Healthy AdultNCT07447310
Comparing 360-degree VR Video of Local vs Overseas Environment on Psychological Health
A study testing Local Environment 360-degree VR Video and Overseas Environment 360-Degree VR Video in people with Healthy Adult and Volunteer, run by Universiti Kebangsaan Malaysia Medical Centre at 1 site in Malaysia.
Trial summary
Medical students frequently experience high levels of stress, anxiety, and depression due to intense academic pressures. While spending time outdoors in nature is a proven way to reduce these negative feelings, students rarely have the time to do so. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Healthy Adult, Volunteer, Psychological Stress, Anxiety, and Depression Associated With Academic Pressure
- What is being tested?
- Local Environment 360-degree VR Video and Overseas Environment 360-Degree VR Video
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 1 siteMalaysia
- Study dates
- 15 Nov 2024to 31 Aug 2025
- 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 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Academic Status: Actively enrolled as a fourth-year or fifth-year undergraduate medical student at Universiti Kebangsaan Malaysia (UKM).
- Age: 18 years of age or older (necessary for providing legal informed consent).
- Sensory Ability: Normal or corrected-to-normal vision and hearing (the participant can wear contact lenses or glasses that comfortably fit inside the VR headset).
- Availability: Willing and able to commit to the full 2-week study timeline, including both the baseline and follow-up VR sessions.
Who cannot join
- VR Safety (Neurological): Personal history of epilepsy, seizure disorders, or frequent migraines, as VR screens can occasionally trigger these conditions.
- VR Safety (Vestibular): History of severe motion sickness, vertigo, or inner ear disorders.
- Confounding Medical Factors: Currently receiving active, formal psychiatric treatment or taking prescribed psychoactive medications (such as antidepressants or anxiolytics).
- Physical Limitations: Severe visual or auditory impairments that would prevent full immersion in the visual and auditory elements of the VR environment.
Trial locations and contacts
1 site in 1 country.
Malaysia1 site
Psychiatry Department, Hospital Canselor Tuanku Muhriz UKM
Cheras, Selangor, 56000
About this study
Official title: The Use Of 360-Degree VR Video For The Psychological Health Of Medical Students: Comparison Of Effectiveness Between Local And Overseas Environments
Medical students frequently experience high levels of stress, anxiety, and depression due to intense academic pressures. While spending time outdoors in nature is a proven way to reduce these negative feelings, students rarely have the time to do so. This study aims to find out if using a 360-degree Virtual Reality (VR) headset to experience immersive nature environments can provide similar relaxing benefits.
The main question this study attempts to answer is whether the type of nature environment matters: Does watching a familiar, local Malaysian nature scene reduce stress more or less effectively than watching a novel, overseas nature scene?
The researchers hypothesize that a brief, 15-minute exposure to either 360-degree VR nature environment will successfully reduce short-term feelings of stress, anxiety, and depression. Furthermore, they hypothesize that there will be a measurable difference in the psychological benefits between the local and overseas environments, driven by either the comfort of familiarity (local) or the distraction of escapism (overseas).
Read the detailed description
Background and Rationale:
Accessible, non-pharmacological interventions are increasingly necessary to support the mental wellness of university cohorts facing high academic strain. While the restorative effects of natural environments on human psychology are well-documented, physical access to such spaces is often limited in urban academic settings. 360-degree Virtual Reality (VR) offers a highly immersive, scalable alternative. By simulating spatial presence, VR can trigger physiological and psychological relaxation responses similar to actual nature exposure. However, a gap remains in the literature regarding the semantic content of the VR exposure. Specifically, it is unclear whether the therapeutic efficacy of VR nature exposure is heavily influenced by environmental familiarity (which may foster psychological safety and place attachment) versus environmental novelty (which may promote greater cognitive distraction and escapism).
Study Design and Randomization:
This protocol utilizes a randomized, parallel-group behavioral trial design. To ensure group equivalence and minimize gender as a potential confounding variable in psychological stress reporting, a custom-developed Python script will be utilized to execute stratified randomization. This algorithm ensures a strict 1:1 allocation ratio into either the active local environment arm or the active overseas environment arm, while maintaining a perfectly balanced male-to-female ratio within each experimental group.
Intervention Delivery and Statistical Plan:
Participants undergo a structured behavioral intervention consisting of immersive 360-degree VR video viewing via a head-mounted display. The protocol requires two identical exposure sessions, separated by a strict two-week interval to evaluate repeated-dose efficacy and short-term trajectory. All self-reported psychological and well-being metrics are collected at baseline, immediately post-initial exposure, and immediately post-secondary exposure. Data will be evaluated utilizing a repeated-measures analysis of variance (ANOVA). This statistical approach is specifically chosen to assess two primary effects: the main effect of time (evaluating the overall impact of the VR intervention across all participants throughout the two-week study period) and the interaction effect of time and group (determining if there is a statistically significant divergence in the trajectory of symptom reduction between the local and overseas experimental arms).
- Conditions
- Healthy Adult, Volunteer, Psychological Stress, Anxiety, and Depression Associated With Academic Pressure
- Being tested
- Local Environment 360-degree VR Video, Overseas Environment 360-Degree VR Video
- Keywords
- virtual reality, anxiety, general well-being, depression, 360-degree video
- Medical subject headings
- Stress, Psychological, Anxiety Disorders, Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Local Environment 360-degree VR VideoBehavioural
Also called Malaysian Environment
Participants undergo a 15-minute viewing of a 360-degree local environment video via a VR headset. This session is repeated once, exactly two weeks after the initial session.
Overseas Environment 360-Degree VR VideoBehavioural
Also called Western European Environment
Participants undergo a 15-minute viewing of a 360-degree overseas environment video via a VR headset. This session is repeated once, exactly two weeks after the initial session.
| Study group | Role | What they receive |
|---|---|---|
| Local VR Group | Experimental | Participants assigned to this group will exclusively view the local 360-degree VR environment. Receives: Behavioral: Local Environment 360-degree VR Video |
| Overseas VR Group | Active comparator | Participants assigned to this group will exclusively view the overseas 360-degree VR environment. Receives: Behavioral: Overseas Environment 360-Degree VR Video |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Depression, Anxiety, and Stress Severity (DASS-21)
Evaluated using the Depression, Anxiety and Stress Scale-21 Items (DASS-21). This 21-item self-report questionnaire measures the core symptoms of depression, anxiety, and stress across three 7-item subscales. Items are rated on a 4-point Likert scale. Raw subscale scores are summed and multiplied by two to calculate final subscale scores. Higher scores indicate a greater severity of negative emotional symptoms.
Measured: Baseline (T0 - immediately before the first 15-minute intervention), Day 0 (T1 - immediately after the first intervention), and Week 2 (T2 - immediately after the second intervention).
Secondary outcomes (1)
Change in Subjective Psychological Well-Being (WHO-5)
Evaluated using the WHO-5 Well-Being Index. This 5-item self-report questionnaire measures subjective psychological well-being. Items are rated on a 6-point scale from 0 ("At no time") to 5 ("All of the time"). The raw score (ranging from 0 to 25) is multiplied by 4 to convert it to a percentage scale from 0 to 100. Higher scores reflect better subjective well-being.
Measured: Baseline (T0 - immediately before the first 15-minute intervention), Day 0 (T1 - immediately after the first intervention), and Week 2 (T2 - immediately after the second intervention).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Mar 2026
- Study start15 Nov 2024
- Primary completion1 Jul 2025
- Study completion31 Aug 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Healthy AdultStudies 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
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The participants are randomly divided into two groups using Python randomization script. Group A will only experience the local environment while Group B will only experience the overseas environment.
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 82 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universiti Kebangsaan Malaysia Medical Centre
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07447310
- Sponsor's protocol ID
- JEP-2024-039
- Status last verified
- Feb 2026
- First submitted
- 25 Feb 2026
- Last updated
- 3 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Annerstedt M, Jonsson P, Wallergard M, Johansson G, Karlson B, Grahn P, Hansen AM, Wahrborg P. Inducing physiological stress recovery with sounds of nature in a virtual reality forest--results from a pilot study. Physiol Behav. 2013 Jun 13;118:240-50. doi: 10.1016/j.physbeh.2013.05.023. Epub 2013 May 18.
PubMed 23688947Martin JL, Saredakis D, Hutchinson AD, Crawford GB, Loetscher T. Virtual Reality in Palliative Care: A Systematic Review. Healthcare (Basel). 2022 Jun 29;10(7):1222. doi: 10.3390/healthcare10071222.
PubMed 35885749Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019 Jul 31;16(15):2735. doi: 10.3390/ijerph16152735.
PubMed 31370266Tanja-Dijkstra K, Pahl S, White MP, Auvray M, Stone RJ, Andrade J, May J, Mills I, Moles DR. The Soothing Sea: A Virtual Coastal Walk Can Reduce Experienced and Recollected Pain. Environ Behav. 2018 Jul;50(6):599-625. doi: 10.1177/0013916517710077. Epub 2017 Jun 14.
PubMed 29899576White MP, Alcock I, Grellier J, Wheeler BW, Hartig T, Warber SL, Bone A, Depledge MH, Fleming LE. Spending at least 120 minutes a week in nature is associated with good health and wellbeing. Sci Rep. 2019 Jun 13;9(1):7730. doi: 10.1038/s41598-019-44097-3.
PubMed 31197192Anderson AP, Mayer MD, Fellows AM, Cowan DR, Hegel MT, Buckey JC. Relaxation with Immersive Natural Scenes Presented Using Virtual Reality. Aerosp Med Hum Perform. 2017 Jun 1;88(6):520-526. doi: 10.3357/AMHP.4747.2017.
PubMed 28539139Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015 Mar;141(3):354-7. doi: 10.4103/0971-5916.156571.
PubMed 25963497Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005 Jun;39(6):594-604. doi: 10.1111/j.1365-2929.2005.02176.x.
PubMed 15910436Hatta MHB, Abdul Samad FD, Chong SK, Mohamed Saini S. The Efficacy of Local Versus Overseas Natural Environments in 360-Degree Virtual Reality Video for Improving Mental Wellness in Medical Students: A Retrospectively Registered Two-Arm Parallel Randomized Trial. Healthcare (Basel). 2026 Apr 20;14(8):1087. doi: 10.3390/healthcare14081087.
PubMed 42072987
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Use Of 360-Degree VR Video For The Psychological Health Of Medical Students: Comparison Of Effectiveness Between Local And Overseas Environments
- ClinicalTrials.gov ID
- NCT07447310
- Acronym / sponsor ID
- JEP-2024-039
- Conditions
- Healthy Adult, Volunteer, Psychological Stress, Anxiety, and Depression Associated With Academic Pressure
- Keywords
- virtual reality, anxiety, general well-being, depression, 360-degree video
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 82 participants (actual)
- Lead sponsor
- Universiti Kebangsaan Malaysia Medical CentreUniversity, hospital or other
- Study start
- 15 Nov 2024 (actual)
- Primary completion
- 1 Jul 2025 (actual)
- Study completion
- 31 Aug 2025 (actual)
- First posted
- 3 Mar 2026 (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.
Medical students frequently experience high levels of stress, anxiety, and depression due to intense academic pressures. While spending time outdoors in nature is a proven way to reduce these negative feelings, students rarely have the time to do so. This study aims to find out if using a 360-degree Virtual Reality (VR) headset to experience immersive nature environments can provide similar relaxing benefits.
The main question this study attempts to answer is whether the type of nature environment matters: Does watching a familiar, local Malaysian nature scene reduce stress more or less effectively than watching a novel, overseas nature scene?
The researchers hypothesize that a brief, 15-minute exposure to either 360-degree VR nature environment will successfully reduce short-term feelings of stress, anxiety, and depression. Furthermore, they hypothesize that there will be a measurable difference in the psychological benefits between the local and overseas environments, driven by either the comfort of familiarity (local) or the distraction of escapism (overseas).
Detailed description
Background and Rationale:
Accessible, non-pharmacological interventions are increasingly necessary to support the mental wellness of university cohorts facing high academic strain. While the restorative effects of natural environments on human psychology are well-documented, physical access to such spaces is often limited in urban academic settings. 360-degree Virtual Reality (VR) offers a highly immersive, scalable alternative. By simulating spatial presence, VR can trigger physiological and psychological relaxation responses similar to actual nature exposure. However, a gap remains in the literature regarding the semantic content of the VR exposure. Specifically, it is unclear whether the therapeutic efficacy of VR nature exposure is heavily influenced by environmental familiarity (which may foster psychological safety and place attachment) versus environmental novelty (which may promote greater cognitive distraction and escapism).
Study Design and Randomization:
This protocol utilizes a randomized, parallel-group behavioral trial design. To ensure group equivalence and minimize gender as a potential confounding variable in psychological stress reporting, a custom-developed Python script will be utilized to execute stratified randomization. This algorithm ensures a strict 1:1 allocation ratio into either the active local environment arm or the active overseas environment arm, while maintaining a perfectly balanced male-to-female ratio within each experimental group.
Intervention Delivery and Statistical Plan:
Participants undergo a structured behavioral intervention consisting of immersive 360-degree VR video viewing via a head-mounted display. The protocol requires two identical exposure sessions, separated by a strict two-week interval to evaluate repeated-dose efficacy and short-term trajectory. All self-reported psychological and well-being metrics are collected at baseline, immediately post-initial exposure, and immediately post-secondary exposure. Data will be evaluated utilizing a repeated-measures analysis of variance (ANOVA). This statistical approach is specifically chosen to assess two primary effects: the main effect of time (evaluating the overall impact of the VR intervention across all participants throughout the two-week study period) and the interaction effect of time and group (determining if there is a statistically significant divergence in the trajectory of symptom reduction between the local and overseas experimental arms).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
- Model description
- The participants are randomly divided into two groups using Python randomization script. Group A will only experience the local environment while Group B will only experience the overseas environment.
| Arm | Type | Receives |
|---|---|---|
| Local VR Group | Experimental | Behavioral: Local Environment 360-degree VR VideoParticipants assigned to this group will exclusively view the local 360-degree VR environment. |
| Overseas VR Group | Active comparator | Behavioral: Overseas Environment 360-Degree VR VideoParticipants assigned to this group will exclusively view the overseas 360-degree VR environment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Academic Status: Actively enrolled as a fourth-year or fifth-year undergraduate medical student at Universiti Kebangsaan Malaysia (UKM).
- Age: 18 years of age or older (necessary for providing legal informed consent).
- Sensory Ability: Normal or corrected-to-normal vision and hearing (the participant can wear contact lenses or glasses that comfortably fit inside the VR headset).
- Availability: Willing and able to commit to the full 2-week study timeline, including both the baseline and follow-up VR sessions.
Key exclusion criteria (4 listed)
- VR Safety (Neurological): Personal history of epilepsy, seizure disorders, or frequent migraines, as VR screens can occasionally trigger these conditions.
- VR Safety (Vestibular): History of severe motion sickness, vertigo, or inner ear disorders.
- Confounding Medical Factors: Currently receiving active, formal psychiatric treatment or taking prescribed psychoactive medications (such as antidepressants or anxiolytics).
- Physical Limitations: Severe visual or auditory impairments that would prevent full immersion in the visual and auditory elements of the VR environment.
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 |
|---|---|---|
| Local Environment 360-degree VR VideoAlso: Malaysian EnvironmentParticipants undergo a 15-minute viewing of a 360-degree local environment video via a VR headset. This session is repeated once, exactly two weeks after the initial session. | Behavioural | Local VR Group |
| Overseas Environment 360-Degree VR VideoAlso: Western European EnvironmentParticipants undergo a 15-minute viewing of a 360-degree overseas environment video via a VR headset. This session is repeated once, exactly two weeks after the initial session. | Behavioural | Overseas VR Group |
Primary outcome
Change in Depression, Anxiety, and Stress Severity (DASS-21)
Time frame: Baseline (T0 - immediately before the first 15-minute intervention), Day 0 (T1 - immediately after the first intervention), and Week 2 (T2 - immediately after the second intervention).
Evaluated using the Depression, Anxiety and Stress Scale-21 Items (DASS-21). This 21-item self-report questionnaire measures the core symptoms of depression, anxiety, and stress across three 7-item subscales. Items are rated on a 4-point Likert scale. Raw subscale scores are summed and multiplied by two to calculate final subscale scores. Higher scores indicate a greater severity of negative emotional symptoms.
1 secondary outcome
Change in Subjective Psychological Well-Being (WHO-5)
Time frame: Baseline (T0 - immediately before the first 15-minute intervention), Day 0 (T1 - immediately after the first intervention), and Week 2 (T2 - immediately after the second intervention).
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 3 Mar 2026.
- Background: PubMed 23688947Annerstedt M, Jonsson P, Wallergard M, Johansson G, Karlson B, Grahn P, Hansen AM, Wahrborg P. Inducing physiological stress recovery with sounds of nature in a virtual reality forest--results from a pilot study. Physiol Behav. 2013 Jun 13;118:240-50. doi: 10.1016/j.physbeh.2013.05.023. Epub 2013 May 18.
- Background: PubMed 35885749Martin JL, Saredakis D, Hutchinson AD, Crawford GB, Loetscher T. Virtual Reality in Palliative Care: A Systematic Review. Healthcare (Basel). 2022 Jun 29;10(7):1222. doi: 10.3390/healthcare10071222.
- Background: PubMed 31370266Quek TT, Tam WW, Tran BX, Zhang M, Zhang Z, Ho CS, Ho RC. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019 Jul 31;16(15):2735. doi: 10.3390/ijerph16152735.
- Background: PubMed 29899576Tanja-Dijkstra K, Pahl S, White MP, Auvray M, Stone RJ, Andrade J, May J, Mills I, Moles DR. The Soothing Sea: A Virtual Coastal Walk Can Reduce Experienced and Recollected Pain. Environ Behav. 2018 Jul;50(6):599-625. doi: 10.1177/0013916517710077. Epub 2017 Jun 14.
- Background: PubMed 31197192White MP, Alcock I, Grellier J, Wheeler BW, Hartig T, Warber SL, Bone A, Depledge MH, Fleming LE. Spending at least 120 minutes a week in nature is associated with good health and wellbeing. Sci Rep. 2019 Jun 13;9(1):7730. doi: 10.1038/s41598-019-44097-3.
- Background: PubMed 28539139Anderson AP, Mayer MD, Fellows AM, Cowan DR, Hegel MT, Buckey JC. Relaxation with Immersive Natural Scenes Presented Using Virtual Reality. Aerosp Med Hum Perform. 2017 Jun 1;88(6):520-526. doi: 10.3357/AMHP.4747.2017.
- Background: PubMed 25963497Iqbal S, Gupta S, Venkatarao E. Stress, anxiety and depression among medical undergraduate students and their socio-demographic correlates. Indian J Med Res. 2015 Mar;141(3):354-7. doi: 10.4103/0971-5916.156571.
- Background: PubMed 15910436Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005 Jun;39(6):594-604. doi: 10.1111/j.1365-2929.2005.02176.x.
- Derived from this study: PubMed 42072987Hatta MHB, Abdul Samad FD, Chong SK, Mohamed Saini S. The Efficacy of Local Versus Overseas Natural Environments in 360-Degree Virtual Reality Video for Improving Mental Wellness in Medical Students: A Retrospectively Registered Two-Arm Parallel Randomized Trial. Healthcare (Basel). 2026 Apr 20;14(8):1087. doi: 10.3390/healthcare14081087.
- 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 Local Environment 360-degree VR Video and Overseas Environment 360-Degree VR Video in people with Healthy Adult and Volunteer, run by Universiti Kebangsaan Malaysia Medical Centre at 1 site in Malaysia.
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 4 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 3 Mar 2026. 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 Malaysia. 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?
Change in Depression, Anxiety, and Stress Severity (DASS-21) (time frame: Baseline (T0 - immediately before the first 15-minute intervention), Day 0 (T1 - immediately after the first intervention), and Week 2 (T2 - immediately after the second intervention).). 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 NCT07447310, which also lists 9 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 3 Mar 2026.