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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04895410
Registration number
NCT04895410
Ethics application status
Date submitted
19/05/2021
Date registered
20/05/2021
Titles & IDs
Public title
Study to Assess Adverse Events and Change in Disease Activity of Intravenous (IV) Lemzoparlimab With or Without Oral/IV Dexamethasone and in Combination With Oral/IV/Subcutaneous Anti-Myeloma Regimens in Adult Participants With Multiple Myeloma
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Scientific title
A Phase 1b, Dose Escalation and Expansion Study of Lemzoparlimab With or Without Dexamethasone and in Combination With Anti-Myeloma Regimens for the Treatment of Patients With Relapsed/Refractory Multiple Myeloma
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Secondary ID [1]
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2021-001067-24
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Secondary ID [2]
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M20-917
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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:
Multiple Myeloma
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Condition category
Condition code
Cancer
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Lemzoparlimab
Treatment: Drugs - Dexamethasone
Treatment: Drugs - Carfilzomib
Treatment: Drugs - Pomalidomide
Treatment: Other - Daratumumab
Experimental: Dose Escalation: Lemzoparlimab - Participants will receive lemzoparlimab in 28 day cycles.
Experimental: Dose Escalation: Lemzoparlimab + Pomalidomide + Dexamethasone - Participants will receive lemzoparlimab + pomalidomide + dexamethasone in 28 day cycles.
Experimental: Dose Escalation: Lemzoparlimab + Carfilzomib + Dexamethasone - Participants will receive lemzoparlimab + carfilzomib + dexamethasone in 28 day cycles.
Experimental: Dose Escalation: Lemzoparlimab + Daratumumab + Dexamethasone - Participants will receive lemzoparlimab + daratumumab + dexamethasone in 28 day cycles.
Experimental: Dose Expansion: Lemzoparlimab - Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion in 28 day cycles.
Experimental: Dose Expansion: Lemzoparlimab + Dexamethasone - Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + dexamethasone in 28 day cycles.
Experimental: Dose Expansion: Lemzoparlimab + Pomalidomide + Dexamethasone - Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + pomalidomide + dexamethasone in 28 day cycles.
Experimental: Dose Expansion: Lemzoparlimab + Carfilzomib + Dexamethasone - Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + carfilzomib + dexamethasone in 28 day cycles.
Experimental: Dose Expansion: Lemzoparlimab + Daratamumab + Dexamethasone - Participants will receive lemzoparlimab at recommended dose determined in Dose Escalation portion + daratamumab + dexamethasone in 28 day cycles.
Treatment: Other: Lemzoparlimab
Intravenous (IV) infusion
Treatment: Drugs: Dexamethasone
Oral tablet or IV infusion/injection
Treatment: Drugs: Carfilzomib
IV infusion
Treatment: Drugs: Pomalidomide
Oral capsule
Treatment: Other: Daratumumab
Subcutaneous (SC) injection
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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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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Dose Limiting Toxicities (DLTs) of Lemzoparlimab With or Without Dexamethasone and in Combination With Anti-myeloma Regimens in Participants With Relapsed/Refractory (R/R) Multiple Myeloma (MM)
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Assessment method [1]
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DLT events as described in the protocol will be assessed.
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Timepoint [1]
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Up to 28 days after study drug administration
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Secondary outcome [1]
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Percentage of Participants Achieving Best Overall Response of Documented Partial Response (PR) or Better
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Assessment method [1]
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Best overall response is defined as achieving documented PR or better at two consecutive disease assessments during the study, according to International Myeloma Working Group (IMWG) 2016 criteria.
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Timepoint [1]
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Up to approximately 2 years
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Secondary outcome [2]
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Progression Free Survival (PFS)
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Assessment method [2]
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PFS is defined as the time from the first dose of study drug to the first documented progressive disease (PD) or death due to any cause, whichever occurs first.
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Timepoint [2]
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Up to approximately 2 years
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Secondary outcome [3]
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Duration of Response (DOR)
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Assessment method [3]
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DOR is defined as the time from first documented response (PR or better) to the first documented PD or death due to MM, whichever occurs first.
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Timepoint [3]
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Up to approximately 2 years
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Secondary outcome [4]
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Time to Progression (TTP)
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Assessment method [4]
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TTP is defined as the time from the first dose of study drug to the first documented PD or death due to MM, whichever occurs first.
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Timepoint [4]
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Up to approximately 2 years
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Eligibility
Key inclusion criteria
* Diagnosis of relapsed/refractory (R/R) multiple myeloma (MM) with documented evidence of progression during or after the participant's last treatment regimen based on the investigator's determination of the International Myeloma Working Group (IMWG) criteria.
* Relapsed defined as previously treated myeloma that progresses and requires initiation of salvage therapy, but does not meet criteria for refractory myeloma.
* Refractory defined as disease that is nonresponsive (failure to achieve minimal response or development of progressive disease) while on primary or salvage therapy, or progresses within 60 days of last therapy.
* Measurable disease per the protocol within 28 days prior to enrollment.
* Arm A - Lemzoparlimab with or without Dexamethasone
* For Both Escalation and Expansion Phase, participant must have refractory to 3 prior lines of treatment of anti-myeloma treatments, as outlined in the protocol.
* Arm B - Lemzoparlimab + Pomalidomide-Dexamethasone
* For Escalation Phase - Participant must have received at least 3 prior lines of therapy, as outlined in the protocol.
* For Expansion Phase- Participant must have received at least 2 prior line of therapy, as outlined in the protocol.
* Arm C - Lemzoparlimab + Carfilzomib-Dexamethasone
* For Escalation Phase- Participant must have received at least 3 prior lines of therapy as outlined in the protocol.
* For Expansion Phase- Participant must have received at least 1 prior line of therapy.
* Arm D - Lemzoparlimab + Daratumumab-Dexamethasone -- For Both Escalation and Expansion Phase - Participant must: --- Have received at least 3 prior lines of therapy, as outlined in the protocol.
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Minimum age
18
Years
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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
* Arm B - Lemzoparlimab + Pomalidomide-Dexamethasone
* For Both Escalation and Expansion Phase participant must have had no prior treatment with pomalidomide.
* Arm C - Lemzoparlimab + Carfilzomib-Dexamethasone
* For Both Escalation and Expansion Phase - prior treatment with carfilzomib.
* Arm D - Lemzoparlimab + Daratumumab-Dexamethasone
* For Both Escalation and Expansion Phase - prior treatment with daratumumab or other anti-CD38 therapy.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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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
17/01/2022
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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
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Actual
24/06/2022
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Sample size
Target
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
SA,VIC
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Recruitment hospital [1]
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The Queen Elizabeth Hospital /ID# 229345 - Woodville South
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Recruitment hospital [2]
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Alfred Health /ID# 229347 - Melbourne
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Recruitment postcode(s) [1]
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5011 - Woodville South
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Recruitment postcode(s) [2]
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3004 - Melbourne
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Recruitment outside Australia
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United States of America
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Florida
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United States of America
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Kentucky
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United States of America
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Louisiana
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United States of America
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Michigan
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United States of America
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New Jersey
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United States of America
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New York
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United States of America
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North Carolina
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Pennsylvania
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Virginia
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France
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Auvergne-Rhone-Alpes
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France
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Pays-de-la-Loire
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France
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Poitou-Charentes
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France
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Creteil
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Germany
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Hamburg
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Israel
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Tel-Aviv
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Israel
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Haifa
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Israel
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Jerusalem
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Israel
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Kfar Saba
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Israel
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Petakh Tikva
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Japan
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Kyoto
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Spain
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A Coruna
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Spain
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Cantabria
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Spain
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Barcelona
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Spain
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Cordoba
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Spain
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
AbbVie
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
Multiple myeloma (MM) accounts for more than 10% of all blood cancers and 1% of all cancers. The purpose of this study is to assess how safe lemzoparlimab is and how lemzoparlimab moves through the body of adult participants with MM when given with or without dexamethasone, and in combination with other anti-myeloma regimens. Adverse events and change in disease activity will be assessed. Lemzoparlimab is an investigational drug being developed for the treatment of relapsed/refractory (R/R) MM. Study doctors put the participants in groups called treatment arms. Two different dose levels of lemzoparlimab will be explored. Each treatment arm receives a different treatment combination depending on stage of the study and eligibility. This study will include a dose escalation phase to determine the best dose of lemzoparlimab, followed by a dose expansion phase to confirm the dose. Approximately 163 adult participants with R/R MM will be enrolled in the study in approximately 60 sites worldwide. In the Dose Escalation arms, participants will receive intravenous (IV) lemzoparlimab with or without dexamethasone (oral/IV) in combination with pomalidomide (oral) or carfilzomib (IV) or subcutaneous (SC) daratumumab in 28-day cycles. In the Dose Expansion arms, participants will receive lemzoparlimab (IV) alone or with dexamethasone (oral/IV) in combination with pomalidomide (oral) or carfilzomib (IV) or daratumumab (SC) in 28-day cycles. There may be higher treatment burden for participants in this trial compared to their standard of care. Participants will attend regular visits during the study at an approved institution (hospital or clinic). The effect of the treatment will be frequently checked by medical assessments, blood tests and side effects.
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Trial website
https://clinicaltrials.gov/study/NCT04895410
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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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ABBVIE INC.
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Address
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AbbVie
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT04895410