecticut, Verenigde Staten, 06905
- Stamford Therapeutics Consortium
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Waterbury, Connecticut, Verenigde Staten, 06708
- Chase Medical Research, LLC
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Waterbury, Connecticut, Verenigde Staten, 06708
- Pediatric Associates of Conn. PC
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Minnesota
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Minneapolis, Minnesota, Verenigde Staten, 55402
- Clinical Research Institute, Inc.
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New Jersey
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East Orange, New Jersey, Verenigde Staten, 07018
- Foundation Pediatrics
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Irvington, New Jersey, Verenigde Staten, 07111
- Med Clinical Research Partners, LLC
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New York
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Binghamton, New York, Verenigde Staten, 13905
- Meridian Clinical Research LLC
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Rochester, New York, Verenigde Staten, 14609
- Rochester Clinical Research, Inc.
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Staten Island, New York, Verenigde Staten, 10314
- Richmond Behavioral Associates
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The Bronx, New York, Verenigde Staten, 10467
- Advantage Clinical Trials
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Ohio
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Cleveland, Ohio, Verenigde Staten, 44122
- Velocity Clinical Research, Inc.
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Pennsylvania
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Erie, Pennsylvania, Verenigde Staten, 16506
- Allegheny Health and Wellness Pavilion
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Erie, Pennsylvania, Verenigde Staten, 16508
- Liberty Family Practice
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Fort Washington, Pennsylvania, Verenigde Staten, 19034
- Lockman & Lubell Pediatric Associates
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Rhode Island
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Providence, Rhode Island, Verenigde Staten, 02906
- The Miriam Hospital
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Providence, Rhode Island, Verenigde Staten, 02903
- Rhode Island Hospital
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Providence, Rhode Island, Verenigde Staten, 02903
- Hasbro Children's Hospital
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Warwick, Rhode Island, Verenigde Staten, 02886
- Velocity Clinical Research Providence
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Beschrijving
Inclusiecriteria:
- Proefpersoon is op de dag van de screening tussen de 5 en 65 jaar (Bezoek 0)
- Onderwerp is in goede algemene gezondheid
Ouder(s)/wettelijke vertegenwoordiger(s) en proefpersoon begrijpen het onderzoek en de bijbehorende procedures, gaan akkoord met de bepalingen ervan
- voor proefpersonen van 18-65 jaar: schriftelijke geïnformeerde toestemming voorafgaand aan studiegerelateerde procedures
- voor proefpersonen van 5-17 jaar: schriftelijke geïnformeerde toestemming door de wettelijke vertegenwoordiger(s) van de proefpersoon, volgens lokale vereisten, en schriftelijke geïnformeerde toestemming van de proefpersoon, indien van toepassing, voorafgaand aan enige studiegerelateerde procedures.
Als de proefpersoon zwanger kan worden: De proefpersoon heeft een negatieve serumzwangerschapstest bij screening (Bezoek 0) en stemt ermee in om adequate anticonceptiemaatregelen toe te passen volgens de volgende tijdlijnen:
- Hoofdstudiefase: duur van de gehele studie
- Boosterfase: tot maand 23 (d.w.z. 5 maanden na boosterdosis)
- Proefpersoon is bereid en in staat zich te houden aan geplande bezoeken, behandelplan en andere onderzoeksprocedures
- Proefpersoon is beschikbaar voor de duur van het onderzoek en is tijdens deelname aan het onderzoek telefonisch bereikbaar
Uitsluitingscriteria:
- Proefpersoon heeft een chronische ziekte gerelateerd aan Lyme-borreliose (LB), een actieve symptomatische LB, of is in de laatste 3 maanden voorafgaand aan dag 1 behandeld voor LB;
- Proefpersoon eerder gevaccineerd tegen LB;
- Proefpersoon had binnen 4 weken voorafgaand aan dag 1 een tekenbeet;
- Proefpersoon heeft een medische voorgeschiedenis van of heeft momenteel een klinisch relevante ziekte;
- De patiënt heeft een medische voorgeschiedenis van of heeft momenteel een neuro-inflammatoire of auto-immuunziekte;
- Proefpersoon heeft een bekende trombocytopenie, bloedingsstoornis of heeft in de 3 weken voorafgaand aan dag 1 anticoagulantia gekregen;
- De proefpersoon heeft binnen 4 weken voorafgaand aan dag 1 een actieve of passieve immunisatie gekregen;
- De proefpersoon heeft binnen 4 weken voorafgaand aan de vaccinatie op dag 1 een ander geregistreerd of niet-geregistreerd geneesmiddel gekregen in een ander klinisch onderzoek;
- Proefpersoon heeft een bekend of vermoed defect van het immuunsysteem of kreeg immunosuppressieve therapie binnen 4 weken voorafgaand aan Dag 1;
- De proefpersoon heeft een voorgeschiedenis van anafylaxie met onbekende oorzaak of ernstige allergische reacties met onbekende oorzaak of heeft een bekende overgevoeligheid of allergische reactie op een van de componenten van het vaccin;
- Proefpersoon had in de afgelopen 5 jaar een maligniteit;
- De proefpersoon is zwanger, heeft plannen om zwanger te worden in de loop van het onderzoek of geeft borstvoeding op het moment van inschrijving;
- Proefpersoon heeft 4 weken voorafgaand aan Dag 1 bloed of van bloed afgeleide producten gedoneerd of is van plan dit te doen;
- De proefpersoon heeft een aandoening die zijn welzijn in gevaar kan brengen, die de evaluatie van onderzoekseindpunten kan verstoren of die het vermogen van de proefpersoon om de studie af te ronden, kan beperken;
- Betrokkene bevindt zich in een afhankelijkheidsrelatie;
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Deel A+B - Groep 1
Deel A: VLA15 op maand 0, 2 en 6 Deel B: VLA15 op maand 18, 30 en 42
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een op multivalent recombinant Outer Surface Protein A (OspA) gebaseerd kandidaat-vaccin
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Experimenteel: Deel A+B - Groep 2
Deel A: VLA15 op maand 0 en 6, placebo op maand 2 Deel B: VLA15 op maand 18, 30 en 42
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een op multivalent recombinant Outer Surface Protein A (OspA) gebaseerd kandidaat-vaccin
PBS (fosfaatgebufferde zoutoplossing)
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Placebo-vergelijker: Deel A+B - Groep 3
Deel A: Placebo op maand 0, 2 en 6 Deel B: Placebo op maand 18, 30 en 42
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PBS (fosfaatgebufferde zoutoplossing)
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Percentage of Participants With Solicited Local and Solicited Systemic Adverse Events (AEs) Within 7 Days After Vaccination 1
Tijdsspanne: From Day 1 to Day 7 after vaccination 1 at Month 0
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness meeting grading scale (MGS), swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 1 at Month 0
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Vaccination 2
Tijdsspanne: From Day 1 to Day 7 after vaccination 2 at Month 2
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 2 at Month 2
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Vaccination 3
Tijdsspanne: From Day 1 to Day 7 after vaccination 3 at Month 6
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 3 at Month 6
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Any Vaccination During the Main Study Phase
Tijdsspanne: From Day 1 to Day 7 after any vaccination 1, 2 or 3 at Month 0, 2 and 6, respectively
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after any vaccination 1, 2 or 3 at Month 0, 2 and 6, respectively
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Geometric Mean Titers (GMTs) for Immunoglobulin G (IgG) Against Each Outer Surface Protein A (OspA) Serotype (ST1 to ST6) at Day 208 During the Main Study Phase
Tijdsspanne: At Day 208 (Month 7)
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GMTs for IgG against each OspA serotype ST1 to ST6, determined by an IgG binding assay at Day 208 was presented in this outcome measure.
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At Day 208 (Month 7)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Vaccination 1 Booster Dose
Tijdsspanne: From Day 1 to Day 7 after vaccination 1 booster dose at Month 18
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 1 booster dose at Month 18
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Vaccination 2 Booster Dose
Tijdsspanne: From Day 1 to Day 7 after vaccination 2 booster dose at Month 30
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 2 booster dose at Month 30
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Percentage of Participants With Solicited Local and Solicited Systemic AEs Within 7 Days After Vaccination 3 Booster Dose
Tijdsspanne: From Day 1 to Day 7 after vaccination 3 booster dose at Month 42
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Participants or their legal guardians were required to record any solicited local and systemic AEs in the electronic diary.
Solicited symptoms were pre-defined symptoms which were collected via an electronic diary.
Solicited local AEs included pain, tenderness, erythema/redness MGS, swelling MGS and induration/hardening MGS.
Solicited systemic AEs included headache, muscle pain, joint pain, nausea, vomiting, fatigue and fever.
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From Day 1 to Day 7 after vaccination 3 booster dose at Month 42
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Percentage of Participants With Serious Adverse Events (SAEs)
Tijdsspanne: From Day 1 of vaccination 1 up to 6 months following the last booster dose (up to Month 48)
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A SAE was any untoward medical occurrence that at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; was another medically important condition.
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From Day 1 of vaccination 1 up to 6 months following the last booster dose (up to Month 48)
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Percentage of Participants With Adverse Events of Special Interest (AESIs)
Tijdsspanne: From Day 1 of vaccination 1 up to 6 months following the last booster dose (up to Month 48)
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An AESI (serious or non-serious) was one of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor were appropriate.
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From Day 1 of vaccination 1 up to 6 months following the last booster dose (up to Month 48)
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Percentage of Participants With Unsolicited AE
Tijdsspanne: Up to 28 Days after vaccination 1, 2 or 3 at Month 0, 2 and 6, respectively, and up to 28 Days after vaccination 1, 2 or 3 booster dose at Month 18, 30 and 42, respectively
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An AE was any untoward medical occurrence in a participant administered an investigational product, whether or not related to this treatment.
Unsolicited AEs were defined as any solicited local or systemic AE if it had an onset date more than 6 days after vaccination or any other symptom or untoward medical event.
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Up to 28 Days after vaccination 1, 2 or 3 at Month 0, 2 and 6, respectively, and up to 28 Days after vaccination 1, 2 or 3 booster dose at Month 18, 30 and 42, respectively
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Percentage of Participants With SAEs, AESIs, Solicited and Unsolicited AEs Stratified by Age Group
Tijdsspanne: SAEs & AESIs: From Day 1 of vaccination up to Month 48; Solicited AEs: from Day 1 to Day 7 after vaccination 1, 2, 3, 4, 5 and 6; Unsolicited AEs: up to 28 Days after vaccination 1, 2, 3, 4, 5 and 6
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Percentage of participants with SAEs, AESIs, solicited and unsolicited AEs stratified by age group 5-11, 12-17 and 18-65 years were reported.
SAE: any untoward medical occurrence that at any dose: resulted in death; required inpatient hospitalization or prolongation of existing hospitalization; was life-threatening; resulted in persistent or significant disability/incapacity; was a congenital anomaly/birth defect; was another medically important condition.
AESI: scientific and medical concern specific to the sponsor's product or program.
Solicited AE: predefined reactions at injection site or systemic reactions after each vaccination.
Unsolicited AEs: any solicited local or systemic AE if it had an onset date more than 6 days after vaccination or any other symptom or untoward medical event.
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SAEs & AESIs: From Day 1 of vaccination up to Month 48; Solicited AEs: from Day 1 to Day 7 after vaccination 1, 2, 3, 4, 5 and 6; Unsolicited AEs: up to 28 Days after vaccination 1, 2, 3, 4, 5 and 6
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GMTs for IgG Against Each OspA Serotype (ST1 to ST6) at Baseline, Days 85, 180, 365 and Month 18
Tijdsspanne: Baseline; Days 85, 180 and 365; Month 18
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GMTs for IgG against each OspA serotype ST1 to ST6, determined by an IgG binding assay were evaluated.
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Baseline; Days 85, 180 and 365; Month 18
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Seroconversion Rate (SCR) at Days 85, 180, 208, 365 and Month 18
Tijdsspanne: Days 85, 180, 208 and 365; Month 18
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Seroconversion for enzyme linked immunosorbent assay (ELISA) was defined as a change from seronegative at baseline to seropositive at a measured time point.
For participants who were OspA seropositive at baseline, seroconversion was defined as a greater than or equal to (>=) 4-fold rise in IgG antibody titer from baseline.
SCR was percentage of participants with seroconversion reported for each OspA serotype specific IgG ST1 to ST6, as determined by ELISA.
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Days 85, 180, 208 and 365; Month 18
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Geometric Mean of the Fold Rise (GMFR) for IgG When Compared to Baseline Against Each OspA Serotype (ST1 to ST6) at Days 85 and 208
Tijdsspanne: Days 85 and 208
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GMFR for IgG when compared to baseline against each OspA serotype ST1 to ST6, determined by IgG binding assay at Day 85 and Day 208 were evaluated.
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Days 85 and 208
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GMTs for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group at Baseline, Days 85, 180, 194, 365 and Month 18
Tijdsspanne: Baseline; Days 85, 180, 194 (18 to 65 years only) and 365; Month 18
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GMTs for IgG against each OspA serotype ST1 to ST6, determined by an IgG binding assay stratified by age group (5-11, 12-17 and 18-65 years) were evaluated.
Day 194 data was reported for adult participants only as pre-specified in protocol.
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Baseline; Days 85, 180, 194 (18 to 65 years only) and 365; Month 18
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SCR Stratified by Age Group at Days 85, 180, 194, 208, 365 and Month 18
Tijdsspanne: Days 85, 180, 194 (18 to 65 years only), 208 and 365; Month 18
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Seroconversion for ELISA was defined as a change from seronegative at baseline to seropositive at a measured time point.
For participants who were OspA seropositive at baseline, seroconversion was defined as a >=4-fold rise in IgG antibody titer from baseline.
SCR was percentage of participants with seroconversion reported for each OspA serotype specific IgG ST1 to ST6, as determined by ELISA.
Day 194 data was reported for adult participants only as pre-specified in protocol.
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Days 85, 180, 194 (18 to 65 years only), 208 and 365; Month 18
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GMFR for IgG When Compared to Baseline Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group at Days 85 and 208
Tijdsspanne: Days 85 and 208
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GMFR for IgG when compared to baseline against each OspA serotype ST1 to ST6, stratified by age group (5-11, 12-17 and 18-65 years) determined by IgG binding assay at Day 85 and Day 208 were evaluated.
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Days 85 and 208
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GMTs for IgG Against Each OspA Serotype (ST1 to ST6) at Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
Tijdsspanne: Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
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GMTs for IgG against each OspA serotype ST1 to ST6, determined by an IgG binding assay were evaluated.
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Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
|
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SCR at Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
Tijdsspanne: Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
|
Seroconversion for ELISA was defined as a change from seronegative at baseline to seropositive at a measured time point.
For participants who were OspA seropositive at baseline, seroconversion was defined as a >=4-fold rise in IgG antibody titer from baseline.
SCR was percentage of participants with seroconversion reported for each OspA serotype specific IgG ST1 to ST6, as determined by ELISA.
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Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
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GMFR for IgG Against Each OspA Serotype (ST1 to ST6) at Months 19, 31 and 43 During the Booster Phase
Tijdsspanne: Months 19, 31 and 43
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GMFRs for IgG were determined by IgG binding assay for each OspA serotype (ST1-ST6) at Months 19, 31, and 43 relative to the corresponding pre-booster timepoints Months 18, 30, and 42, respectively.
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Months 19, 31 and 43
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GMTs for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group at Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
Tijdsspanne: Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
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GMTs for IgG against each OspA serotype ST1 to ST6, determined by an IgG binding assay stratified by age group (5-11, 12-17 and 18-65 years) were evaluated.
|
Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
|
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SCR Stratified by Age Group at Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
Tijdsspanne: Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
|
Seroconversion for ELISA was defined as a change from seronegative at baseline to seropositive at a measured time point.
For participants who were OspA seropositive at baseline, seroconversion was defined as a >=4-fold rise in IgG antibody titer from baseline.
SCR was percentage of participants with seroconversion reported for each OspA serotype specific IgG ST1 to ST6, as determined by ELISA.
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Months 18, 19, 23, 26, 30, 31, 39, 42, 43 and 48
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GMFR for IgG Against Each OspA Serotype (ST1 to ST6) Stratified by Age Group at Months 19, 31 and 43 During the Booster Phase
Tijdsspanne: Months 19, 31 and 43
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GMFRs for IgG were determined by IgG binding assay for each OspA serotype (ST1-ST6), stratified by age group (5-11, 12-17 and 18-65 years) at Months 19, 31, and 43 relative to the corresponding pre-booster timepoints Months 18, 30, and 42, respectively.
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Months 19, 31 and 43
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Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Studie directeur: Pfizer CT.gov Call Center, Pfizer
Publicaties en nuttige links
Algemene publicaties
- Wagner L, Obersriebnig M, Kadlecek V, Hochreiter R, Ghadge SK, Larcher-Senn J, Hegele L, Maguire JD, Derhaschnig U, Jaramillo JC, Eder-Lingelbach S, Bezay N. Immunogenicity and safety of different immunisation schedules of the VLA15 Lyme borreliosis vaccine candidate in adults, adolescents, and children: a randomised, observer-blind, placebo-controlled, phase 2 trial. Lancet Infect Dis. 2025 Sep;25(9):986-999. doi: 10.1016/S1473-3099(25)00092-1. Epub 2025 Apr 25.
- Wagner L, Obersriebnig M, Hochreiter R, Kadlecek V, Larcher-Senn J, Hegele L, Maguire JD, Murphy T, Derhaschnig U, Bezay N, Jaramillo JC, Eder-Lingelbach S, Messier M. Immunogenicity and safety of an 18-month booster dose of the VLA15 Lyme borreliosis vaccine candidate after primary immunisation in children, adolescents, and adults in the USA: a randomised, observer-blind, placebo-controlled, phase 2 trial. Lancet Infect Dis. 2026 Mar;26(3):314-328. doi: 10.1016/S1473-3099(25)00541-9. Epub 2025 Nov 7.
- Wagner L, Kadlecek V, Skaroupkova J, Scharnagl N, Hochreiter R, Messier M, Jaramillo JC, Larcher-Steiner J, Hegele L, Lamberth E, Murphy T, Maguire JD, Clarkin C, Derhaschnig U, Eder-Lingelbach S. A second yearly booster dose of the VLA15 Lyme borreliosis vaccine candidate in healthy individuals. Nat Commun. 2026 Aug 4;17(1):9386. doi: 10.1038/s41467-026-75871-3.
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- VLA15-221
- C4601008 (Andere identificatie: Alias Study Number)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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