Esta página foi traduzida automaticamente e a precisão da tradução não é garantida. Por favor, consulte o versão em inglês para um texto fonte.

Atazanavir (BMS-232632) in Combination With Ritonavir or Saquinavir, and Lopinavir/Ritonavir, Each With Tenofovir and a Nucleoside in Subjects With HIV

29 de novembro de 2010 atualizado por: Bristol-Myers Squibb

Phase III Open Label Atazanavir (BMS-232632) in Combination With Ritonavir or Saquinavir, and Lopinavir/Ritonavir, Each With Tenofovir and a Nucleoside in Subjects With HIV

The purpose of this study is to learn how well atazanavir (ATV) works in combination with ritonavir (RTV) or saquinavir (SQV) with tenofovir (TDF) and a nucleoside to reduce the viral load of treatment experienced subjects with human immunodeficiency virus (HIV). There is a comparison arm with lopinavir (LPV)/RTV and TDF and a nucleoside.

Visão geral do estudo

Status

Concluído

Condições

Intervenção / Tratamento

Tipo de estudo

Intervencional

Inscrição (Real)

571

Estágio

  • Fase 3

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

  • Estados Unidos
    • California
      • San Francisco, California, Estados Unidos, 94121
      • Torrance, California, Estados Unidos, 90502
    • Colorado
      • Boulder, Colorado, Estados Unidos, 80304
    • Florida
      • Altamonte Springs, Florida, Estados Unidos
      • Ft Lauderdale, Florida, Estados Unidos, 33308
      • Ft Lauderdale, Florida, Estados Unidos, 33306
      • Miami Beach, Florida, Estados Unidos, 33160
      • Orlando, Florida, Estados Unidos, 32801
    • Georgia
      • Decatur, Georgia, Estados Unidos
    • Hawaii
      • Honolulu, Hawaii, Estados Unidos, 96816
    • Indiana
      • Boise, Indiana, Estados Unidos
    • Kansas
      • Wichita, Kansas, Estados Unidos, 67214
    • Kentucky
      • Louisville, Kentucky, Estados Unidos, 40202
    • Louisiana
      • New Orleans, Louisiana, Estados Unidos
    • Massachusetts
      • Brookline, Massachusetts, Estados Unidos
      • Fall River, Massachusetts, Estados Unidos, 02720
    • New Jersey
      • East Orange, New Jersey, Estados Unidos
      • Newark, New Jersey, Estados Unidos, 07103
    • New York
      • Buffalo, New York, Estados Unidos, 14215
      • Manhasset, New York, Estados Unidos, 11030
      • New York, New York, Estados Unidos, 10019
      • Rochester, New York, Estados Unidos, 14620
    • North Carolina
      • Huntersville, North Carolina, Estados Unidos, 28078
      • Winston Salem, North Carolina, Estados Unidos, 29203
      • Winston-Salem, North Carolina, Estados Unidos, 27157
    • Ohio
      • Akron, Ohio, Estados Unidos
    • Texas
      • Dallas, Texas, Estados Unidos
      • Dallas, Texas, Estados Unidos, 75246
      • Houston, Texas, Estados Unidos, 77006

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

16 anos e mais velhos (Filho, Adulto, Adulto mais velho)

Aceita Voluntários Saudáveis

Não

Gêneros Elegíveis para o Estudo

Tudo

Descrição

Inclusion Criteria:

  • Virologic failure to 2 or more highly active antiretroviral therapy (HAART) regimens that, in total, have included at least one drug from all approved classes protease inhibitors, non-nucleoside reverse transcriptase inhibitors, nucleoside reverse transcriptase inhibitors (PI, NNRTI, NRTI):

    1. Currently on a failing HAART regimen with 2 qualifying plasma viral load measurements (hospital/clinic value within 4 weeks of screening with viral load equivalent to =>1,000 c/mL on the Roche Amplicor[TM] and central lab measurements of =>1,000 c/mL (Roche Amplicor[TM]) within 4 weeks of randomization
    2. Cluster of Differentiation 4 (CD4) cell count =>50 cells/mm3 obtained within 4 weeks prior to randomization
  • =>16 years of age (or minimum age as determined by local regulations or as legal requirements dictate);
  • History of prior virologic response to at least one HAART regimen, defined as a 1.0 log10 decline or a decline in viral load to <400 c/mL by Roche Amplicor or <500 c/mL by Chiron Quantiplex branched DNA (bDNA) assay
  • Both females of child bearing potential and males must utilize effective barrier contraception to reduce transmission of sexually transmitted disease, including human immunodeficiency virus (HIV). Other contraception in addition to barrier methods is permitted; interaction between atazanavir and oral contraceptives has not been studied.
  • Subjects must be able to provide written informed consent;
  • Subjects should be available for follow-up for a period of at least 48 weeks

  • Baseline laboratory values measured within 2 weeks prior to initiating study drugs as follows:

    1. serum creatine <1.5 times the upper limit of normal (ULN)
    2. total serum lipase <1.4 times the ULN
    3. liver enzymes alanine aminotransferase (AST), aspartate aminotransferase (ALT) <3 times the ULN
    4. total serum bilirubin <1.5 times the ULN

Exclusion Criteria:

  • Prior use (=>3 days) of atazanavir, TVF or LPV/RTV; if history of SQV, then must be phenotypically sensitive
  • the current failing antiretroviral regimen must have been administered for at least eight weeks at he initiation of screening and must not include both a PI and NNRTI
  • Presence of a newly diagnosed HIV-related opportunistic infection or any medical requiring acute therapy at the time of enrollment
  • Proven or suspected acute hepatitis in the 30 days prior to study entry. Subjects with chronic hepatitis are eligible provided that their liver function enzymes (ALT/AST) are <3 x ULN
  • Previous therapy with agents with significant systemic myelosuppressive, neurotoxic, pancreatoxic, hepatoxic or cytotoxic potential within 3 months of study start or the expected need for such therapy at the time of enrollment of therapy with methadone or ribavirin/interferons or treatment with neurotoxic drugs or drugs that affect Cytochrome P450 3A4 (CYP3A4).
  • Active alcohol or substance use sufficient, in the Investigator's opinion, to prevent adequate compliance with study therapy or to increase the risk of developing pancreatitis or chemical hepatitis
  • Intractable diarrhea (=> 6 loose stools/day for at least 7 days consecutive days) within 30 days prior to study entry
  • Pregnancy or breast-feeding
  • History of hemophilia
  • Presence of cardiomyopathy

  • Any one of the following:

    1. Heart rate-corrected QT (QTc) interval >450 msec on the screening electrocardiogram (EKG)
    2. Heart rate <40 beats per minute (bpm)
    3. Pause length >3 seconds seen on EKG
    4. Clinical symptoms potentially related to heart block
    5. Third degree heart block
  • History of acute or chronic pancreatitis
  • If choosing 2'-3' dideoxyinosine (ddI) or 2',3'-didehydro-3'-deoxythymidine (d4T) as the NRTI: History or signs and symptoms of bilateral peripheral neuropathy => Grade 2 at the time of screening
  • Inability to tolerate oral medications
  • Any other clinical conditions or prior therapy that, in the opinion of the Investigator, would make the subject unsuitable for study or unable to comply with the dosing requirements.

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

  • Finalidade Principal: Tratamento
  • Alocação: Randomizado
  • Modelo Intervencional: Atribuição Paralela
  • Mascaramento: Nenhum (rótulo aberto)

Armas e Intervenções

Grupo de Participantes / Braço
Intervenção / Tratamento
Comparador Ativo: I

ATV 300 mg + RTV 100 mg + TDF 300 mg + nucleoside of choice

ATV , RTV, and TDF once daily, nucleoside per label 48 Weeks and then for as long as subject is in need of therapy through study
Medicamento: Atazanavir + ritonavir + tenofovir + nucleoside
Active Comparator, Capsules, tablets, Oral
Outros nomes:
  • Reyataz
  • BMS-232632
Comparador Ativo: II

ATV 400 mg + SQV 1200 mg + TDF 300 mg + nucleoside of choice

ATV, SQV, and TDF once daily, nucleoside per label 48 Weeks and then for as long as subject is in need of therapy through study
Medicamento: Atazanavir + saquinavir + tenofovir + nucleoside
Active Comparator, Capsules, tablets, Oral
Outros nomes:
  • Reyataz
  • BMS-232632
Comparador Ativo: III

LPV/RTV 400/100 mg + TDF 300 mg + nucleoside of choice

LPV/RTV twice daily, TDF once daily, nucleoside per label 48 Weeks and then for as long as subject is in need of therapy through study
Medicamento: Lopinavir/ritonavir + tenofovir + nucleoside
Active Comparator, Capsules, tablets, Oral

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado
Prazo
Mean Change From Baseline in HIV Ribonucleic Acid (RNA) at Week 24
Prazo: Baseline, Week 24
Baseline, Week 24
Mean Change From Baseline in HIV RNA at Week 48
Prazo: Baseline, Week 48
Baseline, Week 48
Mean Change From Baseline in HIV RNA at Week 96
Prazo: Baseline, Week 96
Baseline, Week 96

Medidas de resultados secundários

Medida de resultado
Descrição da medida
Prazo
Mudança da linha de base na contagem de células CD4 na semana 24
Prazo: Linha de base, Semana 24
Linha de base, Semana 24
Mudança da linha de base na contagem de células CD4 na semana 48
Prazo: Linha de base, Semana 48
Linha de base, Semana 48
Mudança da linha de base na contagem de células CD4 na semana 96
Prazo: Linha de base, Semana 96
Linha de base, Semana 96
Mean Change From Baseline in HIV RNA at Week 2
Prazo: Baseline, Week 2
Baseline, Week 2
Participants Achieving Virologic Half Log Suppression (Limit of Quantification [LOQ] = 400 c/mL) at Week 24 (Overall and by Protease Inhibitor [PI] Sensitivity)
Prazo: Baseline, Week 24
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 24, by their baseline phenotypic sensitivity to their randomized PI.
Baseline, Week 24
Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 48, (Overall and by PI Sensitivity)
Prazo: Baseline, Week 48
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 48, by their baseline phenotypic sensitivity to their randomized PI.
Baseline, Week 48
Participants Achieving Virologic Half Log Suppression (LOQ = 400 c/mL) at Week 96
Prazo: Baseline, Week 96
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 400 c/mL at Week 96.
Baseline, Week 96
Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 24
Prazo: Week 24
Week 24
Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 24, by PI Sensitivity
Prazo: Baseline, Week 24
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 50 c/mL at Week 24, by their baseline phenotypic sensitivity to their randomized PI.
Baseline, Week 24
Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 48
Prazo: Week 48
Week 48
Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 48, by PI Sensitivity
Prazo: Baseline, Week 48
Number of participants with a >=0.5 log10 decrease in HIV RNA from baseline or HIV RNA < 50 c/mL at Week 48, by their baseline phenotypic sensitivity to their randomized PI.
Baseline, Week 48
Participants Achieving Virologic Half Log Suppression (LOQ = 50 c/mL) at Week 96
Prazo: Week 96
Week 96
Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 24
Prazo: Week 24
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 24
Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 48
Prazo: Week 48
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 48
Participants Achieving Treatment Response (LOQ = 400 c/mL) Without Prior Failure at Week 96
Prazo: Week 96
Treatment Response = confirmed suppression to LOQ (400 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 96
Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 24
Prazo: Week 24
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 24
Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 48
Prazo: Week 48
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 48
Participants Achieving Treatment Response (LOQ = 50 c/mL) Without Prior Failure at Week 96
Prazo: Week 96
Treatment Response = confirmed suppression to LOQ (50 c/mL). The Algorithm for Treatment Response Without Prior Failure (TRPWF) = participants staying in response at the analysis timepoint without having an intervening, confirmed rebound.
Week 96
Correlation of ATV Minimum Plasma Concentration (Cmin), Inhibitory Quotient (IQ), and Number of Protease Inhibitor (PI) Mutations at Baseline With HIV RNA Change From Baseline at Week 24
Prazo: Baseline, Week 24
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with HIV RNA change from baseline at Week 24 were explored.
Baseline, Week 24
Correlation of ATV Minimum Plasma Concentration (Cmin), Inhibitory Quotient (IQ), and Number of Protease Inhibitor (PI) Mutations at Baseline With HIV RNA Change From Baseline at Week 48
Prazo: Baseline, Week 48
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with HIV RNA change from baseline at Week 48 were explored.
Baseline, Week 48
Correlation of ATV Minimum Plasma Concentration (Cmin) Inhibitory Quotient (IQ), and Number of PI Mutations at Baseline and CD4 Cell Count Change From Baseline at Week 24
Prazo: Baseline, Week 24
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with CD4 cell count change from baseline at Week 24 were explored.
Baseline, Week 24
Correlation of ATV Minimum Plasma Concentration (Cmin) Inhibitory Quotient (IQ), and Number of PI Mutations at Baseline and CD4 Cell Count Change From Baseline at Week 48
Prazo: Baseline, Week 48
Pearson correlations of the Cmin (trough plasma concentration), IQ (the ratio of Cmin of ATV to HIV IC50), and Number of baseline PI Mutations with CD4 cell count change from baseline at Week 48 were explored.
Baseline, Week 48
Lipid Mean Percent Change From Baseline at Week 24
Prazo: Baseline, Week 24
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides.
Baseline, Week 24
Lipid Mean Percent Change From Baseline at Week 48
Prazo: Week 48
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides.
Week 48
Lipid Mean Percent Change From Baseline at Week 96, Observed Values
Prazo: Week 96
Mean percent change in total cholesterol, high density lipoprotein (HDL) cholesterol, fasting low density lipoprotein (LDL) cholesterol, and fasting triglycerides.
Week 96
Deaths, Serious Adverse Events (SAEs), and Adverse Events (AEs) Through Week 48
Prazo: From Enrollment through Week 48
AE=any new untoward medical occurrence/worsening of a pre-existing medical condition regardless of causal relationship. SAE=any untoward medical occurrence at any dose that: results in death; is life-threatening; requires/prolongs inpatient hospitalization; results in persistent/significant disability; is cancer; is congenital anomaly/birth defect; results in drug dependency/abuse; is an important medical event.
From Enrollment through Week 48
Most Common AEs and AEs of Interest Through Week 48
Prazo: From Enrollment to Week 48
Prespecified AEs of interest included jaundice, ocular icterus, and hyperbilirubinemia.
From Enrollment to Week 48
Fasting Glucose Mean Change From Baseline at Week 24
Prazo: Baseline, Week 24
Baseline, Week 24
Fasting Glucose Mean Change From Baseline at Week 48
Prazo: Week 48
Week 48
Grade 3/4 Laboratory Abnormalities Through Week 48
Prazo: From Enrollment to Week 48
Common Terminology Criteria for Adverse Events v3.0 (CTCAE) Grades:1=Mild, 2=Moderate, 3=Severe, 4=Life-threatening/disabling, 5=Death. Abnormal values: absolute neutrophil count: ≥500 to <750/mm3 (grade 3), <500/mm3 (grade 4); platelets: 20,000-49,999/mm3 (grade 3), <20,000/mm3 or diffuse petechiae (grade 4); alanine transaminase (ALT): 5.1-10 x upper limit of normal (ULN; grade 3), >10 x ULN (grade 4); aspartate transaminase (AST): 5.1-10 x ULN (grade 3), >10 x ULN (grade 4); bilirubin: 2.6-5 x ULN (grade 3), >5 x ULN (grade 4).
From Enrollment to Week 48
Fridericia-corrected QT (QTcF) Interval and Change From Baseline by Analysis Time Point
Prazo: Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
The QT interval is a measure of the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle. The QT interval was corrected for heart rate using Fridericia's (QTcF) formula.
Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
PR Interval and Change From Baseline by Analysis Time Point
Prazo: Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
The PR interval is measured from the beginning of the P wave to the beginning of the QRS complex, and reflects the time the electrical impulse takes to travel from the sinus node through the atrioventricular (AV) node and entering the ventricles. The PR interval is therefore a good estimate of AV node function.
Baseline, Week 4 predose, 2-3 hours postdose, 6-12 hours postdose, Week 12, Week 24, Week 48
Adherence to Regimen Though Week 48 Based on MACS the Multicenter AIDS Cohort Study (MACS) Adherence Questionnaire
Prazo: Baseline, Week 24, Week 48
The MACS adherence questionnaire asks patients how many medication doses they missed during the previous day, 2 days, 3 days and 4 days. Drug-specific questions included adherence with dose and frequency. Adherence was defined as taking all doses and numbers of pills as prescribed for each medication. This strict adherence cut-off was based on the guidelines stating that anything less than excellent adherence may result in a virus breakthrough and development of resistance.
Baseline, Week 24, Week 48
Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Health Index Score at Baseline, Mid-Study (Week 24), and Final (Week 48)
Prazo: Baseline, Week 24, Week 48
The EQ-5D is a 5-item questionnaire to assess health-related quality of life in 5 health dimensions (mobility, self-care, usual activity, pain/discomfort, anxiety/depression) are scored on a 3-level scale: no problems (1), some problems (2), extreme problems (3). Using a standard algorithm, responses are summarized into a single score, the EQ-5D Health Index Score (HIS), which ranges between 1 (representing perfect health) and 0 (representing the worst imaginable health state or death). The smallest coefficient of change is 0.03.
Baseline, Week 24, Week 48
Mean Score of European Quality of Life-5 Dimensions (EQ-5D) Visual Analog Scale (VAS) at Baseline, Mid-Study (Week 24), and Final (Week 48)
Prazo: Baseline, Week 24, Week 48
The EQ-5D has a Visual Analog Scale (VAS), which is a feeling thermometer-like scale with a range between 0 and 100. Patients are required to draw a line from a box on the VAS scale to an actual mark on the thermometer-like scale that corresponds with a number that reflects their self-assessed health status at the time they are completing the questionnaire. Higher VAS scores indicate better overall health. There is no minimum clinically important difference reported in the literature for VAS.
Baseline, Week 24, Week 48
Number of Participants Utilizing Resources for Managing Lipid Elevation
Prazo: Baseline, Week 24, Week 48
Participants' overall resource utilization for managing lipid elevation that includes the management of side effects of lipid lowering medications, such as those due to drug interactions.
Baseline, Week 24, Week 48
Mean ATV, RTV and SQV Minimum Concentration (Cmin) Values
Prazo: collected at the pre-dose time point after receiving atazanavir for at least four weeks
The minimum or "trough" concentration (Cmin) of a drug observed after its administration and just prior to the administration of a subsequent dose.
collected at the pre-dose time point after receiving atazanavir for at least four weeks
HIV IC50 at Week 24
Prazo: Week 24
IC50: inhibitory concentration of drug required to reduce viral replication by 50%.
Week 24
Inhibitory Quotient at Week 24
Prazo: Baseline, Week 24
Inhibitory quotient is a measure of drug exposure and susceptibility in an individual. The IQ is typically calculated as the ratio of Cmin to HIV IC50.
Baseline, Week 24
Inhibitory Quotient at Week 48
Prazo: Baseline, Week 48
Inhibitory quotient is a measure of drug exposure and susceptibility in an individual. The IQ is typically calculated as the ratio of Cmin to HIV IC50.
Baseline, Week 48
HIV RNA Level - Treated Subjects With Evaluable Cmins at Week 24
Prazo: Baseline, Week 24
Week 24 HIV RNA level and change from baseline were summarized for treated subjects with evaluable Cmins.
Baseline, Week 24
HIV RNA Level - Treated Subjects With Evaluable Cmins at Week 48
Prazo: Baseline, Week 48
Week 24 HIV RNA level and change from baseline were summarized for treated subjects with evaluable Cmins.
Baseline, Week 48

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

Bristol-Myers Squibb

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados ​​pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de novembro de 2001

Conclusão Primária (Real)

1 de julho de 2003

Conclusão do estudo (Real)

1 de março de 2009

Datas de inscrição no estudo

Enviado pela primeira vez

6 de maio de 2002

Enviado pela primeira vez que atendeu aos critérios de CQ

7 de maio de 2002

Primeira postagem (Estimativa)

8 de maio de 2002

Atualizações de registro de estudo

Última Atualização Postada (Estimativa)

24 de dezembro de 2010

Última atualização enviada que atendeu aos critérios de controle de qualidade

29 de novembro de 2010

Última verificação

1 de novembro de 2010

Mais Informações

Termos relacionados a este estudo

Termos MeSH relevantes adicionais

Outros números de identificação do estudo

  • AI424-045

Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .

Se inscrever