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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06203210
Registration number
NCT06203210
Ethics application status
Date submitted
2/01/2024
Date registered
12/01/2024
Titles & IDs
Public title
A Study of Ifinatamab Deruxtecan Versus Treatment of Physician's Choice in Subjects With Relapsed Small Cell Lung Cancer
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Scientific title
A Phase 3, Multicenter, Randomized, Open-label Study of Ifinatamab Deruxtecan (I-DXd), a B7-H3 Antibody Drug Conjugate (ADC), Versus Treatment of Physician's Choice (TPC) in Subjects With Relapsed Small Cell Lung Cancer (SCLC) (IDeate-Lung02)
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Secondary ID [1]
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2023-509628-16
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Secondary ID [2]
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DS7300-188
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Universal Trial Number (UTN)
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Trial acronym
IDeate-Lung02
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Small Cell Lung Cancer
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Condition category
Condition code
Cancer
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Lung - Mesothelioma
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Cancer
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Lung - Non small cell
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Cancer
0
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Lung - Small cell
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Ifinatamab deruxtecan
Treatment: Drugs - Topotecan
Treatment: Drugs - Amrubicin
Treatment: Drugs - Lurbinectedin
Experimental: Ifinatamab deruxtecan (I-DXd) - Participants randomized to receive 12 mg/kg I-DXd monotherapy on Day 1 of each 21-day cycle until unacceptable toxicity, progressive disease (PD), or withdrawal of consent as specified in the protocol.
Active comparator: Treatment of Physician's Choice (TPC) - Participants randomized to receive topotecan, lurbinectedin, or amrubicin, as per investigator's choice and per locally approved label (indicated dose and frequency), until a treatment discontinuation criterion is met as specified in the protocol.
Treatment: Drugs: Ifinatamab deruxtecan
12 mg/kg intravenous dose on Day 1 of each 21-day cycle
Treatment: Drugs: Topotecan
Topotecan will be administered per local SoC.
Treatment: Drugs: Amrubicin
Amrubicin will be administered per local SoC.
Treatment: Drugs: Lurbinectedin
Lurbinectedin will be administered per local SoC
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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 Objective Response Rate Assessed by Blinded Independent Central Review
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Assessment method [1]
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Confirmed objective response rate (ORR) is defined as the sum of the complete response (CR) rate and partial response (PR) rate based on BICR by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
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Timepoint [1]
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Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 4.5 years
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Primary outcome [2]
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Overall Survival
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Assessment method [2]
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Timepoint [2]
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From the date of randomization to the date of death due to any cause, whichever occurs first, up to approximately 4.5 years
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Secondary outcome [1]
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Number of Participants With Objective Response Rate Assessed by Investigator
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Assessment method [1]
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Confirmed objective response rate (ORR) is defined as the sum of the complete response (CR) rate and partial response (PR) rate based on investigator by Response Evaluation Criteria In Solid Tumors (RECIST) v1.1.
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Timepoint [1]
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Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 4.5 years
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Secondary outcome [2]
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Progression-free Survival As Assessed by Blinded Independent Central Review and Investigator
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Assessment method [2]
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PFS is defined as the time interval from the date of randomization to the date of disease progression as per BICR and investigator assessment or death due to any cause.
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Timepoint [2]
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Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 4.5 years
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Secondary outcome [3]
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Duration of Response As Assessed by Blinded Independent Central Review and Investigator
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Assessment method [3]
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Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (complete response \[CR\] or partial response \[PR\]) to the date of the first documentation of progressive disease (PD) or death. The DoR will be calculated for responding participants (PR or CR) only.
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Timepoint [3]
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From the date of first documentation of confirmed response (CR or PR) to the first documentation of objective progression or to death due to any cause, whichever occurs first, up to approximately 4.5 years
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Secondary outcome [4]
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Disease Control Rate As Assessed by Blinded Independent Central Review and Investigator
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Assessment method [4]
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Disease control rate is defined as the proportion of participants who have achieved a best overall response of confirmed CR, confirmed PR, or SD (or non-CR/non-PD) by BICR and investigator assessment per RECIST v1.1.
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Timepoint [4]
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Baseline up until documented progressive disease, death, lost to follow-up, or withdrawal by the participant, up to approximately 4.5 years
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Secondary outcome [5]
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Time to Response As Assessed by Blinded Independent Central Review and Investigator
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Assessment method [5]
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TTR is defined as the time from the date of randomization to the first documentation of objective tumor response (CR or PR) that is subsequently confirmed by BICR and investigator assessment .Time to response (TTR) will be calculated for confirmed responders only.
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Timepoint [5]
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From the start date of study drug to the date of the first documentation of response (CR or PR) that is subsequently confirmed, up to approximately 4.5 years
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Secondary outcome [6]
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Change from Baseline in The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30
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Assessment method [6]
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This 30-item questionnaire assesses global health status (GHS)/quality of life (QoL), subject functioning, and general cancer symptoms and has a recall period of one week. All scores for the EORTC QLQ-C30 instrument are linearly transformed to a 0 to 100 metric, where a higher score on GHS/QoL and functioning scales indicates a better outcome and a higher score for the symptom scales indicates worse outcomes.
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Timepoint [6]
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Baseline up to 4.5 years
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Secondary outcome [7]
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Change from Baseline in The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Lung Cancer 29 (EORTC QLQ-LC29)
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Assessment method [7]
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The LC29 is a self-reported 29-item questionnaire that measures SCLC-related symptoms and the side effects of treatments and has a recall period of one week. All scores range from 0 to 100, with a higher score indicating a worse outcome.
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Timepoint [7]
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Baseline up to 4.5 years
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Secondary outcome [8]
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Overall Number of Participants With Treatment-emergent Adverse Events Following I-DXd Monotherapy
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Assessment method [8]
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TEAEs are assessed based on NCI CTCAE v5.0.
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Timepoint [8]
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Baseline up to 4.5 years
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Secondary outcome [9]
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The Number of Participants Who Are Anti-Drug Antibody (ADA)-Positive At Any Time and Who Have A Treatment-emergent Anti-Drug Antibody
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Assessment method [9]
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The ADA prevalence, which is the percentage of participants who are ADA positive at any time point (baseline or post-baseline), as well as the ADA incidence, which is the proportion of participants having treatment-emergent ADA during the study period, will only be reported in participants receiving I-DXd.
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Timepoint [9]
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Baseline up to 4.5 years
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Secondary outcome [10]
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Pharmacokinetic Parameter Maximum Concentration for I-DXd, Total Anti-B7-H3 Antibody, and MAAA-1181a
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Assessment method [10]
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Maximum concentration (Cmax) will be assessed using non-compartmental methods in participants randomized to the I-DXd group.
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Timepoint [10]
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Cycle 1 before infusion (BI), end of infusion EOI), and 3, 6, 24, 72, 168, 336, and 504 hours (hrs) post dose; Cycle 2 BI and EOI; Cycle 3 BI, EOI, and 6 hrs postdose; Cycles 4, 5, and every 2 cycles thereafter up to 4.5 years BI (each cycle is 21 days)
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Secondary outcome [11]
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Pharmacokinetic Parameter Time to Maximum Concentration for I-DXd, Total Anti-B7-H3 Antibody, and MAAA-1181a
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Assessment method [11]
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Time to maximum concentration (Tmax) will be assessed using non-compartmental methods in participants randomized to the I-DXd group.
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Timepoint [11]
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Cycle 1 before infusion (BI), end of infusion EOI), and 3, 6, 24, 72, 168, 336, and 504 hours (hrs) post dose; Cycle 2 BI and EOI; Cycle 3 BI, EOI, and 6 hrs postdose; Cycles 4, 5, and every 2 cycles thereafter up to 4.5 years BI (each cycle is 21 days)
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Secondary outcome [12]
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Pharmacokinetic Parameter Area Under the Plasma Concentration-Time Curve for I-DXd, Total Anti-B7-H3 Antibody, and MAAA-1181a
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Assessment method [12]
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Area under the plasma concentration-time curve up to the last quantifiable time point (AUClast) and area under the plasma concentration-time curve dosing interval (AUCtau) will be assessed using non-compartmental methods in participants randomized to the I-DXd group.
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Timepoint [12]
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Cycle 1 before infusion (BI), end of infusion EOI), and 3, 6, 24, 72, 168, 336, and 504 hours (hrs) post dose; Cycle 2 BI and EOI; Cycle 3 BI, EOI, and 6 hrs postdose; Cycles 4, 5, and every 2 cycles thereafter up to 4.5 years BI (each cycle is 21 days)
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Eligibility
Key inclusion criteria
Inclusion Criteria
Participants must meet all the following criteria to be eligible for randomization into the study:
1. Sign and date the informed consent form prior to the start of any study-specific qualification procedures.
2. Adults =18 years or the minimum legal adult age (whichever is greater) at the time the informed consent form is signed.
3. Has histologically or cytologically documented SCLC.
4. The participant must provide adequate baseline tumor samples with sufficient quantity and quality of tumor tissue content.
5. Has received prior therapy with only one prior platinum-based line as systemic therapy for SCLC with at least 2 cycles of therapy and a chemotherapy-free interval of >30 days.
6. Has at least 1 measurable lesion according to RECIST v1.1 as assessed by the investigator.
7. Has documentation of radiological disease progression on or after the most recent systemic therapy.
8. Has ECOG PS of =1.
9. Subjects with untreated and asymptomatic brain metastases or subjects with treated brain metastases that are no longer symptomatic (ie, without neurologic signs or symptoms) and who require no treatment with steroids or anticonvulsants may be included in the study if they have recovered from the acute toxic effect of radiotherapy. Subjects must have a stable neurologic status for at least 2 weeks prior to the first dose of study drug.
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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
Exclusion Criteria
Participants who meet any of the following criteria will be disqualified from entering the study:
1. Has received prior treatment with orlotamab, enoblituzumab, or other humanized anti-B7 homologue 3 (B7-H3) targeted agents, including I-DXd.
2. Prior discontinuation of an antibody drug conjugate (ADC) that consists of an exatecan derivative (eg, trastuzumab deruxtecan) due to treatment-related toxicities.
3. Has received any of the comparators used in this study or any topoisomerase I inhibitor.
4. Has inadequate washout period before randomization as specified in the protocol.
5. Has any of the following conditions within the past 6 months: cerebrovascular accident, transient ischemic attack, or another arterial thromboembolic event.
6. Has uncontrolled or significant cardiovascular disease.
7. Has clinically significant corneal disease.
8. Has history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required corticosteroids, current ILD/pneumonitis, or suspected ILD/pneumonitis that cannot be ruled out by imaging at Screening.
9. Has clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses, including, but not limited to, any underlying pulmonary disorder and potential pulmonary involvement caused by any autoimmune, connective tissue, or inflammatory disorders, prior pneumonectomy, or requirement for supplemental oxygen.
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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
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 3
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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
21/05/2024
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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
22/02/2029
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Actual
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Sample size
Target
468
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Ballarat Base Hospital - Ballarat
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Flinders Medical Centre (Fmc) - Bedford Park
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Chris Oâbrien Lifehouse - Camperdown
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Sunshine Hospital - St Albans
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St John of God Subiaco Hospital - Subiaco
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Recruitment hospital [6]
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Townsville Cancer Centre - Townsville
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Recruitment hospital [7]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
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3350 - Ballarat
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Recruitment postcode(s) [2]
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5042 - Bedford Park
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2050 - Camperdown
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3021 - St Albans
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6008 - Subiaco
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4814 - Townsville
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Recruitment postcode(s) [7]
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4102 - Woolloongabba
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Recruitment outside Australia
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0
France
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State/province [79]
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Saint Herblain
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France
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Saint-Priest-En-Jarez
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France
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Suresnes Cedex
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France
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Villejuif
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Germany
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Berlin
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Germany
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Erfurt
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Germany
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Essen
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Germany
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Frankfurt am Main
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Germany
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Frankfurt
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Germany
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Gauting
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Germany
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Gera
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Germany
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Giessen
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Germany
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Hamburg
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Germany
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Immenhausen/Krs. Kassel
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Germany
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Kiel
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Germany
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Minden
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Germany
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Oldenburg
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Germany
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Ulm
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Greece
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Athens
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Greece
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Chaidari
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Greece
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Larisa
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Greece
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Patra
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Greece
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Piraeus
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Greece
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Thessaloniki
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Hungary
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Budapest
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Hungary
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Gyor
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Hungary
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Kecskemet
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Italy
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Bari
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Italy
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Bergamo
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Italy
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Brescia
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Italy
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Catania
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Italy
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Catanzaro
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Country [111]
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Italy
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Genova
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Italy
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Milano
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Italy
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Monza
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Italy
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Napoli
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Italy
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Parma
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Italy
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Perugia
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Italy
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Roma
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Italy
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Rozzano
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Italy
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Verona
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Japan
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Chuo-ku
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Japan
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Fukuoka
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Japan
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Hirakata-shi
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Japan
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Kashiwa
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Japan
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Koto-ku
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Japan
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Matsuyama
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Japan
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Okayama
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Japan
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Osaka-Sayama
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Japan
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Sagamihara
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Japan
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Sapporo
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Japan
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Sunto-gun
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Japan
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Takatsuki
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Japan
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Tokyo
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Japan
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Wakayama
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Korea, Republic of
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Cheongju
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Korea, Republic of
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Daegu
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Korea, Republic of
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Seongnam-si
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Korea, Republic of
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Seoul
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Korea, Republic of
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Suwon-si
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Korea, Republic of
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Suwon
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Netherlands
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's Hertogenbosch
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Netherlands
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Amsterdam
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Netherlands
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Maastricht
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Tilburg
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Bydgoszcz
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Lodz
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Otwock
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Prabuty
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Poland
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Tomaszow Mazowiecki
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Portugal
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Coimbra
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Portugal
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Guimarães
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Portugal
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Lisboa
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Portugal
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Porto
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Romania
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Cluj Napoca
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Romania
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Comuna Floresti
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Romania
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Craiova
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Romania
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Suceava
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Spain
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Barcelona
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Spain
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Cordoba
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Spain
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Jaen
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Spain
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Jerez De Frontera
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Spain
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L'Hospitalet de Llobregat
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Spain
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Las Palmas de Gran Canaria
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Spain
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Madrid
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Spain
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Malaga
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Spain
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Sevilla
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Switzerland
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Bern
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Switzerland
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Fribourg
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Switzerland
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St. Gallen
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Taiwan
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Kaohsiung City
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Taiwan
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Taichung
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Taiwan
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Tainan
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Taiwan
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Taipei
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Taiwan
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Taoyuan County
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Turkey
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Ankara
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Turkey
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Diyarbakir
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Turkey
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Istanbul
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Turkey
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Izmir
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United Kingdom
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Birmingham
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United Kingdom
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Leeds
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0
United Kingdom
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State/province [180]
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0
Oxford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Daiichi Sankyo
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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
Merck Sharp & Dohme LLC
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Address [1]
0
0
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Country [1]
0
0
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Ethics approval
Ethics application status
Query!
Summary
Brief summary
This study was designed to compare the efficacy and safety of I-DXd with treatment of physician's choice in participants with relapsed small cell lung cancer (SCLC).
Query!
Trial website
https://clinicaltrials.gov/study/NCT06203210
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
0
0
Global Clinical Director
Query!
Address
0
0
Daiichi Sankyo
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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
Daiichi Sankyo Contact for Clinical Trial Information
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Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
9089926400
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Fax
0
0
Query!
Email
0
0
[email protected]
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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?
De-identified individual participant data (IPD) on completed studies and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF)
Query!
When will data be available (start and end dates)?
Completed studies that has reached a global end or completion with all data set collected and analyzed, and for which the medicine and indication have received European Union (EU) and United States (US), and/or Japan (JP) marketing approval on or after 01 January 2014 or by the US or EU or JP Health Authorities when regulatory submissions in all regions are not planned and after the primary study results have been accepted for publication.
Query!
Available to whom?
Formal request from qualified scientific and medical researchers on IPD and clinical study documents on completed clinical trials supporting products submitted and licensed in the United States, the European Union and/or Japan from 01 January 2014 and beyond for the purpose of conducting legitimate research. This must be consistent with the principle of safeguarding study participants' privacy and consistent with provision of informed consent
Query!
Available for what types of analyses?
Query!
How or where can data be obtained?
IPD available at link: https://vivli.org/ourmember/daiichi-sankyo/
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/NCT06203210