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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03706365
Registration number
NCT03706365
Ethics application status
Date submitted
18/09/2018
Date registered
16/10/2018
Titles & IDs
Public title
A Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib (LY2835219) in Participants With Prostate Cancer
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Scientific title
A Phase 2/3, Randomized, Double-Blind, Placebo-Controlled Study of Abiraterone Acetate Plus Prednisone With or Without Abemaciclib in Patients With Metastatic Castration-Resistant Prostate Cancer
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Secondary ID [1]
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I3Y-MC-JPCM
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Secondary ID [2]
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16598
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Universal Trial Number (UTN)
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Trial acronym
CYCLONE 2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
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Prostate
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - Abemaciclib
Treatment: Drugs - Abiraterone Acetate
Treatment: Drugs - Prednisone
Treatment: Drugs - Placebo
Experimental: A1. Abiraterone plus Prednisone and Abemaciclib - Abiraterone plus prednisone administered orally and abemaciclib administered orally.
Experimental: A2. Abiraterone plus Prednisone and Abemaciclib - Abiraterone plus prednisone administered orally and abemaciclib administered orally.
Active comparator: B1. Abiraterone plus Prednisone and Placebo - Abiraterone plus prednisone administered orally and placebo administered orally.
Active comparator: B2. Abiraterone plus Prednisone and Placebo - Abiraterone plus prednisone administered orally and placebo administered orally.
Experimental: A. Abiraterone plus Prednisone and Abemaciclib - Abiraterone plus prednisone administered orally and abemaciclib administered orally.
Active comparator: B. Abiraterone plus Prednisone and Placebo - Abiraterone plus prednisone administered orally and placebo administered orally.
Treatment: Drugs: Abemaciclib
Administered orally.
Treatment: Drugs: Abiraterone Acetate
Administered orally.
Treatment: Drugs: Prednisone
Administered orally.
Treatment: Drugs: Placebo
Administered orally.
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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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Radiographic Progression Free Survival (rPFS)
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Assessment method [1]
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rPFS by investigator assessment
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Timepoint [1]
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Baseline to Radiographic Disease Progression or Death from Any Cause (Estimated up to 21 Months)
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Secondary outcome [1]
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Time to Prostate-Specific Antigen (PSA) Progression
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Assessment method [1]
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Time to PSA progression
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Timepoint [1]
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Baseline to the Date of the First Observation of PSA Progression (Estimated up to 21 Months)
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Secondary outcome [2]
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Radiographic Progression Free Survival (rPFS)
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Assessment method [2]
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rPFS by blinded, independent, central review
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Timepoint [2]
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Baseline to Radiographic Disease Progression or Death from Any Cause (Estimated up to 21 Months)
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Secondary outcome [3]
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Objective Response Rate (ORR): Percentage of Participants with a Complete Response (CR) or Partial Response (PR)
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Assessment method [3]
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ORR: Percentage of participants with a CR or PR
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Timepoint [3]
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Baseline to Radiographic Disease Progression (Estimated up to 21 Months)
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Secondary outcome [4]
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Duration of Response (DOR)
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Assessment method [4]
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DOR
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Timepoint [4]
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Date of First Documented CR or PR to Date of Radiographic Disease Progression or Death from Any Cause (Estimated up to 21 Months)
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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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OS
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Timepoint [5]
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Baseline to Date of Death Due to Any Cause (Estimated up to 40 Months)
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Secondary outcome [6]
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Time to Symptomatic Progression
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Assessment method [6]
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Time to symptomatic progression
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Timepoint [6]
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Baseline to the Date of the First Documented Symptomatic Progression (Estimated up to 21 Months)
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Secondary outcome [7]
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Pharmacokinetics (PK): Mean Steady State Exposure of Abemaciclib
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Assessment method [7]
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PK: Mean steady state exposure of abemaciclib
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Timepoint [7]
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Postdose Cycle 1 Day 1 through Postdose Cycle 3 Day 1 (28 Day Cycles)
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Secondary outcome [8]
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PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN2839567
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Assessment method [8]
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PK: Mean steady state exposure of abemaciclib metabolite LSN2839567
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Timepoint [8]
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Postdose Cycle 1 Day 1 through Postdose Cycle 3 Day 1 (28 Day Cycles)
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Secondary outcome [9]
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PK: Mean Steady State Exposure of Abemaciclib Metabolite LSN3106726
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Assessment method [9]
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PK: Mean steady state exposure of abemaciclib metabolite LSN3106726
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Timepoint [9]
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Postdose Cycle 1 Day 1 through Postdose Cycle 3 Day 1 (28 Day Cycles)
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Secondary outcome [10]
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PK: Mean Steady State Exposure of Abiraterone Acetate
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Assessment method [10]
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PK: Mean Steady State Exposure of Abiraterone Acetate
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Timepoint [10]
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Postdose Cycle 1 Day 1 through Postdose Cycle 3 Day 1 (28 Day Cycles)
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Secondary outcome [11]
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Time to Worst Pain Progression
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Assessment method [11]
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Measured by the Worst Pain Numeric Rating Scale (NRS) and World Health Organization-Analgesic Ladder (WHO-AL). NRS score measures worst pain over the last 24 hours on a 0 to 10-point NRS, where 0 -s "no pain" and 10 is "pain as bad as you can imagine. The WHO-AL classifies analgesic use into four categories, where 1 = no analgesic and 4 = strong opioids.
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Timepoint [11]
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Baseline through follow-up (Estimated up to 21 months)
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Eligibility
Key inclusion criteria
* Histologically confirmed adenocarcinoma of the prostate.
* Metastatic prostate cancer documented by positive bone scan and/or measurable soft tissue metastatic lesions by CT or magnetic resonance imaging (MRI).
* Progressive disease at study entry demonstrated during continuous androgen-deprivation therapy (ADT)/post orchiectomy defined as one or more of the following:
* PSA progression
* Radiographic progression per Response Evaluation Criteria in Solid Tumors (RECIST)1.1 for soft tissue and/or per Prostate Cancer Working Group 3 (PCWG3) for bone, with or without PSA progression
* Have adequate organ function.
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1.
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Minimum age
18
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior therapy with cytochrome P450 (CYP)17 inhibitors.
* Prior treatment with abemaciclib or any cyclin-dependent kinase (CDK) 4 & 6 inhibitors.
* Prior cytotoxic chemotherapy for metastatic castration resistant prostate cancer (participants treated with docetaxel in the metastatic hormone-sensitive prostate cancer [mHSPC] are eligible). Prior radiopharmaceuticals for prostate cancer, or prior enzalutamide, apalutamide, darolutamide or sipuleucel-T. Participants who had prior radiation or surgery to all target lesions.
* Currently enrolled in a clinical study involving an investigational product.
* Gastrointestinal disorder affecting the absorption or ability to swallow large pills.
* Clinically significant heart disease, active or chronic liver disease, moderate/severe hepatic impairment (Child-Pugh Class B and C).
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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 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
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
26/11/2018
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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
1/06/2026
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Actual
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Sample size
Target
350
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Chris O'Brien Lifehouse - Camperdown
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Recruitment hospital [2]
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Southside Cancer Care Centre - Kogarah
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Recruitment hospital [3]
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Macquarie University - Macquarie University
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Recruitment hospital [4]
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Prince of Wales Hospital - Randwick
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Recruitment hospital [5]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [6]
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St Vincent's Hospital - Melbourne
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2050 - Camperdown
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Recruitment postcode(s) [2]
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2228 - Kogarah
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2109 - Macquarie University
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Recruitment postcode(s) [4]
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2031 - Randwick
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Recruitment postcode(s) [5]
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3000 - Melbourne
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Recruitment postcode(s) [6]
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3065 - Melbourne
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Recruitment outside Australia
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Constan?a
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eli Lilly and Company
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is being done to see how safe and effective abemaciclib is when given together with abiraterone acetate plus prednisone in participants with metastatic castration resistant prostate cancer. Prednisolone may be used instead of prednisone per local regulation.
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Trial website
https://clinicaltrials.gov/study/NCT03706365
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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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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
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Address
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Eli Lilly and Company
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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)?
Yes
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What data in particular will be shared?
Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Clinical study report (CSR)
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When will data be available (start and end dates)?
Data are available 6 months after the primary publication and approval of the indication studied in the US and EU, whichever is later. Data will be indefinitely available for requesting.
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Available to whom?
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://vivli.org/
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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/NCT03706365