Dose-finding Study of YMI024 to Assess Efficacy, Safety, and Tolerability in Adults With Stable Coronary Artery Disease and Elevated hsCRP
A Phase 2b, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Dose-finding Study of YMI024 to Assess Efficacy in Reducing Inflammatory Markers, Safety, and Tolerability in Adults With Stable Coronary Artery Disease and Elevated hsCRP
The purpose of this Phase 2b study is to investigate the efficacy in reducing systemic inflammation, safety, tolerability, and dose response of five doses of YMI024, as compared to placebo in adult participants with stable coronary artery disease (CAD) and residual inflammatory risk defined by elevated high-sensitivity C-reactive protein (hsCRP) (≥2 mg/L)
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Szczegółowy opis
Participants are randomized in a 1:1:1:1:1:1 ratio to one of the six arms, with stratification by comorbidity status at randomization: CAD-only, CAD+ (Heart Failure) HF, and CAD+Chronic Kidney Disease (CKD), and receive study medication on top of stable standard-of-care therapies. The study employs double-blinding, concealing treatment allocation from participants, Investigators, Sponsor, and study staff, with identical packaging and labelling, schedule of administration and appearance for all study drugs.
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Novartis Pharmaceuticals
- Numer telefonu: 1-888-669-6682
- E-mail: novartis.email@novartis.com
Kopia zapasowa kontaktu do badania
- Nazwa: Novartis Pharmaceuticals
- Numer telefonu: +41613241111
Lokalizacje studiów
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South Australia
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Adelaide, South Australia, Australia, 5000
- Rekrutacyjny
- Novartis Investigative Site
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Victoria
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Frankston, Victoria, Australia, 3199
- Rekrutacyjny
- Novartis Investigative Site
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Melbourne, Victoria, Australia, 8008
- Rekrutacyjny
- Novartis Investigative Site
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Mulgrave, Victoria, Australia, 3170
- Rekrutacyjny
- Novartis Investigative Site
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Aichi-ken
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Kasugai, Aichi-ken, Japonia, 4870016
- Rekrutacyjny
- Novartis Investigative Site
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Chiba
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Matsudo, Chiba, Japonia, 2702251
- Rekrutacyjny
- Novartis Investigative Site
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Kanagawa
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Kamakura, Kanagawa, Japonia, 2478533
- Rekrutacyjny
- Novartis Investigative Site
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Osaka
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Matsubara, Osaka, Japonia, 5800032
- Rekrutacyjny
- Novartis Investigative Site
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Berlin, Niemcy, 10787
- Rekrutacyjny
- Novartis Investigative Site
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Mannheim, Niemcy, 68165
- Rekrutacyjny
- Novartis Investigative Site
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Pirna, Niemcy, 01796
- Rekrutacyjny
- Novartis Investigative Site
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Baden-Wurttemberg
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Stuttgart, Baden-Wurttemberg, Niemcy, 70376
- Rekrutacyjny
- Novartis Investigative Site
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Rhineland-Palatinate
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Kaiserslautern, Rhineland-Palatinate, Niemcy, 67655
- Rekrutacyjny
- Novartis Investigative Site
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Alabama
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Fairhope, Alabama, Stany Zjednoczone, 36532
- Rekrutacyjny
- Eastern Shore Research Institute
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Główny śledczy:
- Michael S Pursley
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Kontakt:
- Creagh Williams
- Numer telefonu: +1 251 928 8804
- E-mail: cwilliams@esriresearch.com
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Foley, Alabama, Stany Zjednoczone, 36535
- Rekrutacyjny
- G and L Research LLC
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Główny śledczy:
- Nidal Morrar
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Kontakt:
- Christine S Fuller
- E-mail: glresearch5@gmail.com
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California
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Los Angeles, California, Stany Zjednoczone, 90035
- Rekrutacyjny
- Biopharma Informatic LLC
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Główny śledczy:
- Christian Assad-Kottner
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Kontakt:
- Sanjana Andem
- Numer telefonu: +1 919 233 0059
- E-mail: sandem@biopharma.net
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Florida
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Coral Gables, Florida, Stany Zjednoczone, 33134
- Rekrutacyjny
- AMR Miami
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Główny śledczy:
- Abid Chaudhry
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Kontakt:
- Ronitza Odreman
- E-mail: Ronitza.Odreman@amr-clinical.com
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Kansas
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Wichita, Kansas, Stany Zjednoczone, 67207
- Rekrutacyjny
- Alliance for Multispecialty Research
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Główny śledczy:
- Saifullah Nasir
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Kontakt:
- Loria Awadallah
- Numer telefonu: +1 630 376 7858
- E-mail: loria.awadallah@amr-clinical.com
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Maryland
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Ft. Washington, Maryland, Stany Zjednoczone, 20744
- Rekrutacyjny
- Anderson Medical Research
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Główny śledczy:
- Felton Anderson
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Kontakt:
- Ann-Marie Cobb
- E-mail: andersonmedicalresearch@gmail.com
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Oxon Hill, Maryland, Stany Zjednoczone, 20745
- Rekrutacyjny
- MD Medical Research
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Główny śledczy:
- Stephen T Ong
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Kontakt:
- Marie Edwards
- Numer telefonu: +1 301 839 2008
- E-mail: marie.edwards@mdmedicalresearch.com
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Texas
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Amarillo, Texas, Stany Zjednoczone, 79106
- Rekrutacyjny
- Pharma Tex Research
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Główny śledczy:
- David Brabham
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Kontakt:
- Salma Villarreal
- Numer telefonu: +1 806 355 2581
- E-mail: sestradaptx@gmail.com
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Virginia
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Winchester, Virginia, Stany Zjednoczone, 22601
- Rekrutacyjny
- Selma Medical Associates
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Kontakt:
- Heather Neff
- Numer telefonu: +1 540 678 2800
- E-mail: hnresearch@selmamed.com
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Główny śledczy:
- Philip O Donnell
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London, Zjednoczone Królestwo, EC1A 7BE
- Rekrutacyjny
- Novartis Investigative Site
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Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
Akceptuje zdrowych ochotników
Płeć kwalifikująca się do nauki
Opis
Inclusion Criteria:
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Signed informed consent must be obtained prior to any study specific procedures, and participant able to understand and comply with study requirements.
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Male and female participants aged between 18-80 years (inclusive) at Screening.
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Documented stable CAD as evidenced by presence of at least one of the following criteria:
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Documented history of spontaneous (Type 1) myocardial infarction (MI) of presumed atherosclerotic origin that occurred at least 30 days before the start of Screening. If a Pre-screening visit is conducted, the MI must have occurred at least 30 days before that visit.
Diagnosis of the qualifying MI should be based on medical records and Investigator's judgment.
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Prior coronary revascularization (i.e. percutaneous coronary intervention (PCI) at least 30 days prior, or coronary artery bypass grafting (CABG), at least 6 months prior to Screening).
- Any prior PCI must have occurred at least 30 days prior to the Screening Visit (or if conducted, prior to the Pre screening visit).
- Any prior CABG must have occurred at least 6 months (i.e. 26 weeks) prior to the Screening (or if conducted, prior to the Pre-screening) Visit.
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Angiographic or CT-imaging (e.g., Multi Detector Computed Tomography/ Computed Tomography Angiography (MDCT/CTA)) evidence of coronary atherosclerosis: ≥50% stenosis in at least one major epicardial coronary artery.
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Coronary artery calcium (CAC) score of ≥300 AU by computed tomography.
To ensure adequate representation of patients with clinically relevant comorbidities and to enable prespecified subgroup analyses, the trial will include participants with key comorbidities as follows:
i. Moderate CKD Participants with moderate (Stage 3a/3b) kidney disease (CKD) defined as: Estimated Glomerular Filtration Rate (eGFR) ≥30 and ≤60 mL/min/1.73 m² (CKD EPI formula) at Screening.
ii. Chronic HF
Participants with a history of chronic heart failure (HF) defined as:
- NYHA Class II-III symptoms of HF requiring ongoing treatment with diuretics (loop diuretics, thiazide diuretics, and/or mineralocorticoid receptor antagonists) for ≥30 days prior to Screening, AND
- LVEF ≤40%, assessed by any standard modality (e.g., echocardiography, cardiac Magnetic Resonance Imaging (MRI), CT, MUGA, or ventricular angiography) on the most recent assessment within 12 months prior to Screening.
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Participants must have hsCRP levels ≥2 mg/L at two timepoints during Screening. Screening values must be separated by a minimum of 7 days. The initial hsCRP value must be a minimum of 30 days after a qualifying MI or after any PCI performed separately from the qualifying MI, or 6 months after CABG.
Note: Participants who choose to enter the optional Pre-screening period must have an hsCRP level, measured at a local laboratory, that is considered by the Investigator to be ≥2 mg/L. This Pre-screening hsCRP value (measured at the local laboratory) must be obtained at least 30 days after a qualifying MI or after any PCI performed separately from the qualifying MI, or 6 months after a CABG.
Irrespective of any Pre-screening hsCRP value, all participants must have two central laboratory hsCRP levels ≥2 mg/L at the two Screening visits to be eligible for randomization into the study.
Exclusion Criteria:
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Participants with recent major cardiovascular events or procedures, including:
- myocardial infarction, unstable angina, or percutaneous coronary intervention within 30 days prior to Screening (or Pre-screening, if conducted), or
- coronary artery bypass grafting or other cardiac surgery within 6 months prior to Screening (or Pre-screening, if conducted).
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Any major (cardiac or non-cardiac) surgical, interventional or endoscopic procedure (e.g: Percutaneous carotid intervention, carotid or peripheral arterial revascularization), or stroke, Transient ischemic attack (TIA), or acute limb ischemia within 12 weeks prior to Screening or Pre-screening, where applicable).
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Participants with a known systemic autoimmune or inflammatory disease (e.g., Systemic Lupus Erythematosus (SLE), Rheumatoid Arthritis (RA)); clinically active diverticulitis or inflammatory bowel disease within 12 months prior to Screening; or a history of gastrointestinal perforation.
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Patients with suspected or proven immunocompromised state at Screening (e.g., clinical diagnosis of Human Immunodeficiency Virus (HIV) or on antiretroviral therapy, absolute neutrophil count ≤1000/mm3) or any other medical condition in the opinion of the Investigator places the patient at unacceptable risk by receiving immunomodulatory therapy.
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Known or suspected active infection, or chronic or recurrent infectious disease, including but not limited to:
- Hepatitis B / Hepatitis C: Positive HBsAg, positive anti-HBc, positive anti-HBs, or positive anti-Hepatitis C Virus (HCV) at Screening.
- Note: Participants positive for anti-HBs after HBV vaccination but negative for HBsAg and anti-HBc are eligible per local guidelines and Sponsor agreement.
- Note: Participants positive for anti-HBc but negative for HBV Deoxyribonucleic Acid (DNA) receiving prophylactic HBV antiviral treatment (e.g., entecavir, lamivudine) are eligible per local guidelines and Sponsor agreement.
- Note: Participants positive for anti-HCV but consistently negative for HCV RNA >6 months after HCV antiviral treatment are eligible per local guidelines and Sponsor agreement.
- Tuberculosis (TB): Active or latent TB as indicated by a positive QuantiFERON® TB Gold Plus test or T-SPOT® TB test at Screening.
- Any other known active or suspected active infection, or chronic infection, or history of ongoing, chronic, or major recurrent infectious disease.
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Participants with any of the following renal or hepatic abnormalities at Screening are excluded:
- Renal dysfunction with Estimated Glomerular Filtration Rate (eGFR) <30 mL/min/1.73 m² (using CKD-EPI formula; s://.kidney.org/professionals/gfr_calculator).
- Evidence of hepatic disease as determined by any one of the following: Aspartate Aminotransferase (AST) (Serum Glutamic Oxaloacetic Transaminase (SGOT)) or Alanine Aminotransferase (ALT) (Serum Glutamic Pyruvic Transaminase (SGPT)) >3× ULN, or bilirubin >1.5 mg/dL at Screening (for patients with Gilbert's syndrome, total bilirubin <2× ULN is allowed).
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Current or prior history of severe heart failure of New York Heart Association (NYHA) Class IV.
Other protocol-defined inclusion/exclusion criteria may apply
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Poczwórny
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
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Eksperymentalny: YMI024 Dose 1
Participants receive YMI024 Dose 1 in addition to standard-of-care therapies. |
YMI024 in different doses |
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Eksperymentalny: YMI024 Dose 2
Participants receive YMI024 Dose 2 in addition to standard-of-care therapies. |
YMI024 in different doses |
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Eksperymentalny: YMI024 Dose 3
Participants receive YMI024 Dose 3 in addition to standard-of-care therapies. |
YMI024 in different doses |
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Eksperymentalny: YMI024 Dose 4
Participants receive YMI024 Dose 4 in addition to standard-of-care therapies. |
YMI024 in different doses |
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Eksperymentalny: YMI024 Dose 5
Participants receive YMI024 Dose 5 in addition to standard-of-care therapies. |
YMI024 in different doses |
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Komparator placebo: Placebo
Participants receive a matching placebo in addition to standard-of-care therapies |
matching placebo |
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change from baseline in log-transformed IL-6
Ramy czasowe: Baseline and approximately 3 months
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Change from baseline in log-transformed Interleukin-6 (IL-6) to evaluate the dose-response relationship using the Multiple Comparison Procedures (MCP) component of the Multiple Comparison Procedure-Modelling (MCP-Mod) methodology |
Baseline and approximately 3 months
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Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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Change from baseline in log-transformed IL-6
Ramy czasowe: Baseline and approximately 3 months
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Change from baseline in log-transformed IL-6 to characterize the dose-response relationship for YMI024 in IL-6 using the model-based (Mod) component of the MCP-Mod methodology |
Baseline and approximately 3 months
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Change from baseline in log-transformed hsCRP
Ramy czasowe: Baseline and approximately 3 months
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Change from baseline in log-transformed high-sensitivity C-reactive protein (hsCRP) |
Baseline and approximately 3 months
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Responder status - hsCRP <2 mg/L
Ramy czasowe: Approximately 3 months
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Responder status (Yes/No), defined as hsCRP <2 mg/L |
Approximately 3 months
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Responder status - hsCRP <1 mg/L
Ramy czasowe: Approximately 3 months
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Responder status (Yes/No), defined as hsCRP <1 mg/L |
Approximately 3 months
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Number of participants with adverse events
Ramy czasowe: Approximately 4 months
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Number of participants with adverse events, including abnormal vital signs, ECGs, and laboratory assessments |
Approximately 4 months
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Współpracownicy i badacze
Sponsor
Sponsor
Śledczy
Śledczy
- Dyrektor Studium: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- CYMI024A12202
- U1111-1339-3893 (Inny identyfikator: UTN number)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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