Secondary Progressive Multiple Sclerosis (SPMS)NCT04593927
Long Term Special Drug Use-results Surveillance for Mayzent in SPMS Patients
An observational study of Secondary Progressive Multiple Sclerosis (SPMS), run by Novartis Pharmaceuticals at 174 sites in Japan.
Trial summary
This study is a single cohort, central registration system, all-case, open-label, multicenter observational study in patients using Mayzent for the indication of secondary progressive multiple sclerosis. Read more about this study
- Who is it for?
- Ages Up to 99 years
- Conditions the study is for
- Secondary Progressive Multiple Sclerosis (SPMS)
- What is being tested?
- Mayzent
- How many people
- 451 participants
- Where
- 174 sitesJapan
- Study dates
- 28 Oct 2020to 30 Aug 2023
- Phase
- Observational
- 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 Up to 99 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: All patients using Mayzent for the following indication for a specified post-marketing period of time • Indication: prevention of relapses and delay of progression of physical disability in secondary progressive multiple sclerosis By allowing patients who started Mayzent administration before the conclusion of a contract for this study to be included in the study population after the contract, all patients treated with Mayzent will be enrolled in this study.
Who may be able to join
- Patients prescribed Mayzent for prevention of relapses and delay of progression of physical disability in secondary progressive multiple sclerosis
Who cannot join
- -
Trial locations and contacts
174 sites in 1 country.
174 sites in 1 country
Japan174 sites
Novartis Investigative Site
Adachi City, Tokyo, 123-0864
Novartis Investigative Site
Adachi-ku, Tokyo, 121-0061
Novartis Investigative Site
Ageo, Saitama, 362-8588
Novartis Investigative Site
Akita, 010-1495
Novartis Investigative Site
Ako, Hyōgo, 678-0239
Novartis Investigative Site
Anjo, Aichi-ken, 446-8602
Novartis Investigative Site
Aomori, 030 8553
Novartis Investigative Site
Asahikawa, Hokkaido, 070-8530
Novartis Investigative Site
Ashigarakami, Kanagawa, 258-0003
Novartis Investigative Site
Atsugi, Kanagawa, 243-0121
Novartis Investigative Site
Awaji, Hyōgo, 672-8501
Novartis Investigative Site
Beppu, Oita Prefecture, 874-0011
Novartis Investigative Site
Bunkyo Ku, Tokyo, 113 8655
Novartis Investigative Site
Bunkyo Ku, Tokyo, 113-8431
Novartis Investigative Site
Bunkyo-ku, Tokyo, 113-8519
Novartis Investigative Site
Chiba, 260 8677
Novartis Investigative Site
Chiisagata, Nagano, 386-0603
Novartis Investigative Site
Edogawa City, Tokyo, 134-0086
Novartis Investigative Site
Fuchū, Tokyo, 183-0042
Novartis Investigative Site
Fuchū, Tokyo, 183-8524
Novartis Investigative Site
Fuji, Shizuoka, 416-0955
Novartis Investigative Site
Fujiidera, Osaka, 583-0014
Novartis Investigative Site
Fukui, 918-8503
Novartis Investigative Site
Fukuoka, Fukuoka, 812-8582
Novartis Investigative Site
Fukuoka, 810-0022
Novartis Investigative Site
Fukuyama, Hiroshima, 720-0825
Novartis Investigative Site
Gifu, Gifu, 500 8513
Novartis Investigative Site
Gifu, Gifu, 501-1194
Novartis Investigative Site
Gifu, 500-8717
Novartis Investigative Site
Ginowan, Okinawa, 901-2214
Novartis Investigative Site
Hachinohe, Aomori, 039-1104
Novartis Investigative Site
Hachiōji, Tokyo, 192-0032
Novartis Investigative Site
Hachiōji, Tokyo, 193-0944
Novartis Investigative Site
Hakodate, Hokkaido, 041-0821
Novartis Investigative Site
Hamamatsu, Shizuoka, 431-3192
Novartis Investigative Site
Hanamaki, Iwate, 025-0082
Novartis Investigative Site
Hekinan, Aichi-ken, 447-0084
Novartis Investigative Site
Higashiosaka, Osaka, 578-8588
Novartis Investigative Site
Hiratsuka, Kanagawa, 254-0065
Novartis Investigative Site
Hirosaki, Aomori, 036 8563
Novartis Investigative Site
Hiroshima, 730-0004
Novartis Investigative Site
Hiroshima, 730-8518
Novartis Investigative Site
Hiroshima, 734-8551
Novartis Investigative Site
Hitachi, Ibaraki, 317-0077
Novartis Investigative Site
Hitachi-Naka, Ibaraki, 312-0057
Novartis Investigative Site
Ichihara, Chiba, 299-0111
Novartis Investigative Site
Ichikawa, Chiba, 272-8513
Novartis Investigative Site
Ichinomiya, Aichi-ken, 491-0041
Novartis Investigative Site
Ichinoseki, Iwate, 021-0871
Novartis Investigative Site
Iida, Nagano, 395-8502
Novartis Investigative Site
Ina, Nagano, 396-0033
Novartis Investigative Site
Iruma-gun, Saitama, 350-0495
Novartis Investigative Site
Isehara, Kanagawa, 259-1193
Novartis Investigative Site
Isesaki, Gunma, 372-0817
Novartis Investigative Site
Itabashi Ku, Tokyo, 173 8606
Novartis Investigative Site
Itami, Hyōgo, 664-8533
Novartis Investigative Site
Iwamizawa, Hokkaido, 068-0007
Novartis Investigative Site
Izumo, Shimane, 693 8501
Novartis Investigative Site
Izunokuni, Shizuoka, 410-2295
Novartis Investigative Site
Kagoshima, Kagoshima-ken, 890 8520
Novartis Investigative Site
Kagoshima, 890-0008
Novartis Investigative Site
Kagoshima, 890-0067
Novartis Investigative Site
Kamikoshikichō-oshima, Kagoshima-ken, 891-7101
Novartis Investigative Site
Kanazawa, Ishikawa-ken, 920-0853
Novartis Investigative Site
Kariya, Aichi-ken, 448-0852
Novartis Investigative Site
Kashihara, Nara, 634 8522
Novartis Investigative Site
Kasugai, Aichi-ken, 487-0031
Novartis Investigative Site
Kawagoe, Saitama, 350 8550
Novartis Investigative Site
Kawasaki, Kanagawa, 216-8511
Novartis Investigative Site
Kesennuma, Miyagi, 988-0085
Novartis Investigative Site
Kita-gun, Kagawa-ken, 761-0793
Novartis Investigative Site
Kitaazumi, Nagano, 399-8601
Novartis Investigative Site
Kitakyushu, Fukuoka, 802-8517
Novartis Investigative Site
Kitakyushu, Fukuoka, 806-8501
Novartis Investigative Site
Kitakyushu, Fukuoka, 807-8556
Novartis Investigative Site
Kitami, Hokkaido, 090-0837
Novartis Investigative Site
Kobe, Hyōgo, 650-0017
Novartis Investigative Site
Kobe, Hyōgo, 650-0044
Novartis Investigative Site
Kochi, 781-0011
Novartis Investigative Site
Kodaira, Tokyo, 187-8551
Novartis Investigative Site
Koshigaya, Saitama, 343-8555
Novartis Investigative Site
Koshigaya, Saitama, 343-8577
Novartis Investigative Site
Kumamoto, Kumamoto, 860-8556
Novartis Investigative Site
Kumamoto, 862-0970
Novartis Investigative Site
Kurayoshi, Tottori, 682-0863
Novartis Investigative Site
Kure, Hiroshima, 737-0023
Novartis Investigative Site
Kurume, Fukuoka, 830-0011
Novartis Investigative Site
Kushiro, Hokkaido, 085-0052
Novartis Investigative Site
Kyoto, Kyoto, 616-8255
Novartis Investigative Site
Kyoto, 603-8041
Novartis Investigative Site
Kyoto, 616-8144
Novartis Investigative Site
Maebashi, Gunma, 371 8511
Novartis Investigative Site
Maebashi, Gunma, 371-0847
Novartis Investigative Site
Matsumoto, Nagano, 390-8621
Novartis Investigative Site
Matsumoto, Nagano, 390-8648
Novartis Investigative Site
Meguro City, Tokyo, 153-8515
Novartis Investigative Site
Miyakonojō, Miyazaki, 885-0055
Novartis Investigative Site
Muroran, Hokkaido, 050-0082
Novartis Investigative Site
Nagakute, Aichi-ken, 480-1195
Novartis Investigative Site
Nagano, Nagano, 380-8582
Novartis Investigative Site
Nagaoka, Niigata, 940-2085
Novartis Investigative Site
Nagaoka, Niigata, 940-8653
Novartis Investigative Site
Nagasaki, 850-0835
Novartis Investigative Site
Nagasaki, 850-8555
Novartis Investigative Site
Nagoya, Aichi-ken, 451-8511
Novartis Investigative Site
Nagoya, Aichi-ken, 453-0815
Novartis Investigative Site
Nagoya, Aichi-ken, 454-0012
Novartis Investigative Site
Nagoya, Aichi-ken, 455-8530
Novartis Investigative Site
Nagoya, Aichi-ken, 466 8560
Novartis Investigative Site
Nakano City, Tokyo, 164-8607
Novartis Investigative Site
Nankoku, Kochi, 783 8505
Novartis Investigative Site
Niigata, Niigata, 950-1197
Novartis Investigative Site
Niigata, 951 8520
Novartis Investigative Site
Nishinomiya, Hyōgo, 663 8501
Novartis Investigative Site
Ohtsu-city, Shiga, 520-2192
Novartis Investigative Site
Ōita, Oita Prefecture, 870-0192
Novartis Investigative Site
Ōita, 870-8511
Novartis Investigative Site
Okayama, Okayama-ken, 700-8558
Novartis Investigative Site
Okayama, Okayama-ken, 700-8607
Novartis Investigative Site
Ōmihachiman, Shiga, 523-0082
Novartis Investigative Site
Osaka, Osaka, 543-8555
Novartis Investigative Site
Osaka, 545-8586
Novartis Investigative Site
Ōsaka-sayama, Osaka, 589 8511
Novartis Investigative Site
Ōta, Gunma, 373-8585
Novartis Investigative Site
Ōta-ku, Tokyo, 143 8541
Novartis Investigative Site
Ōta-ku, Tokyo, 145-0065
Novartis Investigative Site
Ōta-ku, Tokyo, 146-0092
Novartis Investigative Site
Oyama, Tochigi, 323-0827
Novartis Investigative Site
Rumoi, Hokkaido, 077-0007
Novartis Investigative Site
Saga, Saga-ken, 849-8501
Novartis Investigative Site
Saga, 840-8571
Novartis Investigative Site
Sagamihara, Kanagawa, 252-0375
Novartis Investigative Site
Saitama, 330 8503
Novartis Investigative Site
Sakai, Osaka, 593-8304
Novartis Investigative Site
Sakata, Yamagata, 998-8501
Novartis Investigative Site
Saku, Nagano, 384-0301
Novartis Investigative Site
Sapporo, Hokkaido, 060-0807
Novartis Investigative Site
Sapporo, Hokkaido, 060-8543
Novartis Investigative Site
Sapporo, Hokkaido, 063-0005
Novartis Investigative Site
Sasebo, Nagasaki, 857-8511
Novartis Investigative Site
Sendai, Miyagi, 980 8574
Novartis Investigative Site
Seto, Aichi-ken, 489-8642
Novartis Investigative Site
Shimonoseki, Yamaguchi, 750-0061
Novartis Investigative Site
Shimotsuke, Tochigi, 329-0498
Novartis Investigative Site
Shinagawa-ku, Tokyo, 142-8666
Novartis Investigative Site
Shinjuku Ku, Tokyo, 162 8666
Novartis Investigative Site
Shinjuku-ku, Tokyo, 160 8582
Novartis Investigative Site
Shinjuku-ku, Tokyo, 160-0023
Novartis Investigative Site
Shizuoka, 420-0853
Novartis Investigative Site
Shūnan, Yamaguchi, 745-8522
Novartis Investigative Site
Suita, Osaka, 565 0871
Novartis Investigative Site
Suwa, Nagano, 392-8510
Novartis Investigative Site
Suzuka, Mie-ken, 513-8505
Novartis Investigative Site
Takatsuki, Osaka, 569-8686
Novartis Investigative Site
Tokushima, 770-0852
Novartis Investigative Site
Tokushima, 770-8503
Novartis Investigative Site
Tōon, Ehime, 791-0295
Novartis Investigative Site
Toride, Ibaraki, 302-0022
Novartis Investigative Site
Toyama, Toyama, 930-0194
Novartis Investigative Site
Tsu, Mie-ken, 514-8507
Novartis Investigative Site
Tsubame, Niigata, 959-1228
Novartis Investigative Site
Tsubame, Niigata, 959-1284
Novartis Investigative Site
Tsuchiura, Ibaraki, 300-0028
Novartis Investigative Site
Tsukuba, Ibaraki, 305-8558
Novartis Investigative Site
Tsukuba, Ibaraki, 305-8576
Novartis Investigative Site
Ube, Yamaguchi, 755-8505
Novartis Investigative Site
Usa, Oita Prefecture, 879-0231
Novartis Investigative Site
Wako, Saitama, 351-0102
Novartis Investigative Site
Yachiyo, Chiba, 276-8524
Novartis Investigative Site
Yokohama, Kanagawa, 227-8501
Novartis Investigative Site
Yokohama, Kanagawa, 232 0024
Novartis Investigative Site
Yokohama, Kanagawa, 236-0004
Novartis Investigative Site
Yokosuka, Kanagawa, 238-8558
Novartis Investigative Site
Yufu, Oita Prefecture, 879-5593
About this study
Official title: Long Term Special Drug Use-results Surveillance for Mayzent in SPMS Patients (Prevention of Relapses and Delay of Progression of Physical Disability in Secondary Progressive Multiple Sclerosis)
This study is a single cohort, central registration system, all-case, open-label, multicenter observational study in patients using Mayzent for the indication of secondary progressive multiple sclerosis.
Read the detailed description
This is a non-interventional study, and as such there is no binding treatment strategy, diagnosis/treatment procedures or visit schedule. The investigator should administer Mayzent as labelled. Routine medical practice will apply to visit frequency and evaluation variables, and only these data will be collected by the sponsor as part of the study procedures. The investigator should record data in the applicable CRFs at every visit if possible.
- Being tested
- Mayzent
- Keywords
- Secondary Progressive Multiple Sclerosis, SPMS, Mayzent, Siponimod, Japan
- Medical subject headings
- Multiple Sclerosis, Chronic Progressive
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
MayzentDrug
There is no treatment allocation. Patients administered Mayzent by prescription that have started before inclusion of the patient into the study will be enrolled.
| Study group | Role | What they receive |
|---|---|---|
| Mayzent | Patients administered Mayzent by prescription Receives: Drug: Mayzent |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events (AE), Serious Adverse Events (SAE) and Adverse Reactions
A SAE is defined as an AE whose description suggests that it is serious or whose outcome is fatal.
An adverse reaction is defined as an adverse event that is suspected by the investigator to be causally related to Mayzent or whose causality is not recorded
Measured: 24 months
Secondary outcomes (5)
Physician's Global Assessment (PGA) of disease activity
Secondary Progressive Multiple Sclerosis (SPMS) symptom changes will be assessed an rated as "very much improved", "improved", "unchanged", "worsening" or "not assessable" in comparison with the symptoms at the start of Mayzent administration
Measured: month 12 and month 24
Changes over time in Expanded Disability Status Scale (EDSS) score
EDSS assesses disability. An overall score ranging from 0 (normal) to 10 (death due to MS) will be calculated.
Measured: Baseline, month 3, month 6, month 9, month 12, month 15, month 18, month 21 and month 24
Time to confirmed disability progression continuing for ≥ 3 months from the start of administration as assessed by the EDSS
Disability progression is defined as an increase of 1.5 points or more in patients with an EDSS score of 0 at baseline, an increase of 1 point or more in patients with an EDSS score of 0.5 to 5 at baseline and an increase of 0.5 points or more in patients with an EDSS score of 5.5 or more at baseline.
Measured: 24 months
Time to confirmed disability progression continuing for ≥ 6 months from the start of administration as assessed by the EDSS
Disability progression is defined as an increase of 1.5 points or more in patients with an EDSS score of 0 at baseline, an increase of 1 point or more in patients with an EDSS score of 0.5 to 5 at baseline and an increase of 0.5 points or more in patients with an EDSS score of 5.5 or more at baseline.
Measured: 24 months
Annual relapse rate
Annual relapse rate will be calculated
Measured: 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2020
- Study start28 Oct 2020
- Primary completion30 Aug 2023
- Study completion30 Aug 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Secondary Progressive Multiple Sclerosis (SPMS)Studies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 451 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04593927
- Sponsor's protocol ID
- CBAF312A1401
- Status last verified
- Feb 2024
- First submitted
- 14 Oct 2020
- Last updated
- 12 Feb 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 12 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Long Term Special Drug Use-results Surveillance for Mayzent in SPMS Patients (Prevention of Relapses and Delay of Progression of Physical Disability in Secondary Progressive Multiple Sclerosis)
- ClinicalTrials.gov ID
- NCT04593927
- Acronym / sponsor ID
- CBAF312A1401
- Keywords
- Secondary Progressive Multiple Sclerosis, SPMS, Mayzent, Siponimod, Japan
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 451 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 28 Oct 2020 (actual)
- Primary completion
- 30 Aug 2023 (actual)
- Study completion
- 30 Aug 2023 (actual)
- First posted
- 20 Oct 2020 (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 study is a single cohort, central registration system, all-case, open-label, multicenter observational study in patients using Mayzent for the indication of secondary progressive multiple sclerosis.
Detailed description
This is a non-interventional study, and as such there is no binding treatment strategy, diagnosis/treatment procedures or visit schedule. The investigator should administer Mayzent as labelled. Routine medical practice will apply to visit frequency and evaluation variables, and only these data will be collected by the sponsor as part of the study procedures. The investigator should record data in the applicable CRFs at every visit if possible.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Mayzent | – | Drug: MayzentPatients administered Mayzent by prescription |
Who may qualify
- Ages
- Up to 99 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- All patients using Mayzent for the following indication for a specified post-marketing period of time • Indication: prevention of relapses and delay of progression of physical disability in secondary progressive multiple sclerosis By allowing patients who started Mayzent administration before the conclusion of a contract for this study to be included in the study population after the contract, all patients treated with Mayzent will be enrolled in this study.
Key inclusion criteria (1 listed)
- Patients prescribed Mayzent for prevention of relapses and delay of progression of physical disability in secondary progressive multiple sclerosis
Key exclusion criteria (1 listed)
- -
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 |
|---|---|---|
| MayzentThere is no treatment allocation. Patients administered Mayzent by prescription that have started before inclusion of the patient into the study will be enrolled. | Drug | Mayzent |
Primary outcome
Incidence of Adverse Events (AE), Serious Adverse Events (SAE) and Adverse Reactions
Time frame: 24 months
A SAE is defined as an AE whose description suggests that it is serious or whose outcome is fatal. An adverse reaction is defined as an adverse event that is suspected by the investigator to be causally related to Mayzent or whose causality is not recorded
5 secondary outcomes
Physician's Global Assessment (PGA) of disease activity
Time frame: month 12 and month 24
Changes over time in Expanded Disability Status Scale (EDSS) score
Time frame: Baseline, month 3, month 6, month 9, month 12, month 15, month 18, month 21 and month 24
Time to confirmed disability progression continuing for ≥ 3 months from the start of administration as assessed by the EDSS
Time frame: 24 months
Time to confirmed disability progression continuing for ≥ 6 months from the start of administration as assessed by the EDSS
Time frame: 24 months
Annual relapse rate
Time frame: 24 months
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 12 Feb 2024.
- Individual participant dataSharing planned: No
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RecruitingPhase 3
A Study to Evaluate the Efficacy and Safety of Remibrutinib in Secondary Progressive Multiple Sclerosis
Secondary Progressive Multiple Sclerosis (SPMS)
Not yet recruitingPhase 1/2
C-CAR168, an Autologous Anti-CD20/BCMA Chimeric Antigen Receptor T-Cell Therapy, in Participants With Progressive Multiple Sclerosis Refractory to Standard Therapy
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RecruitingPhase 1/2
Treatment of Participants With Primary or Secondary Progressive Multiple Sclerosis
Primary Progressive Multiple Sclerosis, Secondary Progressive Multiple Sclerosis (SPMS)
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.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
174 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Secondary Progressive Multiple Sclerosis (SPMS), run by Novartis Pharmaceuticals at 174 sites in Japan.
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 1 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 12 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 174 sites in Japan. 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?
Incidence of Adverse Events (AE), Serious Adverse Events (SAE) and Adverse Reactions (time frame: 24 months). 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 12 Feb 2024; AzTrials last refreshed its copy on 8 Nov 2026.