- ICH GCP
- Rejestr badań klinicznych w USA
- Badanie kliniczne NCT07712692
Evaluation of NWRD09 for HPV-16 Related Cervical HSIL
A Randomized, Double-Blind, Placebo-Controlled Phase II Clinical Study to Evaluate the Efficacy and Safety of NWRD09 in Patients With HPV16-Positive Cervical High-Grade Squamous Intraepithelial Lesion (HSIL)
Przegląd badań
Status
Interwencja / Leczenie
Szczegółowy opis
This is a Phase II, randomized, double-blind, placebo-controlled clinical trial designed to evaluate the efficacy and safety of NWRD09 in patients with HPV16 positive cervical high-grade squamous intraepithelial lesion (HSIL). Eligible participants are randomized to receive either NWRD09 or the corresponding placebo.
Participants will receive intramuscular injections of either NWRD09 or matching placebo at the corresponding dose at weeks 0, 2, 4, and 12 (a total of 4 doses).
Efficacy evaluations at Week 24 will include histopathological biopsy and HPV testing.
Typ studiów
Zapisy (Szacowany)
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
- Nazwa: Bin Li, M.D.
- Numer telefonu: 86-010-87788495
- E-mail: libin@cicams.ac.cn
Kopia zapasowa kontaktu do badania
- Nazwa: Nanan Lv, M.D.
- E-mail: lvanana@126.com
Lokalizacje studiów
-
-
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Dalian, Chiny
- Dalian Maternal and Child Health Hospital
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Kontakt:
- Lu Han
-
Główny śledczy:
- Lu Han, M.D.
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, Chiny
- Peking Union Medical College Hospital, Chinese Academy of Medical Sciences
-
Kontakt:
- Yi Yang, M.D.
- Numer telefonu: 86-010-69154187
- E-mail: yangyi@pumch.cn
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Główny śledczy:
- Yi Yang, M.D.
-
Beijing, Beijing Municipality, Chiny
- Beijing Obstetrics and Gynecology Hospital, Capital Medical University
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Kontakt:
- Yue He, M.D.
- Numer telefonu: 86-010-85968407
- E-mail: yueyue870610@ccmu.edu.cn
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Główny śledczy:
- Yue He, M.D.
-
Beijing, Beijing Municipality, Chiny
- Peking University First Hospital
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Kontakt:
- Jian Zhao, M.D.
- Numer telefonu: 86-010-69119025
- E-mail: 854496@qq.com
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Główny śledczy:
- Jian Zhao, M.D.
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Beijing, Beijing Municipality, Chiny
- Cancer Hospital, Chinese Academy of Medical Sciences
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Główny śledczy:
- Bin Li, M.D.
-
Kontakt:
- Bin Li
- Numer telefonu: 86-010-87788495
- E-mail: libin@cicams.ac.cn
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Pod-śledczy:
- Nanan Lv, M.D.
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Chongqing Municipality
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Chongqing, Chongqing Municipality, Chiny
- Chongqing University Cancer Hospital
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Główny śledczy:
- Dongling Zou, M.D.
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Kontakt:
- Numer telefonu: 86-023-65303082
- E-mail: cqszlyy@163.com
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Chongqing, Chongqing Municipality, Chiny
- The First Hospital Affiliated to AMU (SOUTHWEST HOSPITAL)
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Kontakt:
- Yanzhou Wang, M.D.
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Główny śledczy:
- Yanzhou Wang, M.D.
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Gansu
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Lanzhou, Gansu, Chiny
- Gansu Provincial Maternity and Child-care Hospital / Gansu Provincial central Hospital
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Kontakt:
- Ru lin, M.M.
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Główny śledczy:
- Ru Lin, M.M.
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Hebei
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Baoding, Hebei, Chiny
- Affiliated Hospital of Hebei University
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Kontakt:
- Yijuan Liang
- E-mail: hdfydbs@163.com
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Główny śledczy:
- Yijuan Liang, M.M.
-
-
Henan
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Zhengzhou, Henan, Chiny
- The Second Affiliated Hospital of Zhengzhou University
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Kontakt:
- Numer telefonu: 86-023-65303082
- E-mail: cqszlyy@163.com
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Kontakt:
- Hui Chen, M.D.
- Numer telefonu: 86-0371-63930334
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Główny śledczy:
- Hui Chen, M.D.
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Jiangsu
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Nanjing, Jiangsu, Chiny
- Nanjing Maternity and Child Health Care Hospital
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Kontakt:
- Numer telefonu: 86-023-65303082
- E-mail: cqszlyy@163.com
-
Kontakt:
- Boqun Xu, M.D.
- Numer telefonu: 86-025-52226919
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Główny śledczy:
- Boqun Xu, M.M.
-
-
Jilin
-
Changchun, Jilin, Chiny
- The Second Hospital of Jilin University
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Kontakt:
- Tianmin Xu, M.D.
- E-mail: xutianmin@126.com
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Główny śledczy:
- Tianmin Xu, M.D.
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Shandong
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Jinan, Shandong, Chiny
- Qilu Hospital of Shandong University
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Kontakt:
- Youzhong Zhang, M.D.
- Numer telefonu: 86-0531-82169135
- E-mail: zhangyouzhong@vip.sina.com
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Główny śledczy:
- Youzhong Zhang, M.D.
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-
Shanxi
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Taiyuan, Shanxi, Chiny
- Shanxi Maternal and Child Health Hospital
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Kontakt:
- Numer telefonu: 86-023-65303082
- E-mail: cqszlyy@163.com
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Kontakt:
- Xiaoli Li, M.D.
- Numer telefonu: 86-0351-3360320
- E-mail: Xiaoli-010@163.com
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Główny śledczy:
- Xiaoli Li, M.M.
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Xi’an, Shanxi, Chiny
- The First Affiliated Hospital of Xi'an Jiaotong University
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Kontakt:
- Ruifang An, M.D.
- Numer telefonu: 86-029-85323473
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Główny śledczy:
- Ruifang An, M.D.
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
Participants had to meet all of the following inclusion criteria:
- Age between 18 and 65 years (inclusive), female;
- Confirmed by the central laboratory: histopathologically diagnosed cervical high-grade squamous intraepithelial lesion (HSIL) and HPV genotyping positive for HPV16;
- Colposcopy results at each study center during the screening period must meet the following criteria:
1) The colposcopy examination is adequate, allowing clear visualization of the entire area of acetowhite epithelium or suspected cervical intraepithelial neoplasia (CIN) lesions, including the upper margin of the lesion; 2) If the upper margin of the lesion is not clearly visible, the endocervical curettage (ECC) result must be negative; 3) The area of cervical lesion is less than 75% of the cervical area visible by colposcopy; (4) Within 14 days (inclusive) before the first dose, major organ function meets the following criteria:
- Hematology: hemoglobin (Hb) ≥ 100 g/L; platelet count (PLT) ≥ 75 × 10⁹/L; absoluteneutrophil count ≥ 1.8 × 10⁹/L;
- Liver: total bilirubin (TB) ≤ 1.5 × upper limit of normal (ULN); alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN; plasma albumin ≥ 30 g/L;
- Kidney: serum creatinine (Cr) ≤ 1.5 × ULN, or creatinine clearance (Ccr) ≥ 40 mL/min (calculated by Cockcroft-Gault formula); (5) For premenopausal women with childbearing potential, serum pregnancy test within 14 days before the first dose must be negative. Eligible participants of childbearing potential and their spouse/partner must agree to use effective contraceptive measures during the study period or until 64 weeks after the first dose; (6) Fully understand the study and voluntarily sign the informed consent form (ICF), be able to communicate well with the investigator, and be able to complete all treatments, examinations, and visits as required by the study protocol.
Exclusion Criteria:
Participants with any of the following were excluded from the study:
- Any histopathologically confirmed cervical adenocarcinoma/adenocarcinoma in situ (AIS), vulvar, vaginal, or anal high-grade intraepithelial lesions, or invasive cancer;
- Women who are pregnant or breastfeeding, or who plan to become pregnant during the study period;
- Participation in another clinical trial within 30 days prior to screening, or currently being in the follow-up period of another clinical trial;
Continuous use (for more than 1 week) of systemic glucocorticoid therapy (at a dose equivalent to >10 mg/day prednisone or equivalent dose of other glucocorticoids) or other immunosuppressive agents within 30 days prior to screening, except for the following:
- Inhaled, ophthalmic, or topical glucocorticoid therapy at a dose ≤10 mg/day prednisone or equivalent is permitted;
- Physiological glucocorticoid replacement therapy at a dose ≤10 mg/day prednisone or equivalent;
- Continuous use (for more than 1 week) of immunosuppressants such as cyclosporine, tacrolimus, azathioprine, 6-mercaptopurine, anti-lymphocyte globulin, etc., within 30 days prior to screening;
- Receipt of any live vaccine within 4 weeks prior to the first dose, and/or any non-live vaccine within 2 weeks prior to the first dose;
- Any history of therapeutic HPV vaccination (approved prophylactic HPV vaccination is acceptable);
- Receipt of any drug or physical therapy for HSIL within 4 weeks prior to screening;
- Use of blood or blood-related products (including immunoglobulin) within 3 months prior to the first dose, or planned use during the study period;
- History of immunodeficiency or autoimmune disease (e.g., rheumatoid arthritis, systemic lupus erythematosus, multiple sclerosis, etc.), or currently active autoimmune disease requiring systemic treatment (e.g., with disease-modifying agents, corticosteroids, or immunosuppressants);
- Current or anticipated continuous use (for more than 1 week) of disease-modifying antirheumatic drugs (e.g., azathioprine, cyclophosphamide, cyclosporine, methotrexate) and biologic disease-modifying antirheumatic drugs (e.g., infliximab, adalimumab, etanercept) during the study period;
- History of solid organ or bone marrow transplantation;
- Previous or current other malignancy;
- Uncontrolled serious infection (> Grade 2 NCI-CTCAE, version 6.0);
- Positive test for hepatitis C virus (HCV) antibody, human immunodeficiency virus (HIV) antibody, or Treponema pallidum antibody; positive for hepatitis B surface antigen (HBsAg) unless HBV-DNA ≤ 2500 copies/mL or ≤ 500 IU/mL or within the normal range of the study site;
- Known allergy to any component of the investigational drug or similar drugs; history of severe allergic reactions to food, drugs, or other substances (e.g., urticaria, eczema, dyspnea, angioedema, etc.);
- Tattoos, scars, or active lesions/rash within 2 cm of the intended injection site (deltoid of the upper arm) that may affect safety observation;
- Severe dysfunction of other organs or cardiopulmonary disease;
- Definite history of neurological or psychiatric disorders, including epilepsy or dementia;
- History of drug abuse or alcohol use disorder;
- History or current evidence of any condition, treatment, laboratory abnormality, or other circumstances that may increase the risk of study participation or investigational product administration, or may interfere with interpretation of study results, and in the judgment of the investigator, make the participant unsuitable for enrollment in this study.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Randomizowane
- Model interwencyjny: Przydział równoległy
- Maskowanie: Poczwórny
Broń i interwencje
Grupa uczestników / Arm |
Interwencja / Leczenie |
|---|---|
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Eksperymentalny: 10 ug NWRD09
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NWRD09 administered by intramuscular injection at weeks 0, 2, 4, and 12.
|
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Eksperymentalny: 20 ug NWRD09
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NWRD09 administered by intramuscular injection at weeks 0, 2, 4, and 12.
|
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Komparator placebo: Placebo for the 10 ug NWRD09 arm
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Placebo administered by intramuscular injection at weeks 0, 2, 4, and 12.
|
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Komparator placebo: Placebo for the 20 ug NWRD09 arm
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Placebo administered by intramuscular injection at weeks 0, 2, 4, and 12.
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Co mierzy badanie?
Podstawowe miary wyniku
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Proportion of Participants with Histopathological Regression of Cervical Lesions to non-HSIL (LSIL/CIN1 or no lesion) at week 24.
Ramy czasowe: Week24
|
The number of participants with histopathologically confirmed CIN2/3 whose cervical lesions regress to CIN 1 or no lesions at the 24 week visit.
|
Week24
|
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
Incidence and severity of local and systemic adverse events (AEs).
Ramy czasowe: Up to week 64
|
Based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) V6.0, adverse events (AEs) and serious adverse events (SAEs) will be monitored.
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Up to week 64
|
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Incidence and severity of all serious adverse events (SAEs).
Ramy czasowe: Up to week 64
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Incidence and severity of all serious adverse events (SAEs) during the study period (e.g., suspected unexpected serious adverse reactions, unexpected adverse device effects).
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Up to week 64
|
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Pregnancy occurrences and outcomes during the study period.
Ramy czasowe: Up to week 64
|
Pregnancy occurrences and outcomes during the study period
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Up to week 64
|
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Incidence of investigational product-related adverse events (AEs) leading to treatment discontinuation.
Ramy czasowe: Up to week 64
|
Incidence of AEs leading to discontinuation of study treatment that are related to the investigational product.
|
Up to week 64
|
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Proportion of Participants with Histopathological Regression of Cervical Lesions to no lesions.
Ramy czasowe: Week 24
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Proportion of participants with histopathologically confirmed CIN2/3 whose cervical lesions regress to no lesions at the 24 week visit.
|
Week 24
|
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Proportion of Participants with Histopathological regression of Cervical Lesions to LSIL/CIN1.
Ramy czasowe: Week 24
|
Proportion of participants with histopathologically confirmed CIN2/3 whose cervical lesions regress to LSIL/CIN1 at the 24 week visit.
|
Week 24
|
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Proportion of Participants with Virologically-proven Clearance of HPV 16.
Ramy czasowe: Week 24
|
Proportion of participants with virologically-proven clearance of HPV16 on cervical genotyping at week 24 visit.
|
Week 24
|
|
Proportion of Participants with Histopathological Regression of Cervical Lesions to non-HSIL(LSIL /CIN1 or lesion) and with Virologically-proven Clearance of HPV 16.
Ramy czasowe: Week 24
|
Proportion of participants with histopathologically confirmed CIN2/3 whose cervical lesions regress to LSIL/CIN1 or no lesion and with virologically-proven clearance of HPV16 on cervical genotyping at week 24 visit.
|
Week 24
|
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Proportion of Participants with Histopathological Regression of Cervical Lesions to no Lesion and with Virologically-proven Clearance of HPV 16.
Ramy czasowe: Week 24
|
Proportion of participants with histopathologically confirmed CIN2/3 whose cervical lesions regress completely to no lesion and with virologically-proven clearance of HPV16 on cervical genotyping at week 24 visit.
|
Week 24
|
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Proportion of Participants with Histopathological Regression to non-HSIL (LSIL/CIN1 or no lesion) in Participants with Baseline HPV16-only Infection.
Ramy czasowe: Week 24
|
Proportion of participants with baseline cervical HSIL (CIN2/3) and HPV16-only infection whose cervical lesions regress histopathologically to non-HSIL (LSIL/CIN1 or no lesion) at week 24 visit.
|
Week 24
|
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Proportion of Participants with Histopathological Regression to no Lesion in Participants with Baseline HPV16-only Infection.
Ramy czasowe: Week 24
|
Proportion of participants with baseline cervical HSIL (CIN2/3) and HPV16-only infection whose cervical lesions regress histopathologically to no lesion at week 24 visit.
|
Week 24
|
|
Proportion of Participants with Virologically-proven Clearance of Both HPV16 and non-HPV16 in Participants with Baseline Co-infection with non-HPV16.
Ramy czasowe: Week 24
|
Proportion of participants with baseline cervical HSIL (CIN2/3) and co-infection with non-HPV16 who achieve clearance of both HPV16 and non-HPV16 on cervical genotyping at week 24 visit.
|
Week 24
|
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Proportion of Participants with Virologically-proven Clearance of non-HPV16 in Participants with Baseline Co-infection with non-HPV16.
Ramy czasowe: Week 24
|
Proportion of participants with baseline cervical HSIL (CIN2/3) and co-infection with non-HPV16 who achieve clearance of non-HPV16 on cervical genotyping at week 24 visit.
|
Week 24
|
|
Levels of cellular immune responses.
Ramy czasowe: Weeks 4, 8, 16, 24 and 48
|
Levels of cellular immune responses measured by interferon-gamma enzyme-linked immunospot (IFN-γ ELISPOT) assay in peripheral blood mononuclear cells (PBMCs) of subjects at baseline and at Weeks 4, 8, 16,24 and 48.
|
Weeks 4, 8, 16, 24 and 48
|
|
Levels of serum anti-HPV16 antibody titers.
Ramy czasowe: Weeks 4, 8, 16, 24 and 48
|
Levels of serum anti-HPV16 antibody titers measured in peripheral blood samples collected at baseline and at Weeks 4, 8, 16, 24 and 48.
|
Weeks 4, 8, 16, 24 and 48
|
Współpracownicy i badacze
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Szacowany)
Zakończenie podstawowe (Szacowany)
Ukończenie studiów (Szacowany)
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Słowa kluczowe
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
- NWRD09-202
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Ramy czasowe udostępniania IPD
Typ informacji pomocniczych dotyczących udostępniania IPD
- PROTOKÓŁ BADANIA
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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 .
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-
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-
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Zimmer BiometErasmus Medical CenterZakończonyTendinopatia ścięgna AchillesaHolandia
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-
TCRx Therapeutics Co.LtdTongji HospitalRekrutacyjnyChłoniak nieziarniczy | Rozlany chłoniak z dużych komórek B (DLBCL)Chiny
-
Qilu Pharmaceutical Co., Ltd.Jeszcze nie rekrutacjaHeterozygotyczna rodzinna hipercholesterolemia (HeFH)
-
Hangzhou Dinovate Biotech Co., LtdJeszcze nie rekrutacjaPierwotna hipercholesterolemia
-
YANRU WANGAllorunning TherapeuticsJeszcze nie rekrutacjaChłoniak | Nowotwory hematologiczneChiny