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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03815396
Registration number
NCT03815396
Ethics application status
Date submitted
21/01/2019
Date registered
24/01/2019
Titles & IDs
Public title
Phase 1 Study to Assess the Safety, PK and PD of INBRX-101 in Adults With Alpha-1 Antitrypsin Deficiency
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Scientific title
An Open-Label, Multicenter, Phase 1 Study to Assess the Safety, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Intravenous Doses of Inhibrx rhAAT-Fc (INBRX-101) in Adults With Alpha-1 Antitrypsin Deficiency (AATD)
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Secondary ID [1]
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Ph1 INBRX-101
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Universal Trial Number (UTN)
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Trial acronym
rhAAT-Fc
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Alpha-1 Antitrypsin Deficiency
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AATD
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Respiratory
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - INBRX-101/rhAAT-Fc
Experimental: Part 1 Single Ascending Dose - INBRX-101 will be escalated in subjects with alpha-1 antitrypsin deficiency (AATD).
Experimental: Part 2 Multiple Ascending Dose - INBRX-101 will be escalated in subjects with alpha-1 antitrypsin deficiency (AATD).
Treatment: Drugs: INBRX-101/rhAAT-Fc
INBRX-101 is a recombinant human alpha-1 antitrypsin (AAT) Fc fusion protein (rhAAT-Fc).
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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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Frequency of adverse events of INBRX-101
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Assessment method [1]
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Adverse events will be assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03.
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Timepoint [1]
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Up to 7 months
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Primary outcome [2]
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Severity of adverse events of INBRX-101
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Assessment method [2]
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Severity of adverse events will be assessed and assigned by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), version 4.03.
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Timepoint [2]
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Up to 7 months
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Secondary outcome [1]
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Area under the serum concentration time curve (AUC) of INBRX-101
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Assessment method [1]
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Area under the serum concentration time curve (AUC) of INBRX-101 will be determined.
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Timepoint [1]
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Up to 7 months
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Secondary outcome [2]
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Maximum observed serum concentration (Cmax) of INBRX-101
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Assessment method [2]
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Maximum observed serum concentration (Cmax) of INBRX-101 will be determined.
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Timepoint [2]
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Up to 7 months
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Secondary outcome [3]
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Trough observed serum concentration (Ctrough) of INBRX-101
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Assessment method [3]
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Trough observed serum concentration (Cmax) of INBRX-101 will be determined.
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Timepoint [3]
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Up to 7 months
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Secondary outcome [4]
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Time to Cmax (Tmax) of INBRX-101
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Assessment method [4]
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Time to Cmax (Tmax) of INBRX-101 will be determined.
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Timepoint [4]
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Up to 7 months
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Secondary outcome [5]
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Half-life (T1/2) of INBRX-101
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Assessment method [5]
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Half-life of INBRX-101 will be determined.
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Timepoint [5]
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Up to 7 months
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Secondary outcome [6]
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Immunogenicity of INBRX-101
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Assessment method [6]
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Frequency and consequences of anti-drug antibodies (ADA) against INBRX-101 will be determined.
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Timepoint [6]
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Up to 7 months
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Secondary outcome [7]
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Distribution of INBRX-101 in Bronchoalveolar Lavage Fluid (BALF)
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Assessment method [7]
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The concentration of INBRX-101 in bronchoalveolar lavage fluid (BALF) be determined.
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Timepoint [7]
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Up to 7 months
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Secondary outcome [8]
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Functional concentration of INBRX-101 in serum and BALF
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Assessment method [8]
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The functional concentration of INBRX-101 in serum and BALF will be determined.
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Timepoint [8]
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Up to 7 months
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Eligibility
Key inclusion criteria
* Documented alpha-1 antitrypsin (AAT) serum concentration <11 µM.
* Diagnosis of alpha-1 antitrypsin deficiency (AATD) with any allelic combination with exception of the null/null genotype.
* For subjects in Part 2 80 and 120 mg/kg cohorts ONLY: post-bronchodilator FEV1 of at least 40% of predicted normal value.
* For subjects in Part 2 80 and 120 mg/kg cohorts ONLY: subjects eligible for bronchoscopy per judgment of investigator.
* Nonsmoker for at least 6 months prior to study and must remain nonsmoking for the entire study duration.
* Adequate hepatic and renal function as defined per protocol.
* Willing to undergo current augmentation therapy washout (if applicable) and refrain from initiating augmentation therapy, other investigational drug trials for AATD, therapy with IV immunoglobulins or monoclonal antibodies during the entire study, including follow-up.
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Minimum age
18
Years
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Maximum age
80
Years
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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
* Known or suspected allergy to components of INBRX-101 (AAT or human IgG) or pdAAT.
* Participation in any investigational drug trial within 30 days prior to this trial, or subjects receiving IV immunoglobulins or monoclonal antibodies within 30 days prior to this trial.
* History of and/or on the waiting list for lung or liver transplant, lobectomy, or lung volume reduction surgery.
* Acute respiratory tract infection or COPD exacerbation that required antibiotic treatment and/or increase in systemic steroid dosage within the 4 weeks prior to screening. Subjects are permitted to continue to receive steroids if the investigator judges the subject to have a history of stable dosing.
* Subjects with ongoing or history of unstable cor pulmonale.
* Infection with hepatitis A, B, or C or human immunodeficiency virus (HIV).
* Active autoimmune disease or documented history of autoimmune disease that 1) required systemic steroids or immune-suppressive medications and 2) tested positive for auto-antibodies. Exception: Endocrinopathies managed with hormone replacement therapy (HRT).
* Current substance and/or alcohol abuse with protocol defined exceptions.
* Current narcotics abuse with protocol defined exceptions.
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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
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
19/07/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
18/08/2022
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Sample size
Target
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Accrual to date
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Final
31
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Recruitment in Australia
Recruitment state(s)
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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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California
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Country [2]
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United States of America
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State/province [2]
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Florida
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Country [3]
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United States of America
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State/province [3]
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Indiana
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Country [4]
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United States of America
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State/province [4]
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Missouri
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Country [5]
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New Zealand
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State/province [5]
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Auckland
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Country [6]
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New Zealand
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State/province [6]
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Christchurch
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Country [7]
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New Zealand
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State/province [7]
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Hamilton
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Country [8]
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United Kingdom
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State/province [8]
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East Of England
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Country [9]
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United Kingdom
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State/province [9]
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West Midlands
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Inhibrx Biosciences, 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 is an open-label, 2-part, dose-escalating, Phase 1 study of INBRX-101 (rhAAT-Fc). Part 1 will consist of single ascending dose (SAD) administration of INBRX-101 and Part 2 will consist of multiple ascending dose (MAD) administrations of INBRX-101. The planned dosing schedule is IV every 3 to 4 weeks.
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Trial website
https://clinicaltrials.gov/study/NCT03815396
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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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Vasily Andrianov, MD
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Address
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Inhibrx Biosciences, Inc
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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/NCT03815396