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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03312634
Registration number
NCT03312634
Ethics application status
Date submitted
9/10/2017
Date registered
18/10/2017
Titles & IDs
Public title
An Efficacy and Safety Study of Palovarotene for the Treatment of Fibrodysplasia Ossificans Progressiva.
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Scientific title
A Phase 3, Efficacy and Safety Study of Oral Palovarotene for the Treatment of Fibrodysplasia Ossificans Progressiva (FOP)
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Secondary ID [1]
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2017-002541-29
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Secondary ID [2]
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PVO-1A-301
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Universal Trial Number (UTN)
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Trial acronym
MOVE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fibrodysplasia Ossificans Progressiva
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Injuries and Accidents
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Palovarotene
Experimental: Palovarotene Chronic/Flare-Up Regimen - Participants received 5 mg palovarotene once daily for up to 48 months; and 20 mg palovarotene once daily for 28 days, followed by 10 mg for 56 days for flareups. (Dosing was adjusted for weight in skeletally immature subjects.)
Treatment: Drugs: Palovarotene
Palovarotene was taken orally once daily at approximately the same time each day following a meal.
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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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Annualized New Heterotopic Ossification (HO)
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Assessment method [1]
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The annualized new HO was assessed by low-dose, whole body computed tomography (WBCT), excluding head. The weighted linear mixed effect method without square-root transformation and negatives included was used for annualized new HO analysis.
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Timepoint [1]
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Baseline (within one month of screening/Day 1) and up to 24 months
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Secondary outcome [1]
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Percentage of Participants With Any New HO
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Assessment method [1]
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The new HO was assessed by WBCT scan. The percentage of participants with any new HO (volume \> 0 mm\^3) were analyzed using the Bayesian distribution. Results are presented for overall ITT period.
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Timepoint [1]
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From Baseline (Day 1) up to end of 4-year follow-up period (approximately 57 months)
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Secondary outcome [2]
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Number of Body Regions With New HO
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Assessment method [2]
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All participants were analyzed for number of body regions with any new HO (new HO \> 0 mm\^3). The presence of HO across various body regions was analyzed using WBCT scan. Results are presented for overall ITT period
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Timepoint [2]
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From Baseline (Day 1) up to end of 4-year follow-up period (approximately 57 months)
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Secondary outcome [3]
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Percentage of Participants With Flare-Ups
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Assessment method [3]
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Flare-up as an event with one or more flare-up symptoms, and regardless of flare-up symptom onset. Flare-up was evaluated remotely, or by telephone or video-conferencing, unless the Investigator deemed that a site visit was necessary.
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Timepoint [3]
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Month 12
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Secondary outcome [4]
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Ratio of Flare-Up Per Participant-Month of Exposure
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Assessment method [4]
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Flare-up as an event with one or more flare-up symptoms, and regardless of flare-up symptom onset. Flare-up was evaluated remotely, or by telephone or video-conferencing, unless the Investigator deemed that a site visit was necessary. The flare-up rate per participant-month exposure was analyzed using a negative binomial regression. Results are presented for overall ITT period.
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Timepoint [4]
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From Baseline (Day 1) up to end of 4-year follow-up period (approximately 57 months)
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Eligibility
Key inclusion criteria
Key
* Written, signed, and dated informed subject/parent consent; and for subjects who are minors, age-appropriate assent (performed according to local regulations).
* Males or females at least 4 years of age.
* No flare-up symptoms within the past 4 weeks, including at the time of enrollment.
* Abstinent or using two highly effective forms of birth control.
* Accessible for treatment and follow-up; able to undergo all study procedures including low-dose WBCT (excluding head) without sedation.
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Minimum age
4
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
* Weight <10 kg.
* Concomitant medications that are strong inhibitors or inducers of cytochrome P450 (CYP450) 3A4 activity; or kinase inhibitors such as imatinib.
* Amylase or lipase >2x above the upper limit of normal (ULN) or with a history of chronic pancreatitis.
* Elevated aspartate aminotransferase or alanine aminotransferase >2.5x ULN.
* Fasting triglycerides >400 mg/dL with or without therapy.
* Female subjects who are breastfeeding.
* Subjects with uncontrolled cardiovascular, hepatic, pulmonary, gastrointestinal, endocrine, metabolic, ophthalmologic, immunologic, psychiatric, or other significant disease.
* Simultaneous participation in another clinical research study (other than palovarotene studies) within 4 weeks prior to Screening; or within five half-lives of the investigational agent, whichever is longer.
* Any reason that, in the opinion of the Investigator, would lead to the inability of the subject and/or family to comply with the protocol.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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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
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
30/11/2017
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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
7/09/2022
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Sample size
Target
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Accrual to date
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Final
107
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Royal North Shore Hospital - Saint Leonards
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Recruitment hospital [2]
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Queensland University of Technology - Woolloongabba
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Recruitment postcode(s) [1]
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2065 - Saint Leonards
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Recruitment postcode(s) [2]
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4102 - Woolloongabba
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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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Minnesota
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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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Pennsylvania
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Country [4]
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Argentina
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State/province [4]
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Buenos Aires
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Country [5]
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Brazil
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State/province [5]
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SP
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Country [6]
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Canada
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State/province [6]
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Ontario
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Country [7]
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France
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State/province [7]
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Paris
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Country [8]
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Italy
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State/province [8]
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Liguria
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Country [9]
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Japan
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State/province [9]
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Bunkyo-ku
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Country [10]
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Spain
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State/province [10]
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Avinguda De Fernando Abril Martorell, Nº 106
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Country [11]
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Sweden
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State/province [11]
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Umeå
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Country [12]
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United Kingdom
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State/province [12]
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Stanmore
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Clementia Pharmaceuticals 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
Fibrodysplasia Ossificans Progressiva (FOP) is a rare, severely disabling disease characterized by heterotopic ossification (HO) often associated with painful, recurrent episodes of soft tissue swelling (flare-ups) that lead to ankyloses of major joints with cumulative and irreversible loss of movement and disability.
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Trial website
https://clinicaltrials.gov/study/NCT03312634
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Trial related presentations / publications
Shimono K, Tung WE, Macolino C, Chi AH, Didizian JH, Mundy C, Chandraratna RA, Mishina Y, Enomoto-Iwamoto M, Pacifici M, Iwamoto M. Potent inhibition of heterotopic ossification by nuclear retinoic acid receptor-gamma agonists. Nat Med. 2011 Apr;17(4):454-60. doi: 10.1038/nm.2334. Epub 2011 Apr 3. Erratum In: Nat Med. 2012 Oct;18(10):1592.
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Public notes
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Contacts
Principal investigator
Name
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Ipsen Medical Director
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Address
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Ipsen
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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)?
Undecided
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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
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Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/34/NCT03312634/Prot_002.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/34/NCT03312634/SAP_003.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03312634