- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT00494013
Comparison of Two Basal Insulins for Patients With Type 2 Diabetes (IOOY) (IOOY)
4 listopada 2009 zaktualizowane przez: Eli Lilly and Company
Treat-to-Target Comparison of Two Basal Insulin Analogs (Insulin Lispro Protamine Suspension and Comparator) in Basal Therapy for Patients With Type 2 Diabetes Mellitus
The purpose of this study is to examine the effectiveness and safety of insulin lispro protamine suspension (ILPS) as compared to insulin detemir as basal insulin therapy in adults with type 2 diabetes.
A gatekeeper strategy will be employed for sequentially testing the secondary objectives.
Przegląd badań
Status
Zakończony
Warunki
Interwencja / Leczenie
Typ studiów
Interwencyjne
Zapisy (Rzeczywisty)
442
Faza
- Faza 3
Kontakty i lokalizacje
Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.
Lokalizacje studiów
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Buenos Aires, Argentyna, C1188AAF
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Ramos Mejia, Argentyna, B1704ETD
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Lugo, Hiszpania, 27004
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Palma de Mallorca, Hiszpania, 07014
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Santa Cruz de Tenerife, Hiszpania, 38320
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Valencia, Hiszpania, 46015
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Bangalore, Indie, 560052
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Chennai, Indie, 600086
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Cochin, Indie, 682026
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Mumbai, Indie, 400 067
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Pune, Indie, 411011
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Chihuahua, Meksyk, 31238
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Guadalajara, Meksyk, 44340
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Krakow, Polska, 30-349
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Poznan, Polska, 61-495
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Rzeszow, Polska, 35-068
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Goyang-Si, Republika Korei, 410-719
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Sungnam-Si, Republika Korei, 463-712
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Alabama
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Hueytown, Alabama, Stany Zjednoczone, 35023
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Arizona
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Litchfield Park, Arizona, Stany Zjednoczone, 85340
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Phoenix, Arizona, Stany Zjednoczone, 85016
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California
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Buena Park, California, Stany Zjednoczone, 90620
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Fountain Valley, California, Stany Zjednoczone, 92708
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Los Angeles, California, Stany Zjednoczone, 90057
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Florida
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Jacksonville, Florida, Stany Zjednoczone, 32257
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Georgia
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Atlanta, Georgia, Stany Zjednoczone, 30312
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Illinois
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Chicago, Illinois, Stany Zjednoczone, 60612
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Indiana
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Evansville, Indiana, Stany Zjednoczone, 47714
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Indianapolis, Indiana, Stany Zjednoczone, 46202
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Newburgh, Indiana, Stany Zjednoczone, 47630
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Kentucky
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Lexington, Kentucky, Stany Zjednoczone, 40503
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Louisiana
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Slidell, Louisiana, Stany Zjednoczone, 70458
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Maryland
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Prince Frederick, Maryland, Stany Zjednoczone, 20678
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Michigan
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Novi, Michigan, Stany Zjednoczone, 48374
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Nevada
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Las Vegas, Nevada, Stany Zjednoczone, 89101
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New York
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Syracuse, New York, Stany Zjednoczone, 13210
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North Carolina
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Goldsboro, North Carolina, Stany Zjednoczone, 27530
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Ohio
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Cincinnati, Ohio, Stany Zjednoczone, 45236
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London, Ohio, Stany Zjednoczone, 43140
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Oregon
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Bend, Oregon, Stany Zjednoczone, 97701
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Pennsylvania
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Lansdale, Pennsylvania, Stany Zjednoczone, 19446
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South Carolina
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Taylors, South Carolina, Stany Zjednoczone, 29687
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Tennessee
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Johnson City, Tennessee, Stany Zjednoczone, 37604
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Texas
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Grand Prairie, Texas, Stany Zjednoczone, 75052
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Wisconsin
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Menomonee Falls, Wisconsin, Stany Zjednoczone, 53051
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Chiayi City, Tajwan, 600
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Neihu Taipei, Tajwan, 114
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Tainan, Tajwan, 704
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Taipei, Tajwan, 100
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Yung-Kang, Tainan, Tajwan, 710
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Budapest, Węgry, H-1139
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Eger, Węgry, 3300
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Mako, Węgry, 6900
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Szekesfehervar, Węgry, 8000
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Szekszard, Węgry, 7100
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Veszprem, Węgry, 8200
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Kryteria uczestnictwa
Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.
Kryteria kwalifikacji
Wiek uprawniający do nauki
18 lat i starsze (Dorosły, Starszy dorosły)
Akceptuje zdrowych ochotników
Nie
Płeć kwalifikująca się do nauki
Wszystko
Opis
Inclusion Criteria:
- Have type 2 diabetes mellitus for at least 1 year.
- Are at least 18 years old.
- Have been receiving oral antihyperglycemic medications (OAMs), without insulin, for at least 3 months immediately prior to the study and have been on stable doses of at least 2 of the following OAMs for the 6 weeks prior to Visit 1, at or above the doses defined in the following: Metformin--1500 milligrams per day (mg/day); Sulfonylureas--1/2 the maximum daily dose, according to the local package insert; Dipeptidyl peptidase-intravenous (DPP-IV) inhibitors-- 1/2 the maximum daily dose, according to the local package insert; Thiazolidinediones (TZDs)--30 mg/day pioglitazone or 4 mg/day rosiglitazone.
- Have a hemoglobin A1c (HbA1c) greater than or equal to 7.5% and less than or equal to 10.0%, as measured by a central laboratory before Visit 2.
- Body mass index (BMI) greater than or equal to 25 and less than or equal to 45 kilograms per square meter (kg/m2).
Exclusion Criteria
- Have used insulin therapy (outside of pregnancy) any time in the past 2 years, except for short-term treatment of acute conditions, and up to a maximum of 4 weeks.
- Have taken any glucose-lowering medications not included in Inclusion Criterion [3] (for example, acarbose, miglitol, pramlintide, exenatide, repaglinide, or nateglinide) in the past 3 months before Visit 1.
- Have had more than 1 episode of severe hypoglycemia, within 6 months prior to entry into the study, or is currently diagnosed as having hypoglycemia unawareness.
- Have a history of renal transplantation or are currently receiving renal dialysis or creatinine greater than or equal to 2.0 milligrams per deciliter (mg/dL) (177 micromoles per liter [micromol/L]).
- Have obvious clinical signs or symptoms, or laboratory evidence, of liver disease (alanine transaminase [ALT], or aspartate transaminase [AST] greater than 2 times the upper limit of the reference range, as defined by the local laboratory) or have albumin value above or below the normal reference range, as defined by the local laboratory.
Plan studiów
Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Brak (otwarta etykieta)
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Eksperymentalny: Insulin Lispro Protamine Suspension
Insulin Lispro Protamine Suspension: Patient specific dose administered subcutaneously once daily or twice daily x 24 weeks.
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Patient specific dose administered subcutaneously once daily or twice daily x 24 weeks.
Inne nazwy:
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Aktywny komparator: Detemir
Detemir: Patient specific dose administered subcutaneously once or twice daily x 24 weeks.
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Patient specific dose administered subcutaneously once or twice daily x 24 weeks.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Ramy czasowe |
|---|---|
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Change From Baseline to 24 Week Endpoint in Hemoglobin A1c (HbA1c)
Ramy czasowe: Baseline, 24 Weeks
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Baseline, 24 Weeks
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Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
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30-Day Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall
Ramy czasowe: Baseline to 24 Weeks
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Overall: any time after randomization.
Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL.
Nocturnal: any hypoglycemic event that occurred between bedtime and waking.
Severe: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with: a Roche blood glucose value <2.8 mmol/L or prompt recovery after oral carbohydrate, glucagon, or IV glucose.
30-day adjusted rate=(total number of episodes between 2 time intervals/number of days between intervals) X 30 days.
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Baseline to 24 Weeks
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Actual and Change From Baseline Hemoglobin A1c (HbA1c) Value at 12 Weeks and at 24 Weeks
Ramy czasowe: Baseline, 12 Weeks, 24 Weeks
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Baseline, 12 Weeks, 24 Weeks
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Percentage of Patients With HbA1c <7.0% and HbA1c < or = 6.5% at Endpoint
Ramy czasowe: 24 Weeks
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Percentage of patients achieving Hemaglobin A1c (HbA1c) targets of less than 7.0% and less than or equal to 6.5% at endpoint.
|
24 Weeks
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Glycemic Variability
Ramy czasowe: 24 Weeks
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Glycemic variability was measured by standard deviation (SD) value of fasting blood glucose as measured by intra-patient glycemic variability (determined by the 7-point self-monitoring blood glucose [SMBG] profiles at endpoint) for the actual morning pre-meal blood glucose value.
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24 Weeks
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7-point Self-monitored Blood Glucose (SMBG) Profile at Endpoint
Ramy czasowe: 24 Weeks
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Actual daily mean blood glucose levels at endpoint.
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24 Weeks
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Number of Participants With Self-reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe Hypoglycemia) Overall for All Study Periods
Ramy czasowe: Baseline to 24 Weeks
|
Overall: any time after randomization.
Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL.
Nocturnal: any hypoglycemic event that occurred between bedtime and waking.
Severe: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with: a Roche blood glucose value <2.8 mmol/L or prompt recovery after oral carbohydrate, glucagon, or IV glucose.
Results are for the combined titration and maintenance periods.
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Baseline to 24 Weeks
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1-Year Adjusted Rates of Self-Reported Hypoglycemic Episodes (Including All, Nocturnal, and Severe) Overall
Ramy czasowe: Baseline to 24 Weeks
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Overall: any time after randomization.
Hypoglycemic: any time patient experienced sign/symptom associated with hypoglycemia, or had old Roche blood glucose level <7 mg/dL.
Nocturnal: any hypoglycemic event that occurred between bedtime and waking.
Severe: event with symptoms consistent with neuroglycopenia in which patient requires assistance, and is associated with: a Roche blood glucose value <2.8 mmol/L or prompt recovery after oral carbohydrate, glucagon, or IV glucose.
1-year adjusted rate=(total number of episodes between 2 time intervals/number of days between intervals) X 365.25 days.
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Baseline to 24 Weeks
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Change in Absolute Body Weight (kg) From Baseline to 24 Week Endpoint
Ramy czasowe: Baseline, 24 Weeks
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Baseline, 24 Weeks
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Total Daily Insulin Dose (Units) at Endpoint
Ramy czasowe: 24 Weeks
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Insulin dose at endpoint was analyzed by 24-hour total daily insulin (units).
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24 Weeks
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Total Daily Insulin Dose Per Body Weight (Units/Kilograms) at Endpoint
Ramy czasowe: 24 Weeks
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Insulin dose at endpoint was analyzed by 24-hour total daily insulin per body weight (Units/kilograms).
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24 Weeks
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Number of Injections of Basal Insulin Analog at Endpoint
Ramy czasowe: 24 Weeks
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24 Weeks
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Współpracownicy i badacze
Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.
Sponsor
Publikacje i pomocne linki
Osoba odpowiedzialna za wprowadzenie informacji o badaniu dobrowolnie udostępnia te publikacje. Mogą one dotyczyć wszystkiego, co jest związane z badaniem.
Publikacje ogólne
- Qu Y, Jacober SJ, Zhang Q, Wolka LL, DeVries JH. Rate of hypoglycemia in insulin-treated patients with type 2 diabetes can be predicted from glycemic variability data. Diabetes Technol Ther. 2012 Nov;14(11):1008-12. doi: 10.1089/dia.2012.0099.
- Fogelfeld L, Dharmalingam M, Robling K, Jones C, Swanson D, Jacober S. A randomized, treat-to-target trial comparing insulin lispro protamine suspension and insulin detemir in insulin-naive patients with Type 2 diabetes. Diabet Med. 2010 Feb;27(2):181-8. doi: 10.1111/j.1464-5491.2009.02899.x.
Daty zapisu na studia
Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.
Główne daty studiów
Rozpoczęcie studiów
1 sierpnia 2007
Zakończenie podstawowe (Rzeczywisty)
1 września 2008
Ukończenie studiów (Rzeczywisty)
1 września 2008
Daty rejestracji na studia
Pierwszy przesłany
27 czerwca 2007
Pierwszy przesłany, który spełnia kryteria kontroli jakości
27 czerwca 2007
Pierwszy wysłany (Oszacować)
29 czerwca 2007
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Oszacować)
11 listopada 2009
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
4 listopada 2009
Ostatnia weryfikacja
1 listopada 2009
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- 10935 (DAIDS-ES)
- F3Z-MC-IOOY
Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .