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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06291415
Registration number
NCT06291415
Ethics application status
Date submitted
13/02/2024
Date registered
4/03/2024
Date last updated
15/08/2024
Titles & IDs
Public title
The Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HMPL-523 in Adult Subjects With Immune Thrombocytopenia (ITP)
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Scientific title
A Multicenter, Phase 1b Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of HMPL-523, a Syk Inhibitor, in Adult Subjects With Immune Thrombocytopenia
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Secondary ID [1]
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2022-523-GLOB1
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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:
Immune Thrombocytopenia
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Blood Platelet Disorder
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Hematologic Diseases
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Purpura, Thrombocytopenic
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Purpura
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Blood Coagulation Disorder
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Thrombotic Microangiopathies
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Hemorrhagic Disorders
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Autoimmune Diseases
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Immune System Diseases
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Hemorrhage
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Pathologic Processes
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Skin Manifestations
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Thrombocytopenia
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Purpura, Thrombocytopenic, Idiopathic
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Primary Immune Thrombocytopenia
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ITP - Immune Thrombocytopenia
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Condition category
Condition code
Cardiovascular
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Diseases of the vasculature and circulation including the lymphatic system
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Blood
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Clotting disorders
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Blood
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Haematological diseases
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Blood
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Other blood disorders
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Inflammatory and Immune System
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Autoimmune diseases
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - HMPL-523
Experimental: Dose escalation - Part 1 will consist of the following 3 dose levels: 300, 400, and 500 mg once daily (QD).
Experimental: Dose optimization stage - In part 2 subjects will be randomized in a 1:1 ratio between the 2 dose levels selected at the end of part 1.
Treatment: Drugs: HMPL-523
Syk inhibitor
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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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Safety and tolerability of HMPL-523 in adult subjects with primary ITP
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Assessment method [1]
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Calculated as the number and percent incidence of participants experiencing adverse events (AE).
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Timepoint [1]
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week 1 - week 24
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Primary outcome [2]
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Dose Limiting Toxicities
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Assessment method [2]
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Defined as an adverse event AE that meets protocol defined Dose Limiting Toxicities (DLT) criteria during the DLT assessment window (first 28 days), unless clearly unrelated to ITP drugs.
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Timepoint [2]
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week 1 - week 4
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Secondary outcome [1]
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Cmax (maximum plasma drug concentration)
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Assessment method [1]
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Blood samples will be obtained from all patients to determine maximum plasma drug concentration of HMPL-523 and metabolite M
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Timepoint [1]
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week 1 and week 3
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Secondary outcome [2]
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AUCtau (area under the concentration-time curve over a dosage interval)
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Assessment method [2]
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Blood samples will be obtained from all patients to determine area under the concentration time curve over periodic dosing intervals for HMPL-523 and metabolite M1
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Timepoint [2]
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week 1 and week 3
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Secondary outcome [3]
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Tmax (time to reach maximum plasma drug concentration)
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Assessment method [3]
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Blood samples will be obtained from all patients to determine time to reach maximum plasma concentration of HMPL-523 and metabolite M1
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Timepoint [3]
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week 1 and week 3
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Secondary outcome [4]
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Cmin (minimum plasma drug concentration)
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Assessment method [4]
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Blood samples will be obtained from all patients to determine minimum plasma concentration of HMPL-523 and metabolite M1
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Timepoint [4]
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week 1 - week 20
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Eligibility
Key inclusion criteria
Subjects may be enrolled in this study only if they satisfy all the following criteria:
1. Adult male or female subjects =18 years of age
2. Diagnosis of ITP, with a duration of disease of at least 3 months prior to randomization or enrollment
3. Intolerance or insufficient response or recurrence after at least 1 prior ITP treatment (excluding splenectomy)
4. Response (defined as achieved a platelet count =50 × 109/L) to at least 1 prior ITP therapy (including splenectomy)
5. Adequate hematologic, hepatic and renal function
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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
Subjects are not eligible for enrollment into this study if any one of the following criteria are met:
1. Evidence of the presence of secondary causes of ITP
2. Clinically serious hemorrhage requiring immediate adjustment of platelets
3. Known history of vital organ transplantation or hematopoietic stem-cell transplantation or chimeric antigen receptor T-cells (CAR-T) therapy
4. Splenectomy within 12 weeks prior to enrollment
5. Presence of active malignancy unless deemed cured by adequate treatment.
6. History of serious cardiovascular disease corrected QT interval (QTcF) =450 ms
7. Uncontrolled hypertension
8. Being unsuitable to participate in this study as considered by investigators
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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
Parallel
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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
2/04/2024
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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
1/11/2026
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC,WA
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Recruitment hospital [1]
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Peninsula Private Hospital - Frankston
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Recruitment hospital [2]
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The Perth Blood Institute (PBI) Hollywood Specialist Centre - West Perth
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Recruitment hospital [3]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [4]
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Canberra Hospital - Canberra
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Recruitment postcode(s) [1]
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- Frankston
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Recruitment postcode(s) [2]
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- West Perth
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Recruitment postcode(s) [3]
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- Adelaide
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Recruitment postcode(s) [4]
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- Canberra
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Recruitment outside Australia
Country [1]
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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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Delaware
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Maryland
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Massachusetts
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New Mexico
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North Carolina
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United States of America
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Ohio
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Oklahoma
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Texas
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Washington
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Germany
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Berlin
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Germany
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Düsseldorf
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Germany
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Göttingen
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Germany
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Lübeck
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Norway
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Grålum
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Norway
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Oslo
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Spain
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Barcelona
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Spain
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Burgos
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Spain
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Madrid
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Spain
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State/province [20]
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Murcia
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Hutchmed
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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, multicenter study to evaluate the safety, tolerability, and efficacy of HMPL-523 in adult subjects with ITP.
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Trial website
https://clinicaltrials.gov/study/NCT06291415
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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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William Schelman, MD, PhD
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Address
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Hutchmed
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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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Nick Lawn
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Address
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Phone
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+1-973-306-4490
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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/NCT06291415
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