- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT00905372
Effect of LY2062430 on the Progression of Alzheimer's Disease (EXPEDITION)
Effect of LY2062430, an Anti-Amyloid Beta Monoclonal Antibody, on the Progression of Alzheimer's Disease as Compared With Placebo
Alzheimer's disease (AD) is an age-related degenerative disorder of the brain, characterized by progressive decline in cognitive function and ability to perform activities of daily living, and ultimately can lead to death due to complications of the disease. AD is thought to be caused by an excess of A-Beta amyloid, a sticky protein in the brain that forms amyloid plaques. Treatments that slow the synthesis or deposition of A-Beta amyloid, or that increase clearance, might be expected to slow the progression of AD.
LY2062430 (solanezumab) is a humanized anti-A Beta peptide immunoglobulin G-1 (IgG1) monoclonal antibody being developed for the treatment of AD. The primary hypothesis being tested is that LY2062430 will slow cognitive and functional decline in AD as compared with placebo. Each patient's participation will last approximately 19 months. Patients taking approved AD medications may participate in this study and continue taking these medications during the study.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Antecipado)
Estágio
- Fase 3
Contactos e Locais
Locais de estudo
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Buenos Aires, Argentina, CBA 1419
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Cordoba, Argentina, X5004AOA
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Mendoza, Argentina, 5500
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Pueyrredon Cordoba, Argentina, X5005ALB
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Rosario, Argentina, S2000BZL
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Santa Fe, Argentina, S3000FWO
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Curitiba, Brasil, 81210-310
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Itapira, Brasil, 13970-905
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Porto Alegre, Brasil, 90110-270
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Rio De Janeiro, Brasil, 20941-150
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São Paulo, Brasil, 04024-002
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Alberta
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Medicine Hat, Alberta, Canadá, T1B4E7
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British Columbia
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Kelowna, British Columbia, Canadá, V1Y3G8
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Penticton, British Columbia, Canadá, V2A5C8
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Ontario
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Ottawa, Ontario, Canadá, K1N 5C8
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Toronto, Ontario, Canadá, M6M 3Z5
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Quebec
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Greenfield Park, Quebec, Canadá, J4V 2J2
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Sherbrooke, Quebec, Canadá, J1H1Z1
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Arizona
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Phoenix, Arizona, Estados Unidos, 85006
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Sun City, Arizona, Estados Unidos, 85351
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Tuscon, Arizona, Estados Unidos, 85718
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Arkansas
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Little Rock, Arkansas, Estados Unidos, 72205
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California
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Carson, California, Estados Unidos, 90746
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Irvine, California, Estados Unidos, 92697
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Laguna Hills, California, Estados Unidos, 92653
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Lomita, California, Estados Unidos, 90717
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Orange, California, Estados Unidos, 92868
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Oxnard, California, Estados Unidos, 93030
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Santa Ana, California, Estados Unidos, 92705
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Colorado
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Denver, Colorado, Estados Unidos, 80239
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Connecticut
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Fairfield, Connecticut, Estados Unidos, 06824
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Hamden, Connecticut, Estados Unidos, 06518
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New Haven, Connecticut, Estados Unidos, 06510
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Norwalk, Connecticut, Estados Unidos, 06851
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Delaware
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Newark, Delaware, Estados Unidos, 19713
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District of Columbia
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Washington, District of Columbia, Estados Unidos, 20007
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Florida
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Boca Raton, Florida, Estados Unidos, 33431
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Fort Myers, Florida, Estados Unidos, 33912
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Hollywood, Florida, Estados Unidos, 33021
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Miami Springs, Florida, Estados Unidos, 33166
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North Miami, Florida, Estados Unidos, 33161
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Orange City, Florida, Estados Unidos, 32763
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Orlando, Florida, Estados Unidos, 32806
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Sunrise, Florida, Estados Unidos, 33351
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Tampa, Florida, Estados Unidos, 33613
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Georgia
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Atlanta, Georgia, Estados Unidos, 30341
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Canton, Georgia, Estados Unidos, 30114
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Decatur, Georgia, Estados Unidos, 30033
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Indiana
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Indianapolis, Indiana, Estados Unidos, 46202
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Kentucky
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Lexington, Kentucky, Estados Unidos, 40503
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Maryland
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Baltimore, Maryland, Estados Unidos, 21285
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Rockville, Maryland, Estados Unidos, 20852
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Massachusetts
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Belmont, Massachusetts, Estados Unidos, 02478
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Michigan
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Grand Rapids, Michigan, Estados Unidos, 49525
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Traverse City, Michigan, Estados Unidos, 49684
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New Mexico
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Albuquerque, New Mexico, Estados Unidos, 87109
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New York
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Albany, New York, Estados Unidos, 12205
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Bronx, New York, Estados Unidos, 10454
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Latham, New York, Estados Unidos, 12210
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New York, New York, Estados Unidos, 10032
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Orangeburg, New York, Estados Unidos, 10962
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North Carolina
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Raleigh, North Carolina, Estados Unidos, 27607
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Winston-Salem, North Carolina, Estados Unidos, 27103
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Ohio
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Beachwood, Ohio, Estados Unidos, 44122
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Toledo, Ohio, Estados Unidos, 43623
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Oklahoma
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Oklahoma City, Oklahoma, Estados Unidos, 73116
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Oregon
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Eugene, Oregon, Estados Unidos, 97401
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Pennsylvania
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Philadelphia, Pennsylvania, Estados Unidos, 19104
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Rhode Island
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East Providence, Rhode Island, Estados Unidos, 02914
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South Carolina
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Charleston, South Carolina, Estados Unidos, 29425
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Greer, South Carolina, Estados Unidos, 29651
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South Dakota
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Sioux Falls, South Dakota, Estados Unidos, 57105
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Utah
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Salt Lake City, Utah, Estados Unidos, 84108
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Vermont
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Bennington, Vermont, Estados Unidos, 05201
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Burlington, Vermont, Estados Unidos, 05401
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Virginia
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Norfolk, Virginia, Estados Unidos, 23502
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Roanoke, Virginia, Estados Unidos, 24018
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Aichi, Japão, 474-8511
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Fukuoka, Japão, 812-0033
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Hiroshima, Japão, 720-0825
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Kanagawa, Japão, 243-8550
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Kyoto, Japão, 607-8062
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Osaka, Japão, 567
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Shizuoka, Japão, 420-8688
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Tokyo, Japão, 187-8551
- For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- Meets criteria for mild to moderate Alzheimer's Disease (AD) with Mini-Mental State Examination score of 16 through 26 at screening
- Modified Hachinski Ischemia Scale score of less than or equal to 4
- Geriatric Depression Scale score of less than or equal to 6
- A magnetic resonance imaging (MRI) or computerized tomography (CT) scan in the last 2 years with no findings inconsistent with a diagnosis of AD
- If receiving concurrent AD treatment, must be on the medication for at least 4 months at a stable dose for at least 2 months prior to randomization
Exclusion Criteria:
- Has serious or unstable illness(es)
- Does not have a reliable caregiver who is in frequent contact with patient (at least 10 hours per week)
- Meets National Institute of Neurological Disorders and Stroke/Association Internationale pour la Recherche et l'Enseignement en Neurosciences (NINDS/AIREN) criteria for vascular dementia
- Does not have good venous access, such that intravenous (IV) drug delivery would be difficult
- Has had multiple episodes of head trauma or history within the last 5 years of a serious infectious disease affecting the brain
- Has allergies to humanized monoclonal antibodies
- Chronic alcohol and/or drug abuse within the past 5 years
- Has any contraindications for MRI studies
- Requires treatment with another monoclonal antibody
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Quadruplicar
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Comparador de Placebo: Placebo
|
por via intravenosa (IV) a cada 4 semanas por 80 semanas
|
|
Experimental: LY2062430
|
400 mg por via intravenosa (IV) a cada 4 semanas por 80 semanas
Outros nomes:
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
|---|---|
|
Change from baseline to endpoint in Alzheimer's Disease Assessment Scale-Cognitive subscore (ADAS-Cog11)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in Alzheimer's Disease Cooperative Study-Activities of Daily Living Inventory (ADCS-ADL)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
Medidas de resultados secundários
Medida de resultado |
Prazo |
|---|---|
|
Change from baseline to endpoint in Clinical Dementia Rating-Sum of Boxes (CDR-SB)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in Neuropsychiatric Inventory (NPI)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in volumetric magnetic resonance imaging (vMRI)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in Mini-Mental State Examination (MMSE)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in Resource Utilization in Dementia-Lite (RUD-Lite)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in EuroQol 5-Dimensional Health-related Quality of Life Scale Proxy version (EQ-5D Proxy)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in Quality of Life in Alzheimer's Disease (QoL-AD)
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in plasma LY2062430 to investigate a relationship between plasma LY2062430 and plasma A Beta levels.
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
|
Change from baseline to endpoint in plasma A Beta
Prazo: Baseline, 80 weeks
|
Baseline, 80 weeks
|
Colaboradores e Investigadores
Patrocinador
Publicações e links úteis
Publicações Gerais
- Reed C, Belger M, Dell'Agnello G, Kahle-Wrobleski K, Sethuraman G, Hake A, Raskin J, Henley D. Representativeness of European clinical trial populations in mild Alzheimer's disease dementia: a comparison of 18-month outcomes with real-world data from the GERAS observational study. Alzheimers Res Ther. 2018 Apr 3;10(1):36. doi: 10.1186/s13195-018-0360-4.
- Liu-Seifert H, Siemers E, Price K, Han B, Selzler KJ, Henley D, Sundell K, Aisen P, Cummings J, Raskin J, Mohs R; Alzheimer's Disease Neuroimaging Initiative. Cognitive Impairment Precedes and Predicts Functional Impairment in Mild Alzheimer's Disease. J Alzheimers Dis. 2015;47(1):205-14. doi: 10.3233/JAD-142508.
- Henley DB, Dowsett SA, Chen YF, Liu-Seifert H, Grill JD, Doody RS, Aisen P, Raman R, Miller DS, Hake AM, Cummings J. Alzheimer's disease progression by geographical region in a clinical trial setting. Alzheimers Res Ther. 2015 Jun 25;7(1):43. doi: 10.1186/s13195-015-0127-0. eCollection 2015.
- Liu-Seifert H, Siemers E, Sundell K, Price K, Han B, Selzler K, Aisen P, Cummings J, Raskin J, Mohs R. Cognitive and functional decline and their relationship in patients with mild Alzheimer's dementia. J Alzheimers Dis. 2015;43(3):949-55. doi: 10.3233/JAD-140792.
- Doody RS, Thomas RG, Farlow M, Iwatsubo T, Vellas B, Joffe S, Kieburtz K, Raman R, Sun X, Aisen PS, Siemers E, Liu-Seifert H, Mohs R; Alzheimer's Disease Cooperative Study Steering Committee; Solanezumab Study Group. Phase 3 trials of solanezumab for mild-to-moderate Alzheimer's disease. N Engl J Med. 2014 Jan 23;370(4):311-21. doi: 10.1056/NEJMoa1312889.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- 6747
- H8A-MC-LZAM (Outro identificador: Eli Lilly and Company)
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 .
Ensaios clínicos em LY2062430
-
Eli Lilly and CompanyConcluídoDoença de AlzheimerJapão
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Eli Lilly and CompanyRescindidoDoença de AlzheimerEstados Unidos, Argentina, França, Japão, Canadá, Republica da Coréia, Austrália, Brasil, Espanha, Taiwan, Itália, Polônia, Alemanha, Federação Russa, Reino Unido, Suécia
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Eli Lilly and CompanyRescindidoDoença de AlzheimerItália, Estados Unidos, Espanha, Taiwan, França, Japão, Porto Rico, Polônia, Suécia, Finlândia, Canadá, Reino Unido, Alemanha
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