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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04392154
Registration number
NCT04392154
Ethics application status
Date submitted
13/05/2020
Date registered
18/05/2020
Titles & IDs
Public title
Long-term Safety and Efficacy Study of Lebrikizumab (LY3650150) in Participants With Moderate-to-Severe Atopic Dermatitis (ADjoin)
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Scientific title
A Long-term Study to Assess the Safety and Efficacy of Lebrikizumab in Patients With Moderate-to-Severe Atopic Dermatitis (ADjoin)
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Secondary ID [1]
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2020-001211-24
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Secondary ID [2]
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17789
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Universal Trial Number (UTN)
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Trial acronym
ADjoin
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atopic Dermatitis
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Condition category
Condition code
Skin
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0
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Dermatological conditions
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Skin
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Other skin conditions
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Lebrikizumab
Experimental: Lebrikizumab Q2W (Open-Label) from Parent Study - Participants assigned to lebrikizumab Q2W (once every 2 weeks) arm will receive investigational product Q2W by subcutaneous (SC) injection.
Experimental: Lebrikizumab Q2W (Blinded) from Parent Study - Participants assigned to lebrikizumab Q2W arm will receive investigational product Q2W by SC injection. Some participants will receive loading doses.
Experimental: Lebrikizumab Q2W (Open-Label Addendum) - Participants enrolling in Open-Label Addendum will receive lebrikizumab Q2W by SC injection after loading doses.
Experimental: Lebrikizumab Q4W - Participants assigned to lebrikizumab Q4W (once every 4 weeks) arm will receive investigational product Q4W by SC injection.
Intervention assigned: Lebrikizumab balanced with Placebo to maintain the blind between treatment arms.
Experimental: Lebrikizumab Q4W (Open-Label Extension Addendum) - Participants enrolling in Open-Label extension addendum will receive lebrikizumab Q4W by SC injection.
Experimental: Lebrikizumab Q8W (Open-Label Extension Addendum) - Participants enrolling in Open-Label extension addendum will receive lebrikizumab Q8W by SC injection.
Experimental: Lebrikizumab Q2W (Open-Label Extension Addendum) - Participants enrolling in Open-Label extension addendum will receive lebrikizumab Q2W by SC injection.
Treatment: Other: Lebrikizumab
Subcutaneous injection
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Intervention code [1]
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Treatment: Other
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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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Percentage of Participants Discontinued from Study Treatment due to Adverse Events through the Last Treatment Visit
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 100
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Secondary outcome [1]
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Percentage of Participants with a Response of Investigator Global Assessment (IGA) Score 0 or 1
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Assessment method [1]
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Timepoint [1]
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Baseline to Week 100
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Secondary outcome [2]
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Percentage of Participants Achieving Response of Eczema Area and Severity Index-75 (EASI-75) from Baseline of Parent Study
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Assessment method [2]
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Timepoint [2]
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Baseline to Week 100
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Eligibility
Key inclusion criteria
Inclusion Criteria for participants coming from a parent study:
Participants must meet all the following criteria to be eligible for this study:
* Received treatment in a lebrikizumab study, NCT04146363, NCT04178967, NCT04250337, NCT04250350 and have adequately completed the study treatments and last patient visit of the parent trial.
* For women of childbearing potential: agree to remain abstinent (refrain from heterosexual intercourse) or use a highly effective contraceptive method during the treatment period and for at least 18 weeks after the last dose of lebrikizumab or placebo.
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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
Exclusion Criteria for participants coming from a parent study:
Participants meeting any of the criteria below will not be included in this study:
* Participants who, during their participation in the parent trial, developed a serious adverse event (SAE) deemed related to lebrikizumab, which in the opinion of the investigator or of the medical monitor could indicate that continued treatment with lebrikizumab may present an unreasonable risk for the participant. *
* Participants who, during their participation in the parent trial, developed an AE that was deemed related to lebrikizumab and led to study treatment discontinuation, which in the opinion of the investigator or of the medical monitor could indicate that continued treatment with lebrikizumab may present an unreasonable risk for the participant. *
* Conditions in the previous parent study consistent with protocol-defined criteria for permanent study drug discontinuation, if deemed related to lebrikizumab or led to investigator - or sponsor-initiated withdrawal of participant from the study (e.g., non-compliance, inability to complete study assessments, etc.). *
* Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study.
Open-Label Addendum Inclusion Criteria:
Participants must meet all the following criteria to be eligible for this study addendum:
* Male or female adults and adolescents (=12 to <18 years of age and weighing =40 kilogram (kg).
* Chronic AD (according to American Academy of Dermatology Consensus Criteria) that has been present for =1 year before screening.
* Eczema Area and Severity Index (EASI) score =16 at baseline.
* Investigator Global Assessment (IGA) score =3 (scale of 0 to 4) at baseline.
* =10% body surface area (BSA) of AD involvement at baseline.
* History of inadequate response to treatment with topical medications; or determination that topical treatments are otherwise medically inadvisable.
Open-Label Addendum
Participants meeting any of the criteria below will be excluded from this study addendum:
* Have received a dose of lebrikizumab in any prior lebrikizumab clinical study.
* History of anaphylaxis
* Treatment with topical prescription moisturizers, corticosteroids, calcineurin inhibitors, or phosphodiesterase-4 inhibitors such as crisaborole within 1 week prior to baseline.
* Treatment with any of the following agents within 4 weeks prior to the baseline.
* Immunosuppressive/immunomodulating drugs (e.g., systemic corticosteroids, cyclosporine, mycophenolate-mofetil, Interferon gamma (IFN-?), Janus kinase inhibitors, azathioprine, methotrexate, etc.)
* Phototherapy and photochemotherapy (PUVA) for AD.
* Treatment with the following prior to baseline:
* Immunosuppressive/immunomodulating drugs (e.g., systemic corticosteroids, cyclosporine, mycophenolate-mofetil, IFN-?, Janus kinase inhibitors, azathioprine, methotrexate, etc.)
* Phototherapy and photochemotherapy (PUVA) for AD.
* Treatment with the following prior to baseline:
* An investigational drug within 8 weeks or within 5 half-lives (if known), whichever is longer.
* B Cell-depleting biologics, including rituximab, within 6 months.
* Other Biologics within 5 half-lives (if known) or 8 weeks, whichever is longer.
* Regular use (more than 2 uses per week) of a tanning booth/parlor within 4 weeks of baseline.
* Treatment with a live (attenuated) vaccine within 12 weeks of the baseline or planned during the study.
* Uncontrolled chronic disease that might require multiple intermittent uses of oral corticosteroids, e.g., co-morbid severe uncontrolled asthma, (as defined by the investigator).
* Pregnant or breastfeeding women, or women planning to become pregnant or breastfeed during the study.
* Evidence of active acute or chronic hepatitis
* History of human immunodeficiency virus (HIV) infection or positive HIV serology at screening.
* History of malignancy, including mycosis fungoides, within 5 years before screening, except completely treated in situ carcinoma of the cervix, completely treated and resolved non-metastatic squamous or basal cell carcinoma of the skin with no evidence of recurrence in the past 12 weeks.
Open-Label Extension Addendum Inclusion Criteria:
Have completed Week 100 of Study KGAA and have not yet completed the safety follow-up visit for the main study.
Open-Label Extension Addendum
Have initiated treatment with a medication prohibited by Study KGAA before addendum baseline. This includes use of biologics for AD (for example, dupilumab and tralokinumab) during the safety follow-up period of Study KGAA.
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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
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 3
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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
15/06/2020
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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
16/04/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
1188
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Woden Dermatology - Phillip
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The Skin Hospital - Darlinghurst
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Premier Specialists Pty Ltd - Kogarah
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The St. George Hospital - Kogarah
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Holdsworth House Medical Practice - Sydney
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Skin & Cancer Foundation Australia - Westmead
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Westmead Hospital - Westmead
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The Skin Centre - Benowa
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University of the Sunshine Coast Clinical Trial Centre - Sippy Downs
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Veracity Clinical Research Pty Ltd - Woolloongabba
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Clinical Trials SA Pty Ltd - Hectorville
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Emeritus Research - Camberwell
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Skin Health Institute Inc. - Carlton
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Sinclair Dermatology - Melbourne
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The Royal Melbourne Hospital - Parkville
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Royal Children's Hospital - Parkville
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Fremantle Dermatology - Fremantle
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Burswood Dermatology - Victoria Park
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Captain Stirling Medical Centre - Nedlands
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2606 - Phillip
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02010 - Darlinghurst
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2217 - Kogarah
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2010 - Sydney
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2045 - Westmead
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2145 - Westmead
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4217 - Benowa
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04556 - Sippy Downs
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4102 - Woolloongabba
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5073 - Hectorville
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3124 - Camberwell
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3053 - Carlton
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3002 - Melbourne
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03050 - Parkville
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3052 - Parkville
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6160 - Fremantle
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06100 - Victoria Park
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6009 - Nedlands
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Bialystok
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Tarnow
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Warszawa
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Alicante
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Barcelona
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Sevilla
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Kaohsiung
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Ukraine
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Zaporizhzhya
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Kharkiv
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Rivne
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Ukraine
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Uzhhorod
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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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Dermira, Inc.
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Ethics approval
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Summary
Brief summary
This is designed to assess the long-term safety and efficacy of lebrikizumab for moderate-to-severe atopic dermatitis. It will last up to 33 months.
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Trial website
https://clinicaltrials.gov/study/NCT04392154
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Public notes
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Contacts
Principal investigator
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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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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 European union (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/NCT04392154