Non-small Cell Lung CancerPhase 3NCT05042375
A Trial of Camrelizumab Combined With Famitinib Malate in Treatment Naïve Subjects With PD-L1-Positive Recurrent or Metastatic Non-Small Cell Lung Cancer
A Phase 3 study testing camrelizumab + famitinib, pembrolizumab and camrelizumab in people with Non-small Cell Lung Cancer, run by Jiangsu HengRui Medicine Co., Ltd. at 80 sites in China.
Trial summary
The study is being conducted to evaluate the efficacy, and safety of camrelizumab combined with famitinib malate vs. pembrolizumab in treatment naïve subjects with programmed death-ligand 1(PD-L1)-positive recurrent or metastatic non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Non-small Cell Lung Cancer
- What is being tested?
- camrelizumab + famitinib, pembrolizumab and camrelizumab
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 450 participants
- Where
- 80 sitesChina
- Study dates
- 8 Sep 2022to 31 Dec 2025
- Phase
- Phase 3
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have a histologically or cytologically confirmed diagnosis of metastatic NSCLC (stage IV according to the TNM staging criteria [8th edition] published by the International Association for the Study of Lung Cancer [IASLC]), or NSCLC that recurs after curable surgery, radiotherapy, or radiochemotherapy.
- Have measurable disease based on RECIST v1.1.
- ECOG PS score: 0-1.
- Have a life expectancy of at least 3 months.
- Non-surgically sterilized female subjects or women of childbearing potential must be negative for a serum pregnancy test within 3 days prior to the first dose and must be non-lactating. Female subjects of childbearing potential and male subjects with partners of childbearing potential must agree to take highly effective contraceptive measures during the study period and within 6 months after the last dose of study drugs.
- Have voluntarily agreed to participate by giving written informed consent for the study, have good compliance, and cooperate with follow-up visits.
Who cannot join
- Accompanied with EGFR activating mutation, ALK fusion gene positive or ROS1 mutation.
- Have uncontrolled clinically symptomatic pleural effusion, pericardial effusion, or ascites.
- Have known history of prior malignancy in the past 3 years.
- Have had an allogeneic tissue/solid organ transplant.
- Have active pulmonary tuberculosis.
- Have clinical symptoms of the heart or heart diseases that are not well controlled.
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- Have hypertension which cannot be well controlled by antihypertensives
- Urinalysis has indicated that the urine protein is ≥ ++ and quantitative test of urine protein has confirmed that the 24-h urine protein is > 1.0 g.
- Have a thrombosis tendency or are currently receiving thrombolysis/anticoagulation therapy.
- Have received major surgery within 4 weeks prior to randomization; or palliative radiotherapy within 2 weeks prior to randomization; or have not recovered from the toxicities and/or complications of previous interventions to NCI-CTCAE Grade ≤ 1.
- Have known history of arterial/venous thrombosis within 6 months prior to randomization, such as cerebrovascular accidents, deep vein thrombosis and pulmonary embolism.
- Have received prior therapy with anti-PD-1/PD-L1 monoclonal antibodies, anti-CTLA-4 monoclonal antibodies, or small molecule VEGFR inhibitors.
- Have known allergies to other monoclonal antibodies or any component of famitinib.
- Are currently participating and receiving study therapy or have participated in a study and received the last dose of study drug within 4 weeks (or 5 half-lives of the study drug) prior to randomization.
- Have other potential factors that may affect the study results or result in the premature discontinuation as determined by the investigator, such as alcoholism, drug abuse, substance abuse, other serious diseases (including mental illness) requiring concomitant treatment, serious laboratory abnormalities, or family or social factors that could affect the safety of medication.
Trial locations and contacts
80 sites in 1 country.
80 sites in 1 country
China80 sites, 80 recruiting
- Recruiting
Anyang Cancer Hospital
Anyang, Henan, 455000
Yonggui Hong
- Not yet recruiting
Baoji Central Hospital
Baoji, Shanxi, 721000
Yaning Zhao
- Not yet recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100000
Jian Fang
- Not yet recruiting
Beijing Chest Hospital,Capital Medical University
Beijing, Beijing Municipality, 100000
Tongmei Zhang
- Recruiting
Peking University Third Hospital
Beijing, Beijing Municipality, 100000
Baoshan Cao
- Not yet recruiting
The First Affiliated Hospital of Bengbu Medical College
Bengbu, Anhui, 233000
Chengling Zhao
- Recruiting
Army Medical Center of PLA
Changsha, Hunan, 410000
Xuewen Liu
- Recruiting
Hunan Cancer Hospital-Thoracic Medicine Department I
Changsha, Hunan, 410000
Yongzhong Luo
- Recruiting
Hunan Cancer Hospital-Thoracic Medicine Department Ⅱ
Changsha, Hunan, 410000
Lin Wu
- Not yet recruiting
Xiangya Hospital Central South University
Changsha, Hunan, 410000
Huaping Yang
- Not yet recruiting
Changzhi People's Hospital
Changzhi, Shanxi, 046000
Jun Zhao
- Not yet recruiting
Sichuan Cancer Hospital
Chengdu, Sichuan, 610000
Wenxiu Yao
- Not yet recruiting
Chifeng City Hospital
Chifeng, Neimenggu, 024000
Minghui Zhang
- Recruiting
ChongQing University Cancer Hospital
Chongqing, Chongqing Municipality, 400000
Luchun LI
- Not yet recruiting
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350000
Jinhuo Lai
- Not yet recruiting
Fujian Provincial Cancer Hospital
Fuzhou, Fujian, 350000
Zhiyong He
- Not yet recruiting
First Affiliated Hospital of Gannan Medical University
Ganzhou, Jiangxi, 341000
Huaqiu Shi
- Not yet recruiting
The People's Hospital of Gaozhou
Gaozhou, Guangdong, 525200
Wanli Lin
- Not yet recruiting
Affiliated Cancer Hospital and Institute of Guangzhou Medical University
Guangzhou, Guangdong, 510000
Jian Wang
- Not yet recruiting
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, Guangdong, 510000
Chengzhi Zhou
- Not yet recruiting
The First Affiliated Hospital of Guangzhou University of Chinese Medicine
Guangzhou, Guangdong, 510000
Lizhu Lin
- Not yet recruiting
Affiliated Hospital of Guilin Medical University
Guilin, Guangxi, 541000
Mafei Kang
- Not yet recruiting
Hainan General Hospital
Haikou, Hainan, 570100
Yongxing Chen
- Not yet recruiting
Hangzhou Cancer Hospital
Hangzhou, Zhejiang, 310000
Xueqin Chen
- Not yet recruiting
The First Affiliated Hospital, College of Medicine, Zhejiang University of Medicine
Hangzhou, Zhejiang, 310000
Jianya Zhou
- Not yet recruiting
The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310000
Wen Li
- Not yet recruiting
ZheJiang Cancer Hospital
Hangzhou, Zhejiang, 310000
Yun Fan
- Not yet recruiting
Haerbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150000
Yan Wang
- Not yet recruiting
Anhui Chest Hospital
Hefei, Anhui, 230000
Haowei Fang
- Not yet recruiting
Anhui Provincial Cancer Hospital
Hefei, Anhui, 230000
Zhihong Zhang
- Not yet recruiting
Anhui Provincial Hospital
Hefei, Anhui, 230000
Xinghua Han
- Not yet recruiting
The First Affiliated Hospital Of Anhui Medical University
Hefei, Anhui, 230000
Yingying Du
- Not yet recruiting
The Affiliated Hospital of Inner Mongolia Medical University
Hohhot, Neimenggu, 010000
Qun Hu
- Not yet recruiting
Qilu Hospital of Shandong University
Jinan, Shandong, 250000
Yufeng Cheng
- Not yet recruiting
Shandong Cancer Hospital&Institute
Jinan, Shandong, 250000
Xiqin Zhang
- Not yet recruiting
Yunnan Cancer Hospital
Kunming, Yunnan, 650000
Yunchao Huang
- Not yet recruiting
LinYi Cancer Hospital
Linyi, Shangdong, 276000
Jianhua Shi
- Recruiting
The First Affiliated Hosptial of Henan University of Science & Technology
Luoyang, Henan, 471000
Jun Yao
- Not yet recruiting
The Affiliated Hospital of Southwest Medical University
Luzhou, Sichuan, 646000
Peirong Ren
- Not yet recruiting
Meizhou People's Hospital (Huangtang Hospital)
Meizhou, Guangdong, 514000
Guowu Wu
- Not yet recruiting
Mianyang Central Hospital
Mianyang, Sichuan, 621000
Weiguo Xu
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330000
Fei Xu
- Recruiting
The Second Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330000
Anwen Liu
- Not yet recruiting
Affiliated Drum Tower Hospital, Medical School of Nanjing University
Nanjing, Jiangsu, 210000
Yongsheng Wang
- Recruiting
Zhongda Hospital Southeast University
Nanjing, Jiangsu, 210000
Ruifeng Zhang
- Not yet recruiting
Guangxi Medical University Affiliated Tumor Hospital
Nanning, Guangxi, 530000
Aiping Zeng
- Not yet recruiting
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530000
Zhiyi He
- Not yet recruiting
Nantong Tumor Hospital
Nantong, Jiangsu, 226000
Junguo Lu
- Not yet recruiting
The Affiliated of Qingdao University
Qingdao, Shandong, 266000
Jing Wang
- Not yet recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200000
Si Sun
- Not yet recruiting
Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200000
Min Zhou
- Not yet recruiting
Shanghai Chest Hospital
Shanghai, Shanghai Municipality, 200000
Hua Zhong
- Recruiting
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200000
Caicun Zhou
- Not yet recruiting
Shantou Central Hospital
Shantou, Guangdong, 515000
Xunyan Liu
- Recruiting
Shaoyang Central Hospital
Shaoyang, Hunan, 422000
Xinfu Liu
- Not yet recruiting
Liaoning Cancer Hospital
Shenyang, Liaoning, 110000
Jinghui Bai
- Not yet recruiting
Shengjing Hospital Affiliated to China Medical University
Shenyang, Liaoning, 110000
Wei Zheng
- Not yet recruiting
The First Hospital of China Medical University
Shenyang, Liaoning, 110000
Bo Jin
- Not yet recruiting
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050000
Jun Wang
- Not yet recruiting
Shiyan Taihe Hospital
Shiyan, Hubei, 442000
Meifang Wang
- Not yet recruiting
General Hospital of TISCO
Taiyuan, Shanxi, 030000
Weihua Jia
- Not yet recruiting
Shanxi Bethune Hospital
Taiyuan, Shanxi, 030000
Qi Mei
- Recruiting
Shanxi Provincial Cancer Hospital
Taiyuan, Shanxi, 030000
Weihua Yang
- Not yet recruiting
North China University Of Science And Technology Affiliated Hospital
Tangshan, Hebei, 063000
Guogui Sun
- Recruiting
Tianjin Medical University Cancer Institute & Hospital
Tianjin, Tianjin Municipality, 300000
Dingzhi Huang
- Not yet recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430000
Xiaorong Dong
- Recruiting
Affiliated Hospital of JiangNan University
Wuxi, Jiangsu, 214000
Xiaoping Chen
- Recruiting
The Second Affiliated Hospital of Air Force Military University Tangdu Hospital
Xi’an, Shanxi, 710000
Haichuan Su
- Not yet recruiting
The First Affiliated Hospital of Xiamen University
Xiamen, Fujian, 361000
Qihong Zhuang
- Recruiting
The Second Affiliated Hospital of Xiamen Medical College
Xiamen, Fujian, 361000
Hui Yang
- Recruiting
Xiangyang Central Hospital
Xiangyang, Hubei, 441000
Tienan Yi
- Not yet recruiting
Xingtai People's Hospital
Xingtai, Hebei, 054000
Yonghui Di
- Not yet recruiting
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu, 221000
Bi Chen
- Recruiting
Northern Jiangsu People's Hospital
Yangzhou, Jiangsu, 225000
Xingxiang Xu
- Not yet recruiting
Yibin Second People's Hospital
Yibin, Sichuan, 644000
Shanbing Wang
- Not yet recruiting
Affiliated Hospital of Guangdong Medical University
Zhanjiang, Guangdong, 524000
Hualin Chen
- Not yet recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450000
Qiming Wang
- Recruiting
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450000
Guojun Zhang
- Not yet recruiting
Zhuzhou Central Hospital
Zhuzhou, Hunan, 412000
Bo Qiu
- Not yet recruiting
Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, 563000
Liang Zhou
About this study
Official title: A Randomized, Open-Label, Controlled, Multi-center Phase Ⅲ Study of Camrelizumab Combined With Famitinib Malate Versus Pembrolizumab in Treatment Naïve Subjects With PD-L1-Positive Recurrent or Metastatic Non-Small Cell Lung Cancer
The study is being conducted to evaluate the efficacy, and safety of camrelizumab combined with famitinib malate vs. pembrolizumab in treatment naïve subjects with programmed death-ligand 1(PD-L1)-positive recurrent or metastatic non-small cell lung cancer (NSCLC).
- Conditions
- Non-small Cell Lung Cancer
- Being tested
- camrelizumab + famitinib, pembrolizumab, camrelizumab
- Medical subject headings
- Carcinoma, Non-Small-Cell Lung
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
camrelizumab + famitinibDrug
Camrelizumab for injection, 200 mg; Famitinib malate capsules, 20 mg.
pembrolizumabDrug
pembrolizumab 200 mg.
camrelizumabDrug
Camrelizumab for injection, 200 mg.
| Study group | Role | What they receive |
|---|---|---|
| camrelizumab + famitinib | Experimental | Not described Receives: Drug: camrelizumab + famitinib |
| pembrolizumab | Experimental | Not described Receives: Drug: pembrolizumab |
| camrelizumab | Experimental | Not described Receives: Drug: camrelizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
PFS assessed by BIRC
Progression-Free-Survival, defined as the time from randomization to the first occurrence of disease progression as determined by IRC with use of RECIST v1.1 or death from any cause, whichever occurs first.
Measured: up to 3 years
Secondary outcomes (7)
PFS assessed by investigator
Progression-Free-Survival
Measured: up to 3 years
ORR
Objective Response Rate, determined using RECIST v1.1 criteria, defined as best overall response (CR or PR) across all assessment time points
Measured: up to 3 years
DCR
Disease Control Rate, determined using RECIST v1.1 criteria
Measured: up to 3 years
DoR
Duration of Response, determined using RECIST v1.1 criteria
Measured: up to 3 years
TTF
Time to Treatment Failure, defined as the time from randomization to treatment discontinuation.
Measured: up to 3 years
AEs+SAEs
Adverse Events and Serious Adverse Events
Measured: from the first drug administration to within 90 days for the last SHR-1210 dose
OS
OS is the time interval from the date of randomization to death due to any reason or lost of follow-up
Measured: up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2021
- Study start8 Sep 2022
- Primary completion31 Dec 2023 (estimated)
- Study completion31 Dec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Jiangsu HengRui Medicine Co., Ltd.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Camrelizumab Combined with Famitinib Malate versus Pembrolizumab
- Masking
- None (open label)
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05042375
- Sponsor's protocol ID
- SHR-1210-III-331
- Status last verified
- Oct 2022
- First submitted
- 1 Sep 2021
- Last updated
- 17 Nov 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Open-Label, Controlled, Multi-center Phase Ⅲ Study of Camrelizumab Combined With Famitinib Malate Versus Pembrolizumab in Treatment Naïve Subjects With PD-L1-Positive Recurrent or Metastatic Non-Small Cell Lung Cancer
- ClinicalTrials.gov ID
- NCT05042375
- Acronym / sponsor ID
- SHR-1210-III-331
- Conditions
- Non-small Cell Lung Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 450 participants (estimated)
- Lead sponsor
- Jiangsu HengRui Medicine Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 8 Sep 2022 (actual)
- Primary completion
- 31 Dec 2023 (estimated)
- Study completion
- 31 Dec 2025 (estimated)
- First posted
- 13 Sep 2021 (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.
The study is being conducted to evaluate the efficacy, and safety of camrelizumab combined with famitinib malate vs. pembrolizumab in treatment naïve subjects with programmed death-ligand 1(PD-L1)-positive recurrent or metastatic non-small cell lung cancer (NSCLC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Camrelizumab Combined with Famitinib Malate versus Pembrolizumab
| Arm | Type | Receives |
|---|---|---|
| camrelizumab + famitinib | Experimental | Drug: camrelizumab + famitinib |
| pembrolizumab | Experimental | Drug: pembrolizumab |
| camrelizumab | Experimental | Drug: camrelizumab |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Have a histologically or cytologically confirmed diagnosis of metastatic NSCLC (stage IV according to the TNM staging criteria [8th edition] published by the International Association for the Study of Lung Cancer [IASLC]), or NSCLC that recurs after curable surgery, radiotherapy, or radiochemotherapy.
- Have measurable disease based on RECIST v1.1.
- ECOG PS score: 0-1.
- Have a life expectancy of at least 3 months.
- Non-surgically sterilized female subjects or women of childbearing potential must be negative for a serum pregnancy test within 3 days prior to the first dose and must be non-lactating. Female subjects of childbearing potential and male subjects with partners of childbearing potential must agree to take highly effective contraceptive measures during the study period and within 6 months after the last dose of study drugs.
Key exclusion criteria (15 listed)
- Accompanied with EGFR activating mutation, ALK fusion gene positive or ROS1 mutation.
- Have uncontrolled clinically symptomatic pleural effusion, pericardial effusion, or ascites.
- Have known history of prior malignancy in the past 3 years.
- Have had an allogeneic tissue/solid organ transplant.
- Have active pulmonary tuberculosis.
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 |
|---|---|---|
| camrelizumab + famitinibCamrelizumab for injection, 200 mg; Famitinib malate capsules, 20 mg. | Drug | camrelizumab + famitinib |
| pembrolizumabpembrolizumab 200 mg. | Drug | pembrolizumab |
| camrelizumabCamrelizumab for injection, 200 mg. | Drug | camrelizumab |
Primary outcome
PFS assessed by BIRC
Time frame: up to 3 years
Progression-Free-Survival, defined as the time from randomization to the first occurrence of disease progression as determined by IRC with use of RECIST v1.1 or death from any cause, whichever occurs first.
7 secondary outcomes
PFS assessed by investigator
Time frame: up to 3 years
ORR
Time frame: up to 3 years
DCR
Time frame: up to 3 years
DoR
Time frame: up to 3 years
TTF
Time frame: up to 3 years
AEs+SAEs
Time frame: from the first drug administration to within 90 days for the last SHR-1210 dose
OS
Time frame: up to 4 years
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2022.
- Individual participant dataSharing planned: Undecided
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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.
80 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing camrelizumab + famitinib, pembrolizumab and camrelizumab in people with Non-small Cell Lung Cancer, run by Jiangsu HengRui Medicine Co., Ltd. at 80 sites in China.
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 6 inclusion and 15 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: status not confirmed, as of the sponsor's last update on 17 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 80 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact weixia Li, M.M (+86-15005136260, Weixia.li@hengrui.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
PFS assessed by BIRC (time frame: up to 3 years). 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 17 Nov 2022.