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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04655118
Registration number
NCT04655118
Ethics application status
Date submitted
24/11/2020
Date registered
7/12/2020
Date last updated
10/05/2024
Titles & IDs
Public title
Study of TL-895 in Subjects With Myelofibrosis or Indolent Systemic Mastocytosis
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Scientific title
A Phase 2 Multicenter Study of TL-895 in Subjects With Relapsed/Refractory Myelofibrosis, Janus Kinase Inhibitor Intolerant Myelofibrosis, Janus Kinase Inhibitor Treatment Ineligible Myelofibrosis, or Indolent Systemic Mastocytosis
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Secondary ID [1]
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TL-895-201
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Myelofibrosis
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Indolent Systemic Mastocytosis
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Condition category
Condition code
Skin
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Other skin conditions
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Blood
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Other blood disorders
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Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Cancer
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Leukaemia - Chronic leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TL-895
Treatment: Drugs - Placebo
Experimental: Cohort 1a, Relapsed/Refractory Myelofibrosis - 150 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 1b, Relapsed/Refractory Myelofibrosis - 300 mg of TL-895 will be administered orally, once daily (QD) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 1c, Relapsed/Refractory Myelofibrosis - 300 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 1d, Relapsed/Refractory Myelofibrosis - 450 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 2a, JAKi Intolerant Myelofibrosis - 150 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 2b, JAKi Intolerant Myelofibrosis - 300 mg of TL-895 will be administered orally, once daily (QD) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 3a, JAKi Ineligible Myelofibrosis with platelet count of = 25 and < 50 × 109/L - 150 mg of TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 3b, JAKi Ineligible Myelofibrosis with platelet count of = 25 and < 50 × 109/L - 300 mg of TL-895 will be administered orally, once daily (QD) continuously starting on Day 1 in a 28-day cycle.
Experimental: Cohort 5a, Indolent Systemic Mastocytosis - TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle in combination with best supportive care (BSC).
Experimental: Cohort 5b, Indolent Systemic Mastocytosis - TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle in combination with BSC.
Experimental: Cohort 5c, Indolent Systemic Mastocytosis - TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle in combination with BSC.
Experimental: Cohort 5d, Indolent Systemic Mastocytosis - TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle in combination with BSC.
Placebo comparator: Cohort 5e, Indolent Systemic Mastocytosis - Placebo to match TL-895 will be administered orally, twice daily (BID) continuously starting on Day 1 in a 28-day cycle in combination with BSC.
Treatment: Drugs: TL-895
TL-895 is an experimental tyrosine kinase inhibitor drug taken by mouth.
Treatment: Drugs: Placebo
Placebo to match TL-895
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Cohorts 1-3: Determine the RP2D of TL-895
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Assessment method [1]
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The RP2D for Cohorts 1, 2 and 3 will be reported
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Timepoint [1]
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9 months
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Primary outcome [2]
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Cohort 5: Determine the RP2D of TL-895
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Assessment method [2]
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The RP2D for Cohort 5 will be reported
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Timepoint [2]
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Week 24
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Secondary outcome [1]
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Cohorts 1-3: Spleen volume reduction (SVR) rate
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Assessment method [1]
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The proportion of subjects achieving =35% SVR at Week 24 by MRI or CT scan (central review).
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Timepoint [1]
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Week 24
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Secondary outcome [2]
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Cohort 5: Changes in patient reported symptoms
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Assessment method [2]
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Mean change in patient reported symptom assessment
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Timepoint [2]
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Week 12
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Eligibility
Key inclusion criteria
Cohorts 1-3
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* Adults =18 years of age
* Confirmed diagnosis of PMF, post-PV MF, or post-ET MF, as assessed by treating physician according to the World Health Organization (WHO) criteria
* Eastern Cooperative Oncology Group (ECOG) performance status of =2
* Adequate hematologic, hepatic, and renal functions
* MF symptoms as defined by having at least 2 symptoms with an average baseline (Day -7 to Day -1) score of at least 1 for each of the 2 symptoms per MFSAF v4.0
* Cohort 3 only: Ineligibility for JAKi treatment with a platelet count of = 25 and < 50 x 10^9/L
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior treatment with any BTK or BMX inhibitors
* Prior treatment with JAKi within 28 days prior to study treatment
* Prior splenectomy or splenic irradiation within 24 weeks prior to first dose of study treatment
Cohort 5
Key Inclusion Criteria:
* Adults =18 years of age
* Confirmed diagnosis of ISM as defined by WHO diagnostic criteria based on review of bone marrow biopsy pathology report results
* Subject must have moderate-to-severe symptoms
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* Prior treatment with any BTK or BMX inhibitors
* Prior treatment with Avapritinib, bezuclastinib, or BLU-263/elenestinib
* Diagnosis with another myeloproliferative disorder
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/10/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
121
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Border Medical Oncology - East Albury
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Recruitment hospital [2]
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Southern Oncology Specialists - Kogarah
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Recruitment hospital [3]
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Royal Perth Hospital - Perth
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Recruitment hospital [4]
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St Vincent's Hospital Sydney - Sydney
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Recruitment postcode(s) [1]
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- East Albury
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Recruitment postcode(s) [2]
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2217 - Kogarah
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Recruitment postcode(s) [3]
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6000 - Perth
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Recruitment postcode(s) [4]
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2010 - Sydney
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Recruitment outside Australia
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United States of America
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Colorado
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United States of America
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Minnesota
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United States of America
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Ohio
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Texas
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Belgium
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Liège
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Belgium
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Woluwe-Saint-Lambert
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Brazil
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São Paulo
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Bulgaria
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Sofia
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Le Mans
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France
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Nantes
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France
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Nice
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Dresden
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Germany
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Düsseldorf
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Germany
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Halle
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Germany
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Jena
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Germany
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Koblenz
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Eger
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Nyíregyháza
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Hungary
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Italy
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Catania
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Italy
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Meldola
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Italy
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Milano
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Italy
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Novara
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Ravenna
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Reggio Calabria
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Italy
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Roma
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Korea, Republic of
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Daegu
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Bydgoszcz
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Kraków
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Wroclaw
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Barcelona
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Madrid
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Salamanca
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Zaragoza
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Kaohsiung
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Taichung
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Taiwan
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Taipei
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Telios Pharma, Inc.
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study evaluates TL-895, a potent, orally-available and highly selective irreversible tyrosine kinase inhibitor for the treatment of Myelofibrosis (Cohorts 1-3) or Indolent Systemic Mastocytosis (Cohort 5). Participants must be diagnosed with Myelofibrosis and be relapsed/refractory (e.g., having failed prior therapy), intolerant, or ineligible to receive JAKi treatment, or be diagnosed with Indolent Systemic Mastocytosis.
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Trial website
https://clinicaltrials.gov/study/NCT04655118
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Contact person for public queries
Name
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John Mei
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Address
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Phone
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650-542-0136
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04655118
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