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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04105972
Registration number
NCT04105972
Ethics application status
Date submitted
24/09/2019
Date registered
26/09/2019
Titles & IDs
Public title
A Study Evaluating the Efficacy and Safety of VX-445/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects, Homozygous for F508del
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Scientific title
A Phase 3b, Randomized, Double-blind, Controlled Study Evaluating the Efficacy and Safety of VX-445/Tezacaftor/Ivacaftor in Cystic Fibrosis Subjects, Homozygous for F508del
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Secondary ID [1]
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2019-001735-31
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Secondary ID [2]
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VX18-445-109
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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:
Cystic Fibrosis
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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0
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional(has expanded access)
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Description of intervention(s) / exposure
Treatment: Drugs - ELX/TEZ/IVA
Treatment: Drugs - TEZ/IVA
Treatment: Drugs - IVA
Active comparator: TEZ/IVA - Following TEZ/IVA run-in period of 4 weeks, participants received TEZ 100 milligrams (mg) once daily (qd)/IVA 150 mg every 12 hours (q12h) in the treatment period for 24 weeks.
Experimental: ELX/TEZ/IVA - Following TEZ/IVA run-in period of 4 weeks, participants received ELX 200 mg qd/TEZ 100 mg qd/IVA 150 mg q12h in the treatment period for 24 weeks.
Treatment: Drugs: ELX/TEZ/IVA
FDC tablet for oral administration.
Treatment: Drugs: TEZ/IVA
Fixed-dose combination (FDC) tablet for oral administration.
Treatment: Drugs: IVA
Mono tablet for oral administration.
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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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Absolute Change in CF Questionnaire-Revised (CFQ-R) Respiratory Domain Score
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Assessment method [1]
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The CFQ-R is a validated participant-reported outcome measuring health-related quality of life for participants with cystic fibrosis. Respiratory domain assessed respiratory symptoms, score range: 0-100; higher scores indicating fewer symptoms and better health-related quality of life.
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Timepoint [1]
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From Baseline Through Week 24
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Secondary outcome [1]
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Absolute Change in Percent Predicted Forced Expiratory Volume in 1 Second (ppFEV1)
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Assessment method [1]
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FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration.
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Timepoint [1]
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From Baseline Through Week 24
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Secondary outcome [2]
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Absolute Change in Sweat Chloride (SwCl)
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Assessment method [2]
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Sweat samples were collected using an approved collection device.
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Timepoint [2]
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From Baseline Through Week 24
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Secondary outcome [3]
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Safety and Tolerability as Assessed by Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
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Assessment method [3]
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Timepoint [3]
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From Day 1 in the Treatment Period up to 28 Days After Last Dose of Study Drug or to the Completion of Study Participation Date, Whichever Occurs First (up to Week 28)
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Eligibility
Key inclusion criteria
Key
* Homozygous for the F508del mutation (F/F)
* Forced expiratory volume in 1 second (FEV1) value =40% and =90% of predicted mean for age, sex, and height
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Minimum age
12
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
* Clinically significant cirrhosis with or without portal hypertension
* Lung infection with organisms associated with a more rapid decline in pulmonary status
* Solid organ or hematological transplantation
Other protocol defined Inclusion/Exclusion criteria may apply
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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 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
3/10/2019
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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
24/07/2020
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Sample size
Target
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Accrual to date
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Final
176
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Prince Charles Hospital - Chermside
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Recruitment hospital [2]
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Institute for Respiratory Health - Nedlands
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Recruitment hospital [3]
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Perth Children's Hospital - Nedlands
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Recruitment hospital [4]
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John Hunter Hospital & Hunter Medical Research Institute and John Hunter Children's Hospital - New Lambton
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Recruitment hospital [5]
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The Royal Children's Hospital - Parkville, VIC
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Recruitment hospital [6]
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Queensland Children's Hospital - South Brisbane
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Recruitment postcode(s) [1]
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- Chermside
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Recruitment postcode(s) [2]
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- Nedlands
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Recruitment postcode(s) [3]
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- New Lambton
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Recruitment postcode(s) [4]
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- Parkville, VIC
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Recruitment postcode(s) [5]
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- South Brisbane
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Recruitment outside Australia
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Belgium
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State/province [1]
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Brussels
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Belgium
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Edegem
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Belgium
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Gent
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Belgium
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Leuven
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Germany
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Berlin
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Germany
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Essen
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Germany
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Frankfurt
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Germany
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Jena
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Germany
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Koeln
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Germany
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Muenchen
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Germany
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München
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United Kingdom
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Belfast
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United Kingdom
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Birmingham
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Bristol
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Cambridge
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Edinburgh
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Exeter
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Glasgow
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Leeds, West Yorkshire
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Leeds
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Liverpool
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London
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Manchester
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Newcastle Upon Tyne
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Nottingham
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United Kingdom
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Penarth
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United Kingdom
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State/province [27]
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Southampton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Vertex Pharmaceuticals Incorporated
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will evaluate the efficacy, safety, and pharmacodynamics of elexacaftor (ELX, VX-445) in triple combination (TC) with tezacaftor (TEZ) and ivacaftor (IVA) in subjects with cystic fibrosis (CF) who are homozygous for F508del.
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Trial website
https://clinicaltrials.gov/study/NCT04105972
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Trial related presentations / publications
Sutharsan S, McKone EF, Downey DG, Duckers J, MacGregor G, Tullis E, Van Braeckel E, Wainwright CE, Watson D, Ahluwalia N, Bruinsma BG, Harris C, Lam AP, Lou Y, Moskowitz SM, Tian S, Yuan J, Waltz D, Mall MA; VX18-445-109 study group. Efficacy and safety of elexacaftor plus tezacaftor plus ivacaftor versus tezacaftor plus ivacaftor in people with cystic fibrosis homozygous for F508del-CFTR: a 24-week, multicentre, randomised, double-blind, active-controlled, phase 3b trial. Lancet Respir Med. 2022 Mar;10(3):267-277. doi: 10.1016/S2213-2600(21)00454-9. Epub 2021 Dec 20. Southern KW, Murphy J, Sinha IP, Nevitt SJ. Corrector therapies (with or without potentiators) for people with cystic fibrosis with class II CFTR gene variants (most commonly F508del). Cochrane Database Syst Rev. 2020 Dec 17;12(12):CD010966. doi: 10.1002/14651858.CD010966.pub3.
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Public notes
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Contacts
Principal investigator
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Address
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Fax
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Contact person for public queries
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Fax
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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
Details on Vertex data sharing criteria and process for requesting access can be found at: https://www.vrtx.com/independent research/clinical-trial-data-sharing.
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What supporting documents are/will be available?
No Supporting Document Provided
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/72/NCT04105972/Prot_000.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/72/NCT04105972/SAP_001.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04105972