Hepatitis CPhase 3NCT01962441
SOF (Sovaldi®) +RBV for 16 or 24 Weeks and SOF+RBV+Peg-IFN for 12 Weeks in Adults With Genotype 2 or 3 Chronic HCV Infection
A Phase 3 study testing SOF, RBV and Peg-IFN in people with Hepatitis C, run by Gilead Sciences at 78 sites in 5 countries.
Trial summary
This study will assess the efficacy, safety, and tolerability of 16 or 24 weeks of sofosbuvir (Sovaldi®; SOF) + ribavirin (RBV), and 12 weeks of SOF+RBV+ pegylated interferon (Peg-IFN) in treatment-naive and treatment-experienced adults with chronic genotype 3 hepatitis C virus (HCV) infection, and… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C
- What is being tested?
- SOF, RBV and Peg-IFN
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 601 participants
- Where
- 78 sitesin 5 countries
- Study dates
- 24 Sep 2013to 7 Jul 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female, age greater than or equal to 18 years.
- Confirmed chronic HCV infection.
- Subjects will have cirrhosis status assessment; liver biopsy may be required.
- Genotype 2 subjects must have cirrhosis of the liver to be eligible.
- Treatment-naive or prior treatment failure to ≥12 weeks of an interferon- based regimen that was not discontinued prematurely due to an adverse event
- Infection with HCV genotype 2 or 3 as determined at Screening
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- Body mass index (BMI) greater than or equal to 18 kg/m^2
- Screening laboratory values within predefined thresholds.
- Liver imaging (e.g., ultrasound) within 6 months of Baseline/Day 1 is required in cirrhotic patients to exclude hepatocellular carcinoma (HCC). In the event of intrahepatic lesions, triple phase CT scan or MRI should be performed to exclude HCC.
- Subject must be of generally good health as determined by the Investigator.
Who cannot join
- Prior use of any other inhibitor of the HCV nonstructural protein (NS)5B polymerase
- Pregnant or nursing female or male with pregnant female partner
- History of any other clinically significant chronic liver disease.
- HIV or chronic hepatitis B virus (HBV) infection.
- Malignancy with the exception of certain resolved skin cancers.
- Chronic use of systemically administered immunosuppressive agents.
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- Clinically-relevant drug or alcohol abuse.
- History of solid organ transplantation.
- Current or prior history of clinical hepatic decompensation.
- History of clinically-significant illness or any other major medical disorder that may interfere with subject treatment, assessment or compliance with the protocol.
- Known hypersensitivity to interferon, RBV, the study investigational medicinal product, the metabolites, or formulation excipients.
- Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Trial locations and contacts
78 sites in 5 countries.
78 sites in 5 countries
United Kingdom25 sites
Study site
Birmingham, B9 5SS
Study site
Bradford, BD9 6RJ
Study site
Cambridge, Cambridgeshire, CB2 0QQ
Study site
Dundee, DD1 9SY
Study site
Edgbaston, Birmingham, B15 2TH
Study site
Edinburgh, EH16 4SA
Study site
Edinburgh, EH4 2XU
Study site
Frimley, GU46 6HU
Study site
Glasgow, G12 0YN
Study site
Glasgow, G4 0SF
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Leeds, LS9 7TF
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Liverpool, L7 8XP
Study site
London, LN, E1 1BB
Study site
London, LN, SE5 9RS
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London, LN, SW17 ORE
Study site
London, LN, W2 1NY
Study site
London, NW3 2QG
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London, SW10 9NH
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Manchester, M85RB
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Newcastle upon Tyne, NE7 7DN
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Nottingham, NG7 2UH
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Oxford, OX3 9DU
Study site
Plymouth, PL6 8DH
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Portsmouth, PO6 3LY
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Southampton, SO16 6YD
United States23 sites
Study site
Arlington, Texas, 76012
Study site
Aurora, Colorado, 80045
Study site
Austin, Texas, 78705
Study site
Binghamton, New York, 13903
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Boston, Massachusetts, 02215
Study site
Englewood, Colorado, 80113
Study site
Germantown, Tennessee, 38138
Study site
Hillsborough, New Jersey, 08844
Study site
Marietta, Georgia, 30060
Study site
Miami, Florida, 33136
Study site
Nashville, Tennessee, 37211
Study site
Nashville, Tennessee, 37212-1610
Study site
New Orleans, Louisiana, 70121
Study site
New York, New York, 10021
Study site
Newark, New Jersey, 07102
Study site
Norfolk, Virginia, 23502
Study site
Novi, Michigan, 48377
Study site
Riverside, California, 92501
Study site
Saint Paul, Minnesota, 55114
Study site
San Diego, California, 92123
Study site
San Francisco, California, 94115
Study site
Seattle, Washington, 98101
Study site
Wellington, Florida, 33414
Canada13 sites
Study site
Calgary, Alberta, T2N 4Z6
Study site
Edmonton, Alberta, T6G 2B7
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Hamilton, Ontario, L8N 4A6
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London, Ontario, N6A 5A5
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Montreal, Quebec, H2X 3J4
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Ottawa, Ontario, K1H 8L6
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Québec, Quebec, G1V 4G2
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Toronto, Ontario, M5T 2S8
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Toronto, Ontario, M6H 3M1
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Vancouver, British Columbia, V5Z 1M9
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Vancouver, British Columbia, V6Z 2C7
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Vancouver, British Columbia, V6Z 2K5
Study site
Winnipeg, Manitoba, R3E 3P4
Australia12 sites
Study site
Adelaide, South Australia, 5000
Study site
Brisbane, Queensland, 4029
Study site
Camperdown, New South Wales, 2050
Study site
Clayton, Victoria, 3168
Study site
Fitzroy, Victoria, 3065
Study site
Greenslopes, Queensland, 4120
Study site
Heidelberg, Victoria, 3084
Study site
Kogarah, New South Wales, 2217
Study site
Melbourne, Victoria, 3004
Study site
Nedlands Perth, Western Australia, 6009
Study site
Westmead, New South Wales, 2145
Study site
Woolloongabba, Queensland, 4102
New Zealand5 sites
Study site
Christchurch, Chatham Islands, 8011
Study site
Grafton, Auckland, 1010
Study site
Grafton, Auckland, 1023
Study site
Hamilton, Waikato Region, 3204
Study site
Wellington, 6021
About this study
Official title: A Phase 3B Randomized, Open-Label, Multi-Center Trial Assessing Sofosbuvir + Ribavirin for 16 or 24 Weeks and Sofosbuvir + Pegylated Interferon + Ribavirin for 12 Weeks in Subjects With Genotype 2 or 3 Chronic HCV Infection.
This study will assess the efficacy, safety, and tolerability of 16 or 24 weeks of sofosbuvir (Sovaldi®; SOF) + ribavirin (RBV), and 12 weeks of SOF+RBV+ pegylated interferon (Peg-IFN) in treatment-naive and treatment-experienced adults with chronic genotype 3 hepatitis C virus (HCV) infection, and treatment-experienced adults with cirrhosis and chronic genotype 2 HCV infection.
- Conditions
- Hepatitis C
- Being tested
- SOF, RBV, Peg-IFN
- Keywords
- 7977, GS-7977, PSI-7977, Sofosbuvir (SOF), Pegylated Interferon (Peg-IFN), Ribavirin (RBV)
- Medical subject headings
- Hepatitis C
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SOFDrug
Also called Sovaldi®, GS-7977, PSI-7977
400 mg tablet administered orally once daily
RBVDrug
Tablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg)
Peg-IFNDrug
180 µg administered via subcutaneous injection once weekly
| Study group | Role | What they receive |
|---|---|---|
| SOF+RBV 16 weeks | Experimental | SOF+RBV for 16 weeks Receives: Drug: SOF; Drug: RBV |
| SOF+RBV 24 weeks | Experimental | SOF+RBV for 24 weeks Receives: Drug: SOF; Drug: RBV |
| SOF+RBV+Peg-IFN 12 weeks | Experimental | SOF+RBV+Peg-IFN for 12 weeks Receives: Drug: SOF; Drug: RBV; Drug: Peg-IFN |
| Retreatment Substudy | Experimental | Participants from the SOF+RBV arms (16 weeks or 24 weeks) who experienced virologic failure on treatment, or during the posttreatment period at or before Posttreatment Week 24 may be eligible to enroll into the Retreatment Substudy to receive SOF+RBV+Peg-IFN for 12 weeks. Receives: Drug: SOF; Drug: RBV; Drug: Peg-IFN |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Measured: Posttreatment Week 12
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Measured: Up to 24 weeks
Secondary outcomes (6)
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
SVR4 and SVR 24 were defined as HCV RNA < LLOQ at 4 and 24 weeks after stopping study treatment, respectively.
Measured: Posttreatment Weeks 4 and 24
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Measured: Weeks 1, 2, 4, 8, 12, 16, 20, and 24
HCV RNA at Weeks 1, 2, 4, 8, and 12
Measured: Weeks 1, 2, 4, 8, and 12
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, and 12
Measured: Baseline; Weeks 1, 2, 4, 8, and 12
Percentage of Participants Experiencing On-Treatment Virologic Failure
On-treatment virologic failure was defined as:
- Breakthrough (confirmed HCV RNA ≥ LLOQ after having previously had HCV RNA < LLOQ while on treatment), or
- Rebound (confirmed > 1 log10 IU/mL increase in HCV RNA from nadir while on treatment), or
- Non-response (HCV RNA persistently ≥ LLOQ through 8 weeks of treatment)
Measured: Up to 24 weeks
Percentage of Participants Experiencing Viral Relapse
Viral relapse is defined as HCV RNA ≥ LLOQ during the post-treatment period having achieved HCV RNA < LLOQ at end of treatment, confirmed with 2 consecutive values or last available post-treatment measurement.
Measured: Up to Posttreatment Week 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Oct 2013 (estimated)
- Study start24 Sep 2013
- Primary completion7 Jan 2015
- Study completion7 Jul 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hepatitis CStudies of the same condition, open and under way.
- More trials run by Gilead SciencesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 601 participants (actual)
Sponsor and investigators
- Lead sponsor
- Gilead Sciences
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Gilead Study Director, Study director, Gilead Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01962441
- Sponsor's protocol ID
- GS-US-334-0153
- Other IDs
- 2013-002641-11
- Status last verified
- May 2017
- First submitted
- 10 Oct 2013
- Last updated
- 20 Jun 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Foster GR, Pianko S, Brown A, Forton D, Nahass RG, George J, Barnes E, Brainard DM, Massetto B, Lin M, Han B, McHutchison JG, Subramanian GM, Cooper C, Agarwal K; BOSON Study Group. Efficacy of sofosbuvir plus ribavirin with or without peginterferon-alfa in patients with hepatitis C virus genotype 3 infection and treatment-experienced patients with cirrhosis and hepatitis C virus genotype 2 infection. Gastroenterology. 2015 Nov;149(6):1462-70. doi: 10.1053/j.gastro.2015.07.043. Epub 2015 Aug 4.
PubMed 26248087
Study at a glance
From the registry record, last updated by the sponsor on 20 Jun 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3B Randomized, Open-Label, Multi-Center Trial Assessing Sofosbuvir + Ribavirin for 16 or 24 Weeks and Sofosbuvir + Pegylated Interferon + Ribavirin for 12 Weeks in Subjects With Genotype 2 or 3 Chronic HCV Infection.
- ClinicalTrials.gov ID
- NCT01962441
- Acronym / sponsor ID
- GS-US-334-0153
- Conditions
- Hepatitis C
- Keywords
- 7977, GS-7977, PSI-7977, Sofosbuvir (SOF), Pegylated Interferon (Peg-IFN), Ribavirin (RBV)
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 601 participants (actual)
- Lead sponsor
- Gilead SciencesIndustry (pharma, biotech, devices)
- Study start
- 24 Sep 2013 (actual)
- Primary completion
- 7 Jan 2015 (actual)
- Study completion
- 7 Jul 2016 (actual)
- First posted
- 14 Oct 2013 (estimated)
- Results
- Posted 5 Feb 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will assess the efficacy, safety, and tolerability of 16 or 24 weeks of sofosbuvir (Sovaldi®; SOF) + ribavirin (RBV), and 12 weeks of SOF+RBV+ pegylated interferon (Peg-IFN) in treatment-naive and treatment-experienced adults with chronic genotype 3 hepatitis C virus (HCV) infection, and treatment-experienced adults with cirrhosis and chronic genotype 2 HCV infection.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| SOF+RBV 16 weeks | Experimental | Drug: SOF, Drug: RBVSOF+RBV for 16 weeks |
| SOF+RBV 24 weeks | Experimental | Drug: SOF, Drug: RBVSOF+RBV for 24 weeks |
| SOF+RBV+Peg-IFN 12 weeks | Experimental | Drug: SOF, Drug: RBV, Drug: Peg-IFNSOF+RBV+Peg-IFN for 12 weeks |
| Retreatment Substudy | Experimental | Drug: SOF, Drug: RBV, Drug: Peg-IFNParticipants from the SOF+RBV arms (16 weeks or 24 weeks) who experienced virologic failure on treatment, or during the posttreatment period at or before Posttreatment Week 24 may be eligible to enroll into the Retreatment Substudy to receive SOF+RBV+Peg-IFN for 12 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Male or female, age greater than or equal to 18 years.
- Confirmed chronic HCV infection.
- Subjects will have cirrhosis status assessment; liver biopsy may be required.
- Genotype 2 subjects must have cirrhosis of the liver to be eligible.
- Treatment-naive or prior treatment failure to ≥12 weeks of an interferon- based regimen that was not discontinued prematurely due to an adverse event
Key exclusion criteria (12 listed)
- Prior use of any other inhibitor of the HCV nonstructural protein (NS)5B polymerase
- Pregnant or nursing female or male with pregnant female partner
- History of any other clinically significant chronic liver disease.
- HIV or chronic hepatitis B virus (HBV) infection.
- Malignancy with the exception of certain resolved skin cancers.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| SOFAlso: Sovaldi®, GS-7977, PSI-7977400 mg tablet administered orally once daily | Drug | Retreatment Substudy, SOF+RBV 16 weeks, SOF+RBV 24 weeks, SOF+RBV+Peg-IFN 12 weeks |
| RBVTablets administered orally in a divided daily dose according to package insert weight-based dosing recommendations (< 75 kg = 1000 mg and ≥ 75 kg = 1200 mg) | Drug | Retreatment Substudy, SOF+RBV 16 weeks, SOF+RBV 24 weeks, SOF+RBV+Peg-IFN 12 weeks |
| Peg-IFN180 µg administered via subcutaneous injection once weekly | Drug | Retreatment Substudy, SOF+RBV+Peg-IFN 12 weeks |
Primary outcome
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12)
Time frame: Posttreatment Week 12
SVR12 was defined as HCV RNA < the lower limit of quantitation (LLOQ; ie, 15 IU/mL) at 12 weeks after stopping study treatment.
Percentage of Participants Who Permanently Discontinued Any Study Drug Due to an Adverse Event
Time frame: Up to 24 weeks
6 secondary outcomes
Percentage of Participants With SVR at 4 and 24 Weeks After Discontinuation of Therapy (SVR4 and SVR24)
Time frame: Posttreatment Weeks 4 and 24
Percentage of Participants With HCV RNA < LLOQ at Weeks 1, 2, 4, 8, 12, 16, 20, and 24
Time frame: Weeks 1, 2, 4, 8, 12, 16, 20, and 24
HCV RNA at Weeks 1, 2, 4, 8, and 12
Time frame: Weeks 1, 2, 4, 8, and 12
Change From Baseline in HCV RNA at Weeks 1, 2, 4, 8, and 12
Time frame: Baseline; Weeks 1, 2, 4, 8, and 12
Percentage of Participants Experiencing On-Treatment Virologic Failure
Time frame: Up to 24 weeks
Percentage of Participants Experiencing Viral Relapse
Time frame: Up to Posttreatment Week 24
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jun 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 26248087Foster GR, Pianko S, Brown A, Forton D, Nahass RG, George J, Barnes E, Brainard DM, Massetto B, Lin M, Han B, McHutchison JG, Subramanian GM, Cooper C, Agarwal K; BOSON Study Group. Efficacy of sofosbuvir plus ribavirin with or without peginterferon-alfa in patients with hepatitis C virus genotype 3 infection and treatment-experienced patients with cirrhosis and hepatitis C virus genotype 2 infection. Gastroenterology. 2015 Nov;149(6):1462-70. doi: 10.1053/j.gastro.2015.07.043. Epub 2015 Aug 4.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gilead Study Director study director
Gilead Sciences
78 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing SOF, RBV and Peg-IFN in people with Hepatitis C, run by Gilead Sciences at 78 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 78 sites in United Kingdom, United States, Canada, Australia, New Zealand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 5 Feb 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of Participants With Sustained Virologic Response (SVR) 12 Weeks After Discontinuation of Therapy (SVR12) (time frame: Posttreatment Week 12). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01962441, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jun 2017.