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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05346484
Registration number
NCT05346484
Ethics application status
Date submitted
22/03/2022
Date registered
26/04/2022
Date last updated
16/05/2024
Titles & IDs
Public title
A Study of CF33-hNIS (VAXINIA), an Oncolytic Virus, as Monotherapy or in Combination With Pembrolizumab in Adults With Metastatic or Advanced Solid Tumors
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Scientific title
A Phase I, Dose Escalation Safety and Tolerability Study of VAXINIA (CF33-hNIS), Administered Intratumorally or Intravenously as a Monotherapy or in Combination With Pembrolizumab in Adult Patients With Metastatic or Advanced Solid Tumors (MAST).
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Secondary ID [1]
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CF33-hNIS-002
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Universal Trial Number (UTN)
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Trial acronym
MAST
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Solid Tumor
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Solid Carcinoma
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Solid Tumor, Adult
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Metastatic Cancer
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Advanced Solid Tumor
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Cholangiocarcinoma
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Bile Duct Cancer
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Condition category
Condition code
Cancer
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Biliary tree (gall bladder and bile duct)
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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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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - CF33-hNIS
Treatment: Other - Pembrolizumab
Experimental: CF33-hNIS IT Administration Monotherapy -
Experimental: CF33-hNIS IV Administration Monotherapy -
Experimental: CF33-hNIS IT Administration in Combination with Pembrolizumab -
Experimental: CF33-hNIS IV Administration in Combination with Pembrolizumab -
Treatment: Other: CF33-hNIS
CF33-hNIS is a chimeric orthopoxvirus (oncolytic virus) engineered to express the human sodium iodide symporter (hNIS)
Treatment: Other: Pembrolizumab
Pembrolizumab 200mg administrated IV every 3 weeks (Q3W).
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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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Frequency and severity of Adverse Events of IV and IT CF33-hNIS as a monotherapy or in combination with pembrolizumab
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Assessment method [1]
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Adverse events will be graded according to CTCAE v5.0.
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Timepoint [1]
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From first dose of study drug through 30 days following the last dose of study treatment.
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Primary outcome [2]
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Recommended Phase 2 Dose (RP2D) of CF33-hNIS as a monotherapy or in combination with pembrolizumab
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Assessment method [2]
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RP2D determination will be based on evaluation of Dose Limiting Toxicities (DLT) as well as other safety, efficacy and correlative data.
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Timepoint [2]
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From first dose of study drug through 21-42 days following the first dose of study treatment.
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Secondary outcome [1]
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Objective Response Rate (ORR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab
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Assessment method [1]
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ORR is defined as the proportion of patients in the efficacy population who achieve a radiographic Investigator-assessed confirmed complete response (CR) or partial response (PR), per RECIST v1.1 or confirmed immune complete response (iCR) or immune partial response (iPR) per iRECIST v1.0.
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Timepoint [1]
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Up to 2 years from first dose of study drug.
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Secondary outcome [2]
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Progression-free survival (PFS) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab.
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Assessment method [2]
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PFS, defined as the time from start of treatment to the first documentation of progressive disease (PD) or death from any cause, whichever occurs first.
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Timepoint [2]
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Up to 2 years from first dose of study drug.
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Secondary outcome [3]
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Overall survival (OS) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab.
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Assessment method [3]
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defined as the time from the start of treatment until death due to any cause. Median OS and OS rate at 12 months will be reported.
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Timepoint [3]
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Up to 2 years from first dose of study drug.
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Secondary outcome [4]
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Duration of Response (DOR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab.
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Assessment method [4]
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DOR is defined as the time from the date a response of PR/iPR or better was first recorded to the date on which progressive disease was first noted or the date of death due to any cause.
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Timepoint [4]
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Up to 2 years from first dose of study drug.
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Secondary outcome [5]
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Disease Control Rate (DCR) of CF33-hNIS administered as a monotherapy or in combination with pembrolizumab.
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Assessment method [5]
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DCR is defined as the proportion of patients who achieve an Investigator-assessed confirmed CR/iCR, PR/iPR, or Stable Disease (SD)/immune SD (iSD) per RECIST v1.1 and iRECIST v1.0.
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Timepoint [5]
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Up to 2 years from first dose of study drug.
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Secondary outcome [6]
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To evaluate viral titers of CF33-hNIS
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Assessment method [6]
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Viral Plaque Assay (VPA) and polymerase chain reaction (PCR) testing from serum, urine, oral swab, rectal swab, injection site(s) swab and wound dressing swab.
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Timepoint [6]
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Up to 2 years from first dose of study drug.
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Secondary outcome [7]
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To evaluate infection of tumors with CF33-hNIS
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Assessment method [7]
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hNIS-based imaging via SPECT technetium-99 (99TC).
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Timepoint [7]
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21 days from first dose of study drug
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Eligibility
Key inclusion criteria
* Written informed consent from patient or legally authorized representative
* Age = 18 years old on the date of consent
* Any metastatic or advanced solid tumor with documented radiological progression following at least two prior lines of treatment (which may have included prior immune checkpoint inhibitor treatment)
* ECOG performance status 0 - 2
* At least one measurable lesion
* Adequate renal function
* Adequate liver function
* Adequate hematologic function
* Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Prior treatment with a poxvirus based oncolytic virus.
* Continuous systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 4 weeks prior to first dose of study treatment.
* Prior radiotherapy within 2 weeks of start of study treatment.
* Active autoimmune disease
* Prior allogenic tissue/organ transplant or other medical conditions requiring ongoing treatment with immunosuppressive drugs or any condition resulting in a systemic immunosuppressed state
* Inadequate pulmonary function per Investigator assessment.
* Uncontrolled brain or other central nervous system (CNS) metastases.
* History of documented congestive heart failure (New York Heart Association [NYHA] class III - IV), unstable angina, poorly controlled hypertension, clinically significant valvular heart disease or high-risk uncontrolled arrhythmias
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
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
17/05/2022
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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
1/01/2025
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD,VIC
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Recruitment hospital [1]
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Tasman Oncology Research - Southport
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Recruitment hospital [2]
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St. Vincent's Hospital - Fitzroy
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Recruitment postcode(s) [1]
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4215 - Southport
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Recruitment postcode(s) [2]
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3065 - Fitzroy
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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United States of America
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State/province [2]
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Arkansas
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United States of America
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California
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United States of America
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Florida
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Country [5]
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United States of America
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Michigan
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Country [6]
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United States of America
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State/province [6]
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Ohio
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Country [7]
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United States of America
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State/province [7]
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Utah
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Country [8]
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United States of America
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State/province [8]
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Virginia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Imugene Limited
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is an open-label, dose-escalation, multi-center phase I study evaluating the safety of CF33-hNIS (hNIS - human sodium iodide symporter) administered via two routes of administration, intratumoral (IT) or intravenous (IV), either as a monotherapy or in combination with pembrolizumab in patients with metastatic or advanced solid tumors.
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Trial website
https://clinicaltrials.gov/study/NCT05346484
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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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Address
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Lisa Guttman
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Address
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Country
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Phone
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61 2 9423 0881
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05346484
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