与Saruparib vs安慰剂的自由生存的研究添加到具有BRCA突变的高风险前列腺癌男性中的标准RT/ADT中 (EvoPAR-PR02)
一项随机,双盲,安慰剂对照的,III期研究的辅助Saruparib(AZD5305)对BRCAM局部高危前列腺癌患者接受雄激素剥夺治疗(Evopar-Proptate02)接受放疗的患者。
The purpose of the study is to demonstrate superiority of Saruparib (AZD5305) relative to placebo added to a standard radiation therapy (RT) + androgen deprivation therapy (ADT) regimen by assessment of metastases-free survival in participants with high-risk and very high-risk localised/locally advanced prostate cancer with a breast cancer gene mutation (BRCAm).
研究概览
地位
条件
详细说明
Approximately, 700 adult participants with localised/locally advanced prostate cancer will be randomized in a 1:1 ratio to receive saruparib or placebo with ADT (+ abiraterone) in one of the following two cohorts:
Cohort A: 400 adult participants with newly diagnosed high-risk and very high-risk (localised/locally advanced) prostate cancer who have received primary RT and are receiving continuous ADT, and participants with high-risk biochemical recurrence (BCR) [including prostate-specific antigen (PSA) persistence] following a radical prostatectomy who have received salvage RT are receiving continuous ADT.
Cohort B: 300 adult participants with newly diagnosed very high-risk (locally advanced) prostate cancer who have received primary RT and who are receiving continuous ADT and abiraterone.
All participants will be followed for survival until the end of the study. Independent data monitoring committee (DMC) composed of experts will be convened to confirm the safety and efficacy of Saruparib + ADT (+ abiraterone).
研究类型
注册 (估计的)
阶段
- 第三阶段
联系人和位置
学习联系方式
- 姓名:AstraZeneca Clinical Study Information Center
- 电话号码:1-877-240-9479
- 邮箱:information.center@astrazeneca.com
学习地点
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Beijing、中国、100020
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Beijing、中国、100021
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Guangzhou、中国、510180
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Ankara、土耳其(türkiye)、06800
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Istanbul、土耳其(türkiye)、34722
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Graz、奥地利、8036
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Barretos、巴西、14784-400
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Curitiba、巴西
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Pelotas、巴西、96020-080
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Augsburg、德国、86156
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Essen、德国、45147
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Herne、德国、44625
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Kiel、德国、24105
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Lübeck、德国、23538
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Marburg、德国、35043
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Münster、德国、48149
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Nuremberg、德国、90419
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Trier、德国、54292
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Arezzo、意大利、52100
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Muang、泰国、50200
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Kingswood、澳大利亚、2747
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Gothenburg、瑞典、413 45
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Malmö、瑞典、205 02
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Stockholm、瑞典、141 86
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Stockholm、瑞典、112 81
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Umeå、瑞典、901 85
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Uppsala、瑞典、75185
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Lima、秘鲁、15036
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Lima、秘鲁、LIMA 29
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Lima、秘鲁、Lima 34
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Trujillo、秘鲁、13008
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Phoenix、Arizona、美国、85054
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-
Los Angeles、California、美国、90048
- 招聘中
- Research Site
-
San Diego、California、美国、92123
- 招聘中
- Research Site
-
San Luis Obispo、California、美国、93401
- 招聘中
- Research Site
-
-
Colorado
-
Lakewood、Colorado、美国、80215
- 招聘中
- Research Site
-
-
Florida
-
Hialeah、Florida、美国、33016
- 招聘中
- Research Site
-
Jacksonville、Florida、美国、32224
- 招聘中
- Research Site
-
Tallahassee、Florida、美国、32308
- 撤销
- Research Site
-
Tampa、Florida、美国、33612
- 招聘中
- Research Site
-
-
Georgia
-
Newnan、Georgia、美国、30265
- 招聘中
- Research Site
-
-
Illinois
-
Chicago、Illinois、美国、60611
- 招聘中
- Research Site
-
Chicago Ridge、Illinois、美国、60415
- 招聘中
- Research Site
-
Lake Barrington、Illinois、美国、60010
- 撤销
- Research Site
-
-
Indiana
-
Greenwood、Indiana、美国、46143
- 招聘中
- Research Site
-
Jeffersonville、Indiana、美国、47130
- 撤销
- Research Site
-
-
Maryland
-
Bethesda、Maryland、美国、20817
- 撤销
- Research Site
-
Towson、Maryland、美国、21204
- 招聘中
- Research Site
-
-
Massachusetts
-
Plymouth、Massachusetts、美国、02360
- 招聘中
- Research Site
-
-
Minnesota
-
Rochester、Minnesota、美国、55905
- 招聘中
- Research Site
-
-
New Jersey
-
Hackensack、New Jersey、美国、07601
- 招聘中
- Research Site
-
Voorhees Township、New Jersey、美国、08043
- 招聘中
- Research Site
-
-
New York
-
Albany、New York、美国、12206
- 撤销
- Research Site
-
New York、New York、美国、10065
- 招聘中
- Research Site
-
Syracuse、New York、美国、13210
- 招聘中
- Research Site
-
-
Ohio
-
Columbus、Ohio、美国、43230
- 招聘中
- Research Site
-
-
Oregon
-
Springfield、Oregon、美国、97477
- 招聘中
- Research Site
-
-
Pennsylvania
-
Hershey、Pennsylvania、美国、17033
- 招聘中
- Research Site
-
Lancaster、Pennsylvania、美国、17601
- 招聘中
- Research Site
-
Pittsburgh、Pennsylvania、美国、15212
- 招聘中
- Research Site
-
-
Rhode Island
-
Providence、Rhode Island、美国、02903
- 招聘中
- Research Site
-
-
South Carolina
-
Myrtle Beach、South Carolina、美国、29572
- 招聘中
- Research Site
-
-
Tennessee
-
Nashville、Tennessee、美国、37209
- 招聘中
- Research Site
-
-
Texas
-
Austin、Texas、美国、78745
- 招聘中
- Research Site
-
Austin、Texas、美国、78705
- 招聘中
- Research Site
-
Houston、Texas、美国、77074
- 招聘中
- Research Site
-
San Antonio、Texas、美国、78229
- 招聘中
- Research Site
-
Spring、Texas、美国、77380
- 招聘中
- Research Site
-
-
Utah
-
Salt Lake City、Utah、美国、84112
- 撤销
- Research Site
-
-
Virginia
-
Norfolk、Virginia、美国、23502
- 招聘中
- Research Site
-
Roanoke、Virginia、美国、24014
- 招聘中
- Research Site
-
Virginia Beach、Virginia、美国、23462
- 招聘中
- Research Site
-
-
Washington
-
Seattle、Washington、美国、98109
- 撤销
- Research Site
-
-
-
-
-
Helsinki、芬兰、00290
- 招聘中
- Research Site
-
Helsinki、芬兰、FI-00180
- 招聘中
- Research Site
-
Kuopio、芬兰、70210
- 招聘中
- Research Site
-
Oulu、芬兰、90029
- 尚未招聘
- Research Site
-
Tampere、芬兰、FI-33521
- 招聘中
- Research Site
-
Turku、芬兰、20520
- 招聘中
- Research Site
-
-
-
-
-
Aberdeen、英国、AB25 2ZN
- 招聘中
- Research Site
-
Bristol、英国、BS2 8ED
- 招聘中
- Research Site
-
Cambridge、英国、CB2 0QQ
- 招聘中
- Research Site
-
Edinburgh、英国、EH4 2XU
- 招聘中
- Research Site
-
Exeter、英国、EX2 5DW
- 招聘中
- Research Site
-
Glasgow、英国、G12 0YN
- 招聘中
- Research Site
-
Greater London、英国、SW3 6JJ
- 招聘中
- Research Site
-
Guildford、英国、GU2 7XX
- 招聘中
- Research Site
-
London、英国、NW3 2QG
- 招聘中
- Research Site
-
London、英国、WC1N 3BG
- 招聘中
- Research Site
-
London、英国、EC1M6BQ
- 撤销
- Research Site
-
Manchester、英国、M20 4BX
- 招聘中
- Research Site
-
Newcastle、英国、NE7 7DN
- 撤销
- Research Site
-
Plymouth、英国、PL6 8DH
- 招聘中
- Research Site
-
Preston、英国、PR2 9HT
- 撤销
- Research Site
-
Romford、英国、RM7 0AG
- 招聘中
- Research Site
-
-
-
-
-
Hilversum、荷兰、1213 XZ
- 招聘中
- Research Site
-
Hoofddorp、荷兰、2134 TM
- 撤销
- Research Site
-
Maastricht、荷兰、6202 AZ
- 招聘中
- Research Site
-
Nijmegen、荷兰、6532 SZ
- 招聘中
- Research Site
-
Roosendaal、荷兰、4708 AE
- 招聘中
- Research Site
-
-
-
-
-
Barcelona、西班牙、08041
- 招聘中
- Research Site
-
Barcelona、西班牙、8035
- 招聘中
- Research Site
-
Girona、西班牙、17007
- 招聘中
- Research Site
-
Madrid、西班牙、28040
- 招聘中
- Research Site
-
Madrid、西班牙、28041
- 招聘中
- Research Site
-
Madrid、西班牙、28046
- 招聘中
- Research Site
-
Majadahonda、西班牙、28222
- 招聘中
- Research Site
-
Málaga、西班牙、29010
- 招聘中
- Research Site
-
Málaga、西班牙、29009
- 招聘中
- Research Site
-
Oviedo、西班牙、33011
- 招聘中
- Research Site
-
Sabadell、西班牙、08208
- 招聘中
- Research Site
-
Santander、西班牙、39008
- 招聘中
- Research Site
-
Valencia、西班牙、46014
- 招聘中
- Research Site
-
Valencia、西班牙、46009
- 招聘中
- Research Site
-
-
-
-
-
CABA、阿根廷、C1113AAE
- 招聘中
- Research Site
-
CABA、阿根廷、1426
- 招聘中
- Research Site
-
Ciudad de Buenos Aires、阿根廷、1181
- 尚未招聘
- Research Site
-
Ciudad de Buenos Aires、阿根廷、1426
- 招聘中
- Research Site
-
Ciudad de Buenos Aires、阿根廷、C1419AHL
- 招聘中
- Research Site
-
Cuidad Autónoma de Buenos Aire、阿根廷、C1426ANZ
- 招聘中
- Research Site
-
Córdoba、阿根廷、5000
- 尚未招聘
- Research Site
-
Córdoba、阿根廷、X5008HHW
- 招聘中
- Research Site
-
La Plata、阿根廷、1900
- 招聘中
- Research Site
-
Pergamino、阿根廷、B2700CPM
- 招聘中
- Research Site
-
Rosario、阿根廷、S2000KZE
- 招聘中
- Research Site
-
San Miguel de Tucumán、阿根廷、4000
- 尚未招聘
- Research Site
-
Viedma、阿根廷、R8500ACE
- 招聘中
- Research Site
-
-
-
-
-
Busan、韩国、49241
- 招聘中
- Research Site
-
Daegu、韩国、41404
- 招聘中
- Research Site
-
Goyang-si、韩国、10408
- 招聘中
- Research Site
-
Seongnam-si、韩国、13620
- 撤销
- Research Site
-
Seoul、韩国、03080
- 招聘中
- Research Site
-
Seoul、韩国、06351
- 招聘中
- Research Site
-
Seoul、韩国、5505
- 招聘中
- Research Site
-
Seoul、韩国、06591
- 招聘中
- Research Site
-
Seoul、韩国、3722
- 招聘中
- Research Site
-
Seoul、韩国、06273
- 招聘中
- Research Site
-
-
-
-
-
Batu Caves、马来西亚、68100
- 撤销
- Research Site
-
Kuala Lumpur、马来西亚、59100
- 撤销
- Research Site
-
Kuala Selangor、马来西亚、62250
- 撤销
- Research Site
-
Pulau Pinang、马来西亚、10450
- 撤销
- Research Site
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Male participants with a histologically documented diagnosis of prostate adenocarcinoma.
- Newly diagnosed high-risk and very high-risk (localised/locally advanced) prostate cancer or a high-risk biochemical recurrence (BCR) following radical prostatectomy.
- Provision of a formalin fixed and paraffin embedded (FFPE) tumour tissue sample.
- Confirmed BRCA1 or BRCA2 mutation status by central tumour tissue is required for enrolment.
- Participants required to have a computed tomography (CT) or magnetic resonance imaging (MRI) and a bone scan following the completion of their planned RT. This screening scan must confirm no evidence of disease or evidence of disease confined to the pelvis (M0).
- Participants required to have a prostate-specific membrane antigen-positron emission tomography (PSMA-PET) following the completion of their planned RT. This screening scan must confirm no evidence of disease or evidence of disease confined to the pelvis (M0).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 with no deterioration over the 2 weeks prior to randomization.
- Minimum life expectancy of 12 months.
- Adequate organ and bone marrow function as described in study protocol.
- All participants will have received either primary or salvage RT. Participants must be eligible for randomisation within 10 months of initial diagnosis (de novo or BCR). Radiotherapy administered to the prostate (± pelvis) either in the primary or salvage setting must be delivered with curative intent. Use of metastases-directed therapy, as part of the RT radiation plan, is permitted as localised RT treatment for a metastatic lesion(s) outside the pelvis.
- All participants will have received a planned regimen of ADT with a gonadotropin releasing hormone (GnRH) analogue.
- Participants must not father children or donate sperm from signing informed consent form (ICF), during the study intervention and for 6 months after the last dose of study intervention.
- Participants must use a condom (with spermicide - where permitted) from signing ICF, during study intervention, and for 6 months after the last dose of study drug, with all sexual partners.
Exclusion Criteria:
- Participants with a history of myelodysplastic syndrome (MDS)/ acute myeloid leukemia (AML) or with features suggestive of MDS/AML.
- Participants with any known predisposition to bleeding [e.g., active peptic ulceration, recent (within 6 months) hemorrhagic stroke, proliferative diabetic retinopathy].
- Any history of persisting (> 2 weeks) severe cytopenia due to any cause.
- Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of saruparib and/or abiraterone.
- History of another primary malignancy, with exceptions.
- Persistent toxicities [Common Terminology Criteria for Adverse Events (CTCAE) Grade ≥ 2] caused by previous anticancer therapy.
- Cardiac criteria, including history of arrhythmia and cardiovascular disease.
- Evidence of active and uncontrolled hepatitis B and/or hepatitis C.
- Evidence of active and uncontrolled human immunodeficiency virus (HIV) infection.
- Active tuberculosis infection.
- Any prior chemotherapy (i.e., docetaxel) or immunotherapy; any prior treatment with a poly (ADP-ribose) polymerase (PARP) inhibitor.
- Prior treatment within 14 days with blood product support or growth factor support.
- Concomitant use of strong inducers and inhibitors of CYP3A4 (applies to saruparib and abiraterone) or herbal supplements within 21 days or at least 5 half-lives (whichever is longer), of randomization.
- Concomitant use of drugs that are known to prolong QT and have a known risk of Torsades de Pointes (TdP).
- Participants with a known hypersensitivity to saruparib or any excipients of these products.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:四人间
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Cohort A: Saruparib (AZD5305) + Physician's Choice ADT
Participants will receive saruparib along with ADT. |
Saruparib will be administered orally.
其他名称:
Standard of care ADT will be administered. |
|
安慰剂比较:Cohort A: Placebo + Physician's Choice ADT
Participants will receive matching placebo to saruparib along with ADT. |
Standard of care ADT will be administered. Matching placebo to saruparib will be administered orally. |
|
实验性的:Cohort B: Saruparib (AZD5305) + Physician's Choice ADT + Abiraterone (and prednisone/prednisolone)
Participants will receive saruparib, abiraterone and prednisolone/prednisone along with ADT. |
Saruparib will be administered orally.
其他名称:
Standard of care ADT will be administered. Abiraterone will be administered orally in combination with prednisone/prednisolone. |
|
安慰剂比较:Cohort B: Placebo + Physician's Choice ADT + Abiraterone (and prednisone/prednisolone)
Participants will receive matching placebo to saruparib, abiraterone and prednisolone/prednisone along with ADT. |
Standard of care ADT will be administered. Matching placebo to saruparib will be administered orally. Abiraterone will be administered orally in combination with prednisone/prednisolone. |
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 |
|---|---|---|
|
Metastasis-free survival (MFS)
大体时间:Up to approximately 93 months
|
MFS is defined as the time from randomisation until the date of first appearance of distant metastases, confirmed by standard clinical imaging [computed tomography (CT)/ magnetic resonance imaging (MRI) and bone scan, or prostate-specific membrane antigen-positron emission tomography (PSMA-PET)], as assessed by blinded independent central review (BICR) or death due to any cause. |
Up to approximately 93 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Overall Survival (OS)
大体时间:Up to approximately 11 years
|
OS is defined as the time from randomisation until the date of death due to any cause. |
Up to approximately 11 years
|
|
MFS (CT/MRI and bone scan)
大体时间:Up to approximately 93 months
|
MFS is defined as the time from randomisation until the date of distant metastases, confirmed by conventional imaging (CT/MRI and bone scan), or death due to any cause. |
Up to approximately 93 months
|
|
MFS (PSMA-PET)
大体时间:Up to approximately 93 months
|
MFS is defined as the time from randomisation until the date of distant metastases, confirmed by PSMA-PET imaging or death due to any cause. |
Up to approximately 93 months
|
|
MFS (standard clinical imaging)
大体时间:Up to approximately 93 months
|
MFS is defined as the time from randomisation until the date of distant metastases, confirmed by standard clinical imaging (CT/MRI and bone scan or PSMA-PET), histology, or death due to any cause. |
Up to approximately 93 months
|
|
Time from randomisation to Progression Free Survival 2 (PFS2)
大体时间:Up to approximately 93 months
|
Time from randomisation to PFS2 is defined as the time from randomisation to the earliest of progression [defined as radiographic progression, clinical progression, or prostate-specific antigen (PSA) progression] after initiation of first subsequent systemic treatment following the initial investigator-assessed progression or death. The date of second progression will be investigator assessed according to local standard clinical practice. |
Up to approximately 93 months
|
|
Time to biochemical recurrence
大体时间:Up to approximately 93 months
|
Time to biochemical recurrence is defined as the time from randomisation to biochemical recurrence per Phoenix criteria. |
Up to approximately 93 months
|
|
Prostate cancer-specific survival (PCSS)
大体时间:Up to approximately 11 years
|
PCSS is defined as the time from randomisation until the date of death due to the underlying prostate cancer. |
Up to approximately 11 years
|
|
Time to deterioration in urinary symptoms (TTDUS)
大体时间:Up to approximately 93 months
|
TTDUS is defined as the time from randomisation to deterioration in EORTC-QLQ-PR25 (US) subscale scores. |
Up to approximately 93 months
|
|
Time to deterioration in physical function (TTDPF)
大体时间:Up to approximately 93 months
|
TTDPF is defined as the time from randomisation to deterioration in EORTC-QLQ-C30 Physical Function subscale scores. |
Up to approximately 93 months
|
|
Plasma concentrations of saruparib
大体时间:Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
To assess the PK of saruparib in plasma either with or without abiraterone and explore the relationship between the PK concentration/parameters and selected endpoints (which may include pharmacodynamic parameters, efficacy, and/or safety). |
Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
|
Area under the curve (AUC)
大体时间:Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
To assess the PK of saruparib in plasma either with or without abiraterone and explore the relationship between the PK concentration/parameters and selected endpoints (which may include pharmacodynamic parameters, efficacy, and/or safety). |
Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
|
Maximum observed concentration (Cmax)
大体时间:Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
To assess the PK of saruparib in plasma either with or without abiraterone and explore the relationship between the PK concentration/parameters and selected endpoints (which may include pharmacodynamic parameters, efficacy, and/or safety). |
Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
|
Time to Cmax (Tmax)
大体时间:Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
To assess the PK of saruparib in plasma either with or without abiraterone and explore the relationship between the PK concentration/parameters and selected endpoints (which may include pharmacodynamic parameters, efficacy, and/or safety). |
Day 1 of Cycle 1, Cycle 3 and Cycle 6 (each cycle is of 28 days)
|
|
Number of participants with adverse events (AEs)
大体时间:Up to approximately 11 years
|
To assess the safety and tolerability of saruparib administered in combination with ADT alone (Cohort A) and in combination with ADT + abiraterone (Cohort B). |
Up to approximately 11 years
|
合作者和调查者
赞助
合作者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- D9727C00001
- 2024-513586-39 (其他标识符:EU CT Number)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD 共享时间框架
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD 共享访问标准
When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.
IPD 共享支持信息类型
- 研究方案
- 树液
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
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.