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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05505825
Registration number
NCT05505825
Ethics application status
Date submitted
16/08/2022
Date registered
18/08/2022
Titles & IDs
Public title
A Study of AK104 in Combination With Chiauranib in Patients With Extensive Stage Small Cell Lung Cancer
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Scientific title
A Phase Ib/II Clinical Study of Anti-PD-1 and CTLA-4 Bispecific Antibody, Cadonilimab(AK104), in Combination With Chiauranib in the Treatment of Patients With Extensive Stage Small Cell Lung Cancer Who Failed First-line Platinum-based Chemotherapy in Combination With Programmed Cell Death-1(PD1)/Programmed Cell Death Protein Ligand-1(PDL1) Inhibitors
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Secondary ID [1]
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AK104-212
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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:
SCLC,Extensive Stage
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Condition category
Condition code
Cancer
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AK104 IV infusion;Chiauranib oral
Experimental: AK104 once every 3 weeks and Chiauranib once a day - Subjects receive AK104 once every 3 weeks plus Chiauranib once a day until intolerable toxicity, no more clinical benefit as judged by the investigator, or completion of 24 months of treatment, or meeting other criteria for termination of treatment in the protocol, whichever occurs first.
Treatment: Drugs: AK104 IV infusion;Chiauranib oral
AK104 IV infusion once every 3 weeks;Chiauranib once a day oral
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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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Objective response rate (ORR)
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Assessment method [1]
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ORR is proportion of subjects with complete response(CR) or partial response(PR), based on Response Evaluation Criteria in Solid Tumors(RECIST) v1.1
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Timepoint [1]
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Up to approximately 2 years
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Primary outcome [2]
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Incidence and severity of adverse events(AEs)
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Assessment method [2]
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Incidence and severity of AEs is aim to evaluate the safety of AK104 in combination with Chiauranib.
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Timepoint [2]
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Up to approximately 2 years
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Secondary outcome [1]
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Disease control rate (DCR)
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Assessment method [1]
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Disease control rate (DCR) is defined as the proportion of subjects achieving a best of response(BOR) of confirmed CR and PR and stable disease(SD) per RECIST v1.1.
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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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duration of response (DoR)
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Assessment method [2]
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Duration of response (DoR) is defined as the period from the first documentation of confirmed response (CR or PR) to the first documentation of progressive disease(PD) (as per RECIST v1.1) 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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time to response (TTR)
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Assessment method [3]
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Time to response (TTR) is defined as the time from the first dose of investigational products until the first confirmation of CR or PR.
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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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progression-free survival (PFS)
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Assessment method [4]
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Progression-free survival (PFS) is defined as the time from the first dose of investigational products until documentation of PD (as per RECIST v1.1) or death due to any cause, whichever occurs first.
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Timepoint [4]
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Up to approximately 2 years
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Secondary outcome [5]
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overall survival (OS)
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Assessment method [5]
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Overall survival (OS) is defined as the time from the first dose of investigational products until death due to any cause.
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Timepoint [5]
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Up to approximately 2 years
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Secondary outcome [6]
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Pharmacokinetics(PK) profiles
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Assessment method [6]
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Serum concentrations of AK104 and plasma concentrations of Chiauranib in individual subjects at different time points after administration of AK104 in combination with Chiauranib.
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Timepoint [6]
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Up to approximately 2 years
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Secondary outcome [7]
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Immunogenicity assessment
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Assessment method [7]
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The immunogenic potential of AK104 in combination with Chiauranib will be assessed by summarizing the number and percentage of subjects with detectable antidrug antibody(ADA).
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Timepoint [7]
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Up to approximately 2 years
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Eligibility
Key inclusion criteria
1. The subject must sign the written informed consent form (ICF) voluntarily.
2. Aged = 18 to = 75 years.
3. Eastern Cooperative Oncology Group(ECOG) performance status score of 0 or 1.
4. Life expectancy= 3 months.
5. Histologically or cytologically confirmed ES-SCLC according to the Veterans Administration Lung Study Group(VALG) stage.
6. Phase Ib and II: Subjects with ES-SCLC who have failed prior first-line platinum-based chemotherapy in combination with PD1/PDL1 inhibitors will be enrolled.
7. At least 1 measurable lesion per RECIST v1.1, which is applicable for repeated accurate measurement. Brain metastatic lesions are not considered target lesions.
8. Adequate organ function.
9. Women of childbearing potential must have a negative urine or serum pregnancy test
10. If a nonsterile male subject has sexual intercourse with a female partner of childbearing potential, he must use an effective method of contraception from the start of screening until Day 120 after the last dose; it should be discussed with the Investigator whether contraception should be discontinued after this time point.
11. Subjects must be willing and able to comply with the scheduled visits, treatment regimens, laboratory tests, and other requirements in the study.
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Minimum age
18
Years
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Maximum age
75
Years
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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
1. Malignancies other than SCLC within 3 years prior to enrollment. However, subjects with other malignancies that have been cured are eligible.
2. Concurrent enrollment in another clinical study, unless it is an observational, non-interventional clinical study or a follow-up period of an interventional study.
3. Subjects whose imaging at screening shows that the tumor encircles important blood vessels or has significant necrosis and cavitation, and the subjects'participation is associated with a risk of hemorrhage.
4. Tumor invasion of surrounding vital organs and blood vessels.
5. Subjects who had active autoimmune disease that required systemic treatment in the past two years.
6. Subjects with prior history of non-infectious pneumonitis/interstitial lung disease requiring systemic glucocorticoid therapy or with non-infectious pneumonitis at present.
7. Presence of metastases to brainstem, meninges and spinal cord, or spinal cord compression.
8. Subjects with pleural effusion, pericardial effusion, or ascites that are clinically symptomatic or require drainage.
9. Subjects with unresolved toxicity due to prior anti-tumor therapy, defined as failure to recover to National Cancer Institute Common Terminology Criteria for Adverse Events(NCI CTCAE) v5.0 Grade 0 or 1 (except for alopecia) or to the levels specified in the inclusion/exclusion criteria.
10. Subjects who cannot swallow pills, and who have malabsorption syndrome, or any condition affecting gastrointestinal absorption. Subjects with active or prior history of definite inflammatory bowel disease.
11. Subjects with a history of immunodeficiency; a positive human immunodeficiency virus (HIV) antibody test; and current long-term use of systemic corticosteroids or other immunosuppressants.
12. Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
13. Subjects who had major surgical procedure or serious trauma within 30 days prior to the first dose, or a major scheduled surgery within 30 days after the first dose; subjects who had minor local surgery within 3 days prior to the first dose.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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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
Active, not 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
26/08/2022
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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
1/01/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
36
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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Westmead Hospital - Westmead
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Recruitment hospital [2]
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Icon Cancer Centre - South Brisbane
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Recruitment hospital [3]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [4]
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Flinders Medical Centre - Bedford Park
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Recruitment hospital [5]
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Peninsula & South Eastern Haematology and Oncology Group - Frankston
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Recruitment hospital [6]
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Sunshine Hospital - St Albans
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Recruitment postcode(s) [1]
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- Westmead
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Recruitment postcode(s) [2]
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- South Brisbane
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Recruitment postcode(s) [3]
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- Woolloongabba
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Recruitment postcode(s) [4]
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- Bedford Park
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Recruitment postcode(s) [5]
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- Frankston
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Recruitment postcode(s) [6]
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- St Albans
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Jilin
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Akeso
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Chipscreen Biosciences, Ltd.
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
A Phase Ib/II open label,international multicentre study to evaluate the efficacy and safety of anti-PD-1 and CTLA-4 bispecific antibody AK104 in combination with Chiauranib in Patients with Extensive Stage Small Cell Lung Cancer Who Failed First-line Platinum-based Chemotherapy in Combination with PD1/PDL1 Inhibitors
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Trial website
https://clinicaltrials.gov/study/NCT05505825
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ying Cheng, Professor
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Address
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Jilin Province Cancer Hospital
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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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/NCT05505825