A Study to Investigate the Safety and Efficacy of Efimosfermin Alfa Compared With Placebo in Adult Participants With Alcohol-related Liver Disease (ALD) (ALLSTAR)
A Dose-finding, Double-blind, Randomized, Placebo-controlled Phase 2 Study to Evaluate the Efficacy and Safety of Treatment With Efimosfermin Alfa in Adult Participants With Alcohol-related Liver Disease (ALD)
This is a dose-ranging study to evaluate safety of efimosfermin alfa and to establish proof-of-concept that efimosfermin alfa therapy provides benefit in participants with ALD.
Visão geral do estudo
Status
Status
Condições
Condições
Intervenção / Tratamento
Intervenção / Tratamento
Tipo de estudo
Tipo de estudo
Inscrição (Estimado)
Inscrição
Estágio
Estágio
- Fase 2
Contactos e Locais
Contato de estudo
Contato de estudo
- Nome: US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
Estude backup de contato
- Nome: EU GSK Clinical Trials Call Center
- Número de telefone: +44 (0) 20 89904466
- E-mail: GSKClinicalSupportHD@gsk.com
Locais de estudo
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Buenos Aires, Argentina, 1061
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Raul Adrover
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CABA, Argentina, C1056ABI
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Maria Anders
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Ciudad AutOnoma de Buenos Aire, Argentina, 1118
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Nora Cejas
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Rosario, Argentina, S2002
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Juan Favareto
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San Miguel de Tucumán, Argentina, T4000IHE
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Maria Daniela Pérez
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Ontario
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Toronto, Ontario, Canadá, M1S 4T7
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Anshul Arora
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Pusan, Coréia do Sul, 49241
- Recrutamento
- GSK Investigational Site
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Investigador principal:
- Jeong Heo
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Seoul, Coréia do Sul, 05505
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Won-Mook Choi
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Seoul, Coréia do Sul, 135-710
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Dong Hyun Sinn
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Arizona
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Chandler, Arizona, Estados Unidos, 85224-4711
- Recrutamento
- GSK Investigational Site
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Investigador principal:
- Anita Kohli
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Florida
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Miami Lakes, Florida, Estados Unidos, 33016
- Recrutamento
- GSK Investigational Site
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Investigador principal:
- William Sanchez
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
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Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Kansas
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Topeka, Kansas, Estados Unidos, 66606
- Recrutamento
- GSK Investigational Site
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Investigador principal:
- Shekhar Challa
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Texas
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Fort Worth, Texas, Estados Unidos, 76104
- Recrutamento
- GSK Investigational Site
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Investigador principal:
- Thomas Cotter
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San Antonio, Texas, Estados Unidos, 78215
- Recrutamento
- GSK Investigational Site
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Investigador principal:
- Eric Lawitz
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Contato:
- US GSK Clinical Trials Call Center
- Número de telefone: 877-379-3718
- E-mail: GSKClinicalSupportHD@gsk.com
-
Contato:
- EU GSK Clinical Trials Call Centre
- Número de telefone: +44 (0) 20 8990 4466
- E-mail: GSKClinicalSupportHD@gsk.com
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Critérios de participação
Critérios de elegibilidade
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
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Participant must be 18 to 75 years of age inclusive, at the time of Screening.
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Capable of giving signed informed consent prior to the performance of any study-specific procedures.
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Able and willing to comply with all study assessments and adhere to the protocol schedule of activities.
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History of heavy alcohol consumption for greater than 6 months at any time prior to Screening.
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A female participant is eligible to participate if they are not pregnant or breastfeeding, and one of the following conditions applies:
- Is a Participant of non-childbearing potential (PONCBP) OR
- Is a Participant of childbearing potential (POCBP) and using a contraceptive method that is highly effective, with a failure rate of less than (<)1 percentage (%), 30 days prior to and during the study intervention period and for at least 16 weeks after the last dose of study intervention.
Exclusion Criteria:
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Other primary causes of liver disease (e.g., viral hepatitis, primary biliary cholangitis, primary sclerosing cholangitis, autoimmune hepatitis, drug-induced hepatotoxicity, Wilson disease, hemochromatosis, alpha-1-antitryspin deficiency, etc.). Alcohol must be the primary cause of liver disease.
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Co-infection with Hepatitis B virus (HBV), Hepatitis C virus (HCV), or Human immunodeficiency virus (HIV) as indicated from the central lab
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History of diabetes mellitus (DM), either:
- Type 1 DM
- Type 2 DM with unstable glycemic control or with major complications.
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History of malignancy of any organ system (other than localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within the 3 years prior to Screening 1, regardless of any evidence of local recurrence or metastasis.
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Current, or history of known hepatocellular carcinoma (HCC).
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Any major surgery within 3 months prior to Screening 1 or planned during the study
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Any surgical or medical condition that might jeopardize the individual's safety or compliance with study procedures in the opinion of the investigator.
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All organ transplant recipients, except for history of corneal transplants, or current listing or active consideration for liver transplant during the Screening period.
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Poorly controlled hypertension.
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Evidence of Wernicke-Korsakoff syndrome or alcohol-related dementia.
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Prior use of a Fibroblast growth factor 21 (FGF21) analogue, including efimosfermin, within the 6 months prior to Screening 1.
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Individuals with a history of resmetirom use within 3 months prior to Day 1 are to be excluded.
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Concomitant use of investigational drugs for Metabolic dysfunction-associated steatohepatitis (MASH) or ALD.
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Current or planned participation in any clinical trial of investigational therapies or medical devices.
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Exceeding pre-defined laboratory parameters for Triglycerides, Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), International normalised ratio (INR), Albumin, Urine albumin-creatinine ratio (uACR) or Glycosylated Hemoglobin (HbA1c).
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History of drug abuse within the 12 months prior to Day 1 or evidence of such abuse as indicated by laboratory assays conducted at Screening.
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History of hypersensitivity (such as anaphylaxis or hepatotoxicity) to study intervention and/or its excipients, drugs of similar biological class, FGF21 protein analogs, Fc-fusion proteins, or other protein-based therapeutics.
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Overt hepatic encephalopathy (West Haven grade >=2).
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: N / D
- Modelo Intervencional: Atribuição sequencial
- Mascaramento: Quadruplicar
Número de braços
Armas e Intervenções
Grupo de Participantes / BraçoGrupo de Participantes / Braço |
Intervenção / TratamentoIntervenção / Tratamento |
|---|---|
|
Comparador de Placebo: Placebo
Participants will receive placebo. |
Placebo will be administered. |
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Experimental: Efimosfermin alfa Dose Level 1
Participants will receive efimosfermin alfa dose level 1. |
Efimosfermin alfa will be administered. |
|
Experimental: Efimosfermin alfa Dose Level 2
Participants will receive efimosfermin alfa dose level 2. |
Efimosfermin alfa will be administered. |
|
Experimental: Efimosfermin alfa Dose Level 3
Participants will receive efimosfermin alfa dose level 3. |
Efimosfermin alfa will be administered. |
O que o estudo está medindo?
Medidas de resultados primários
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change from Baseline in vibration-controlled transient elastography-liver stiffness measurement (VCTE-LSM)
Prazo: Baseline (Day 1) and up to Week 60
|
VCTE-LSM is a non-invasive test that uses vibration-controlled transient elastography to measure the stiffness of the liver in kilopascals (kPa) |
Baseline (Day 1) and up to Week 60
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Change from Baseline in model for end-stage liver disease (MELD) score
Prazo: Baseline (Day 1) and up to Week 60
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MELD is a scoring system for assessing the severity of chronic liver disease. MELD scores range between 6 and 40, with 40 being the most severe. |
Baseline (Day 1) and up to Week 60
|
Medidas de resultados secundários
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Change from Baseline in a blood test that helps predict the risk of disease progression in liver disease
Prazo: Baseline (Day 1) and up to Week 52
|
Baseline (Day 1) and up to Week 52
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Trough Concentration at steady state (Ctrough,ss) following administration of efimosfermin alfa
Prazo: Up to Week 56
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Up to Week 56
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Area Under the concentration-time Curve from Time 0 (pre-dose) to the last quantifiable concentration (AUC[0-t]) of efimosfermin alfa in the subset of participants with optional intensive pharmacokinetics (PK) sampling
Prazo: Up to Week 4
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Up to Week 4
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Maximum observed drug concentration (Cmax) of efimosfermin alfa in the subset of participants with optional intensive PK sampling
Prazo: Up to Week 4
|
Up to Week 4
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Number of Participants with Anti-drug antibodies (ADA) against efimosfermin alfa
Prazo: Up to Week 56
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Up to Week 56
|
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Number of participants with treatment-emergent adverse events (TEAEs) and TEAEs by severity
Prazo: Up to Week 60
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Up to Week 60
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Number of participants with TEAEs leading to discontinuation and TEAEs leading to discontinuation by severity
Prazo: Up to Week 60
|
Up to Week 60
|
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Number of participants with Grade 3 and Grade 4 laboratory abnormalities
Prazo: Up to Week 60
|
Up to Week 60
|
|
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Number of participants with clinically significant changes in Vital signs
Prazo: Up to Week 60
|
Up to Week 60
|
|
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Number of participants with clinically significant changes in 12-lead electrocardiogram (ECG) findings
Prazo: Up to Week 60
|
Up to Week 60
|
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Change from Baseline in serum aspartate aminotransferase (AST) (International units per liter)
Prazo: Baseline (Day 1) and up to Week 60
|
This is a measurement of the AST enzyme in the blood. |
Baseline (Day 1) and up to Week 60
|
Colaboradores e Investigadores
Patrocinador
Patrocinador
Investigadores
Investigadores
- Diretor de estudo: GSK Clinical Trials, GlaxoSmithKline
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Início do estudo
Conclusão Primária (Estimado)
Conclusão Primária
Conclusão do estudo (Estimado)
Conclusão do estudo
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Primeira postagem
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última Atualização Postada
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
Outros números de identificação do estudo
- 306837
- 2026-526391-23 (Outro identificador: EU CT Number)
- 2026-526391-23 (Identificador de registro: CTIS (EU))
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Study Sponsor will assess requests from qualified researchers for anonymized individual patient-level data and related study documents. Data sharing is subject to certain criteria, conditions, and exceptions. For further information, refer to https://www.gsk-studyregister.com/gsk-patient-level-data-sharing-july2025.pdf
Prazo de Compartilhamento de IPD
Anonymized IPD will be made available within 6 months of publication of primary, key secondary and safety results for studies in product with approved indication(s) or asset(s) with development terminated across all indications.
Critérios de acesso de compartilhamento IPD
Anonymized IPD is shared with researchers whose proposals are approved by an Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months, but an extension may be granted, when justified, for up to 6 months.
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CIF
- CSR
Informações sobre medicamentos e dispositivos, documentos de estudo
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