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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04880187
Registration number
NCT04880187
Ethics application status
Date submitted
3/05/2021
Date registered
10/05/2021
Date last updated
8/09/2022
Titles & IDs
Public title
Safety, Tolerability, and Efficacy of AXA1125 in NASH With Fibrosis
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Scientific title
A Randomized, Double-Blind, Placebo-Controlled, Dose Ranging Study to Evaluate the Safety, Tolerability, and Efficacy of AXA1125 in Subjects With Non Cirrhotic, Non Alcoholic Steatohepatitis and Fibrosis (EMMPACT)
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Secondary ID [1]
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AXA1125-101
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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:
Non Alcoholic Steatohepatitis (NASH)
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Condition category
Condition code
Oral and Gastrointestinal
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Metabolic and Endocrine
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Metabolic disorders
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Diet and Nutrition
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Obesity
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - AXA1125
Treatment: Drugs - Placebo
Experimental: AXA1125 22.6g - 22.6 g AXA1125 administered orally BID with or without food
Experimental: AXA1125 33.9g - 33.9 g AXA1125 administered orally BID with or without food
Placebo comparator: Placebo - Matching Placebo administered orally BID with or without food
Treatment: Drugs: AXA1125
AXA1125 administered BID with or without food
Treatment: Drugs: Placebo
Matching Placebo administered BID with or without food
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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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Improvement in steatohepatitis
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Assessment method [1]
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2-point improvement from baseline to Week 48 in the non-alcoholic fatty liver disease (NAFLD) Activity Score (NAS) based on a scale from 0-8 with 0 being no NASH and 8 being the highest score
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Timepoint [1]
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Baseline to Week 48
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Secondary outcome [1]
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Resolution of NASH without worsening of fibrosis
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Assessment method [1]
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The proportion of subjects with resolution of NASH with no worsening of fibrosis defined as a post-treatment ballooning score of 0 and an inflammation score of 0 or 1 on liver biopsy.
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Timepoint [1]
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Baseline to week 48
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Secondary outcome [2]
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Improvement of fibrosis by one stage without worsening of NASH
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Assessment method [2]
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The proportion of subjects who have at least a 1-stage improvement in fibrosis and no worsening of NASH based on liver biopsy 0 being no fibrosis and 4 being the worse.
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Timepoint [2]
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Baseline to week 48
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Secondary outcome [3]
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Incidence of study drug emergent adverse events (AEs) and serious adverse events (SAEs)
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Assessment method [3]
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Timepoint [3]
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Baseline to week 48
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Secondary outcome [4]
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Change from baseline in liver stiffness as measured by vibration controlled transient elastography (Fibroscanâ„¢)
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Assessment method [4]
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Timepoint [4]
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Baseline to week 48
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Secondary outcome [5]
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Change from baseline in hepatic fat as measured by MRI
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Assessment method [5]
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Timepoint [5]
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Baseline to week 48
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Secondary outcome [6]
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Change from baseline in measures of glucose control as determined by glycated hemoglobin (HbA1c)
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Assessment method [6]
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Timepoint [6]
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Baseline to week 48
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Eligibility
Key inclusion criteria
* Willing to participate in the study and provide written informed consent.
* Male and female adults aged > 18 years.
* Must have NASH and fibrosis on a liver biopsy sample
* If a historical liver biopsy is used for Screening, obtained within 6 months prior to Screening;
* Subjects may have a diagnosis of T2DM
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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
* History or presence of liver disease (other than NAFLD or NASH)
* History or presence of cirrhosis and/or history or presence of hepatic decompensation
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
7/05/2021
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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
1/10/2023
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Actual
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Sample size
Target
273
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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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Flinders Medical Centre - Bedford Park
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Recruitment hospital [2]
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Royal Brisbane and Women's Hospital - Brisbane
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Recruitment hospital [3]
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Monash Medical Centre - Clayton
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Recruitment hospital [4]
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Concord Repatriation General Hospital - Concord
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Recruitment hospital [5]
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
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- Bedford Park
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Recruitment postcode(s) [2]
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- Brisbane
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Recruitment postcode(s) [3]
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- Clayton
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Recruitment postcode(s) [4]
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- Concord
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Recruitment postcode(s) [5]
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- Murdoch
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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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Alabama
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United States of America
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Arizona
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California
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United States of America
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Florida
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United States of America
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Indiana
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United States of America
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Louisiana
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Mississippi
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Nevada
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New York
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North Carolina
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Ohio
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South Dakota
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Tennessee
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Texas
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Utah
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Virginia
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Canada
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Alberta
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Canada
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Ontario
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Canada
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Halifax
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France
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La Tronche
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France
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Lyon
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France
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Montpellier
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France
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Paris
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France
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Pessac
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France
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Villejuif
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Poland
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CET
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Puerto Rico
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San Juan
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Country [28]
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United Kingdom
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State/province [28]
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Axcella Health, Inc
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study will compare the effects of AXA1125, an orally active mixture of amino acids, compared to placebo, on improving fat and inflammation (steatohepatitis) as well as fibrosis in subjects with non alcoholic steatohepatitis (NASH). as well as the safety and tolerability of AXA1125. Subjects will take one of two different doses of AXA1125 or a placebo twice daily, and a liver biopsy will be done at the beginning and end of the 48-week study.
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Trial website
https://clinicaltrials.gov/study/NCT04880187
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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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Stephen Harrison, MD
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Address
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Pinnacle Clinical Research
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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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Margaret Koziel, MD
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Address
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Country
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Phone
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(857) 320-3200
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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/NCT04880187
Download to PDF