HPV-Related Squamous Cell CarcinomaPhase 1/2NCT04180215
A Phase 1/2 Study in Patients With HPV16+ Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma and Other Cancers
A Phase 1/2 study testing HB-201 intravenous administration., HB-202 intravenous administration alternating with HB-201 intravenous administration. and HB-202 / HB-201 alternating intravenous administration + pembrolizumab. in people with HPV-Related Squamous Cell Carcinoma, run by Hookipa Biotech GmbH at 34 sites in 3 countries.
Trial summary
This is a First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 \& HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- HPV-Related Squamous Cell Carcinoma
- What is being tested?
- HB-201 intravenous administration., HB-202 intravenous administration alternating with HB-201 intravenous administration. and HB-202 / HB-201 alternating intravenous administration + pembrolizumab.
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 198 participants
- Where
- 34 sitesin 3 countries
- Study dates
- 11 Dec 2019to 9 Jan 2025
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
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
- All Patients:
- Documentation of confirmed HPV 16+ cancer via genotype testing.
- ≥ 1 measurable lesion by imaging for tumor response following RECIST
- ECOG performance status of 0 to 1.
- Prior curative radiation therapy and prior focal palliative completed per protocol-specified wash-out windows.
- Screening laboratory values must meet protocol-specified criteria.
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- Able to provide tumor tissue following last treatment, unless otherwise agreed.
- Treatment Group E or Group F:
- Documentation of confirmed head and neck squamous cell carcinoma.
- Eligible to receive pembrolizumab, per standard of care and product label.
- Group E: this group includes first line / 1L patients who have not yet received treatment in the metastatic/recurrent setting.
- Group F: Tumor progression or recurrence on standard of care therapy, including ≥1 systemic therapy.
- Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):
- Meeting requirements of inclusion criteria for Treatment Group 1 or Group 3.
- At least 1 non-irradiated measurable lesion documented through imaging.
Who cannot join
- All patients:
- Metastatic central nervous system disease, and/or carcinomatous meningitis.
- Any serious or uncontrolled medical disorder that, in the opinion of the Investigator, may increase the risk associated with study participation / treatment administration.
- Concurrent malignancy that is clinically significant or requires active intervention, unless protocol-defined criteria are met.
- Active, known or suspected, autoimmune or inflammatory disorders requiring immunosuppressive therapy.
- Has a life expectancy of less than 3 months.
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- Any toxicities attributed to systemic prior anticancer therapy o that have not resolved to Grade 1 or baseline prior to the first administration of study drug, unless protocol-defined criteria is met.
- Not meeting the protocol-specified washout periods for prohibited medications.
- Prior anaphylactic reaction to or known allergy or hypersensitivity to investigational product(s) or any of the excipients of the investigational product(s).
- Positive hepatitis B surface antigen (HBsAg) or hepatitis C virus (HCV) antibody, indicating acute or chronic infection.
- Known history of acquired immunodeficiency syndrome.
- For patients in Groups E or F and certain backfill cohorts:
- History of severe hypersensitivity reaction to or other contraindication to receiving pembrolizumab.
- History of/Presently having non-infectious pneumonitis requiring treatment.
- Was discontinued due to a Grade 3 or higher immune-related AE (irAE) after receiving prior therapy with check point inhibitors.
- Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):
- Having splenic disorders or prior splenectomy, and can compromise protocol objectives per Investigator and/or Sponsor.
- Meeting requirements of exclusion criteria for Treatment Group 3
Trial locations and contacts
34 sites in 3 countries.
34 sites in 3 countries
United States26 sites
O'Neal Comprehensive Cancer Center at UAB
Birmingham, Alabama, 35294
University of Virgina Health System
Charlottesville, Virginia, 22908
University of Chicago Medical Center
Chicago, Illinois, 60637
Cleveland Clinic
Cleveland, Ohio, 44195
Henry Ford Hospital
Detroit, Michigan, 48202
University of Kansas Medical Center
Fairway, Kansas, 66205
University of Arkansas for Medical Sciences, Cancer Institute, Clinical Trials Office
Fayetteville, Arkansas, 72205
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Greenville Hospital System University Medical Center (ITOR)
Greenville, South Carolina, 29605
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
University of Iowa Hospitals & Clinics
Iowa City, Iowa, 52242
USC/Norris Comprehensive Cancer Center
Los Angeles, California, 90033
UCLA (University of California, Los Angeles)
Los Angeles, California, 90095
Loyola University Medical School
Maywood, Illinois, 60153
Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
Froedtert Hospital and Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Grossman School of Medicine
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10021
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
Perlmutter Cancer Center at NYU Langone Hospital-Long Island
New York, New York, 11501
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Providence Portland Medical Center
Portland, Oregon, 97213
Washington University School of Medicine
St Louis, Missouri, 63110
Montefiore-Einstein Center for Cancer Care
The Bronx, New York, 10461
Spain7 sites
Hospital Universitari Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 8041
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Centro Integral Oncologico Clara Campal
Madrid, 28050
Hospital Universitario Virgen Macarena
Seville, 410009
Hospital Universitario Virgen del Rocio
Seville, 41013
About this study
Official title: A Phase I/II Study of TheraT® Vector(s) Expressing Human Papillomavirus 16 Positive (HPV 16+) Specific Antigens in Patients With HPV 16+ Confirmed Cancers
This is a First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 \& HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.
Read the detailed description
HB-201 and HB-202 are study drugs which are designed to train the body to recognize and fight substances found in HPV 16+ cancer. This trial studies the safety and anti-cancer effect of HB-201 and HB-202 in people.
The trial is enrolling patients with metastatic/recurrent head and neck cancer who have not yet received treatment in this setting (1L, first line) and who are eligible to receive pembrolizumab as part of their standard of care. This trial is also enrolling patients with metastatic/recurrent head and neck who have received prior treatment in this setting (2L+, second and later line) who are eligible to receive pembrolizumab as part of their standard of care. Patients will receive the study drugs in addition to their pembrolizumab standard of care regimen.
- Conditions
- HPV-Related Squamous Cell Carcinoma
- Being tested
- HB-201 intravenous administration., HB-202 intravenous administration alternating with HB-201 intravenous administration., HB-201 intravenous administration + standard of care regimen including pembrolizumab., HB-202 / HB-201 alternating intravenous administration + pembrolizumab., HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.
- Keywords
- Vaccine, Gene Therapy, TheraT®, E7E6, HPV 16 E7E6, HNSCC, HPV 16+ head and neck squamous cell cancer, Oropharyngeal cancer, HPV16, HPV 16, Head and neck cancer, Carcinoma, Carcinoma, squamous cell, Squamous cell carcinoma of head and neck, Neoplasms, squamous cell, Head and neck neoplasms, Pembrolizumab
- Medical subject headings
- Squamous Cell Carcinoma of Head and Neck, Oropharyngeal Neoplasms, Head and Neck Neoplasms, Carcinoma, Carcinoma, Squamous Cell, Neoplasms, Squamous Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HB-201 intravenous administration.Drug
Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).
HB-202 intravenous administration alternating with HB-201 intravenous administration.Drug
Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).
HB-201 intravenous administration + standard of care regimen including pembrolizumab.Drug
Dose Expansion
HB-202 / HB-201 alternating intravenous administration + pembrolizumab.Drug
Dose Expansion
HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.Drug
Dose Expansion
HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)Drug
Dose escalation; 10 patients
| Study group | Role | What they receive |
|---|---|---|
| Ph I, Group 1 and Group 2 | Experimental | Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy. Receives: Drug: HB-201 intravenous administration. |
| Ph I, Group 3 and Group 4 | Experimental | Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy. Receives: Drug: HB-202 intravenous administration alternating with HB-201 intravenous administration. |
| Ph II, Group B | Experimental | Patients with HPV 16+ HNSCC who are eligible to receive immune checkpoint inhibitor as part of standard of care. Receives: Drug: HB-201 intravenous administration + standard of care regimen including pembrolizumab. |
| Ph II, Group E | Experimental | Patients with HPV 16+ HNSCC who are eligible to receive pembrolizumab as part of 1L standard of care. Receives: Drug: HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab. |
| Ph II, Group F | Experimental | Patients with HPV 16+ cancers who had tumor progression or recurrence on standard of care therapy and who are eligible to receive pembrolizumab as part of 2L+ standard of care.. Receives: Drug: HB-202 / HB-201 alternating intravenous administration + pembrolizumab. |
| Ph I, sub-study | Experimental | Patients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy Receives: Drug: HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase I Dose Escalation: Determine Phase II dose based on incidence of dose-limiting toxicities.
Determine the recommended Phase II dose in terms of safety and tolerability for intravenously administered HB-201, and intravenously administered HB-202 by assessing drug limiting toxicities.
Measured: From dosing until 21-28 days after first dose
Phase II Dose Expansion: Number of participants with preliminary antitumor activity based on objective response rate.
Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using Response Evaluation Criteria in Solid Tumors (RECIST) to determine objective response rate (ORR).
Measured: Until progression, (estimated up to 30-months)
Secondary outcomes (4)
Phase I Dose Escalation: Number of participants with adverse events (type, frequency, severity).
Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 by monitoring the type, frequency, and severity of AEs and SAEs by monitoring the type, frequency, and severity of AEs and SAEs.
Measured: From informed consent through 30 days after last dose.
Phase I Dose Escalation: Number of participants with preliminary antitumor activity based on objective response rate and disease control rate.
Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using RECIST and iRECIST
Measured: Until progression, (estimated up to 30-months)
Phase II Dose Expansion: Number of participants with confirmed duration of preliminary antitumor activity.
Confirm duration of preliminary antitumor activity of dosage regimens of HB-201 and HB-202 alone of in combination with pembrolizumab, using RECIST and iRECIST
Measured: Up to 30-months (until progression)
Phase II Dose Expansion: Number of participants with adverse events (type, frequency, severity).
Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 alone or in combination with pembrolizumab by monitoring the type, frequency, and severity of AEs and SAEs.
Measured: From informed consent through 30 days after last dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Nov 2019
- Study start11 Dec 2019
- Primary completion9 Jan 2025
- Study completion9 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HPV-Related Squamous Cell CarcinomaStudies of the same condition, open and under way.
- 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
- Sequential
- Masking
- None (open label)
- Enrolment
- 198 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hookipa Biotech GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Head of Clinical Development, Study director, Hookipa Biotech GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04180215
- Sponsor's protocol ID
- H-200-001
- Other IDs
- 2019-000907-34, 2019
- Status last verified
- Sep 2025
- First submitted
- 20 Sep 2019
- Last updated
- 15 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 15 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II Study of TheraT® Vector(s) Expressing Human Papillomavirus 16 Positive (HPV 16+) Specific Antigens in Patients With HPV 16+ Confirmed Cancers
- ClinicalTrials.gov ID
- NCT04180215
- Acronym / sponsor ID
- H-200-001
- Conditions
- HPV-Related Squamous Cell Carcinoma
- Keywords
- Vaccine, Gene Therapy, TheraT®, E7E6, HPV 16 E7E6, HNSCC, HPV 16+ head and neck squamous cell cancer, Oropharyngeal cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 198 participants (actual)
- Lead sponsor
- Hookipa Biotech GmbHIndustry (pharma, biotech, devices)
- Study start
- 11 Dec 2019 (actual)
- Primary completion
- 9 Jan 2025 (actual)
- Study completion
- 9 Jan 2025 (actual)
- First posted
- 27 Nov 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 \& HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.
Detailed description
HB-201 and HB-202 are study drugs which are designed to train the body to recognize and fight substances found in HPV 16+ cancer. This trial studies the safety and anti-cancer effect of HB-201 and HB-202 in people.
The trial is enrolling patients with metastatic/recurrent head and neck cancer who have not yet received treatment in this setting (1L, first line) and who are eligible to receive pembrolizumab as part of their standard of care. This trial is also enrolling patients with metastatic/recurrent head and neck who have received prior treatment in this setting (2L+, second and later line) who are eligible to receive pembrolizumab as part of their standard of care. Patients will receive the study drugs in addition to their pembrolizumab standard of care regimen.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Ph I, Group 1 and Group 2 | Experimental | Drug: HB-201 intravenous administration.Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy. |
| Ph I, Group 3 and Group 4 | Experimental | Drug: HB-202 intravenous administration alternating with HB-201 intravenous administration.Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy. |
| Ph II, Group B | Experimental | Drug: HB-201 intravenous administration + standard of care regimen including pembrolizumab.Patients with HPV 16+ HNSCC who are eligible to receive immune checkpoint inhibitor as part of standard of care. |
| Ph II, Group E | Experimental | Drug: HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.Patients with HPV 16+ HNSCC who are eligible to receive pembrolizumab as part of 1L standard of care. |
| Ph II, Group F | Experimental | Drug: HB-202 / HB-201 alternating intravenous administration + pembrolizumab.Patients with HPV 16+ cancers who had tumor progression or recurrence on standard of care therapy and who are eligible to receive pembrolizumab as part of 2L+ standard of care.. |
| Ph I, sub-study | Experimental | Drug: HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)Patients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Documentation of confirmed HPV 16+ cancer via genotype testing.
- ≥ 1 measurable lesion by imaging for tumor response following RECIST
- ECOG performance status of 0 to 1.
- Prior curative radiation therapy and prior focal palliative completed per protocol-specified wash-out windows.
- Screening laboratory values must meet protocol-specified criteria.
Key exclusion criteria (18 listed)
- Metastatic central nervous system disease, and/or carcinomatous meningitis.
- Any serious or uncontrolled medical disorder that, in the opinion of the Investigator, may increase the risk associated with study participation / treatment administration.
- Concurrent malignancy that is clinically significant or requires active intervention, unless protocol-defined criteria are met.
- Active, known or suspected, autoimmune or inflammatory disorders requiring immunosuppressive therapy.
- Has a life expectancy of less than 3 months.
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 |
|---|---|---|
| HB-201 intravenous administration.Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort). | Drug | Ph I, Group 1 and Group 2 |
| HB-202 intravenous administration alternating with HB-201 intravenous administration.Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort). | Drug | Ph I, Group 3 and Group 4 |
| HB-201 intravenous administration + standard of care regimen including pembrolizumab.Dose Expansion | Drug | Ph II, Group B |
| HB-202 / HB-201 alternating intravenous administration + pembrolizumab.Dose Expansion | Drug | Ph II, Group F |
| HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.Dose Expansion | Drug | Ph II, Group E |
| HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)Dose escalation; 10 patients | Drug | Ph I, sub-study |
Primary outcome
Phase I Dose Escalation: Determine Phase II dose based on incidence of dose-limiting toxicities.
Time frame: From dosing until 21-28 days after first dose
Determine the recommended Phase II dose in terms of safety and tolerability for intravenously administered HB-201, and intravenously administered HB-202 by assessing drug limiting toxicities.
Phase II Dose Expansion: Number of participants with preliminary antitumor activity based on objective response rate.
Time frame: Until progression, (estimated up to 30-months)
Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using Response Evaluation Criteria in Solid Tumors (RECIST) to determine objective response rate (ORR).
4 secondary outcomes
Phase I Dose Escalation: Number of participants with adverse events (type, frequency, severity).
Time frame: From informed consent through 30 days after last dose.
Phase I Dose Escalation: Number of participants with preliminary antitumor activity based on objective response rate and disease control rate.
Time frame: Until progression, (estimated up to 30-months)
Phase II Dose Expansion: Number of participants with confirmed duration of preliminary antitumor activity.
Time frame: Up to 30-months (until progression)
Phase II Dose Expansion: Number of participants with adverse events (type, frequency, severity).
Time frame: From informed consent through 30 days after last dose
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Sep 2025.
- Individual participant dataSharing planned: No
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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.
Head of Clinical Development study director
Hookipa Biotech GmbH
34 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing HB-201 intravenous administration., HB-202 intravenous administration alternating with HB-201 intravenous administration. and HB-202 / HB-201 alternating intravenous administration + pembrolizumab. in people with HPV-Related Squamous Cell Carcinoma, run by Hookipa Biotech GmbH at 34 sites in 3 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 15 inclusion and 18 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 15 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 34 sites in United States, Spain, Netherlands. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Phase I Dose Escalation: Determine Phase II dose based on incidence of dose-limiting toxicities. (time frame: From dosing until 21-28 days after first dose). 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?
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 15 Sep 2025.