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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01973049
Registration number
NCT01973049
Ethics application status
Date submitted
25/10/2013
Date registered
31/10/2013
Date last updated
9/10/2015
Titles & IDs
Public title
UNITY 2: A Study of an Investigational Treatment Regimen of DCV+ASV+BMS-791325 in a Fixed Dose Combination (the DCV 3DAA (Direct Acting Antiviral) Regimen) With or Without RBV for 12 Weeks for the Treatment of Chronic Hepatitis C Virus(HCV)Genotype 1 Infection in Subjects With Compensated Cirrhosis
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Scientific title
A Phase 3 Evaluation of a Daclatasvir/Asunaprevir/BMS-791325 Fixed Dose Combination in Subjects With Genotype 1 Chronic Hepatitis C and Compensated Cirrhosis
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Secondary ID [1]
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2013-002458-66
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Secondary ID [2]
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AI443-113
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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:
Hepatitis C
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Condition category
Condition code
Infection
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Other infectious diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: A1: DCV/ASV/BMS-791325+Placebo matching RBV (naive) - Triple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks
Placebo matching Ribavirin 0mg tablet orally twice a day for 12 weeks
Experimental: A2: DCV/ASV/BMS-791325 + RBV (naive) - Triple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks
Ribavirin 200mg tablet orally twice a day for 12 weeks
Experimental: A3: DCV/ASV/BMS-791325+Placebo matching RBV (experienced) - Triple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks
Placebo matching Ribavirin 0 mg tablet orally twice a day for 12 weeks
Experimental: A4: DCV/ASV/BMS-791325 + RBV (experienced) - Triple fixed dose combination (Daclatasvir 30 mg, Asunaprevir 200 mg, BMS-791325 75 mg) tablet orally twice a day for 12 weeks
Ribavirin 200 mg tablet orally twice a day for 12 weeks, Weight based dosing: If \< 75 kg, 1000 mg per day (two 200 mg tablets in AM and three 200 mg tablets in PM); if = 75 kg, 1200 mg per day (three 200 mg tablets in AM and three 200 mg tablets in PM), AM=in the morning, PM=in the evening
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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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Proportion of treated subjects in each of the naive arms with sustained virologic response (SVR12)
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Assessment method [1]
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SVR12 is defined as Hepatitis C virus ribonucleic acid (HCV RNA) \< Limit of Quantification (LOQ) target detected or target not detected (LOQ TD/TND)
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Timepoint [1]
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Post treatment 12 week
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Secondary outcome [1]
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Proportion of treated subjects in each of the experienced arms with SVR12
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Assessment method [1]
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Timepoint [1]
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Post treatment 12 Week
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Secondary outcome [2]
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Proportion of subjects in each arm who achieve HCV RNA < LOQ TD/TND
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Assessment method [2]
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Timepoint [2]
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Weeks: 1, 2, 4, 6, 8, and 12; Post treatment Weeks 4 (SVR4), 8 (SVR8) and 24 (SVR24)
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Secondary outcome [3]
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Proportion of subjects in each arm who achieve HCV RNA < LOQ TND
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Assessment method [3]
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Timepoint [3]
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Weeks: 1, 2, 4, 6, 8, and 12; Post treatment Weeks 4 (SVR4), 8 (SVR8), 12 (SVR12) and 24 (SVR24)
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Secondary outcome [4]
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Safety as measured by frequency of Serious Adverse Events(SAEs)and discontinuations due to Adverse Events(AEs)
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Assessment method [4]
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Timepoint [4]
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Up to end of treatment (week 12) + 7 days
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Secondary outcome [5]
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Proportion of subjects with anemia defined as Hg < 10 g/dL on-treatment and Hg = 10 g/dL at baseline in each arm within each cohort
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Assessment method [5]
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Timepoint [5]
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Up to end of treatment (week 12) + 7 days
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Secondary outcome [6]
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Differences in rates of selected Grade 3 - 4 laboratory test result abnormalities
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Assessment method [6]
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Timepoint [6]
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Up to end of treatment (week 12) + 7 days
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Secondary outcome [7]
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Proportion of subjects achieving SVR12 associated with HCV geno subtype 1a vs 1b
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Assessment method [7]
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Timepoint [7]
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Post treatment 12 Week
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Secondary outcome [8]
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Proportion of subjects in each arm achieving SVR12 associated with IL28B rs12979860 single nucleotide polymorphism(SNP) status (CC genotype or non-CC genotype)
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Assessment method [8]
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Timepoint [8]
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Post treatment 12 Week
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Eligibility
Key inclusion criteria
For more information regarding BMS clinical trial participation, please visit www.BMSStudyConnect.com
* Subjects chronically infected with HCV genotype 1
* Subjects with compensated cirrhosis
* HCV RNA = 10,000 IU/mL at screening
* Treatment-naïve subjects with no previous exposure to an interferon formulation (ie, IFNa, pegIFNa), Ribavirin (RBV), or HCV Direct Acting Antivirals (DAA) (protease, polymerase inhibitor, etc.)
* Treatment-experienced subjects are eligible including exposure to anti-HCV agents of a mechanistic class other than those contained in the Daclatasvir (DCV) / Asunaprevir (ASV) /BMS-791325 triple regimen is permitted. Examples of permitted agents include, but are not limited to nucleoside/nucleotide inhibitors of nonstructural protein 5B (NS5B) polymerase, inhibitors of cyclophilin, or inhibitors of microRNA.
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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
* Subjects without cirrhosis
* Liver or any other organ transplant
* Current or known history of cancer within 5 years prior to screening
* Documented or suspected hepatocellular carcinoma(HCC)
* Evidence of decompensated liver disease including, but not limited to, radiologic criteria, a history or presence of ascites, bleeding varices, or hepatic encephalopathy
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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 administering the treatment/s
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 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
1/12/2013
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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
1/11/2014
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Sample size
Target
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Accrual to date
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Final
202
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Local Institution - Darlinghurst
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Recruitment hospital [2]
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Local Institution - Greenslopes
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Recruitment hospital [3]
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Local Institution - Adelaide
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Recruitment hospital [4]
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Local Institution - Clayton
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Recruitment hospital [5]
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Local Institution - Fitzroy
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Recruitment hospital [6]
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Local Institution - Heidelberg
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Recruitment hospital [7]
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Local Institution - Fremantle
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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4120 - Greenslopes
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Recruitment postcode(s) [3]
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5000 - Adelaide
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Recruitment postcode(s) [4]
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3168 - Clayton
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Recruitment postcode(s) [5]
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3065 - Fitzroy
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Recruitment postcode(s) [6]
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3084 - Heidelberg
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Recruitment postcode(s) [7]
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6160 - Fremantle
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Recruitment outside Australia
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United States of America
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California
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Colorado
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Florida
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Illinois
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Indiana
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Wisconsin
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British Columbia
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Canada
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Ontario
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Quebec
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France
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Creteil
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France
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Marseille Cedex 08
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France
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Montpellier
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France
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Nice Cedex 03
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France
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Paris Cedex 12
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France
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Paris Cedex
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Bristol-Myers Squibb
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
To demonstrate the effectiveness of DCV 3DAA fixed dose combination with or without Ribavirin in treatment naive cirrhotic subjects.
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Trial website
https://clinicaltrials.gov/study/NCT01973049
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Trial related presentations / publications
Muir AJ, Poordad F, Lalezari J, Everson G, Dore GJ, Herring R, Sheikh A, Kwo P, Hezode C, Pockros PJ, Tran A, Yozviak J, Reau N, Ramji A, Stuart K, Thompson AJ, Vierling J, Freilich B, Cooper J, Ghesquiere W, Yang R, McPhee F, Hughes EA, Swenson ES, Yin PD. Daclatasvir in combination with asunaprevir and beclabuvir for hepatitis C virus genotype 1 infection with compensated cirrhosis. JAMA. 2015 May 5;313(17):1736-44. doi: 10.1001/jama.2015.3868.
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Public notes
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Contacts
Principal investigator
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Bristol-Myers Squibb
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Address
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Bristol-Myers Squibb
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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/NCT01973049
Download to PDF