Lupus Erythematosus, SystemicPhase 3OPUS OLENCT06475742
Long-term Safety and Tolerability of Cenerimod in Adults With Systemic Lupus Erythematosus
A Phase 3 study testing Cenerimod in people with Lupus Erythematosus, Systemic, run by Viatris Innovation GmbH at 122 sites in 26 countries.
Trial summary
The goal of this clinical study is to learn about the long-term safety and tolerability of cenerimod in adult patients with moderate to severe symptoms of systemic lupus erythematosus. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Lupus Erythematosus, Systemic
- What is being tested?
- Cenerimod
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 680 participants
- Where
- 122 sitesin 26 countries
- Study dates
- 30 Jul 2024to Sep 2032
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Signed and dated informed consent form prior to any study-mandated procedure.
- Participants with a diagnosis of systemic lupus erythematosus who:
- Completed the 12-month double-blind treatment period of either of the parent studies (ID-064A301, ID-064A302).
- Did not meet any study treatment stopping criteria during the parent study.
- Completed the last scheduled visit of the parent study. Participants who did not complete the last scheduled visit for reasons beyond their control may be eligible for this study upon approval by the sponsor.
- Women of child-bearing potential:
Show all 9Show fewer
- Negative pregnancy test at Visit 1.
- Agreement to undertake monthly urine pregnancy tests from Visit 2 up to 6 months after study treatment discontinuation.
- Agreement to use a highly effective method of contraception from Visit 1 up to 6 months after study treatment discontinuation.
Who cannot join
- Poor compliance with study-mandated procedures during the parent study (ID-064A301 or ID-064A302), e.g., took less than 80% of the planned doses of double-blind study treatment; or did not attend a majority of the site visits, unless there was a medically justified reason as judged by the investigator.
- Systemic lupus erythematosus driven renal disease, central nervous system lupus, or active severe or unstable neuropsychiatric systemic lupus erythematosus where, in the judgment of the investigator, protocol-specific systemic lupus erythematosus background therapy is insufficient, and the use of a more aggressive therapeutic approach or other treatments not permitted in the protocol is indicated.
- Women of child-bearing potential planning to become pregnant up to the final study visit.
- Judged not eligible to participate by the investigator, for any other reason.
- Confirmed active or latent tuberculosis (applicable only if requested by local regulations).
Trial locations and contacts
122 sites in 26 countries. Contact the study team or a site near you to ask about taking part.
122 sites in 26 countries
United States14 sites
University of Colorado Denver
Aurora, Colorado, 80045
Accurate Clinical Research Inc - (Najam)
Baytown, Texas, 77521
Novel Research LLC
Bellaire, Texas, 77401
Clinical Research of West Florida, Inc.
Clearwater, Florida, 33765
Omega Research MetroWest, LLC
DeBary, Florida, 32713
Accurate Clinical Research Inc.
Houston, Texas, 77089
Accurate Clinical Research Inc. - Lake Charles
Lake Charles, Louisiana, 70605
RB Wellness Clinic
Las Vegas, Nevada, 89102
SouthCoast Research Center, Inc.
Miami, Florida, 33136
Allied Biomedical Research Institute
Miami, Florida, 33155
D&H National Research Centers INC
Miami, Florida, 33155
Professional research Center INC
Miami, Florida, 33172
San Marcus Res Clin Inc.
Miami Lakes, Florida, 33014
Sun Research
San Antonio, Texas, 78215
Georgia11 sites
LTD "New Plasma Clinic"
Batumi, 6010
Institute of Clinical Cardiology, Ltd
Tbilisi, 0159
LTD "Tbilisi Central Hospital"
Tbilisi, 0159
National Institute of Endocrinology Ltd.
Tbilisi, 0159
Tbilisi Heart and Vascular Clinic Ltd.
Tbilisi, 0159
Aversi Clinic LTD
Tbilisi, 0160
Medi Club Georgia Ltd.
Tbilisi, 0160
Ltd. Mtskheta Street Clinic
Tbilisi, 0179
The First Medical Center Ltd.
Tbilisi, 0180
LLC "Innova"
Tbilisi, 0186
LTD "Tbilisi Heart Center"
Tbilisi, 0186
Philippines10 sites
Chong-Hua Hospital
Cebu City, 6000
Davao Doctors Hospital
Davao City, 8000
Iloilo Doctors Hospital
Iloilo City, 5000
Lipa Medix Medical Center
Lipa City, 4217
Makati Medical Center
Makati, 1229
Ospital ng Makati
Makati, 1642
St Lukes Medical Center
Quezon City, 1102
Far Eastern University - Nicanor Reyes Medical Foundation
Quezon City, 1118
St Luke's Medical Center Quezon City / University of Santo Tomas Hospital
Sampaloc, 1015
Jose R. Reyes Memorial Medical Center
Santa Cruz, 1003/1014
Argentina8 sites
Aprillus Asistencia e Investigacion
Buenos Aires, 1406
Centro Médico Arsema
Buenos Aires, 1416
Fundación Respirar
Buenos Aires, 1426
IR Medical Center S.A.
Mendoza, 5500
Instituto Medico CER
Quilmes, B1878DVB
Instituto CAICI SRL
Rosario, S2000PBJ
Centro de investigaciones medicas Tucuman
San Miguel de Tucumán, T4000AXL
ICT (Investigaciones Clínicas Tucumán)
San Miguel de Tucumán, T4000ICL
Colombia7 sites
Clínica de la costa S.A.S.
Barranquilla, 080020
IDEARG (Instituto de Enfermedades Autoinmunes Renato Guzmán)
Bogotá, 110221
Servimed S.A.S
Bucaramanga, 680003
Centro de Estudios de Reumatología y Dermatología
Cali, 760042
Preventive Care SAS
Chía, 250001
Hospital Pablo Tobon Uribe
Medellín, 050034
Healthy Medical Center SAS
Zipaquirá, 250252
Poland7 sites
Szpital Uniwersytecki nr 2 im. dr. Jana Biziela w Bydgoszczy
Bydgoszcz, 85-168
Centrum Medyczne Pratia Częstochowa
Częstochowa, 42-217
Centrum Medyczne Angelius Provita
Katowice, 40-611
Vita Longa Sp. z o.o.
Katowice, 40-748
Medyczne Centrum Hetmanska
Poznan, 60-218
Twoja Przychodnia Poznańskie Centrum Medyczne
Poznan, 60-324
Malwa-Med Iwona Chlebicka
Wroclaw, 50-304
Chile6 sites
Enroll SpA
Providencia, 7500588
Biomedica Research Group
Providencia, 7500710
Sociedad Médica del Aparato Locomotor S. A.
Providencia, 7510186
Centro de Especialidades Medicas Vanguardia
Temuco, 4810345
Clinical Research Chile SpA
Valdivia, 5110683
Hospital San José de Victoria
Victoria, 4720000
Greece6 sites
Naval Hospital of Athens
Athens, 115 21
General Hospital of Athens "Hippokration"
Athens, 115 27
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
Chaïdári, 12462
Euromedica - Kyanos Stavros
Thessaloniki, 546 36
General Hospital of Thessaloniki "Hippokration"
Thessaloniki, 546 42
424 General Military Hospital
Thessaloniki, 564 29
Peru6 sites
Centro de Investigación del Hospital Militar Central
Jesus Maria, 15076
Hospital Nacional Cayetano Heredia
Lima, 15102
Unidad de Investigación de la Clinica International
San Borja, 15036
Instituto Peruano del Hueso y la Articulación S.A.C. (IPHAR)
San Isidro, 15046
Unidad de Investigación en Reumatología e Inmunología CSJB
San Juan de Lurigancho, 15431
Investigaciones Clinicas / Instituto de Ginecologa y Reproduccion
Santiago de Surco, 15023
Portugal5 sites
Hospital Prof. Doutor Fernando Fonseca
Amadora, 2730-276
Centro Hospitalar Universitário do Algarve - Hospital de Faro
Faro, 8000-386
ULS Guarda
Guarda, 6300-749
Hospital Senhora Oliveira-Guimaraes
Guimarães, 4835-044
Centro Hospitalar de Vila Nova de Gaia/Espinho, E.P.E.
Vila Nova de Gaia, 4434-502
Serbia5 sites
Institute for Rheumatology, Belgrade
Belgrade, 11000
Institute of Rheumatology, Belgrade
Belgrade, 11000
University Clinical Center of Serbia
Belgrade, 11000
Military Medical Academy
Belgrade, 11040
Special Hospital for Rheumatic Diseases, Novi Sad
Novi Sad, 21000
Mexico4 sites
Morales Vargas Centro de Investigación S.C.
León, 37000
Unidad de Atención Médica e Investigación en Salud
Mérida, 97070
Centro de Atención e Investigación Cardiovascular del Potosí, S.C.
San Luis Potosí City, 78200
Investigación Biomédica para el Desarrollo de Fármacos S.A. de C.V.
Zapopan, 45070
South Africa4 sites
Arthritis Clinical Research Trials
Cape Town, 7405
Panorama Medical Centre
Panorama, 7500
Charlotte Maxeke Johannesburg Academic Hospital
Parktown, 2193
University of Pretoria
Pretoria, 0002
Spain4 sites
Parc Taulí Sabadell University Hospital
Sabadell, 08208
Clinica Gaias Santiago
Santiago de Compostela, 15702
Hospital QuironSalud Sagrado Corazon
Seville, 41013
Hospital Universitario Río Hortega de Valladolid
Valladolid, 47012
Taiwan4 sites
National Taiwan University Hospital
Taipei, 100225
Taipei Veterans General Hospital
Taipei, 11217
TRI-Service General Hospital
Taipei, 114202
Linkou Chang Gung Memorial Hospital
Taoyuan City, 333423
Ukraine4 sites
Communal Non-Commercial Enterprise "Cherkasy Regional Hospital of Cherkasy Regional Council", Cardio-Rheumatology Department
Cherkasy, 18009
Medical Center LLC "Institute of Rheumatology", clinical trials department No.1
Kyiv, 02081
Limited Liability Company "Medical Centre 'Consilium Medical'", Clinical and Consultation Department
Kyiv, 04050
Ternopil Regional Clinical Hospital, Department of Internal Medicine No.2
Ternopil, 46002
Thailand3 sites
Rajavithi Hospital
Bangkok, 10400
Ramathibodi Hospital
Bangkok, 10400
Songklanagarind Hospital
Songkhla, 90110
Brazil2 sites
LMK Servicos Medico S/S
Porto Alegre, 90480000
SER - Serviços Especializados em Reumatologia da Bahia
Salvador, 40150-150
Bulgaria2 sites
Outpatient Clinic for Specialized Outpatient Medical Care - Medical Center Kyuchuk Parizh Ltd.
Plovdiv, 4004
DCC Equita EOOD
Varna, 9000
Czechia2 sites
iMedica s.r.o.
Brno, 60200
Institute of Rheumatology Prague
Prague, 128 00
Germany2 sites
Universitatsklinikum Leipzig
Leipzig, 4103
Klinik für Rheumatologie und Klinische Immunologie
Minden, 32429
Puerto Rico2 sites
Centro Reumatologico de Caguas
Caguas, 00725
GCM Medical Group, PSC
San Juan, 00917
Romania1 site
Centrul Medical de Diagnostic si Tratament Ambulatoriu Neomed S.R.L
Brasov, 500283
About this study
Official title: A Phase 3, Multicenter, Open-label, Single-arm, Extension Study to Evaluate the Long-term Safety and Tolerability of Cenerimod in Adult Subjects With Moderate-to-Severe Systemic Lupus Erythematosus (SLE) on Top of Background Therapy
The goal of this clinical study is to learn about the long-term safety and tolerability of cenerimod in adult patients with moderate to severe symptoms of systemic lupus erythematosus.
The main questions it aims to answer are:
Read more
- Whether cenerimod causes any adverse effects ('side effects') when given on top of drugs already being given for systemic lupus erythematosus.
- How well cenerimod works to reduce symptoms of systemic lupus erythematosus when taken for up to 5 years.
Participants taking part in this study will have already taken part in another study, where they received either cenerimod or placebo (look-alike substance containing no active drug) for 1 year.
In this clinical study approximately 680 participants will receive cenerimod (on top of drugs already being given for systemic lupus erythematosus) for up to 5 years.
Read the detailed description
Participants who completed the 12-month double-blind treatment period (cenerimod 4 mg or placebo) in either of the parent studies, ID-064A301 or ID-064A302, are eligible to participate in this extension study.
All participants in this study will receive cenerimod 4 mg for up to a maximum of 60 months (5 years). All participants may additionally receive standard of care treatment for systemic lupus erythematosus, i.e., at least 1 of the following: oral corticosteroids, antimalarial drugs, or immunosuppressant drugs.
The safety follow-up period starts on the day after the last dose of study treatment and ends after 6 months with the final study visit. Thus, the maximum duration of participation is 5.5 years.
Data collected in this extension study will allow an assessment of whether the safety and tolerability profile of cenerimod established in the controlled parent studies remains the same after a longer period of treatment.
- Conditions
- Lupus Erythematosus, Systemic
- Being tested
- Cenerimod
- Keywords
- Skin and Connective Tissue Diseases, Connective Tissue Diseases, Immune System Diseases, Autoimmune Diseases, Musculoskeletal and connective tissue disorders
- Medical subject headings
- Lupus Erythematosus, Systemic, Skin and Connective Tissue Diseases, Connective Tissue Diseases, Immune System Diseases, Autoimmune Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CenerimodDrug
Also called ACT-334441
Film-coated tablets at a dose of 4 mg.
| Study group | Role | What they receive |
|---|---|---|
| Cenerimod 4 mg | Experimental | Participants will receive oral cenerimod once daily in addition to background systemic lupus erythematosus therapy, for up to 5 years. Receives: Drug: Cenerimod |
What is being measured
The primary outcome is the main question the study is designed to answer.
Treatment-emergent adverse events
Occurrence of treatment-emergent adverse events up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period).
Measured: Day 1 (post dose) to a maximum of 5.5 years
Serious adverse events
Occurrence of serious adverse events up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period).
Measured: Day 1 (post dose) to a maximum of 5.5 years
Adverse events of special interest
Occurrence of adverse events of special interest up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period).
Adverse events of special interest include the anticipated risks of treatment with cenerimod, known class effects, and events that may be related to systemic lupus erythematosus comorbidities, i.e., adverse events related to:
- Effects on heart rate and rhythm
- Hypotension
- Hypertension
- Cardiovascular
- Hepatobiliary disorders / liver enzyme abnormalities
- Pulmonary
- Eye disorders
- Infections
- Skin malignancies
- Non-skin malignancies
Measured: Day 1 (post dose) to a maximum of 5.5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jun 2024
- Study start30 Jul 2024
- Primary completionSep 2032 (estimated)
- Study completionSep 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Lupus Erythematosus, SystemicStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 680 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Viatris Innovation GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Viatris Innovation GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06475742
- Sponsor's protocol ID
- ID-064A303
- Other IDs
- 2024-514354-67-00
- Acronym
- OPUS OLE
- Status last verified
- Sep 2026
- First submitted
- 20 Jun 2024
- Last updated
- 11 Sep 2026
- 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 11 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Multicenter, Open-label, Single-arm, Extension Study to Evaluate the Long-term Safety and Tolerability of Cenerimod in Adult Subjects With Moderate-to-Severe Systemic Lupus Erythematosus (SLE) on Top of Background Therapy
- ClinicalTrials.gov ID
- NCT06475742
- Acronym / sponsor ID
- OPUS OLE / ID-064A303
- Conditions
- Lupus Erythematosus, Systemic
- Keywords
- Skin and Connective Tissue Diseases, Connective Tissue Diseases, Immune System Diseases, Autoimmune Diseases, Musculoskeletal and connective tissue disorders
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 680 participants (estimated)
- Lead sponsor
- Viatris Innovation GmbHIndustry (pharma, biotech, devices)
- Study start
- 30 Jul 2024 (actual)
- Primary completion
- Sep 2032 (estimated)
- Study completion
- Sep 2032 (estimated)
- First posted
- 26 Jun 2024 (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 goal of this clinical study is to learn about the long-term safety and tolerability of cenerimod in adult patients with moderate to severe symptoms of systemic lupus erythematosus.
The main questions it aims to answer are:
- Whether cenerimod causes any adverse effects ('side effects') when given on top of drugs already being given for systemic lupus erythematosus.
- How well cenerimod works to reduce symptoms of systemic lupus erythematosus when taken for up to 5 years.
Participants taking part in this study will have already taken part in another study, where they received either cenerimod or placebo (look-alike substance containing no active drug) for 1 year.
In this clinical study approximately 680 participants will receive cenerimod (on top of drugs already being given for systemic lupus erythematosus) for up to 5 years.
Detailed description
Participants who completed the 12-month double-blind treatment period (cenerimod 4 mg or placebo) in either of the parent studies, ID-064A301 or ID-064A302, are eligible to participate in this extension study.
All participants in this study will receive cenerimod 4 mg for up to a maximum of 60 months (5 years). All participants may additionally receive standard of care treatment for systemic lupus erythematosus, i.e., at least 1 of the following: oral corticosteroids, antimalarial drugs, or immunosuppressant drugs.
The safety follow-up period starts on the day after the last dose of study treatment and ends after 6 months with the final study visit. Thus, the maximum duration of participation is 5.5 years.
Data collected in this extension study will allow an assessment of whether the safety and tolerability profile of cenerimod established in the controlled parent studies remains the same after a longer period of treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Cenerimod 4 mg | Experimental | Drug: CenerimodParticipants will receive oral cenerimod once daily in addition to background systemic lupus erythematosus therapy, for up to 5 years. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Signed and dated informed consent form prior to any study-mandated procedure.
- Participants with a diagnosis of systemic lupus erythematosus who:
- Women of child-bearing potential:
Key exclusion criteria (5 listed)
- Poor compliance with study-mandated procedures during the parent study (ID-064A301 or ID-064A302), e.g., took less than 80% of the planned doses of double-blind study treatment; or did not attend a majority of the site visits, unless there was a medically justified reason as judged by the investigator.
- Systemic lupus erythematosus driven renal disease, central nervous system lupus, or active severe or unstable neuropsychiatric systemic lupus erythematosus where, in the judgment of the investigator, protocol-specific systemic lupus erythematosus background therapy is insufficient, and the use of a more aggressive therapeutic approach or other treatments not permitted in the protocol is indicated.
- Women of child-bearing potential planning to become pregnant up to the final study visit.
- Judged not eligible to participate by the investigator, for any other reason.
- Confirmed active or latent tuberculosis (applicable only if requested by local regulations).
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 |
|---|---|---|
| CenerimodAlso: ACT-334441Film-coated tablets at a dose of 4 mg. | Drug | Cenerimod 4 mg |
Primary outcome
Treatment-emergent adverse events
Time frame: Day 1 (post dose) to a maximum of 5.5 years
Occurrence of treatment-emergent adverse events up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period).
Serious adverse events
Time frame: Day 1 (post dose) to a maximum of 5.5 years
Occurrence of serious adverse events up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period).
Adverse events of special interest
Time frame: Day 1 (post dose) to a maximum of 5.5 years
Occurrence of adverse events of special interest up to the final study visit (maximum 5 years of study treatment plus 6-month safety follow-up period). Adverse events of special interest include the anticipated risks of treatment with cenerimod, known class effects, and events that may be related to systemic lupus erythematosus comorbidities, i.e., adverse events related to: * Effects on heart rate and rhythm * Hypotension * Hypertension * Cardiovascular * Hepatobiliary disorders / liver enzyme abnormalities * Pulmonary * Eye disorders * Infections * Skin malignancies * Non-skin malignancies
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2026.
- 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.
Clinical Trials study director
Viatris Innovation GmbH
122 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cenerimod in people with Lupus Erythematosus, Systemic, run by Viatris Innovation GmbH at 122 sites in 26 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 9 inclusion and 5 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: enrolling by invitation, as of the sponsor's last update on 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 122 sites in United States, Georgia, Philippines, Argentina, Colombia and 21 more countries. 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?
This study is still under way. Results are not available in the source record yet.
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?
Treatment-emergent adverse events (time frame: Day 1 (post dose) to a maximum of 5.5 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 11 Sep 2026.