Work Related StressNCT04196751
An Evaluation Study to Identify the Effectiveness of Clinical Supervision With Regards to Work-related Strain, Sense of Coherence, Increased Cultural Sensitivity and the Impact on Patient's Care: A Prospective Longitudinal Study in Mental Health Services in Qatar
A study testing Clinical Supervision in people with Work Related Stress and Sense of Coherence, run by Hamad Medical Corporation at 1 site in Qatar.
Trial summary
Clinical supervision (CS) is a pragmatic approach, which enables nurses to work together; it can create a positive nursing environment, reduce stress, and increase clinical skills through peer support. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Work Related Stress, Sense of Coherence, Cultural Sensitivity
- What is being tested?
- Clinical Supervision
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 136 participants
- Where
- 1 siteQatar
- Study dates
- 26 Aug 2019to 30 Jan 2022
- Phase
- Interventional
- 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 Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Licensed nursing staffs (QCHP) with grade 107 and above will be invited to participate in the study.
Who cannot join
- Staff who are on extended leave.
- New staff under preceptorship.
- Staff who do not wish to participate in the research project.
- Unlicensed nursing professionals (e.g. nursing aid).
Trial locations and contacts
1 site in 1 country.
About this study
Clinical supervision (CS) is a pragmatic approach, which enables nurses to work together; it can create a positive nursing environment, reduce stress, and increase clinical skills through peer support. Previous research has demonstrated its positive effects on nurses wellbeing, sense of coherence, and professional accountability. However, there is lack of evidence for its influence on cultural sensitivity.
The Qatar National Health Strategy (Ministry of Public Health, 2018) and the Qatar National Mental Health Strategy (Supreme Council of Health, Qatar, 2013) have both given significant importance on building the health workforce capacity to meet the growing needs of the population. Aligning with these strategies, Hamad Medical Corporation (HMC) Mental Health Service's Executive Committee has taken a decision to implement clinical supervision to develop a supporting framework to strengthen the professional skills of the nursing workforce. In order to implement it efficiently, guidelines and education curriculum have been developed. The aim of the study is to evaluate the implementation of CS. In addition, investigators will also explore the impact of clinical supervision on the work-related strain, sense of coherence, cultural sensitivity and the impact on patient care. A longitudinal approach will be adopted using pre and post-testing. The required power sample size is calculated to be 136 nurses. Enrolled participants will receive an educational programme regarding clinical supervision and will be requested to choose a supervisor based on their learning requirements. Through the clinical supervision process, supervisee self-reflection, facilitated by the supervisor. The supervisor will, in addition, enable opportunities for professional growth by the sharing of skills and knowledge in relation to particular clinical challenges. In addition, they will also provide opportunities for emotional restoration through the exploration of stressful issues that have occurred in the workplace.
Participants will be scheduled to engage in one to one sessions with their supervisor once a month for an hour. The study will be conducted for 18 months (2 months for baseline data collection, 2 months for educational preparation, 12 months of intervention and lastly 2 months for post-intervention data collection) from the date of the participant's enrollment. The outcome measures include the sense of coherence, work-related strain, cultural sensitivity, the total number of nurse instigated Occurrence, Variance and Accident (OVA) initiated during the course of this study and the efficacy of clinical supervision sessions. Data will be collected before education sessions are delivered (baseline), at 6th month and at the 12th month. The investigators will use the Statistical Package for the Social Sciences (SPSS) and STATA for analysis. The study may identify an effective way of reducing work-related strain and enhancing the sense of coherence, cultural sensitivity, and quality of patient care.
- Being tested
- Clinical Supervision
- Keywords
- clinical supervision, work related stress, sense of coherence, cultural sensitivity, mental health nursing
- Medical subject headings
- Occupational Stress
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Clinical SupervisionOther
After baseline data collection, participants will be invited to attend training on clinical supervision (CS). Education will be delivered in 3 phases. 1-Orientation to the CS model 2-Integration of theory into practice and 3-Skill advancement for supervisors. After training, participants will be encouraged to choose a supervisor, identify objectives for skill development. They will be advised to meet their supervisor once a month for 60 minutes (Due to COVID 19 pandemic the participants can have either one-to-one session in-person or virtually (Microsoft Team), however, if the supervisor and the supervisee working in the same campus can have their one-to-one session as per their preferences. Supervisor-supervisee will be working together to achieve the stated goals. Only the recorded attendance and nature of the session will be used for research purpose. Data will be collected at baseline, 6\&12 month with pre-specified tools.
| Study group | Role | What they receive |
|---|---|---|
| Clinical Supervision Intervention | Experimental | All the enrolled participants will be undergoing Clinical Supervision sessions with their selected supervisors for pre-identified objectives for their skill and knowledge development. Receives: Other: Clinical Supervision |
What is being measured
The primary outcome is the main question the study is designed to answer.
Work-related Strain
The literature suggests that work-related stress and injuries are more common among nurses. Clinical supervision aims to provide support to nurses and guide them to identify their learning needs, improve their knowledge and skills to deal with complex situations and subsequently may reduce work-related strain. To assess the effectiveness of clinical supervision on the work-related strain, investigators will use the Work-Related Strain Inventory (WRSI). It consists of 18 statements designed to measure the feelings of psychological strain in occupational settings. The possible scores for the WRSI range from 18-72, the higher the score, the stronger the feelings of experiencing work-related strain. Data on WRSI will be collected at baseline (before Clinical Supervision sessions), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.
Measured: At baseline, and then at 6th month and 12th month after the first clinical supervision session
Sense of Coherence
A high sense of coherence is a pre-requisite for successful adaptation to a stressful situation- which leads to better health and wellbeing. Investigators will use a short form with 13 items of Sense of Coherence. These 13 items comprise three components: comprehensibility, manageability, and meaningfulness. The respondents indicate agreement or disagreement on a seven category semantic differential scale with two anchoring responses tailored to the content of each item. Five items (1,2,3,5, and 7) needs to be reversed before summing the total scores. The total score can range from 13 to 91, and a higher score indicates higher Sense Of Coherence. Data on SOC will be collected at baseline (before intervention), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.
Measured: At baseline, and then at 6th month and 12th month after the first clinical supervision session
Intercultural Sensitivity
The majority of the nursing workforce in Qatar is of expatriates. Studies show that migrant nurses often face language barriers, cultural diversity, and lack of trust and mutual respect. In this study, investigators are anticipating that supervisee and supervisor may be from different cultures. It is expected that this may promote mutual respect and cultural sensitivity. Intercultural Sensitivity Scale (ICS) will be used to assess cultural sensitivity. The ICS is subdivided into five subscales, and these are Interaction Engagement, Respect for Cultural Differences, Interaction Confidence, Interaction Enjoyment and Interaction attentiveness. A high score indicated higher Intercultural Sensitivity. Data on ICS will be collected at baseline, at 6th and 12th months after the first session of clinical supervision. The change in the mean scores will be assessed.
Measured: At baseline, and then at 6th month and 12th month after the first clinical supervision session
Perceived effectiveness of Clinical Supervision
Clinical supervision is widely accepted as being a good thing, but until now, this has been more a statement of faith rather than fact. Manchester Clinical Supervision Scale-26 (MCSS-26) will be used to understand the key elements of clinical supervision from the supervisees' perspective. The Manchester Clinical Supervision Scale is designed to establish its true merits once and for all. Investigators using the MCSS with 26 items with six subscales on the five-point Likert scale ranging from '0-strongly disagree' to '4-strongly agree' with a higher score indicating effectiveness. This version is widely tested in a number of studies. The six subscales are: importance/value of clinical supervision, finding the time, trust/rapport, supervisor advise/support, improved care/skills, reflection. Data using MCSS-26 will be collected at the end of the 12th month after the first Clinical Supervision session record date.
Measured: After the 12th month from the first session of clinical supervision session.
Secondary outcomes (3)
Correlation between baseline work-related strain, intercultural sensitivity and sense of coherence.
The investigators are aiming to find the correlation between baseline work-related strain, cultural sensitivity and sense of coherence. Total scores of scales and subscales will be explored for the correlation. If the data follows normal deviation, Pearson correlation coefficient will be used. If data follows the non-normal deviation, then the Spearman Correlation coefficient will be used. The test will be used to find the correlation between baseline work-related strain, cultural sensitivity and sense of coherence.
Measured: 6 months from the date of enrollment in the study.
Effect of clinical supervision on the quality of patient care.
Through this study, investigators will explore the effect of clinical supervision on the quality of care. (The total number of Occurrence Variance and accidents (OVAs) initiated during the study period (December 2019 to December 2020) will be compared with the retrospective cohort of OVAs initiated from December 2017- December 2018).
Measured: 12 months from the initiation of first session of clinical supervision.
Association between clinical supervision experience (using MCSS-26) and participants demographic variables.
To find the association between perceived clinical supervision experience (MCSS-26) and participants demographic variables including age, gender, and other related variables such as highest academic qualification, total years of clinical experience, number of countries worked as a health care professional, current practising unit, nationality, previous exposure to the clinical supervision, method of allocation of supervisor, nationality and grade of supervisor, setting of clinical supervision, and current job grade of supervisee and supervisor, supervisor and supervisee from the same unit. There is no unit for the tool; investigators will sum-up the total score.
Measured: 12 months from the initiation of first session of clinical supervision.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 Dec 2019
- Study start26 Aug 2019
- Primary completion1 Dec 2021
- Study completion30 Jan 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Work Related StressStudies 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 N/A
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- Open-label Prospective Longitudinal Study
- Masking
- None (open label)
- Enrolment
- 136 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hamad Medical Corporation
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04196751
- Sponsor's protocol ID
- MRC-01-18-409
- Status last verified
- Mar 2022
- First submitted
- 24 Jul 2019
- Last updated
- 29 Mar 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Gonge H, Buus N. Exploring Organizational Barriers to Strengthening Clinical Supervision of Psychiatric Nursing Staff: A Longitudinal Controlled Intervention Study. Issues Ment Health Nurs. 2016 May;37(5):332-43. doi: 10.3109/01612840.2016.1154119. Epub 2016 Apr 14.
PubMed 27077399Antonovsky, A., 1987. Unravelling the mystery of health: How people manage stress and stay well. Jossey-Bass, San Francisco
Saxby C, Wilson J, Newcombe P. Can clinical supervision sustain our workforce in the current healthcare landscape? Findings from a Queensland study of allied health professionals. Aust Health Rev. 2015 Sep;39(4):476-482. doi: 10.1071/AH14183.
PubMed 25725704Chen, G.-M., Starosta, W.J., 2000. The Development and Validation of the Intercultural Sensitivity Scale
Badanapurkar A, Nelson D, Nazarene A, Smith KW, Phiri L, Varghese S, Ramapurath S. Work-Related Strain, Sense of Coherence and Intercultural Sensitivity Among Mental Health Nurses in Qatar: A Cross-Sectional Study. Int J Ment Health Nurs. 2025 Feb;34(1):e13403. doi: 10.1111/inm.13403. Epub 2024 Sep 16.
PubMed 39283020
Study at a glance
From the registry record, last updated by the sponsor on 29 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Evaluation Study to Identify the Effectiveness of Clinical Supervision With Regards to Work-related Strain, Sense of Coherence, Increased Cultural Sensitivity and the Impact on Patient's Care: A Prospective Longitudinal Study in Mental Health Services in Qatar
- ClinicalTrials.gov ID
- NCT04196751
- Acronym / sponsor ID
- MRC-01-18-409
- Keywords
- clinical supervision, work related stress, sense of coherence, cultural sensitivity, mental health nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 136 participants (actual)
- Lead sponsor
- Hamad Medical CorporationIndustry (pharma, biotech, devices)
- Study start
- 26 Aug 2019 (actual)
- Primary completion
- 1 Dec 2021 (actual)
- Study completion
- 30 Jan 2022 (actual)
- First posted
- 12 Dec 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.
Clinical supervision (CS) is a pragmatic approach, which enables nurses to work together; it can create a positive nursing environment, reduce stress, and increase clinical skills through peer support. Previous research has demonstrated its positive effects on nurses wellbeing, sense of coherence, and professional accountability. However, there is lack of evidence for its influence on cultural sensitivity.
The Qatar National Health Strategy (Ministry of Public Health, 2018) and the Qatar National Mental Health Strategy (Supreme Council of Health, Qatar, 2013) have both given significant importance on building the health workforce capacity to meet the growing needs of the population. Aligning with these strategies, Hamad Medical Corporation (HMC) Mental Health Service's Executive Committee has taken a decision to implement clinical supervision to develop a supporting framework to strengthen the professional skills of the nursing workforce. In order to implement it efficiently, guidelines and education curriculum have been developed. The aim of the study is to evaluate the implementation of CS. In addition, investigators will also explore the impact of clinical supervision on the work-related strain, sense of coherence, cultural sensitivity and the impact on patient care. A longitudinal approach will be adopted using pre and post-testing. The required power sample size is calculated to be 136 nurses. Enrolled participants will receive an educational programme regarding clinical supervision and will be requested to choose a supervisor based on their learning requirements. Through the clinical supervision process, supervisee self-reflection, facilitated by the supervisor. The supervisor will, in addition, enable opportunities for professional growth by the sharing of skills and knowledge in relation to particular clinical challenges. In addition, they will also provide opportunities for emotional restoration through the exploration of stressful issues that have occurred in the workplace.
Participants will be scheduled to engage in one to one sessions with their supervisor once a month for an hour. The study will be conducted for 18 months (2 months for baseline data collection, 2 months for educational preparation, 12 months of intervention and lastly 2 months for post-intervention data collection) from the date of the participant's enrollment. The outcome measures include the sense of coherence, work-related strain, cultural sensitivity, the total number of nurse instigated Occurrence, Variance and Accident (OVA) initiated during the course of this study and the efficacy of clinical supervision sessions. Data will be collected before education sessions are delivered (baseline), at 6th month and at the 12th month. The investigators will use the Statistical Package for the Social Sciences (SPSS) and STATA for analysis. The study may identify an effective way of reducing work-related strain and enhancing the sense of coherence, cultural sensitivity, and quality of patient care.
Study design
- Primary purpose
- Other
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- Open-label Prospective Longitudinal Study
| Arm | Type | Receives |
|---|---|---|
| Clinical Supervision Intervention | Experimental | Other: Clinical SupervisionAll the enrolled participants will be undergoing Clinical Supervision sessions with their selected supervisors for pre-identified objectives for their skill and knowledge development. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Licensed nursing staffs (QCHP) with grade 107 and above will be invited to participate in the study.
Key exclusion criteria (4 listed)
- Staff who are on extended leave.
- New staff under preceptorship.
- Staff who do not wish to participate in the research project.
- Unlicensed nursing professionals (e.g. nursing aid).
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 |
|---|---|---|
| Clinical SupervisionAfter baseline data collection, participants will be invited to attend training on clinical supervision (CS). Education will be delivered in 3 phases. 1-Orientation to the CS model 2-Integration of theory into practice and 3-Skill advancement for supervisors. After training, participants will be encouraged to choose a supervisor, identify objectives for skill development. They will be advised to meet their supervisor once a month for 60 minutes (Due to COVID 19 pandemic the participants can have either one-to-one session in-person or virtually (Microsoft Team), however, if the supervisor and the supervisee working in the same campus can have their one-to-one session as per their preferences. Supervisor-supervisee will be working together to achieve the stated goals. Only the recorded attendance and nature of the session will be used for research purpose. Data will be collected at baseline, 6\&12 month with pre-specified tools. | Other | Clinical Supervision Intervention |
Primary outcome
Work-related Strain
Time frame: At baseline, and then at 6th month and 12th month after the first clinical supervision session
The literature suggests that work-related stress and injuries are more common among nurses. Clinical supervision aims to provide support to nurses and guide them to identify their learning needs, improve their knowledge and skills to deal with complex situations and subsequently may reduce work-related strain. To assess the effectiveness of clinical supervision on the work-related strain, investigators will use the Work-Related Strain Inventory (WRSI). It consists of 18 statements designed to measure the feelings of psychological strain in occupational settings. The possible scores for the WRSI range from 18-72, the higher the score, the stronger the feelings of experiencing work-related strain. Data on WRSI will be collected at baseline (before Clinical Supervision sessions), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.
Sense of Coherence
Time frame: At baseline, and then at 6th month and 12th month after the first clinical supervision session
A high sense of coherence is a pre-requisite for successful adaptation to a stressful situation- which leads to better health and wellbeing. Investigators will use a short form with 13 items of Sense of Coherence. These 13 items comprise three components: comprehensibility, manageability, and meaningfulness. The respondents indicate agreement or disagreement on a seven category semantic differential scale with two anchoring responses tailored to the content of each item. Five items (1,2,3,5, and 7) needs to be reversed before summing the total scores. The total score can range from 13 to 91, and a higher score indicates higher Sense Of Coherence. Data on SOC will be collected at baseline (before intervention), at 6th and 12th month after the first clinical supervision session. The change in the mean scores will be assessed using an appropriate statistical test.
Intercultural Sensitivity
Time frame: At baseline, and then at 6th month and 12th month after the first clinical supervision session
The majority of the nursing workforce in Qatar is of expatriates. Studies show that migrant nurses often face language barriers, cultural diversity, and lack of trust and mutual respect. In this study, investigators are anticipating that supervisee and supervisor may be from different cultures. It is expected that this may promote mutual respect and cultural sensitivity. Intercultural Sensitivity Scale (ICS) will be used to assess cultural sensitivity. The ICS is subdivided into five subscales, and these are Interaction Engagement, Respect for Cultural Differences, Interaction Confidence, Interaction Enjoyment and Interaction attentiveness. A high score indicated higher Intercultural Sensitivity. Data on ICS will be collected at baseline, at 6th and 12th months after the first session of clinical supervision. The change in the mean scores will be assessed.
Perceived effectiveness of Clinical Supervision
Time frame: After the 12th month from the first session of clinical supervision session.
Clinical supervision is widely accepted as being a good thing, but until now, this has been more a statement of faith rather than fact. Manchester Clinical Supervision Scale-26 (MCSS-26) will be used to understand the key elements of clinical supervision from the supervisees' perspective. The Manchester Clinical Supervision Scale is designed to establish its true merits once and for all. Investigators using the MCSS with 26 items with six subscales on the five-point Likert scale ranging from '0-strongly disagree' to '4-strongly agree' with a higher score indicating effectiveness. This version is widely tested in a number of studies. The six subscales are: importance/value of clinical supervision, finding the time, trust/rapport, supervisor advise/support, improved care/skills, reflection. Data using MCSS-26 will be collected at the end of the 12th month after the first Clinical Supervision session record date.
3 secondary outcomes
Correlation between baseline work-related strain, intercultural sensitivity and sense of coherence.
Time frame: 6 months from the date of enrollment in the study.
Effect of clinical supervision on the quality of patient care.
Time frame: 12 months from the initiation of first session of clinical supervision.
Association between clinical supervision experience (using MCSS-26) and participants demographic variables.
Time frame: 12 months from the initiation of first session of clinical supervision.
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 29 Mar 2022.
- Background: PubMed 27077399Gonge H, Buus N. Exploring Organizational Barriers to Strengthening Clinical Supervision of Psychiatric Nursing Staff: A Longitudinal Controlled Intervention Study. Issues Ment Health Nurs. 2016 May;37(5):332-43. doi: 10.3109/01612840.2016.1154119. Epub 2016 Apr 14.
- BackgroundAntonovsky, A., 1987. Unravelling the mystery of health: How people manage stress and stay well. Jossey-Bass, San Francisco
- Background: PubMed 25725704Saxby C, Wilson J, Newcombe P. Can clinical supervision sustain our workforce in the current healthcare landscape? Findings from a Queensland study of allied health professionals. Aust Health Rev. 2015 Sep;39(4):476-482. doi: 10.1071/AH14183.
- BackgroundChen, G.-M., Starosta, W.J., 2000. The Development and Validation of the Intercultural Sensitivity Scale
- Derived from this study: PubMed 39283020Badanapurkar A, Nelson D, Nazarene A, Smith KW, Phiri L, Varghese S, Ramapurath S. Work-Related Strain, Sense of Coherence and Intercultural Sensitivity Among Mental Health Nurses in Qatar: A Cross-Sectional Study. Int J Ment Health Nurs. 2025 Feb;34(1):e13403. doi: 10.1111/inm.13403. Epub 2024 Sep 16.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Clinical Supervision in people with Work Related Stress and Sense of Coherence, run by Hamad Medical Corporation at 1 site in Qatar.
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 1 inclusion and 4 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 29 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Qatar. 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.
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?
Work-related Strain (time frame: At baseline, and then at 6th month and 12th month after the first clinical supervision session). The study lists 4 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 NCT04196751, which also lists 5 linked publications.
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 29 Mar 2022.