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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05758818
Registration number
NCT05758818
Ethics application status
Date submitted
29/01/2023
Date registered
7/03/2023
Titles & IDs
Public title
A Study of Milademetan Administration on Cardiac Repolarization in Healthy Subjects
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Scientific title
A Randomized, Positive and Placebo-Controlled Trial to Evaluate the Effects of Milademetan Administration on Cardiac Repolarization in Healthy Subjects
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Secondary ID [1]
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RAIN-3258
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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:
Cardiac Repolarization
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - Moxifloxacin (positive control)
Treatment: Drugs - Milademetan
Placebo comparator: A = Placebo (negative control) - Dosage Form: Capsules
Route of Administration: Oral
The placebo and milademetan will be identical in appearance.
Active comparator: B = Moxifloxacin (positive control) - Dosage Form: Tablets
Route of Administration: Oral
Dosage: 400 mg
Experimental: C = Milademetan - Drug: Milademetan
Dosage:
Part 1: 300, 330, 360 mg. Part 2: 260 mg single oral dose or higher, as determined in Part 1.
Treatment: Drugs: Placebo
Participants will receive a single dose of placebo on Day 1, Day 8 or Day 15 of part 2
Treatment: Drugs: Moxifloxacin (positive control)
Participants will receive a single dose of moxifloxacin on Day 1,Day 8, or Day 15 of Part 2
Treatment: Drugs: Milademetan
Participants will receive a single dose of Milademetan on Day 1 for part 1
Participants will receive a single dose of milademetan on Day 1, Day 8, or Day 15 of Part 2
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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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Number of participants with adverse events (AEs)
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Assessment method [1]
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The intensity of all AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0
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Timepoint [1]
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Part 1:Up to 15 days
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Primary outcome [2]
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Number of participants with adverse events (AEs)
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Assessment method [2]
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The intensity of all AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0
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Timepoint [2]
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Part 2: Up to 25 days
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Primary outcome [3]
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Incidence of laboratory abnormalities based on hematology test results
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Assessment method [3]
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Hematocrit, Hemoglobin, Mean cell hemoglobin
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Timepoint [3]
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Part 1:Up to 15 days
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Primary outcome [4]
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Incidence of laboratory abnormalities based on hematology test results
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Assessment method [4]
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Hematocrit, Hemoglobin, Mean cell hemoglobin
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Timepoint [4]
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Part 2: Up to 25 days
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Primary outcome [5]
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Incidence of laboratory abnormalities based on clinical chemistry test results
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Assessment method [5]
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Alanine aminotransferase, Albumin, Alkaline phosphatase, Aspartate aminotransferase
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Timepoint [5]
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Part 1:Up to 15 days
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Primary outcome [6]
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Incidence of laboratory abnormalities based on clinical chemistry test results
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Assessment method [6]
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Alanine aminotransferase, Albumin, Alkaline phosphatase, Aspartate aminotransferase
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Timepoint [6]
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Part 2: Up to 25 days
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Primary outcome [7]
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Incidence of laboratory abnormalities based on urinalysis test results
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Assessment method [7]
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Bilirubin, color and appearance, glucose, ketones, protein
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Timepoint [7]
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Part 1:Up to 15 days
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Primary outcome [8]
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Incidence of laboratory abnormalities based on urinalysis test results
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Assessment method [8]
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Bilirubin, color and appearance, glucose, ketones, protein
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Timepoint [8]
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Part 2: Up to 25 days
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Primary outcome [9]
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Vital signs measurements
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Assessment method [9]
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Supine systolic blood pressure in mmHg and supine diastolic blood pressure in mmHg
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Timepoint [9]
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Part 1:Up to 15 days
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Primary outcome [10]
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Vital signs measurements
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Assessment method [10]
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Supine systolic blood pressure in mmHg and supine diastolic blood pressure in mmHg
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Timepoint [10]
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Part 2: Up to 25 days
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Primary outcome [11]
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Change from baseline in QT interval of the ECG
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Assessment method [11]
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QT interval measured in msec
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Timepoint [11]
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Part 1:Up to 15 days
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Primary outcome [12]
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Change from baseline in QT interval of the ECG
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Assessment method [12]
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QT interval measured in msec
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Timepoint [12]
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Part 2: Up to 25 days
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Secondary outcome [1]
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Observed maximum plasma concentration (Cmax)
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Assessment method [1]
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observed maximum plasma concentration in ng/ml
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Timepoint [1]
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Part 1:Up to 15 days
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Secondary outcome [2]
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Observed maximum plasma concentration (Cmax)
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Assessment method [2]
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observed maximum plasma concentration in ng/ml
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Timepoint [2]
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Part 2: Up to 25 days
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Secondary outcome [3]
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Time to observed maximum concentration (Tmax)
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Assessment method [3]
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time to observed maximum concentration in hour
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Timepoint [3]
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Part 1:Up to 15 days
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Secondary outcome [4]
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Time to observed maximum concentration (Tmax)
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Assessment method [4]
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time to observed maximum concentration in hour
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Timepoint [4]
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Part 2: Up to 25 days
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Secondary outcome [5]
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area under the time-concentration curve from time zero to the time of the last quantifiable concentration (AUC0-tlast)
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Assessment method [5]
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Expressed as ng/ml x hr
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Timepoint [5]
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Part 1:Up to 15 days
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Secondary outcome [6]
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area under the time-concentration curve from time zero to the time of the last quantifiable concentration (AUC0-tlast)
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Assessment method [6]
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Expressed as ng/ml x hr
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Timepoint [6]
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Part 2: Up to 25 days
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Eligibility
Key inclusion criteria
1. Is capable of understanding informed consent and is willing and able to provide written informed consent.
2. Is willing to comply with all protocol procedures.
3. Healthy, male, nonsmoking (for at least 90 days) subjects from 18 through 55 years of age, inclusive, at Screening, and healthy, female, nonsmoking (for at least 90 days) subjects of nonchildbearing potential from 18 through 55 years of age, inclusive, at Screening.
4. Body weight > 50 kg, body mass index between 18.0 and 30 kg/m2, inclusive.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Past or present clinically relevant systemic disease as judged by the Investigator including, but not limited to, clinically relevant medical abnormalities such as psychiatric, neurologic, pulmonary, respiratory, cardiac, gastrointestinal, genitourinary, renal, hepatic, metabolic, endocrinologic, hematological, or autoimmune disorders making implementation of the protocol or interpretation of the study results difficult, or that would put the subject at risk by participating in the study in the opinion of the Investigator.
2. History of significant hypersensitivity, intolerance, or allergy to any drug compound, food, or other substance, unless approved by the Investigator (or designee).
3. Knowledge of any kind of cardiovascular disorder/condition/procedure known to increase the possibility of QT prolongation or a history of additional risk factors for torsade de pointes (eg, heart failure, hypokalemia, hypomagnesemia, congenital long QT syndrome, or family history of long QT syndrome, or Brugada syndrome), or cardiac conduction disorders.
4. Resting supine systolic blood pressure greater than 140 mm Hg; resting supine diastolic blood pressure greater than 90 mm Hg at Screening or Day -1. Blood pressure measurements may be repeated once at the discretion of the Investigator.
5. Resting supine HR less than 45 beats per minute or greater than 100 beats per minute at Screening or Day -1 (may be repeated once at the discretion of the Investigator). Minor deviations are acceptable if considered to be of no clinical significance by the Investigator.
6. Abnormal 12-lead ECG at Screening or Day -1 (a single repeat is allowed), including:
1. QTcF > 450 msec
2. QRS > 110 msec
3. PR > 200 msec
4. Second or third-degree atrioventricular block
7. Any rhythm other than sinus rhythm, which is interpreted by the Investigator to be clinically significant at Screening or Day -1.
8. Dosing in another clinical trial within the last 30 days (or 5 half-lives, whichever is longer) prior to Day -1.
9. Family history of unexplainable sudden death at < 50 years of age.
10. History of unexplained loss of consciousness, unexplained syncope, unexplained irregular heartbeats or palpitations, clinically significant head injury, or near drowning with hospital admission.
11. Known allergic reactions to moxifloxacin (for Part 2 only) or any study medication or history of tendonitis or tendon rupture as a result of moxifloxacin or any other quinolone type drug use (for Part 2 only).
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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 assessing the outcomes
The people analysing the results/data
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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
Stopped early
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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
17/04/2023
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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
8/06/2023
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Sample size
Target
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Accrual to date
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Final
6
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Nucleus Network Melbourne - Melbourne
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Recruitment postcode(s) [1]
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3004 - Melbourne
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Rain Oncology Inc
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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 will be a Phase 1, single-center, 2-part study in healthy subjects. Parts 1 and 2 need to be conducted in sequential order.
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Trial website
https://clinicaltrials.gov/study/NCT05758818
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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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Country
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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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Address
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Country
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Phone
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Fax
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Email
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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
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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/NCT05758818