Solid TumorPhase 1/2NCT03085914
A Study of Epacadostat in Combination With Pembrolizumab and Chemotherapy in Participants With Advanced or Metastatic Solid Tumors (ECHO-207/KEYNOTE-723)
A Phase 1/2 study testing Epacadostat, Pembrolizumab and Oxaliplatin in people with Solid Tumor, run by Incyte Corporation at 16 sites in United States.
Trial summary
This was an open-label, nonrandomized, Phase 1/2 study designed to determine the safety, tolerability, and efficacy of epacadostat when given in combination with pembrolizumab and 7 different chemotherapy regimens described as Treatment Groups A through G below (see Study Drug and Background Therapies, Dose, and Mode… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Solid Tumor
- What is being tested?
- Epacadostat, Pembrolizumab and Oxaliplatin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 16 sitesUnited States
- Study dates
- 2 May 2017to 13 Jul 2020
- Phase
- Phase 1/2
- 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
- Histologically or cytologically confirmed diagnosis of selected advanced or metastatic solid tumors.
- Presence of measurable disease per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Who cannot join
- Laboratory and medical history parameters not within the Protocol-defined range.
- Receipt of anticancer medications or investigational drugs within the Protocol-defined intervals before the first administration of study drug.
- Previous radiotherapy within 2 weeks of starting study therapy.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Has not recovered to ≤ Grade 1 from toxic effects of previous therapy and/or complications from previous surgical intervention before starting study therapy.
- Receipt of a live vaccine within 30 days of planned start of study therapy.
Show all 9Show fewer
- Active infection requiring systemic therapy.
- Subjects who have any active or inactive autoimmune disease or syndrome.
- Women who are pregnant or breastfeeding.
Trial locations and contacts
16 sites in 1 country.
16 sites in 1 country
United States16 sites
University of Chicago
Chicago, Illinois, 60637
MD Anderson Cancer Center
Houston, Texas, 77030
Carolina Bio-Oncology Institute, PLLC
Huntersville, North Carolina, 28078
Mayo Clinic
Jacksonville, Florida, 32224
University of California San Diego Medical Center, Moores Cancer Center
La Jolla, California, 92093
The Angeles Clinic and Research Institute
Los Angeles, California, 90025
Tennessee Oncology - Nashville; The Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Vanderbilt University; Henry Joyce Cancer Clinic
Nashville, Tennessee, 37232
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104
Mayo Clinic Arizona
Phoenix, Arizona, 85054
University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, 15237
Oregon Health and Science University
Portland, Oregon, 97239
Mayo Clinic
Rochester, Minnesota, 55905
Huntsman Cancer Institute at University of Utah
Salt Lake City, Utah, 84112
Washington University School of Medicine
St Louis, Missouri, 63110
About this study
Official title: A Phase 1/2, Open-Label, Safety, Tolerability, and Efficacy Study of Epacadostat in Combination With Pembrolizumab and Chemotherapy in Subjects With Advanced or Metastatic Solid Tumors (ECHO-207/KEYNOTE-723)
This was an open-label, nonrandomized, Phase 1/2 study designed to determine the safety, tolerability, and efficacy of epacadostat when given in combination with pembrolizumab and 7 different chemotherapy regimens described as Treatment Groups A through G below (see Study Drug and Background Therapies, Dose, and Mode of Administration). Phase 1 consisted of a 3 + 3 + 3 design intended to determine the MTD or PAD of epacadostat when given in combination with pembrolizumab and chemotherapy; efficacy was also explored.
Phase 2 was designed to enroll efficacy expansion cohorts to further evaluate the safety, tolerability, and efficacy of epacadostat at the MTD or PAD (as selected in Phase 1) when given in combination with pembrolizumab and chemotherapy. Each efficacy expansion cohort was to enroll participants with 1 specific type of advanced or metastatic solid tumor. Additional cohorts (ie, the mandatory biopsy cohorts) were designed to evaluate changes in the tumor microenvironment in participants with any advanced or metastatic solid tumor who had progressed on previous therapy with a PD-1 or a PD-L1 inhibitor.
No participants were enrolled in any Phase 2 efficacy expansion cohort, or in any Phase 2 mandatory biopsy cohort receiving Treatment A, B, F, or G. Phase 2 mandatory biopsy cohort participants received Treatments C, D, or E (ie, were included in Treatment Groups C, D, or E). Participants were assigned to a treatment group based on the chemotherapy regimen most appropriate for their tumor type.
- Conditions
- Solid Tumor
- Being tested
- Epacadostat, Pembrolizumab, Oxaliplatin, Leucovorin, 5-Fluorouracil
- Keywords
- solid tumors, colorectal cancer, pancreatic ductal adenocarcinoma, non-small cell lung cancer, PD-1, PD-L1, epacadostat, IDO inhibitor
- Medical subject headings
- Colorectal Neoplasms, Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EpacadostatDrug
Also called INCB024360
Epacadostat oral twice-daily continuous daily dosing at the protocol-defined dose.
PembrolizumabDrug
Pembrolizumab
OxaliplatinDrug
Oxaliplatin
LeucovorinDrug
Leucovorin
5-FluorouracilDrug
5-Fluorouracil
GemcitabineDrug
Gemcitabine
nab-PaclitaxelDrug
nab-Paclitaxel
CarboplatinDrug
Carboplatin
PaclitaxelDrug
Paclitaxel
PemetrexedDrug
Pemetrexed
CyclophosphamideDrug
Cyclophosphamide
CarboplatinDrug
Carboplatin
CisplatinDrug
Cisplatin
5-FluorouracilDrug
5-FU
Investigator's choice of platinum agentDrug
Investigator's choice of platinum agent: carboplatin or cisplatin
| Study group | Role | What they receive |
|---|---|---|
| Treatment Group A | Experimental | Epacadostat + pembrolizumab + mFOLFOX6 (oxaliplatin, leucovorin, 5-fluorouracil) Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Oxaliplatin; Drug: Leucovorin; Drug: 5-Fluorouracil |
| Treatment Group B | Experimental | Epacadostat + pembrolizumab + gemcitabine and nab-paclitaxel Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Gemcitabine; Drug: nab-Paclitaxel |
| Treatment Group C | Experimental | Epacadostat + pembrolizumab + carboplatin and paclitaxel Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Carboplatin; Drug: Paclitaxel |
| Treatment Group D | Experimental | Epacadostat + pembrolizumab + pemetrexed and investigators choice of platinum agent Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Pemetrexed; Drug: Carboplatin; Drug: Cisplatin; Drug: Investigator's choice of platinum agent |
| Treatment Group E | Experimental | Epacadostat + pembrolizumab + cyclophosphamide Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Cyclophosphamide |
| Treatment Group F | Experimental | Epacadostat + pembrolizumab + gemcitabine and investigators choice of platinum agent Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Gemcitabine |
| Treatment Group G | Experimental | Epacadostat + pembrolizumab + investigators choice of platinum agent and 5-fluorouracil Receives: Drug: Epacadostat; Drug: Pembrolizumab; Drug: Carboplatin; Drug: Cisplatin; Drug: 5-Fluorouracil; Drug: Investigator's choice of platinum agent |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of epacadostat, pembrolizumab, or chemotherapy. Serious adverse event is defined as an event that meets 1 of the following criteria: is fatal or life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, incapacity, or a substantial disruption of a person's ability to conduct normal life functions, constitutes a congenital anomaly or birth defect,is a medically important event that may jeopardize the participant or may require medical or surgical intervention to prevent 1 of the outcomes listed above.
Measured: Up to 21 months
Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
A DLT was defined as the occurrence of any of the protocol-specified toxicities occurring up to and including Day 28 for the cohorts where mFOLFOX6 and nab-paclitaxel/gemcitabine are administered and Day 21 for all other chemotherapy regimens in Phase 1, except those with a clear alternative explanation (eg, disease progression) or transient (≤ 72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination.
Measured: 28 days
Phases 1 and 2: Objective Response Rate (ORR)
ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Measured: Up to Week 18
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Mar 2017
- Study start2 May 2017
- Primary completion25 Jan 2019
- Study completion13 Jul 2020
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 Solid TumorStudies of the same condition, open and under way.
- More trials run by Incyte CorporationThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- Incyte Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Fred Zheng, MD, Study director, Incyte Corporation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03085914
- Sponsor's protocol ID
- INCB 24360-207 / ECHO-207
- Other IDs
- 2016-004678-16, 2016
- Status last verified
- Sep 2022
- First submitted
- 28 Feb 2017
- Last updated
- 23 Sep 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
Publications
Powderly JD, Klempner SJ, Naing A, Bendell J, Garrido-Laguna I, Catenacci DVT, Taylor MH, Lee JJ, Zheng F, Zhou F, Gong X, Gowda H, Beatty GL. Epacadostat Plus Pembrolizumab and Chemotherapy for Advanced Solid Tumors: Results from the Phase I/II ECHO-207/KEYNOTE-723 Study. Oncologist. 2022 Nov 3;27(11):905-e848. doi: 10.1093/oncolo/oyac174.
PubMed 36156099
Study at a glance
From the registry record, last updated by the sponsor on 23 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2, Open-Label, Safety, Tolerability, and Efficacy Study of Epacadostat in Combination With Pembrolizumab and Chemotherapy in Subjects With Advanced or Metastatic Solid Tumors (ECHO-207/KEYNOTE-723)
- ClinicalTrials.gov ID
- NCT03085914
- Acronym / sponsor ID
- INCB 24360-207 / ECHO-207
- Conditions
- Solid Tumor
- Keywords
- solid tumors, colorectal cancer, pancreatic ductal adenocarcinoma, non-small cell lung cancer, PD-1, PD-L1, epacadostat, IDO inhibitor
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Incyte CorporationIndustry (pharma, biotech, devices)
- Study start
- 2 May 2017 (actual)
- Primary completion
- 25 Jan 2019 (actual)
- Study completion
- 13 Jul 2020 (actual)
- First posted
- 21 Mar 2017 (actual)
- Results
- Posted 7 May 2020
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was an open-label, nonrandomized, Phase 1/2 study designed to determine the safety, tolerability, and efficacy of epacadostat when given in combination with pembrolizumab and 7 different chemotherapy regimens described as Treatment Groups A through G below (see Study Drug and Background Therapies, Dose, and Mode of Administration). Phase 1 consisted of a 3 + 3 + 3 design intended to determine the MTD or PAD of epacadostat when given in combination with pembrolizumab and chemotherapy; efficacy was also explored.
Phase 2 was designed to enroll efficacy expansion cohorts to further evaluate the safety, tolerability, and efficacy of epacadostat at the MTD or PAD (as selected in Phase 1) when given in combination with pembrolizumab and chemotherapy. Each efficacy expansion cohort was to enroll participants with 1 specific type of advanced or metastatic solid tumor. Additional cohorts (ie, the mandatory biopsy cohorts) were designed to evaluate changes in the tumor microenvironment in participants with any advanced or metastatic solid tumor who had progressed on previous therapy with a PD-1 or a PD-L1 inhibitor.
No participants were enrolled in any Phase 2 efficacy expansion cohort, or in any Phase 2 mandatory biopsy cohort receiving Treatment A, B, F, or G. Phase 2 mandatory biopsy cohort participants received Treatments C, D, or E (ie, were included in Treatment Groups C, D, or E). Participants were assigned to a treatment group based on the chemotherapy regimen most appropriate for their tumor type.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Treatment Group A | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: Oxaliplatin, Drug: Leucovorin, Drug: 5-FluorouracilEpacadostat + pembrolizumab + mFOLFOX6 (oxaliplatin, leucovorin, 5-fluorouracil) |
| Treatment Group B | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: Gemcitabine, Drug: nab-PaclitaxelEpacadostat + pembrolizumab + gemcitabine and nab-paclitaxel |
| Treatment Group C | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: Carboplatin, Drug: PaclitaxelEpacadostat + pembrolizumab + carboplatin and paclitaxel |
| Treatment Group D | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: Pemetrexed, Drug: Carboplatin, Drug: Cisplatin, Drug: Investigator's choice of platinum agentEpacadostat + pembrolizumab + pemetrexed and investigators choice of platinum agent |
| Treatment Group E | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: CyclophosphamideEpacadostat + pembrolizumab + cyclophosphamide |
| Treatment Group F | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: GemcitabineEpacadostat + pembrolizumab + gemcitabine and investigators choice of platinum agent |
| Treatment Group G | Experimental | Drug: Epacadostat, Drug: Pembrolizumab, Drug: Carboplatin, Drug: Cisplatin, Drug: 5-Fluorouracil, Drug: Investigator's choice of platinum agentEpacadostat + pembrolizumab + investigators choice of platinum agent and 5-fluorouracil |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Histologically or cytologically confirmed diagnosis of selected advanced or metastatic solid tumors.
- Presence of measurable disease per RECIST v1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (9 listed)
- Laboratory and medical history parameters not within the Protocol-defined range.
- Receipt of anticancer medications or investigational drugs within the Protocol-defined intervals before the first administration of study drug.
- Previous radiotherapy within 2 weeks of starting study therapy.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Has not recovered to ≤ Grade 1 from toxic effects of previous therapy and/or complications from previous surgical intervention before starting study therapy.
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 |
|---|---|---|
| EpacadostatAlso: INCB024360Epacadostat oral twice-daily continuous daily dosing at the protocol-defined dose. | Drug | Treatment Group A, Treatment Group B, Treatment Group C, Treatment Group D, Treatment Group E, Treatment Group F, Treatment Group G |
| PembrolizumabPembrolizumab | Drug | Treatment Group A, Treatment Group B, Treatment Group C, Treatment Group D, Treatment Group E, Treatment Group F, Treatment Group G |
| OxaliplatinOxaliplatin | Drug | Treatment Group A |
| LeucovorinLeucovorin | Drug | Treatment Group A |
| 5-Fluorouracil5-Fluorouracil | Drug | Treatment Group A |
| GemcitabineGemcitabine | Drug | Treatment Group B, Treatment Group F |
| nab-Paclitaxelnab-Paclitaxel | Drug | Treatment Group B |
| CarboplatinCarboplatin | Drug | Treatment Group C |
| PaclitaxelPaclitaxel | Drug | Treatment Group C |
| PemetrexedPemetrexed | Drug | Treatment Group D |
| CyclophosphamideCyclophosphamide | Drug | Treatment Group E |
| CarboplatinCarboplatin | Drug | Treatment Group D, Treatment Group G |
| CisplatinCisplatin | Drug | Treatment Group D, Treatment Group G |
| 5-Fluorouracil5-FU | Drug | Treatment Group G |
| Investigator's choice of platinum agentInvestigator's choice of platinum agent: carboplatin or cisplatin | Drug | Treatment Group D, Treatment Group G |
Primary outcome
Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs
Time frame: Up to 21 months
A TEAE is any AE either reported for the first time or worsening of a pre-existing event after first dose of epacadostat, pembrolizumab, or chemotherapy. Serious adverse event is defined as an event that meets 1 of the following criteria: is fatal or life threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability, incapacity, or a substantial disruption of a person's ability to conduct normal life functions, constitutes a congenital anomaly or birth defect,is a medically important event that may jeopardize the participant or may require medical or surgical intervention to prevent 1 of the outcomes listed above.
Phases 1 and 2: Number of Participants With Dose Limiting Toxicities (DLTs)
Time frame: 28 days
A DLT was defined as the occurrence of any of the protocol-specified toxicities occurring up to and including Day 28 for the cohorts where mFOLFOX6 and nab-paclitaxel/gemcitabine are administered and Day 21 for all other chemotherapy regimens in Phase 1, except those with a clear alternative explanation (eg, disease progression) or transient (≤ 72 hours) abnormal laboratory values without associated clinically significant signs or symptoms based on investigator determination.
Phases 1 and 2: Objective Response Rate (ORR)
Time frame: Up to Week 18
ORR was defined as the percentage of participants having a complete response (CR) or partial response (PR) as determined by investigator assessment of radiographic disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Sep 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36156099Powderly JD, Klempner SJ, Naing A, Bendell J, Garrido-Laguna I, Catenacci DVT, Taylor MH, Lee JJ, Zheng F, Zhou F, Gong X, Gowda H, Beatty GL. Epacadostat Plus Pembrolizumab and Chemotherapy for Advanced Solid Tumors: Results from the Phase I/II ECHO-207/KEYNOTE-723 Study. Oncologist. 2022 Nov 3;27(11):905-e848. doi: 10.1093/oncolo/oyac174.
- Individual participant dataSharing planned: Yes. Incyte shares data with qualified external researchers after a research proposal is submitted. These requests are reviewed and approved by a review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. The trial data availability is according to the criteria and process described on https://www.incyte.com/our-company/compliance-and-transparency
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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.
Fred Zheng, MD study director
Incyte Corporation
16 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Epacadostat, Pembrolizumab and Oxaliplatin in people with Solid Tumor, run by Incyte Corporation at 16 sites in United States.
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 3 inclusion and 9 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 23 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in United States. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 7 May 2020). 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?
Phases 1 & 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious TEAEs (time frame: Up to 21 months). The study lists 3 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 NCT03085914, 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 23 Sep 2022.