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A Study to Investigate Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64140284 in Healthy Participants

2018年10月29日 更新者:Janssen Research & Development, LLC

A 3-Part, Randomized, Placebo-controlled, Double-blind, Single Ascending Dose Study to Investigate Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of JNJ-64140284 in Healthy Subjects

The purpose of this study is to investigate the safety and tolerability of JNJ-64140284 versus placebo after single oral dose administration (ascending dose levels) under fasted condition, to characterize the pharmacokinetics (PK) of JNJ-64140284 in plasma, cerebrospinal fluid (CSF) and urine after single oral dose administration and to investigate the effect of food (high fat/high calorie) on the PK of JNJ-64140284 following single oral dose administration.

研究概览

研究类型

介入性

注册 (实际的)

36

阶段

  • 阶段1

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

      • Merksem、比利时、2170
        • Clinical Pharmacology Unit

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 75年 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

Part 1 and 2:

- Healthy male participants between 18 and 58 years of age, inclusive

Part 1, 2 and 3:

- Participants must be healthy on the basis of clinical laboratory tests performed at screening. If the results of the serum chemistry panel, hematology, or urinalysis are outside the normal reference ranges, retesting of an abnormal lab value(s) that may lead to exclusion will be allowed once during the screening phase. The participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant or to be appropriate and reasonable for the population under study according to both the investigator and to the Janssen Safety Physician, are acceptable

Part 3:

  • Healthy male and female participants between 59 and 75 years of age, inclusive
  • Participants must be healthy and medically stable on the basis of clinical laboratory tests (at screening) and physical and neurological examination (at screening and at admission to the clinical unit). If the participant is medically stable with medication, inclusion can be allowed on a case by case basis with written agreement of the sponsor's responsible safety physician
  • Women must not be of childbearing potential (must be postmenopausal with amenorrhea for at least 12 months) or permanently sterilized (for example, tubal occlusion, hysterectomy, bilateral salpingectomy)

Exclusion Criteria:

Part 1, 2 and 3:

  • Participants with a history of or current significant medical illness including (but not limited to) cardiac arrhythmias or other cardiac disease, hematological disease, lipid abnormalities, bronchospastic respiratory disease, diabetes mellitus, renal or hepatic insufficiency, thyroid disease, Parkinson's disease, infection, or any other illness that the Investigator considers should exclude the participant
  • Participants with a serology positive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibodies or human immunodeficiency virus (HIV) antibodies
  • Participants with a clinically significant acute illness within 7 days prior to study drug administration
  • Donation of 1 or more units (approximately 450 milliliter [mL]) of blood or acute loss of an equivalent amount of blood within 90 days prior to study drug administration

Part 3:

- participants having a contraindication for spinal puncture including:

  1. A relevant history of lower back pain or scoliosis or kyphosis and/or major (lumbar) back surgery (microdiscectomy is allowed) in the opinion of the investigator
  2. Allergy to local anesthetics and/or iodine/disinfectants
  3. Clinically significant abnormal values for coagulation at screening
  4. Use of aspirin (even low dose) within 5 days prior to lumbar puncture
  5. Use of low molecular weight heparin (LMWH) within 12 hours prior to lumbar puncture
  6. Use of any anticoagulant treatment (besides LMWH described above) within 1 week prior to lumbar puncture
  7. Has a topical infection or local dermatological condition at the puncture site prior to puncture
  8. Has papilloedema or signs of increased intracranial pressure based on fundoscopy at screening

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:其他
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:双倍的

武器和干预

参与者组/臂
干预/治疗
实验性的:Part 1: Cohort 1 (JNJ-64140284 or Placebo)
Participants will receive 0.1 milligram (mg) JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
0.1 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 1: Cohort 2 (JNJ-64140284 or Placebo)
Participants will receive 0.5 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
0.5 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 1: Cohort 3 (JNJ-64140284 or Placebo)
Participants will receive 2.5 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
2.5 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 1: Cohort 4 (JNJ-64140284 or Placebo)
Participants will receive 10 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
10 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 1: Cohort 5 (JNJ-64140284 or Placebo)
Participants will receive 50 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
50 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 1: Cohort 6 (JNJ-64140284 or Placebo)
Participants will receive 150 mg JNJ-64140284 or matching placebo under fasted condition on Day 1.
将给予匹配的安慰剂。
150 mg of JNJ-64140284 will be administered as an oral solution.
实验性的:Part 2: Cohort 7 (JNJ-64140284)
Participants will receive JNJ-64140284 (dose to be determined - the dose of JNJ-64140284 will be determined on the basis of acceptable safety, tolerability and pharmacokinetics [PK] of preceding dose levels; no more than 50 percent (%) of the highest dose tested [though as high as possible within this restriction] and considered well tolerated in Part 1) under fed conditions on Day 1.
JNJ-64140284 (dose to be determined) will be administered as an oral solution.
实验性的:Part 3: Cohort 8 (JNJ-64140284 or Placebo)
Participants will receive JNJ-64140284 or matching placebo (dose to be determined - dose will be determined based on PK data from previous cohorts and which will be well-tolerated in Part 1) under fasted condition on Day 1.
将给予匹配的安慰剂。
JNJ-64140284 (dose to be determined) will be administered as an oral solution.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Number of Participants With Adverse Events (AEs) as a Measure of Safety and Tolerability: Part 1, Part 2, and Part 3
大体时间:Approximately 40 days
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.
Approximately 40 days
Maximum Plasma Concentration (Cmax) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The Cmax is the maximum observed plasma concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Maximum Cerebrospinal Fluid (CSF) Concentration (Cmax) of JNJ-64140284: Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The Cmax is the maximum observed CSF concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Last Quantifiable Plasma Concentration (Clast) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The Clast is the last quantifiable plasma concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Last Quantifiable CSF Concentration (Clast) of JNJ-64140284: Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The Clast is the last quantifiable CSF concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Time to Reach Maximum Plasma Concentration (Tmax) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The Tmax is defined as actual sampling time to reach maximum observed plasma concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Time to Reach Maximum CSF Concentration (Tmax) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The Tmax is defined as actual sampling time to reach maximum observed CSF concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Time of the Last Quantifiable Plasma Concentration (Tlast) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The Tlast is defined as the time of the last quantifiable plasma concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Time of the Last Quantifiable CSF Concentration (Tlast) of JNJ-64140284: Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The Tlast is defined as the time of the last quantifiable CSF concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Area Under the Plasma Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC [0-last]) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The (AUC [0-last]) is the area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Area Under the CSF Concentration-Time Curve From Time Zero to Time of the Last Quantifiable Concentration (AUC [0-last]) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The (AUC [0-last]) is the area under the CSF concentration-time curve from time 0 to time of the last quantifiable concentration.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Area Under the Plasma Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity]) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
The AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time, calculated as the sum of AUC(0-last) and C(0-last)/lambda(z), wherein AUC(0-last) is the area under the plasma concentration-time curve from time 0 to time of the last quantifiable concentrations; C(0-last) is the last observed quantifiable concentration; and lambda(z) is elimination rate constant.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Area Under the CSF Concentration-Time Curve From Time Zero to Infinite Time (AUC [0-infinity]) of JNJ-64140284: Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
The AUC (0-infinity) is the area under the CSF concentration-time curve from time zero to infinite time, calculated as the sum of AUC(0-last) and C(0-last)/lambda(z), wherein AUC(0-last) is the area under the CSF concentration-time curve from time 0 to time of the last quantifiable concentrations; C(0-last) is the last observed quantifiable concentration; and lambda(z) is elimination rate constant.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, and 12 hours post dose
Elimination Rate Constant (Lambda[z]) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Lambda(z) is first-order rate constant associated with the terminal portion of the curve, determined as the negative slope of the terminal log-linear phase of the drug concentration-time curve.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Elimination Half-life (t1/2) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, and 96 hours post dose
The t1/2 is the time measured for the plasma concentration to decrease by 1 half to its original concentration. It is associated with the terminal slope of the semi logarithmic drug concentration-time curve, and is calculated as 0.693/lambda(z).
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, and 96 hours post dose
Total Clearance (CL/F) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
CL/F is the total clearance of drug after extravascular administration, uncorrected for absolute bioavailability.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Creatinine Clearance (CLcr) of JNJ-64140284: Part 1, Part 2, and Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
CLcr will be determined with the Cockcroft-Gault formula.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and 96 hours post dose
Amount of Drug Excreted in Urine From Time Zero to Infinite Time (Aeinf): Part 1
大体时间:0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
Aeinf is the cumulative amount of study drug excreted into urine from time of dosing extrapolated to time infinity.
0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
Renal Clearance (CLr): Part 1
大体时间:0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose
The CLr is the renal clearance of the drug.
0-1, 1-2, 2-4, 4-12, and 12-24 hours post dose

次要结果测量

结果测量
措施说明
大体时间
Bond & Lader Visual Analogue Scale (VAS) Score: Part 1 and Part 3
大体时间:Days -1, 1, 2 and 3
The VAS is a participant rated scale, made up of 16 (items) pairs of alternative descriptors of mood and attention at either end of a 10 cm line. The item score ranges from 0 to 100, with a high score reflecting a high level of anxiety, sedation or dysphoria.
Days -1, 1, 2 and 3
Karolinska Sleepiness Scale (KSS) Score: Part 1 and Part 3
大体时间:Days -1, 1, 2 and 3
The KSS is a participant-reported assessment used to rate sleepiness on a scale of 1 to 9, ranging from 'extremely alert' (1) to 'very sleepy, great effort to keep awake, fighting sleep' (9).
Days -1, 1, 2 and 3
Profile of Mood States (POMS) Score: Part 1 and Part 3
大体时间:Days -1, 1, 2 and 3
The POMS is a self-administered scale that assesses individuals' mood states. This is a validated scale to measure positive and negative mood states. The POMS contains 30 items describing the feeling/mood state rated by participants on a 5-point scale (where, 0=not at all and 4=extremely). The greater the score, the greater the corresponding mood state.
Days -1, 1, 2 and 3
Body Sway: Part 1
大体时间:Days -1, 1, 2 and 3
Body sway will be used to measure body movements, providing a measure of postural stability. The method has been used to demonstrate effects of sleep deprivation, alcohol, and benzodiazepines. It will be measured either using a stabilometric platform or a pot string meter based on the Wright ataxiameter.
Days -1, 1, 2 and 3
Cognitive Test Battery: International Shopping List Test (ISLT): Part 1
大体时间:Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
The ISLT is a measure of Verbal Learning. The test measures total number of correct responses remembering the word list on 3 consecutive trials at a single assessment. Higher score indicates better performance.
Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
Cognitive Test Battery: Groton Maze Learning Test (GMLT): Part 1
大体时间:Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
GMLT is a measure of Executive Function and Spatial Learning. The test measures total number of errors made while locating and learning 28 step pathway hidden beneath a 10*10 grid on 5 consecutive trials during a single session. Lower score indicates better performance.
Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
Cognitive Test Battery: Detection Task (DET): Part 1
大体时间:Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
DET is a measure of Psychomotor Function. The test measures speed of performance; mean of the log10 transformed reaction times for correct responses. Lower score indicates better performance.
Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
Cognitive Test Battery: Identification Task (IDN): Part 1
大体时间:Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
IDN is a measure of Attention. The test measures speed of performance; mean of the log10 transformed reaction times for correct responses. Lower score indicates better performance.
Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
Cognitive Test Battery: One Card Learning Task (OCL): Part 1
大体时间:Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
OCL is a measure of Visual Learning. The test measures accuracy of performance; arcsine transformation of the square root of the proportion of correct responses. Higher score indicates better performance.
Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
Cognitive Test Battery: One Back Task (ONB): Part 1
大体时间:Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
ONB is a measure of Working Memory. The test measures speed of performance; mean of the log10 transformed reaction times for correct responses. Lower score indicates better performance.
Days -21 to -2, Day -1, Day 1 (2, 4, 6, and 12 hours post dose), and Day 2 (24 hours post dose)
Cognitive Test Battery: Groton Maze Learning Test (GMLT) Delayed Recall: Part 1
大体时间:Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
GMLT delayed recall is a measure of Delayed Spatial Memory. The test measures number of errors made while locating 28 step pathway hidden beneath a 10*10 grid after a delay. Lower score indicates better performance.
Days -21 to -2, Day -1, and Day 1 (6 hours post dose)
Cognitive Test Battery: International Shopping List Test Delayed (ISLT-D): Part 1
大体时间:Days -21 to -2, Day -1, Predose, Day 1 (6 hours post dose), and Day 2 (24 hours post dose)
ISLT-D is a measure of Delayed Verbal Memory. The test measures total number of correct responses recalling the word list learned initially. Higher score indicates better performance.
Days -21 to -2, Day -1, Predose, Day 1 (6 hours post dose), and Day 2 (24 hours post dose)
Sheehan Irritability Scale (SIS) Score: Part 1 and Part 3
大体时间:Day -1, Day 1 (6 and 12 hours post dose), and Day 2 (24 hours post dose)
The SIS is a 7-item self-report rating scale that assess symptoms of irritability, frustration, edginess/impatience, moodiness, anger with self, anger with others and temper during the past hour. Each item is assessed on an 11-point numeric rating scale ranging from 0 (not at all) to 10 (extremely). The SIS total score is calculated by summing of the scores for each of the 7 individual items and ranges from 0 to 70. A higher score indicates greater symptomatology.
Day -1, Day 1 (6 and 12 hours post dose), and Day 2 (24 hours post dose)
Cerebrospinal Fluid (CSF) Biomarkers Level: Brain Derived Neurotrophic Factor (BDNF): Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
BDNF level in the CSF (a CSF biomarker) will be analyzed to evaluate the pharmacodynamic effect of JNJ-64140284.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
Cerebrospinal Fluid (CSF) Biomarkers Level: Monoaminergic Neurotransmitters and Their Metabolites: Part 3
大体时间:Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose
Monoaminergic neurotransmitters (such as dopamine, serotonine and [nor]adrenaline) and their metabolites (such as homovanillic acid [HVA], 3,4-dihydroxyphenyl glycol [DHPG], 5-hydroxyindoleacetic acid [5-HIAA], 3,4-dihydroxyphenylalanine [DOPA], and 3,4-dihydroxyphenylacetic acid [DOPAC]) in the CSF (CSF biomarkers) will be analyzed to evaluate the pharmacodynamic effect of JNJ-64140284.
Predose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12 hours post dose

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年5月30日

初级完成 (实际的)

2017年9月25日

研究完成 (实际的)

2017年9月25日

研究注册日期

首次提交

2017年5月30日

首先提交符合 QC 标准的

2017年6月7日

首次发布 (实际的)

2017年6月8日

研究记录更新

最后更新发布 (实际的)

2018年10月30日

上次提交的符合 QC 标准的更新

2018年10月29日

最后验证

2018年10月1日

更多信息

与本研究相关的术语

其他研究编号

  • CR108318
  • 2017-000283-16 (EudraCT编号)
  • 64140284EDI1001 (其他标识符:Janssen Research & Development, LLC)

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

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安慰剂的临床试验

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