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← Trazimera: Breast cancer with HER2 stated without a specific alteration (adjuvant)

NCT00950300 · STUDY IN CONTEXT

A Study to Compare Subcutaneous (SC) Versus Intravenous (IV) Administration of Herceptin (Trastuzumab) in Women With Human Epidermal Growth Factor Receptor (HER) 2-Positive Early B

Draft scope assessment: unclear. Attached because the study's own record names HER2. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

Pre-dose samples were obtained prior to surgery (Cycle 8). The observed Ctrough was recorded, averaged among all participants, and expressed in micrograms per milliliter (μg/mL).

Primary Pharmacokinetic (PK) Per Protocol (PP) Population: All participants with at least one measurable trastuzumab serum concentration and who did not have any major protocol violations related to PK sampling for the primary endpoint.

→

primary · POSTED

Participants were evaluated following eight cycles of treatment and after surgery to assess for pCR, defined as absence of neoplastic invasive cells in the breast according to pathologist examination. The percentage of participants with pCR was reported, and the 95% CI for one-sample binomial was constructed using the Pearson-Clopper method.

Efficacy (E) PP Population: All participants with at least one on-treatment efficacy assessment who received a full eight cycles of study treatment according to randomization and who met additional protocol-specified criteria.

→

secondary · POSTED

Pre-dose samples were obtained after surgery (Cycle 13). The observed Ctrough was recorded, averaged among all participants, and expressed in μg/mL.

Secondary PKPP Population: All participants with at least one measurable trastuzumab serum concentration and who did not have any major protocol violations related to PK sampling for the secondary endpoint.

→

secondary · POSTED

Predicted Ctrough at pre-dose prior to surgery (Cycle 8) was determined on the basis of a population PK model from Study BP22023 (NCT00800436). The mean predicted Ctrough was expressed in μg/mL.

PKPP Population: All participants with at least one measurable trastuzumab serum concentration.

→

secondary · POSTED

Predicted Ctrough at pre-dose after surgery (Cycle 13) was determined on the basis of a population PK model from Study BP22023 (NCT00800436). The mean predicted Ctrough was expressed in μg/mL.

PKPP Population; only participants with a Cycle 13 pre-dose PK measurement were included in the analysis.

→

secondary · POSTED

Pre-dose samples were obtained prior to surgery (Cycle 8). The number of participants who had an observed Ctrough \>20 μg/mL was reported.

Primary PKPP Population

→

Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-breast-cancer-trazimera-29c48296
nct id
NCT00950300
trial label
A Study to Compare Subcutaneous (SC) Versus Intravenous (IV) Administration of Herceptin (Trastuzumab) in Women With Human Epidermal Growth Factor Receptor (HER) 2-Positive Early B
applicability
unclear
applicability note
Attached because the study's own record names HER2. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
2
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0000
    source section id
    NCT00950300-om-0000
    source outcome index
    0
    endpoint
    Observed Serum Trough Concentration (Ctrough) of Trastuzumab Prior to Surgery
    endpoint definition
    Pre-dose samples were obtained prior to surgery (Cycle 8). The observed Ctrough was recorded, averaged among all participants, and expressed in micrograms per milliliter (μg/mL).
    time origin
    Pre-dose (0 hours) on Day 1 of Cycle 8 (cycle length of 21 days)
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Primary Pharmacokinetic (PK) Per Protocol (PP) Population: All participants with at least one measurable trastuzumab serum concentration and who did not have any major protocol violations related to PK sampling for the primary endpoint.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0001
    source section id
    NCT00950300-om-0001
    source outcome index
    1
    endpoint
    Percentage of Participants With Pathological Complete Response (pCR)
    endpoint definition
    Participants were evaluated following eight cycles of treatment and after surgery to assess for pCR, defined as absence of neoplastic invasive cells in the breast according to pathologist examination. The percentage of participants with pCR was reported, and the 95% CI for one-sample binomial was constructed using the Pearson-Clopper method.
    time origin
    After surgery following eight cycles of Herceptin + chemotherapy (approximately 6 months from Baseline)
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Efficacy (E) PP Population: All participants with at least one on-treatment efficacy assessment who received a full eight cycles of study treatment according to randomization and who met additional protocol-specified criteria.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0002
    source section id
    NCT00950300-om-0002
    source outcome index
    2
    endpoint
    Observed Ctrough of Trastuzumab After Surgery
    endpoint definition
    Pre-dose samples were obtained after surgery (Cycle 13). The observed Ctrough was recorded, averaged among all participants, and expressed in μg/mL.
    time origin
    Pre-dose (0 hours) on Day 1 of Cycle 13 (cycle length of 21 days)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Secondary PKPP Population: All participants with at least one measurable trastuzumab serum concentration and who did not have any major protocol violations related to PK sampling for the secondary endpoint.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0003
    source section id
    NCT00950300-om-0003
    source outcome index
    3
    endpoint
    Predicted Ctrough of Trastuzumab Prior to Surgery
    endpoint definition
    Predicted Ctrough at pre-dose prior to surgery (Cycle 8) was determined on the basis of a population PK model from Study BP22023 (NCT00800436). The mean predicted Ctrough was expressed in μg/mL.
    time origin
    Pre-dose (0 hours) on Day 1 of Cycle 8 (cycle length of 21 days)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    PKPP Population: All participants with at least one measurable trastuzumab serum concentration.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0004
    source section id
    NCT00950300-om-0004
    source outcome index
    4
    endpoint
    Predicted Ctrough of Trastuzumab After Surgery
    endpoint definition
    Predicted Ctrough at pre-dose after surgery (Cycle 13) was determined on the basis of a population PK model from Study BP22023 (NCT00800436). The mean predicted Ctrough was expressed in μg/mL.
    time origin
    Pre-dose (0 hours) on Day 1 of Cycle 13 (cycle length of 21 days)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    PKPP Population; only participants with a Cycle 13 pre-dose PK measurement were included in the analysis.
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0005
    source section id
    NCT00950300-om-0005
    source outcome index
    5
    endpoint
    Number of Participants With Ctrough of Trastuzumab >20 μg/mL Prior to Surgery
    endpoint definition
    Pre-dose samples were obtained prior to surgery (Cycle 8). The number of participants who had an observed Ctrough \>20 μg/mL was reported.
    time origin
    Pre-dose (0 hours) on Day 1 of Cycle 8 (cycle length of 21 days)
    analysis role
    secondary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    Primary PKPP Population
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0000
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    235
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0000
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    234
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0000#groups/OG001
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0001
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    263
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0001#groups/OG000
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0001
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    260
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0001#groups/OG001
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0002
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    223
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0002#groups/OG000
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0002
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    227
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0002#groups/OG001
  7. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0003
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    276
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0003#groups/OG000
  8. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0003
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    278
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0003#groups/OG001
  9. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0004
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    236
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0004#groups/OG000
  10. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0004
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    236
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0004#groups/OG001
  11. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0005
    arm key
    OG000
    arm label
    Herceptin IV + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin IV plus chemotherapy prior to surgery and ten cycles of Herceptin IV after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as 8 mg/kg on Day 1 and then as 6 mg/kg on Day 22 and every 21 days thereafter. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    235
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0005#groups/OG000
  12. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    outcome key
    om-0005
    arm key
    OG001
    arm label
    Herceptin SC + Chemotherapy
    regimen
    Participants received eight cycles of Herceptin SC plus chemotherapy prior to surgery and ten cycles of Herceptin SC after surgery. Chemotherapy consisted of docetaxel 75 mg/m\^2 every 21 days for four cycles followed by FEC every 21 days for four cycles. Herceptin was administered as a 600-mg fixed dose given every 21 days. The first eight cycles prior to surgery comprised the Neoadjuvant Treatment Period, and the ten cycles of Herceptin IV after surgery comprised the Adjuvant Treatment Period. Thereafter, participants entered the TFFU Period. Participants who were withdrawn from the Neoadjuvant Treatment Period for any reason, or who experienced disease recurrence during either the Adjuvant Treatment Period or TFFU Period, could be entered into the SFU Period.
    analyzed count
    234
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT00950300-om-0005#groups/OG001
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    harm key
    EG000
    source section id
    NCT00950300-ae
    event group key
    EG000
    event group label
    Herceptin IV + Chemotherapy
    serious affected
    45
    serious at risk
    298
    other affected
    277
    other at risk
    298
    frequency threshold
    5
    collection period
    Approximately 87 months overall
    event definition
    Analysis was performed on Safety Population.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-breast-cancer-trazimera-29c48296
    nct id
    NCT00950300
    harm key
    EG001
    source section id
    NCT00950300-ae
    event group key
    EG001
    event group label
    Herceptin SC + Chemotherapy
    serious affected
    65
    serious at risk
    297
    other affected
    283
    other at risk
    297
    frequency threshold
    5
    collection period
    Approximately 87 months overall
    event definition
    Analysis was performed on Safety Population.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice