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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04500587
Registration number
NCT04500587
Ethics application status
Date submitted
30/07/2020
Date registered
5/08/2020
Titles & IDs
Public title
Phase 1 First in Human Study of ZN-d5 as a Single Agent
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Scientific title
Phase 1 First in Human Dose-Escalation Study of ZN-d5 as a Single Agent in Subjects With Non-Hodgkin Lymphoma or Acute Myeloid Leukemia
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Secondary ID [1]
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ZN-d5-001
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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:
Acute Myeloid Leukemia
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Non Hodgkin Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ZN-d5
Experimental: ZN-d5 Single Agent Dose Escalation - NHL - Non-Hodgkin Lymphoma
Experimental: ZN-d5 Single Agent Dose Escalation - AML - Acute Myeloid Leukemia
Treatment: Drugs: ZN-d5
Oral agent; 25 mg or 100 mg formulation
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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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Observed Dose Limiting Toxicities
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Assessment method [1]
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Observed Dose Limiting Toxicities (DLTs) in DLT-evaluable subjects.
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Timepoint [1]
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Through completion of Cycle 1; 1 to 2 months.
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Primary outcome [2]
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Incidence and severity of AEs, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events, v 5.0
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Assessment method [2]
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Safety profile of ZN-d5.
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Timepoint [2]
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Through study completion, typically < 12 months
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Secondary outcome [1]
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Pharmacokinetic parameters for ZN-d5 - Cmax
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Assessment method [1]
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Characterize the Pharmacokinetics of ZN-d5 in subjects with NHL and AML using peak plasma concentration (Cmax).
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Timepoint [1]
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approximately 6 months
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Secondary outcome [2]
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Pharmacokinetic parameters for ZN-d5 - Tmax
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Assessment method [2]
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Characterize the Pharmacokinetics of ZN-d5 in subjects with NHL and AML using the time to maximum plasma concentration (Tmax).
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Timepoint [2]
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approximately 6 months
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Secondary outcome [3]
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Pharmacokinetic parameters for ZN-d5 - AUC
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Assessment method [3]
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Characterize the Pharmacokinetics of ZN-d5 in subjects with NHL and AML using area under the plasma concentration versus time curve (AUC).
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Timepoint [3]
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approximately 6 months
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Secondary outcome [4]
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For NHL, evaluate response according to the Lugano 2014 classification
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Assessment method [4]
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Evaluate response according to the Lugano 2014 classification for NHL subjects. The Lugano Classification is based on a 5-point scale for scoring of metabolically active lesions detected by PET-CT in FDG-avid lymphomas, and lesion size for non-FDG-avid tumors. A complete metabolic response would require a score of 1 or 2 on target and non-target lesions and the spleen for high-risk disease, and a score of 1,2, or 3 for low-risk disease. A partial response, no response, or progression would require a score of 4 or 5 for low-risk disease, and a score of 3, 4, or 5 for high-risk disease.
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Timepoint [4]
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Through study completion, typically < 12 months
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Secondary outcome [5]
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For AML, remission rate based on European LeukemiaNet 2017 criteria
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Assessment method [5]
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Evaluate remission rate according to the European LeukemiaNet 2017 criteria (Overall Response Rate (ORR) defined as Complete Remission (CR) + CR with incomplete hematologic recovery (CRi) + Morphologic Leukemia-Free State (MLFS) + Partial Remission (PR)) for AML subjects.
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Timepoint [5]
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Through study completion, typically < 12 months
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Secondary outcome [6]
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For AML, duration of remission based on European LeukemiaNet 2017 criteria
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Assessment method [6]
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Evaluate duration of remission according to the European LeukemiaNet 2017 criteria.
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Timepoint [6]
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Through study completion, typically < 12 months
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Eligibility
Key inclusion criteria
Key
NHL: relapsed or refractory NHL including DLBCL, FL, MZL, MCL, LCL, LPL and PTC
* Subjects must have received at least 2 prior lines of therapy and have either failed or not be eligible for any available therapies expected to provide clinical benefit and have measurable disease.
AML: Primary, secondary, or treatment-related AML, relapsed or refractory to prior therapy, which may include failure of one cycle of induction therapy.
* White blood cell count < 25 × 109/L. Cytoreduction prior to treatment is acceptable.
* Subjects may not be pregnant and must agree to use an effective method of contraception.
* Eastern Cooperative Oncology Group performance status = 2.
* Estimated life expectancy of at least 12 weeks.
* Adequate hematologic and organ function, including creatinine clearance = 60 mL/min.
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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
* Recent interventions including major surgery, radiation therapy, stem cell transplant.
* Treatment with anti-neoplastic agents with 5 half-lives.
* Significant unresolved toxicity from prior treatments including active GVHD.
* Active central nervous system disease.
* Clinically substantial myocardial impairment.
* Prior therapy with venetoclax.
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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
13/10/2020
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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
1/01/2025
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Actual
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Sample size
Target
115
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,TAS
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Recruitment hospital [1]
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Site 2708 - Darlinghurst
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Recruitment hospital [2]
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Site 2704 - Liverpool
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Recruitment hospital [3]
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Site 2710 - Kurralta Park
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Recruitment hospital [4]
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Site 2709 - Hobart
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Recruitment postcode(s) [1]
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- Darlinghurst
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Recruitment postcode(s) [2]
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- Liverpool
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Recruitment postcode(s) [3]
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- Kurralta Park
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Recruitment postcode(s) [4]
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- Hobart
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Recruitment outside Australia
Country [1]
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Bulgaria
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State/province [1]
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Sofia
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Country [2]
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Bulgaria
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State/province [2]
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Varna
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Country [3]
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Croatia
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State/province [3]
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Zagreb
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Country [4]
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Korea, Republic of
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State/province [4]
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Pusan
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Country [5]
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Korea, Republic of
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State/province [5]
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Seoul
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Country [6]
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Poland
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State/province [6]
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Gdansk
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Country [7]
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Spain
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State/province [7]
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Barcelona
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Country [8]
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Spain
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State/province [8]
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Bilbao
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Country [9]
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Spain
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State/province [9]
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Valencia
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Country [10]
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Ukraine
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State/province [10]
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Kiev
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis 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
Phase 1 dose escalation study of ZN-d5 in subjects with relapsed or refractory non-Hodgkin lymphoma (NHL) or acute myeloid leukemia (AML).
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Trial website
https://clinicaltrials.gov/study/NCT04500587
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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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K-Group Alpha Inc. /a subsidiary of Zentalis Pharmaceuticals
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Address
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K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, 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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K-Group Alpha Inc. /a subsidiary of Zentalis Pharmaceuticals
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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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[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)?
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/NCT04500587