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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01986218
Registration number
NCT01986218
Ethics application status
Date submitted
11/11/2013
Date registered
18/11/2013
Date last updated
15/09/2016
Titles & IDs
Public title
Phase I Ascending Multiple-Dose Study of BMS-986115 in Subjects With Advanced Solid Tumors
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Scientific title
Phase I Ascending Multiple-Dose Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of BMS-986115 in Subjects With Advanced Solid Tumors
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Secondary ID [1]
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CA002-001
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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:
Various Advanced Cancer
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Arm A: Dose Escalation (BMS-986115) - Continuous daily dosing until disease progression or unacceptable toxicity
Experimental: Arm A: Dose Expansion (BMS-986115) - Continuous daily dosing until disease progression or unacceptable toxicity
Experimental: Arm B: Dose Escalation (BMS-986115) - Twice weekly dosing until disease progression or unacceptable toxicity
Experimental: Arm B: Dose Expansion (BMS-986115) - Twice weekly dosing until disease progression or unacceptable toxicity
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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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Safety and tolerability of multiple daily doses of BMS-986115
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Assessment method [1]
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Measured by the frequency of adverse events (AEs), serious adverse events (SAEs), AEs leading to discontinuation, Grade 3 or 4 AEs, deaths, laboratory abnormalities and clinically relevant electrocardiogram (ECG) changes from baseline
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Timepoint [1]
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Up to 30 days after the last dose of study medication (approximately 18 months)
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Secondary outcome [1]
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Maximum observed plasma concentration (Cmax) of BMS-986115 and its active metabolite BMT-100948
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Assessment method [1]
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Timepoint [1]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [2]
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Time of maximum observed plasma concentration (Tmax) of BMS-986115 and its active metabolite BMT-100948
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Assessment method [2]
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Timepoint [2]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [3]
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Trough observed plasma concentration (Ctrough) of BMS-986115 and its active metabolite BMT-100948
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Assessment method [3]
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Timepoint [3]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [4]
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Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration [AUC(0-T)] of BMS-986115 and its active metabolite BMT-100948
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Assessment method [4]
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Timepoint [4]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [5]
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Area under the plasma concentration-time curve from time zero extrapolated to infinite time [AUC(INF)] of BMS-986115 and its active metabolite BMT-100948
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Assessment method [5]
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Timepoint [5]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [6]
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Area under the concentration-time curve in one dosing interval [AUC(TAU)] of BMS-986115 and its active metabolite BMT-100948
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Assessment method [6]
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Timepoint [6]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [7]
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Terminal plasma half-life (T-HALF) of BMS-986115 and its active metabolite BMT-100948
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Assessment method [7]
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Timepoint [7]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [8]
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Apparent total body clearance (CLT/F) of BMS-986115
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Assessment method [8]
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Timepoint [8]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [9]
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Apparent volume of distribution at steady-state (Vz/F) of BMS-986115
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Assessment method [9]
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Timepoint [9]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [10]
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AUC Accumulation Index; ratio of AUC(TAU) at steady state to AUC(TAU) after the first dose (AI_AUC) of BMS-986115
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Assessment method [10]
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Timepoint [10]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [11]
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Ratio of metabolite AUC(INF) to parent AUC(INF) after single dose and ratio of metabolite AUC(TAU) to parent AUC(TAU) at steady state, corrected for molecular weight (MR_AUC) of BMS-986115 and its active metabolite BMT-100948
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Assessment method [11]
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Timepoint [11]
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29 timepoints up to Cycle 3 Day 1 (approximately 32 days)
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Secondary outcome [12]
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Pharmacodynamics (PD) changes in the expression of Notch pathway-related genes, including but not limited to Hes1 and Deltex1, as determined by standard molecular methods
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Assessment method [12]
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Timepoint [12]
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16 timepoints up to Cycle 2 Day 16 (approximately 20 days)
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Secondary outcome [13]
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Preliminary anti-tumor activity of BMS-986115 as measured by response evaluation criteria in solid tumors (RECIST)
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Assessment method [13]
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Assessed by:
* Tumor Response based on the Investigator's assessment using RECIST v1.1 \[categorized as complete response (CR), partial response (PR), stable disease (SD) or progressive disease (PD)\]
* Best Overall Response (BOR), defined as the best tumor response recorded between the data of first dose and the last on-study tumor assessment (prior to any subsequent cancer therapy)
* Overall Response Rate, defined as the proportion of subjects with BOR responses of CR or PR
* Disease Control Rate, defined as the proportion of subjects with BOR responses of CR, PR or SD
* Progression-Free Survival (or PFS), defined as time from first dose to either progressive disease, initiation of subsequent off-study therapy, or death
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Timepoint [13]
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Screening (within 30 days prior to Day 1), Every 8 weeks, End of Treatment or 30-Day follow-up visits (approximately 18 months)
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Eligibility
Key inclusion criteria
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com.
* Subjects with a histologically or cytologically confirmed diagnosis of solid tumors, advanced or metastatic, refractory to or relapsed from standard therapies or for which there is no known effective treatment
* Life expectancy of at least 3 months
* Eastern Cooperative Oncology Group (ECOG) performance status score 0-1
* Prior anti-cancer treatments are permitted (i.e., chemotherapy, radiotherapy, hormonal, or immunotherapy)
* At least 4 weeks must have elapsed from last dose of prior anti-cancer therapy and the initiation of study therapy
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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
* Subjects with known or suspected brain metastases, primary brain tumors, or brain as the only site of disease
* Evidence of uncontrolled, active infection, requiring systemic anti-bacterial, anti-viral or anti-fungal therapy = 7 days prior to administration of study medication
* Current or recent (within 3 months of study drug administration) gastrointestinal disease such as chronic or intermittent diarrhea, or disorders that increase the risk of diarrhea, such as inflammatory bowel disease. Non-chronic conditions (e.g. infectious diarrhea) that are completely resolved for at least 2 weeks prior to starting study treatment are not exclusionary
* Any major surgery or gastrointestinal disease that would interfere with administration of oral medications
* Conditions requiring chronic systemic glucocorticoid use, such as autoimmune disease or severe asthma, excluding inhalation steroids for maintenance.
* Uncontrolled or significant cardiovascular disease
* History of medically significant thromboembolic events or bleeding diathesis within the past 6 months
* Inadequate bone marrow function (Absolute neutrophil count (ANC) < 1,500 cells/mm3; Platelet count < 100,000 cells/mm3; Hemoglobin < 9.0 g/dL)
* Inadequate hepatic function (Total bilirubin > 1.5 times the institutional upper limit of normal (ULN) (except known Gilbert's syndrome); Alanine transaminase (ALT) or aspartate transaminase (AST) > 2.5 times the institutional ULN. ALT or AST up to 3 times the institutional ULN permitted if total bilirubin is normal
* Uncontrolled (= Grade 2) hypertriglyceridemia (fasting triglycerides > 300 mg/dL (3.42 mmol/L))
* Inadequate renal function (Blood creatinine > 1.5 times the institutional ULN)
* Positive blood screen for hepatitis C antibody, hepatitis B surface antigen, or Human Immunodeficiency Virus (HIV) -1, -2 antibody
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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
Parallel
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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
1/11/2013
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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
1/03/2016
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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)
VIC
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Recruitment hospital [1]
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Local Institution - Parkville
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Recruitment postcode(s) [1]
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3050 - Parkville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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Canada
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State/province [2]
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British Columbia
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Country [3]
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Canada
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State/province [3]
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Ontario
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary purpose of this study is to evaluate the safety and effectiveness of daily doses of BMS-986115 in subjects with advanced solid tumors
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Trial website
https://clinicaltrials.gov/study/NCT01986218
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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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Bristol-Myers Squibb
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Address
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Bristol-Myers Squibb
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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
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/NCT01986218
Download to PDF