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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04821622
Registration number
NCT04821622
Ethics application status
Date submitted
25/03/2021
Date registered
29/03/2021
Titles & IDs
Public title
Study of Talazoparib With Enzalutamide in Men With DDR Gene Mutated mCSPC
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Scientific title
TALAPRO-3: A PHASE 3, RANDOMIZED, DOUBLE-BLIND, STUDY OF TALAZOPARIB WITH ENZALUTAMIDE VERSUS PLACEBO WITH ENZALUTAMIDE IN MEN WITH DDR GENE MUTATED METASTATIC CASTRATION-SENSITIVE PROSTATE CANCER
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Secondary ID [1]
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TALAPRO-3
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Secondary ID [2]
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C3441052
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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:
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
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Description of intervention(s) / exposure
Treatment: Drugs - talazoparib plus enzalutamide
Treatment: Drugs - Placebo plus enzalutamide
Experimental: Arm 1 - Talazoparib plus enzalutamide
Active comparator: Arm 2 - Placebo plus enzalutamide
Treatment: Drugs: talazoparib plus enzalutamide
experimental arm
Treatment: Drugs: Placebo plus enzalutamide
Active comparator arm
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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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radiological Progression-Free Survival
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Assessment method [1]
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time from the date of randomization to first objective evidence of radiographic progression or death, whichever occurs first
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Timepoint [1]
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randomization up to 3 years
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Secondary outcome [1]
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Overall Survival
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Assessment method [1]
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time from randomization to death from any cause
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Timepoint [1]
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randomization up to 4 years
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Secondary outcome [2]
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Objective response in measurable soft tissue disease
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Assessment method [2]
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proportion of patients with measurable soft tissue disease at baseline with objective response per RECIST 1.1
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Timepoint [2]
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randomization up to 3 years
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Secondary outcome [3]
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Duration of response in measurable soft tissue disease
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Assessment method [3]
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duration of responses in patients with measurable soft tissue disease at baseline per RECIST 1.1
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Timepoint [3]
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randomization up to 3 years
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Secondary outcome [4]
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Prostate Specific Antigen (PSA) response
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Assessment method [4]
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proportion of patients with PSA response grater than or equal to 50%
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Timepoint [4]
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randomization up to 3 years
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Secondary outcome [5]
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Time to PSA progression
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Assessment method [5]
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time from baseline to PSA progression
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Timepoint [5]
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randomization up to 3 years
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Secondary outcome [6]
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Time to initiation of antineoplastic therapy
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Assessment method [6]
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Time from randomization to initiation of antineoplastic therapy
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Timepoint [6]
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randomization up to 3 years
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Secondary outcome [7]
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Time to first symptomatic skeletal event
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Assessment method [7]
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time from randomization to first symptomatic skeletal event (symptomatic fractures, spinal cord compression, surgery or radiation to the bone whichever is first)
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Timepoint [7]
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randomization up to 3 years
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Secondary outcome [8]
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Opiate use for prostate cancer pain
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Assessment method [8]
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time from randomization to opiate use for prostate cancer pain
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Timepoint [8]
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randomization up to 3 years
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Secondary outcome [9]
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Incidence of adverse events
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Assessment method [9]
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AEs and SAEs incidence by type and severity (graded by NCI CTCAE version 4.03)
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Timepoint [9]
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randomization up to 3 years
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Secondary outcome [10]
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Pharmacokinetic assessment of talazoparib
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Assessment method [10]
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plasma concentrations of talazoparib
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Timepoint [10]
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Weeks 5, 9, 13, and 17
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Secondary outcome [11]
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Pharmacokinetic assessment of enzalutamide and its metabolite
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Assessment method [11]
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plasma concentrations of enzalutamide and its metabolite
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Timepoint [11]
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Weeks 5, 9, 13, and 17
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Secondary outcome [12]
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Relationship between ctDNA burden and outcome
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Assessment method [12]
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ctDNA burden at baseline and on study
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Timepoint [12]
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randomization up to 3 years
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Secondary outcome [13]
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Patient-reported outcomes in pain symptoms - change from baseline
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Assessment method [13]
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change from baseline in patient-reported pain symptoms per Brief Pain Inventory Short Form (BPI-SF)
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Timepoint [13]
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randomization up to 3 years
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Secondary outcome [14]
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Patient-reported outcomes in pain symptoms - time to deterioration
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Assessment method [14]
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time to deterioration in patient-reported pain symptoms per Brief Pain Inventory Short Form (BPI-SF)
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Timepoint [14]
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randomization up to 3 years
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Secondary outcome [15]
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Patient-reported outcomes in cancer specific general health status - change from baseline
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Assessment method [15]
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change from baseline in participant-reported general health status per EQ-5D-5L
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Timepoint [15]
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randomization up to 3 years
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Secondary outcome [16]
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Patient-reported outcomes in cancer specific global health status/QoL - change from baseline
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Assessment method [16]
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change from baseline in patient-reported Global health status/QoL per EORTC QLQ-C30
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Timepoint [16]
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randomization up to 3 years
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Secondary outcome [17]
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Patient-reported outcomes in cancer specific global health status/QoL - time to definitive deterioration
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Assessment method [17]
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time to definitive deterioration in patient-reported global health status/QoL per EORTC QLQ-C30
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Timepoint [17]
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randomization up to 3 years
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Secondary outcome [18]
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Patient-reported outcomes in cancer specific symptoms - time to definitive deterioration
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Assessment method [18]
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time to definitive deterioration in disease specific urinary symptoms per EORTC QLQ-PR25
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Timepoint [18]
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randomization up to 3 years
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Secondary outcome [19]
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Patient-reported outcome: cancer specific functioning, and symptoms - change from baseline
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Assessment method [19]
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change from baseline in PGI-S
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Timepoint [19]
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randomization up to 3 years
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Eligibility
Key inclusion criteria
1. Male participants at least 18 years of age at screening (20 years for Japan, 19 years for Republic of Korea).
2. Histologically or cytologically confirmed adenocarcinoma of the prostate without neuroendocrine differentiation, small cell or signet cell features. If the participant does not have a prior histological diagnosis, a baseline de novo biopsy must be used to confirm the diagnosis and may also be used to support biomarker analysis.
3. Confirmation of DDR gene mutation status by prospective or historical analysis (with sponsor pre-approval) of blood (liquid biopsy) and/or de novo or archival tumor tissue using FoundationOne Liquid CDx or FoundationOne CDx.
4. Willing to provide tumor tissue when available (de novo or archived) for retrospective molecular profiling analysis, if not already provided as part of inclusion criterion 3.
5. Unless prohibited by local regulations or ethics committee decision, consent to a saliva sample collection for retrospective sequencing of the same DDR genes tested on tumor tissue and blood (liquid biopsy), or a subset thereof, and to serve as a germline control in identifying tumor mutations.
6. Ongoing ADT with a GnRH agonist or antagonist for participants who have not undergone bilateral orchiectomy must be initiated before randomization and must continue throughout the study.
7. Metastatic prostate cancer documented by positive bone scan (for bone disease) or metastatic lesions on CT or MRI scan (for soft tissue). Participants whose disease spread is limited to regional pelvic lymph nodes are not eligible. Note: a finding of superscan at baseline is exclusionary.
8. Prior treatment of mCSPC with docetaxel is not permitted.
9. Treatment with estrogens, cyproterone acetate, or first-generation anti-androgens is allowed until randomization.
10. Other prior therapy allowed for mCSPC; =3 months of ADT (chemical or surgical) with or without approved NHT in mCSPC (ie, abiraterone + prednisone, apalutamide, or enzalutamide), if required prior to randomization, with no radiographic evidence of disease progression or rising PSA levels prior to Day 1.
11. Participant may have received palliative radiation or surgery for symptomatic control secondary to prostate cancer, which should have been completed at least 2 weeks prior to randomization. NOTE: Radical prostatectomy or definitive radiotherapy to the primary tumor for metastatic castration-sensitive prostate cancer with curative intent is not permitted.
12. ECOG performance status 0 or 1.
13. Adequate organ function within 28 days before the first study treatment on Day 1, defined by the following:
* ANC =1500/µL, platelets =100,000/µL, or hemoglobin =9 g/dL (may not have received growth factors or blood transfusions within 14 days before obtaining the hematology laboratory tests at screening).
* Total serum bilirubin <1.5 × ULN (<3 × ULN for participants with documented Gilbert syndrome or for whom indirect bilirubin concentrations suggest an extrahepatic source of elevation).
* AST or ALT <2.5 × ULN (<5 × ULN if liver function abnormalities are due to hepatic metastasis).
* Albumin >2.8 g/dL.
* eGFR =30 mL/min/1.73 m2 by the MDRD equation.
14. Sexually active participants that in the opinion of the investigator are capable of ejaculating, must agree to use a condom when having sex with a partner (female or male) from the time of the first dose of study treatment through 4 months after last dose of study treatment (or, if talazoparib/placebo has been stopped more than a month earlier than enzalutamide, through 3 months after last dose of enzalutamide). Must also agree for female partner of childbearing potential to use an additional highly effective form of contraception from the time of the first dose of study treatment through 4 months after last dose of study treatment (or, if talazoparib / placebo has been stopped more than a month earlier than enzalutamide, through 3 months after last dose of enzalutamide) when having sex.
15. Must agree not to donate sperm from the first dose of study treatment to 4 months after the last dose of study treatment (or, if talazoparib/placebo has been stopped more than a month earlier than enzalutamide, through 3 months after last dose of enzalutamide).
16. Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures, including being able to manage electronic diaries. The PRO assessments are not required to be completed if a patient does not understand the language(s) available for a specific questionnaire and/or cannot complete the specific questionnaire independently.
17. Capable of giving signed informed consent.
18. For France only: Participants affiliated with the social security system or beneficiaries of an equivalent system.
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Minimum age
18
Years
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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
1. Other acute or chronic medical (concurrent disease, infection, including chronic stable HIV, HBV, or HCV infection, or co-morbidity) or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that interferes with a participant's ability to participate in the study, may increase the risk of associated with study participation or study treatment administration, or may interfere with the interpretation of study results, and, in the investigator's judgment, make the participant inappropriate for entry into the study. HIV/HBV/HCV testing is not required unless mandated by local health authority.
2. History of seizure or any condition (as assessed by investigator) that may predispose to seizure (eg, prior cortical stroke, significant brain trauma), including any history of loss of consciousness or transient ischemic attack within 12 months of randomization.
3. Major surgery (as defined by the investigator) within 4 weeks before randomization.
4. Known or suspected brain metastasis or active leptomeningeal disease.
5. Symptomatic or impending spinal cord compression or cauda equina syndrome.
6. Any history of MDS, AML, or prior malignancy except for the following:
* Carcinoma in situ or non-melanoma skin cancer.
* A cancer diagnosed and treated =3 years before randomization with no subsequent evidence of recurrence.
* American Joint Committee on Cancer Stage 0 or Stage 1 cancer <3 years before randomization that has a remote probability of recurrence in the opinion of the investigator and the sponsor.
7. In the opinion of the investigator, any clinically significant gastrointestinal disorder affecting absorption.
8. Clinically significant cardiovascular disease, including any of the following:
* Myocardial infarction or symptomatic cardiac ischemia within 6 months before randomization.
* Congestive heart failure New York Heart Association class III or IV.
* History of clinically significant ventricular arrhythmias (eg, sustained ventricular tachycardia, ventricular fibrillation, torsade de pointes) within 1 year before screening.
* History of Mobitz II second degree or third-degree heart block unless a permanent pacemaker is in place.
* Hypotension as indicated by systolic blood pressure <86 mm Hg at screening.
* Bradycardia as indicated by a heart rate of <45 beats per minute on the screening electrocardiogram.
* Uncontrolled hypertension as indicated by systolic blood pressure >170 mm Hg or diastolic blood pressure >105 mm Hg at screening. However, participants can be rescreened after adequate control of blood pressure is achieved.
9. Active COVID-19 infection detected by viral test or based on clinical diagnosis (as assessed by investigator). Asymptomatic participants with no active COVID-19 infection detected but positive antibody tests, indicating past infection are allowed.
10. Prior ADT in the adjuvant/neoadjuvant setting, where the completion of ADT was less than 12 months prior to randomization and the total duration of ADT exceeded 36 months.
11. Participant received treatment with systemic glucocorticoids greater than the equivalent of 10 mg per day of prednisone within 4 weeks prior to randomization, intended for the treatment of prostate cancer.
12. Any previous treatment with DNA-damaging cytotoxic chemotherapy (ie, platinum based therapy) within 5 years prior to randomization, except for indications other than prostate cancer.
13. Prior treatment with a PARPi, or known or possible hypersensitivity to enzalutamide, any of enzalutamide capsule excipients or to any talazoparib/placebo capsule excipients.
14. Prior treatment in any setting with NHT, except as described in Inclusion Criterion #10.
15. Current use of potent P-gp inhibitors within 7 days prior to randomization.
16. Treatment with any investigational study intervention within 4 weeks before randomization. Exception: COVID-19 vaccines authorized under an emergency use authorization (or equivalent) can be administered without a washout period.
17. Baseline 12-lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results (eg, QTcF interval >470 msec, complete LBBB, signs of an acute or indeterminate age myocardial infarction, ST-T interval changes suggestive of myocardial ischemia, second or third degree AV block, or serious bradyarrhythmias or tachyarrhythmias). If the baseline uncorrected QT interval is >470 msec, this interval should be rate-corrected using the Fridericia method and the resulting QTcF should be used for decision making and reporting. If QTc exceeds 470 msec, or QRS exceeds 120 msec, the ECG should be repeated 2 more times and the average of the 3 QTc or QRS values should be used to determine the participant's eligibility. Computer-interpreted ECGs should be overread by a physician experienced in reading ECGs before excluding participants.
18. Investigator site staff or Sponsor employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
19. For France only: Persons deprived of their liberty by a judicial or administrative decision, persons undergoing psychiatric care, as well as adults subject to a legal protection measure (guardianship, curatorship, and safeguard of justice) covered by Articles 1121-6 to 1121-8 of the Public Health Code.
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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
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
12/05/2021
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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
7/08/2027
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Actual
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Sample size
Target
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Accrual to date
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Final
599
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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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Chris O'Brien Lifehouse - Camperdown
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Recruitment hospital [2]
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Cancer Care Wollongong Pty Limited - Wollongong
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Southern Medical Day Care Centre - Wollongong
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Gallipoli Medical Research Foundation, Greenslopes Private Hospital - Brisbane
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Gold Coast University Hospital - Southport
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The Queen Elizabeth Hospital - Woodville South
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Epworth Freemasons-Epworth HealthCare - East Melbourne
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Cabrini Hospital - Malvern
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Western Health, Sunshine Hospital - St Albans
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Recruitment postcode(s) [1]
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2050 - Camperdown
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2500 - Wollongong
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4120 - Brisbane
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4215 - Southport
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5011 - Woodville South
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3002 - East Melbourne
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3144 - Malvern
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Recruitment postcode(s) [8]
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3021 - St Albans
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Recruitment outside Australia
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China
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China
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Helsinki
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France
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Le Mans
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Lille
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France
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LYON Cedex 08
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France
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France
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Paris
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France
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Pierre-Benite
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Quint Fonsegrives
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Germany
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Germany
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India
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WEST Bengal
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Italy
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BO
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Italy
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CR
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Italy
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FC
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Italy
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Italy
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Italy
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Italy
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TN
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Italy
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TO
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Italy
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Arezzo
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Italy
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Italy
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Italy
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Italy
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Japan
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Japan
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Japan
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Japan
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Japan
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Daegu
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Russian Federation
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Russian Federation
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Russian Federation
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Samara
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Russian Federation
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Ufa
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Russian Federation
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Russian Federation
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Nitra
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Poprad
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Presov
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Trencin
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Alicante
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Spain
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Spain
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Galicia
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Spain
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Madrid, Comunidad DE
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Spain
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Cordoba
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Spain
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Madrid
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Spain
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Sevilla
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Valencia
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Kaohsiung
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Taiwan
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Turkey
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Turkey
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Edirne
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Istanbul
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Malatya
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Ukraine
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Dnipropetrovska Oblast
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Ukraine
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Ukraine
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Ukraine
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Dnipro
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Ukraine
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Ivano-Frankivsk
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Ukraine
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Kharkiv
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Ukraine
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Lviv
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United Kingdom
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Devon
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United Kingdom
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United Kingdom
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Birmingham
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United Kingdom
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Glasgow
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United Kingdom
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London
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United Kingdom
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Address
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Country
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Other collaborator category [1]
0
0
Commercial sector/industry
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Name [1]
0
0
Astellas Pharma Inc
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Address [1]
0
0
Query!
Country [1]
0
0
Query!
Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the study is to evaluate the safety and efficacy of talazoparib in combination with enzalutamide compared with placebo in combination with enzalutamide in participants with DDR-deficient mCSPC.
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Trial website
https://clinicaltrials.gov/study/NCT04821622
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
0
0
Pfizer CT.gov Call Center
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Address
0
0
Pfizer
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
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Address
0
0
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Country
0
0
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Phone
0
0
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Fax
0
0
Query!
Email
0
0
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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
Query!
What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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When will data be available (start and end dates)?
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Available to whom?
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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://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
Query!
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/NCT04821622