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Een studie om de veiligheid en werkzaamheid van Sovateltide te beoordelen bij patiënten met acute cerebrale ischemische beroerte (RESPECT-ETB)

9 november 2026 bijgewerkt door: Pharmazz, Inc.

Een multicentrische, gerandomiseerde, dubbelblinde, parallelle, placebogecontroleerde fase III-studie om de veiligheid en werkzaamheid van sovateltide te beoordelen bij patiënten met acute cerebrale ischemische beroerte.

Extensive research is being conducted in search of neuroprotective agents for possible use in the acute phase of stroke and agents that can be used for neurorepair in later stages of stroke. Several trials have been conducted and are in progress using different pharmacological agents, but none of the studies involve the stimulation of ETB receptors to treat cerebral ischemic stroke. Sovateltide (IRL-1620, PMZ-1620) has been effective in animal models of cerebral ischemic stroke. Its safety and tolerability have been demonstrated in a human phase I study with 7 subjects. Clinical phase II and III results indicate that sovateltide is a novel, first-in-class, highly effective drug candidate for treating cerebral ischemic stroke. Safety and significant efficacy in improving the National Institutes of Health Stroke Scale (NIHSS), Modified Rankin scale (mRS), and Barthel index (BI) obtained in phase II and III studies in patients with cerebral ischemic stroke in India are convincing and encouraged us to investigate its safety and efficacy in cerebral ischemic stroke patients in the United States. Therefore, the plan is to conduct a phase III clinical study to evaluate the safety and efficacy of sovateltide therapy along with standard of care in patients of acute ischemic stroke.

Studie Overzicht

Gedetailleerde beschrijving

A stroke is a syndrome defined as an abrupt neurological outburst due to impaired blood flow to part of the brain. There are two types of stroke: hemorrhagic stroke and ischemic stroke. A hemorrhagic stroke follows the rupture of a weakened blood vessel in the brain causing accumulation of blood and compression of the surrounding brain tissue. An ischemic stroke follows a blocked blood vessel by a thrombus (blood clot) or embolism. In both types of strokes, the specific region of the brain supplied by the affected blood vessel is deprived of oxygenated blood, causing local hypoxia that damages the brain tissue and cells. Both types of stroke are very serious, however ischemic stroke is more common.

The global burden of ischemic stroke is nearly 4-fold greater than hemorrhagic stroke with close to 87% of the total incidence of stroke attributed to acute cerebral ischemic stroke (ACIS). ACIS is a critical care emergency caused by a significant reduction in blood flow to the brain by a blood clot or embolism. This nearly halts cerebral blood flow to the affected region leading to neuronal death. Neuronal cell death is followed by plasma membrane disruption, swelling of organelles, leaking of cell contents into extracellular space, and loss of neuronal function. Other events that take place include inflammation, excitotoxicity, free radical mediated toxicity, cytokine mediated cytotoxicity, impaired blood-brain-barrier, and oxidative stress.

Therapeutic management of ACIS is a multidisciplinary approach with a primary goal of revascularization and limiting neuronal injury. A stroke team consists of emergency medicine physicians, neurologists/neurosurgeons, radiologists, nurses and advanced care providers, clinical pharmacists, therapists, technicians, and laboratory personnel. Currently, the only FDA-approved pharmacological agent for ischemic stroke is tissue plasminogen activator (t-PA). It is a thrombolytic agent which restores blood flow by breaking down a clot. However, timing is crucial in administration of t-PA as the therapeutic time window is very narrow and the patient must receive it within 4.5 hours of onset of stroke symptoms. Therapeutic administration after this timeframe can result in hemorrhagic transformation, leading to additional brain damage. Nevertheless, even upon timely administration of t-PA in ACIS, only about 30% of patients obtain stroke resolution having minimal or no disability at the 90-day mark.

Sovateltide (PMZ-1620, IRL-1620) is a highly selective ETB receptor agonist and a synthetic analog of ET-1. Studies conducted to determine the effects brought about by sovateltide upon its interaction with neural ETB receptors and have found that it enhances angiogenesis and neurogenesis as well as promotes neural repair and regeneration. In a rat model of ischemic stroke, sovateltide was found to be neuroprotective as well as enhance angiogenic and neurogenic remodeling. Sovateltide significantly improved survival, reduced neurological and motor function deficit, while effectively decreasing infarct volume, edema, and oxidative stress.

Sovateltide was also found to be safe and well tolerated in healthy human volunteers in a phase I clinical trial (CTRI/2016/11/007509). A phase II study was also conducted in patients with acute ischemic stroke where sovateltide demonstrated significant improvement when compared to standard of care (CTRI/2017/11/010654, NCT04046484). A recent phase III study conducted in patients of acute ischemic stroke demonstrated improved favorable functional and neurological outcome at 3 months compared to standard of care (CTRI/2019/09/021373, NCT04047563).

Clinical phase II and III results indicate that sovateltide is a first-in-class neuronal progenitor cell therapeutic that promotes quick recovery and significantly improves neurological outcomes in cerebral ischemic stroke patients. With this convincing evidence, the plan is to conduct a multicentric, randomized, double-blind, parallel, placebo-controlled phase III clinical study in the United States, Canada, United Kingdom and Europe (the demographics and standard of treatment being similar in these countries) to further assess the safety and efficacy of sovateltide in patients with acute cerebral ischemic stroke.

Studietype

Ingrijpend

Inschrijving (Geschat)

514

Fase

  • Fase 3

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

Studie Locaties

      • Bad Neustadt an der Saale, Duitsland, 97616
      • Erlangen, Duitsland, 91054
      • Essen, Duitsland, 45147
        • Werving
        • Universitätsklinikum Essen AöR
        • Contact:
          • Prof. Dr. med. Martin Köhrmann
      • Lübeck, Duitsland, 23538
        • Werving
        • Universitätsklinikum Schleswig-Holstein AöR
        • Contact:
          • Prof. Dr. George Royl
      • Tübingen, Duitsland
    • Altenburg
      • Altenburg, Altenburg, Duitsland, 04600
        • Werving
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        • Contact:
          • Joerg Berrouschot
    • Lower Saxony
      • Göttingen, Lower Saxony, Duitsland, 37075
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        • Universitaetsklinikum Goettingen
        • Contact:
          • Ilko Maier
    • Ludwigshafen Am
      • Rhein, Ludwigshafen Am, Duitsland, 67063
        • Werving
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        • Contact:
          • Dr Simon Nagel
    • North Rhine-Westphalia
      • Minden, North Rhine-Westphalia, Duitsland, 32427
        • Werving
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        • Contact:
          • Dr Peter Schellinger
    • Recklinghausen
      • Recklinghausen, Recklinghausen, Duitsland, 45657
        • Werving
        • Klinik fuer Neurologie, Stroke Unit und Fruehrehabilitation Dorstener Strae 151
        • Contact:
          • Dr Stephan Klebe
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      • Berlin, State of Berlin, Duitsland, 12203
      • A Coruña, Spanje, 15006
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        • Contact:
          • Dr Mari Mar Freijo Guerrero
      • Girona, Spanje, 17007
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      • Melilla, Spanje, 52001
      • Santiago, Spanje, 15706
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          • Dr Manuel Rodriguez Yanez
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    • Castille-La Mancha
      • Albacete, Castille-La Mancha, Spanje, 2006
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    • Tarragona
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      • Harrow, Verenigd Koninkrijk, HA1 3UJ
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        • London North West University Healthcare NHS Trust - Northwick Park Hospital
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      • Newcastle, Verenigd Koninkrijk, NE1 4LP
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        • Contact:
          • Dr Narayanamoorthi Saravanan
    • London
      • London, London, Verenigd Koninkrijk, NW1 2BU
        • Werving
        • National Hospital for Neurology & Neurosurgery
        • Contact:
          • Dr Richard Perry
      • London, London, Verenigd Koninkrijk, SE5 9RS
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        • King's College Hospital NHS Foundation Trust
        • Contact:
          • Dr Yee Mah
      • London, London, Verenigd Koninkrijk, SW17 0QT
    • Southampton
      • Southampton, Southampton, Verenigd Koninkrijk, SO16 6YD
        • Werving
        • University Hospital Southampton
        • Contact:
          • Dr Richard Marigold
    • Wolverhampton
      • Wolverhampton, Wolverhampton, Verenigd Koninkrijk, WV10 0QP
        • Werving
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        • Contact:
          • Dr Nasar Ahmad
    • Arizona
      • Tucson, Arizona, Verenigde Staten, 85719
    • California
      • Carmichael, California, Verenigde Staten, 95608
        • Werving
        • Mercy Medical Group
        • Contact:
          • Lucian Maidan, MD
      • Oxnard, California, Verenigde Staten, 93030
        • Werving
        • St. John's Regional Medical Center
        • Contact:
          • Mani Nezhad
    • Florida
      • Sarasota, Florida, Verenigde Staten, 34239
        • Werving
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        • Contact:
          • Dr. Mauricio Concha
    • Georgia
      • Marietta, Georgia, Verenigde Staten, 30060
        • Werving
        • Wellstar Kennestone Hospital
        • Contact:
          • Dr. Ovais Inamullah
    • Missouri
      • Bridgeton, Missouri, Verenigde Staten, 63044
        • Werving
        • SSM Health Neurosciences
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          • Amer Alshekhlee, MD
    • New Jersey
      • Paramus, New Jersey, Verenigde Staten, 07652
        • Werving
        • Hackensack University Medical Center at Paramus
        • Contact:
    • North Carolina
      • Chapel Hill, North Carolina, Verenigde Staten, 27514
        • Werving
        • UNC Medical Center
        • Contact:
          • Dr. Ho, James
      • Greensboro, North Carolina, Verenigde Staten, 27401
        • Werving
        • Guilford Neurologic Associates Inc
        • Contact:
          • Dr. Pramod Sethi
    • Ohio
      • Columbus, Ohio, Verenigde Staten, 43210
        • Werving
        • OSU Wexner Medical Center
        • Contact:
          • Yousef Hannawi
    • Pennsylvania
      • Hershey, Pennsylvania, Verenigde Staten, 17033
      • Pittsburgh, Pennsylvania, Verenigde Staten, 15213
        • Werving
        • UPMC Presbyterian Hospital
        • Contact:
          • Dr Jussie Correia Lima
    • Tennessee
      • Chattanooga, Tennessee, Verenigde Staten, 37404
        • Werving
        • CHI Memorial Neuroscience Institute
        • Contact:
          • Thomas Devlin
    • Texas
      • Houston, Texas, Verenigde Staten, 77030
        • Werving
        • Baylor College of Medicine
        • Contact:
          • Dr. Rao, Chethan
      • Houston, Texas, Verenigde Staten, 77030
        • Werving
        • Memorial Hermann Hospital
        • Contact:
          • Mahan Shahrivari, MD
      • Houston, Texas, Verenigde Staten, 77030
        • Werving
        • Houston Medical Neurological Institute
        • Contact:
          • David Chui, MD

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 80 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

A patient will be eligible for inclusion in the study if he/she fulfills the following criteria:

  1. Adult males or females aged 18 - 80 years of age.
  2. Consent obtained per national laws and regulations, and in accordance with the applicable ethics committee requirements prior to study procedures.
  3. A stroke is ischemic in origin that is diagnosed clinically and/or radiologically confirmed by Computed Tomography (CT) scan or diagnostic magnetic resonance imaging (MRI) prior to enrolment. No hemorrhage as proved by cerebral CT/MRI scan.
  4. Cerebral ischemic stroke patients presenting within 24 hours after the onset of symptoms with NIHSS score of ≥8 and <20, NIHSS Level of Consciousness (1A) score <2 at the time of screening. This includes cerebral ischemic stroke patients who completely recovered from earlier episodes before having a new or fresh stroke having a pre-stroke historical measure of mRS score of 0-2.
  5. The patient is <24 hours from the time of stroke onset when the first dose of sovateltide is administered. Time of onset is when symptoms began; for stroke that occurred during sleep, time of onset is when the patient was last seen or was self- reported to be normal.
  6. Reasonable expectation of availability to receive the full sovateltide/placebo course of therapy and to be available for subsequent follow-up visits.

Exclusion Criteria:

A patient will not be eligible for inclusion in this study if they meet any of the following exclusion criteria:

  1. Patients receiving endovascular therapy or is a candidate for any surgical intervention for the treatment of stroke, which may include but not limited to endovascular techniques.
  2. Patients classified as comatose are defined as a patient who requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (NIHSS Level of Consciousness (1A) score ≥2).
  3. Evidence of intracranial hemorrhage (intracerebral hematoma, intraventricular hemorrhage, subarachnoid hemorrhage (SAH), epidural hemorrhage, acute or chronic subdural hematoma (SDH)) on the baseline CT or MRI scan.
  4. Known pregnancy and lactating women.
  5. Known medical history of neurological (other than current acute ischemic stroke) or psychiatric condition that, in the investigator's opinion, would confound the neurological and functional evaluations, lead to further deterioration of neurological status, or interfere with participation in this study.
  6. Concurrent participation in any other therapeutic clinical trial.
  7. Evidence of any other major life-threatening or serious medical condition that would prevent completion of the study protocol impair the assessment of outcome, or in which sovateltide therapy would be contraindicated or might cause harm to the patient.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Verviervoudigen

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Actieve vergelijker: Normal Saline + Standard of care

Normal saline will be used as a comparator. It will be available in a 5.0 mL vial. Three doses will be administered as an IV bolus over one minute every 3 hours ± 1 hour on day 1. The dose will be repeated on days 3 and 6 post randomization. The study drug will be administered as an IV bolus dose over 1 minute within 24 hours of the stroke onset.

Normal saline to be used as vehicle in the phase-III study to assess efficacy of sovateltide in patients with acute cerebral ischemic stroke.

Andere namen:
  • Voertuig
Experimenteel: Sovateltide + Standard of care

The test product is sovateltide. It is available as a lyophilized injection containing 30 µg of sovateltide in a 5.0 mL vial. Three doses of 0.3 μg/kg will be administered as an IV bolus over one minute every 3 hours ± 1 hour on day 1. The dose will be repeated on days 3 and 6 post randomization. The study drug will be administered as an IV bolus dose over 1 minute within 24 hours of the stroke onset.

Phase-III study to assess efficacy of sovateltide in patients with acute cerebral ischemic stroke.

Andere namen:
  • PMZ-1620

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Determine the efficacy of sovateltide in patients with acute cerebral ischemic stroke assessed by modified Rankin Scale (mRS) score of 0-2 at day 90 post-randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with a modified Rankin Scale score of 0-2 on day 90 post-randomization.

Day 1 through Day 90

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the National Institute of Health Stroke Scale (NIHSS) score of <6 at day 90 post-randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with NIHSS score of <6 on day 90 post-randomization.

Day 1 through Day 90
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the Barthel Index (BI) score of ≥90 at day 90 post-randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with BI score of ≥90 on day 90 post-randomization.

Day 1 through Day 90
Determine an excellent functional outcome in patients with acute cerebral ischemic stroke assessed by a modified Rankin Scale score of 0-1 at day 90 post-randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of acute cerebral ischemic stroke patients having an excellent functional outcome with a modified Rankin Scale score of 0-1 on day 90 post-randomization.

Day 1 through Day 90
Determine a change in Quality-of-life (QoL) as assessed by EuroQol-EQ-5D-5L and Stroke-Specific Quality of Life (SS-QOL) at days 30, 60, and 90 post-randomization.
Tijdsspanne: Day 1 through Day 90

Change in QoL as assessed by EuroQol EQ-5D-5L and by SS-QOL from baseline to days 30, 60, and 90 post-randomization.

Day 1 through Day 90
Determine the incidence of recurrent cerebral ischemic stroke within 90 days post-randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of patients with recurrent ischemic stroke within 90 days post-randomization.

Day 1 through Day 90
Determine the incidence of mortality within 90 days post-randomization.
Tijdsspanne: Day 1 through Day 90

Number of deaths within day 90 post-randomization.

Day 1 through Day 90
Determine the incidence of symptomatic Intracerebral Hemorrhage (ICH) within 24 (± 6) hours of randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of patients with symptomatic ICH within 24 (± 6) hours of randomization.

Day 1 through Day 90
Determine the incidence of radiographic Intracerebral Hemorrhage (ICH) within 24 (± 6) hours of randomization.
Tijdsspanne: Day 1 through Day 90

The proportion of patients with radiographic ICH within 24 (± 6) hours of randomization.

Day 1 through Day 90
Determine alteration in cognition at days 30 and 90 measured by Montreal Cognitive Assessment (MoCA) Test.
Tijdsspanne: Day 1 through Day 90

Change in MoCA score at days 30 and 90 post-randomization.

Day 1 through Day 90
Determine any adverse events (AE) or serious adverse events (SAEs) are associated with sovateltide.
Tijdsspanne: Day 1 through Day 90

The proportion of patients with adverse events (AEs) and serious adverse events (SAEs).

Day 1 through Day 90

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by mRS score of 0-2 at day 30 post-randomization.
Tijdsspanne: Day 1 through Day 30

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with a mRS score of 0-2 on day 30 post-randomization.

Day 1 through Day 30
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the NIHSS score of <6 at day 30 post-randomization.
Tijdsspanne: Day 1 through Day 30

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with NIHSS score of <6 on day 30 post-randomization.

Day 1 through Day 30
Determine a good functional outcome in patients with acute cerebral ischemic stroke assessed by the BI score of ≥90 at day 30 post-randomization.
Tijdsspanne: Day 1 through Day 30

The proportion of acute cerebral ischemic stroke patients having a good functional outcome with BI score of ≥90 on day 30 post-randomization.

Day 1 through Day 30
Determine Alberta Stroke Program Early CT (ASPECT) Score for stroke severity at baseline and identify sites of ischemic lesions.
Tijdsspanne: Day 1 through Day 90

Compare baseline Alberta Stroke Program Early CT (ASPECT) Score for stroke severity and identify sites of ischemic lesions.

Day 1 through Day 90
Determine the subtype of acute cerebral ischemic stroke according to TOAST classification at day 30 post-randomization.
Tijdsspanne: Day 1 through Day 30

Compare the subtype of acute cerebral ischemic stroke by TOAST classification at day 30 post-randomization.

Day 1 through Day 30

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Onderzoekers

  • Studie stoel: Anil Gulati, MD, PhD, Pharmazz, Inc.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

24 juli 2025

Primaire voltooiing (Geschat)

1 september 2027

Studie voltooiing (Geschat)

1 december 2027

Studieregistratiedata

Eerst ingediend

11 januari 2023

Eerst ingediend dat voldeed aan de QC-criteria

11 januari 2023

Eerst geplaatst (Werkelijk)

19 januari 2023

Updates van studierecords

Laatste update geplaatst (Werkelijk)

13 november 2026

Laatste update ingediend die voldeed aan QC-criteria

9 november 2026

Laatst geverifieerd

1 september 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

JA

Beschrijving IPD-plan

Following completion of the trial in 2027, the anonymized patient datasets created and/or analyzed for the current study can be accessed from the corresponding author at a reasonable request from a bona fide researcher/research group.

IPD-tijdsbestek voor delen

December 2027

IPD-toegangscriteria voor delen

Following completion of the trial in 2027, the anonymized patient datasets created and/or analyzed for the current study can be accessed from the corresponding author at a reasonable request from a bona fide researcher/research group.

IPD delen Ondersteunend informatietype

  • LEERPROTOCOOL

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Ja

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .

Abonneren