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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06105632
Registration number
NCT06105632
Ethics application status
Date submitted
24/10/2023
Date registered
27/10/2023
Titles & IDs
Public title
A Study to Learn About the Study Medicine Called PF-07220060 in Combination With Fulvestrant in People With HR-positive, HER2-negative Advanced or Metastatic Breast Cancer Who Progressed After a Prior Line of Treatment
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Scientific title
AN INTERVENTIONAL, OPEN-LABEL, RANDOMIZED, MULTICENTER PHASE 3 STUDY OF PF-07220060 PLUS FULVESTRANT COMPARED TO INVESTIGATOR'S CHOICE OF THERAPY IN PARTICIPANTS OVER 18 YEARS OF AGE WITH HORMONE RECEPTOR-POSITIVE, HER2-NEGATIVE ADVANCED/METASTATIC BREAST CANCER WHOSE DISEASE PROGRESSED AFTER PRIOR CDK 4/6 INHIBITOR-BASED THERAPY
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Secondary ID [1]
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2023-506487-13-00
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Secondary ID [2]
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C4391022
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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:
Advanced or Metastatic Breast Cancer
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Condition category
Condition code
Cancer
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - PF-07220060 CDK4 inhibitor
Treatment: Drugs - Fulvestrant
Treatment: Drugs - Everolimus
Treatment: Drugs - Exemestane
Experimental: Arm A - PF-07220060 to be taken by mouth as a tablet in combination with fulvestrant (a solution for injection)
Active comparator: Arm B - Investigator's choice of therapy of either:
* Fulvestrant alone (a solution for injection), or
* Everolimus in combination with exemestane, both a tablet to be taken by mouth.
Treatment: Drugs: PF-07220060 CDK4 inhibitor
Experimental
Treatment: Drugs: Fulvestrant
Experimental and Active comparator
Treatment: Drugs: Everolimus
Active Comparator
Treatment: Drugs: Exemestane
Active Comparator
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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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Progression-Free Survival (PFS) progression, as determined by blinded independent central review (BICR) per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
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Assessment method [1]
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Timepoint [1]
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From Initiation up to 2 years
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Secondary outcome [1]
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Overall Survival (OS)
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Assessment method [1]
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Timepoint [1]
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Time from the date of randomization to the date of death due to any cause up to approximately 5 years
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Secondary outcome [2]
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PFS as defined by investigator
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Assessment method [2]
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Timepoint [2]
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Time from the date of randomization up to approximately 2 years
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Secondary outcome [3]
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OR by BICR and by investigator per RECIST v1.1
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Assessment method [3]
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Timepoint [3]
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Time From randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) to the date of progression OR death whichever occurs first (up to approximately 2 years)
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Secondary outcome [4]
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Duration of Response (DOR) as define by Blinded Independent Central Review (BICR) and by investigator per RECIST v1.1
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Assessment method [4]
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Timepoint [4]
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From the date of the first objective response (every 8 weeks during the first 48 weeks and then every 12 week) up to approximately 2 years.
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Secondary outcome [5]
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Number of Participants With Clinical Benefit Response (CBR) by BICR and by investigator per RECIST v1.1
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Assessment method [5]
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Timepoint [5]
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From randomization date (every 8 weeks during the first 48 weeks and then every 12 weeks) up to approximately 2 years
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Secondary outcome [6]
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Number or Patients with Adverse Events (AEs) by Type
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Assessment method [6]
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Timepoint [6]
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From screening until 28 days after the last dose, to approximately 3 years
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Secondary outcome [7]
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Number or Patients with AEs by Incidence
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Assessment method [7]
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Timepoint [7]
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From screening until 28 days after the last dose, to approximately 3 years
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Secondary outcome [8]
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Number or Patients with AEs by Seriousness
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Assessment method [8]
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Timepoint [8]
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Secondary outcome [9]
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Number or Patients with AEs by relationship to study interventions
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Assessment method [9]
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Secondary outcome [10]
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Number of Participants With Abnormal Electrocardiogram (ECG)
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Assessment method [10]
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Timepoint [10]
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From baseline to approximately 2 years
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Secondary outcome [11]
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Number of Participants With Laboratory Test Abnormalities
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Assessment method [11]
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Secondary outcome [12]
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EQ-5D-5L
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Timepoint [12]
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Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days
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Secondary outcome [13]
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EORTC QLQ
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Assessment method [13]
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Timepoint [13]
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Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days
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Secondary outcome [14]
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EORTC QLQ Breast Cancer Module 23 (BR23)
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Assessment method [14]
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Timepoint [14]
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Screening Days 1, 15 of Cycle 1 and 2, Day 1 of Cycles 3-6, then Day 1 of every other subsequent Cycle starting with Cycle 8 (eg, Cycles 8, 10, 12, etc), EoT and Safety FU until 28 days after the last dose to approximately 2 years. Each Cycle is 28 days
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Secondary outcome [15]
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Ctrough of PF-07220060
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Assessment method [15]
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Timepoint [15]
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Cycle 1 (Day 15), Cycle 2 (Day 1), and Cycle 3 (Day 1). Each Cycle is 28 days
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Eligibility
Key inclusion criteria
* Histological confirmation of breast cancer with evidence of locally advanced or metastatic disease, which is not amenable to surgical resection or radiation therapy with curative intent.
* Documented estrogen receptor (ER) and/or progesterone receptor (PR)- positive tumor
* Documented HER2-negative tumor
* Able to provide a sufficient amount of representative formalin fixed, paraffin embedded (FFPE) tumor tissue specimen.
* Must have received CDK4/6i plus NSAI defined per study protocol. There must be documented PD during or after CDK4/6i treatment.
* Measurable disease or non-measurable bone only disease as defined by RECIST version 1.1.
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) =2.
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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
* Any medical or psychiatric condition that may increase the risk of study participation or make the participant inappropriate for the study.
* In visceral crisis at risk of immediately life-threatening complications in the short term.
* Known active uncontrolled or symptomatic central nervous system metastases, carcinomatous meningitis, or leptomeningeal disease.
* Prior treatment with any of the following:
* Everolimus or investigational anti-cancer agents in any setting
* Prior chemotherapy in the advanced setting
* Radiation within 2 weeks of randomization
* Current use or anticipated need for any prohibited food, supplements or concomitant medication(s) (ie, other anti-cancer therapies, other endocrine therapies, growth factors, chronic systemic corticosteroids, strong cytochrome P450 3A4/5 [CYP3A4/5] or uridine 5' diphosphate-glucuronosyltransferase 2B7 [UGT2B7] inhibitors and inducers, direct oral anticoagulants, proton pump inhibitors).
* Inadequate renal function, hepatic dysfunction, or hematologic abnormalities.
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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
9/01/2024
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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
8/12/2028
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
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Macquarie University - North Ryde
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Recruitment hospital [2]
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Icon Cancer Centre Townsville - Rosslea
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Recruitment hospital [3]
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Icon Cancer Centre Townsville - Townsville
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2109 - North Ryde
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Recruitment postcode(s) [2]
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4812 - Rosslea
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Recruitment postcode(s) [3]
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4812 - Townsville
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Recruitment outside Australia
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Hammersmith AND Fulham
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United Kingdom
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London, CITY OF
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Pfizer
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to learn about the safety and how effective the study medicine (PF-07220060) plus fulvestrant is compared to the study doctor's choice of treatment in people with advanced or metastatic breast cancer. Advanced cancer is the one that is unlikely to be cured or taken care of with treatment. Metastatic cancer is the one that has spread to other parts of the body. This study is seeking female and male participants who: * are 18 years of age or older; * are hormone receptor (HR)-positive and human epidermal growth factor receptor 2 (HER2)-negative; * have advanced or metastatic breast cancer after taking other treatments before this study; * have not taken or need to take medications that are not allowed by the study protocol; * do not have any medical or mental conditions that may increase the risk of study participation. Half of the participants will take PF-07220060 two times daily by mouth along with fulvestrant. Fulvestrant will be given as a shot into the muscle. The other half will take the study doctor's choice of treatment which can either be: * Fulvestrant alone taken as shot into the muscle. * Everolimus along with exemestane taken once daily by mouth. This study will compare the experiences of participants receiving the study medicine plus fulvestrant to those who are receiving the study doctor's choice of treatment. This will help decide if the study medicine is safe and effective. Participants will receive study treatment and/or will be in the study until: * imaging scans (such as an MRI and/or CT) show that their cancer is getting worse. * the study doctor thinks the participant is no longer benefitting from the study medicine. * has side effects that become too severe. A side effect is a reaction (expected or unexpected) to a medicine or treatment you take. * the participant chooses to stop taking part.
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Trial website
https://clinicaltrials.gov/study/NCT06105632
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Pfizer CT.gov Call Center
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Pfizer
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Pfizer CT.gov Call Center
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1-800-718-1021
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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)?
Yes
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What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
Query!
When will data be available (start and end dates)?
Query!
Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests
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/NCT06105632