NCT02663518 · REGISTRY CONDITION SEARCH
A Trial of PF-07901800 (TTI-621) for Patients With Hematologic Malignancies and Selected Solid Tumors
Found through the registry condition index, not selected as a treatment recommendation. This discovery collection was restricted to studies with posted results.
- Phase
- PHASE1
- Status at capture
- TERMINATED
- Registry last update
- 2024-05-10
Multicenter, open-label, phase 1a/1b trial of PF-07901800 (TTI-621) in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.
Open the original ClinicalTrials.gov record → · Download preserved record
What did the study report?
Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.
Participant flow
Baseline characteristics
Part 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
Part 2 and 3: Number of Participants With TEAEs and TESAEs
Part 4: Number of Participants With TEAEs and TESAEs
Part 4: Number of Participants With Dose Limiting Toxicities (DLTs)
Part 1: Maximum Plasma Concentration (Cmax) of TTI-621
Part 1: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621
Part 1: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells
Part 1: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)
Part 2 and 3 Combined: Maximum Plasma Concentration (Cmax) of TTI-621
Part 2 and 3 Combined: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621
Part 2 and 3 Combined: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells
Part 2 and 3: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)
Part 2 and 3: Overall Response Rate (ORR) - Lugano Classification (Cheson 2014) and Refinement (Cheson 2016) Disease Indications and Nivolumab/Rituximab Combinations
Parts 2 and 3: Overall Response Rate (ORR)-Olsen 2011-Disease Indication
Part 2: Overall Response Rate (ORR)-Savona 2015- Disease Indication
Part 2: Overall Response Rate (ORR)- Hallek 2008- Disease Indication
Part 2: Overall Response Rate (ORR)- Durie 2006- Disease Indication
Part 2: Overall Response Rate (ORR)- Cheson 2003- Disease Indication
Part 2: Overall Response Rate (ORR)- Bohnsack 2014- Disease Indication
Parts 2 and 3: Duration of Response (DoR)- Disease Indication and Nivolumab/Rituximab Combinations
Parts 2 and 3: Progression Free Survival (PFS)
Part 4: Maximum Plasma Concentration (Cmax) of TTI-621
Part 4: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621
Part 4: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells
Part 4: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)
Part 4: Overall Response Rate (ORR)
Part 4: Duration of Response (DoR)
Part 4: Overall Response Rate (ORR) in Cutaneous T-Cell Lymphoma (CTCL) Both Fungoides and Sezary Syndrome
Adverse events
Limitations, agreements, and source contact
Who could take part
- eligibility Criteria
- MAJOR ELIGIBILITY CRITERIA: Phase 1a Escalation • Histologically documented, measurable, advanced lymphomas, transfusion-independence Phase 1b Expansion (Part 2 and 3) • Advanced malignancy: IBCL, ABCL, cHL, AML, ALL, MDS, MPN, SCLC, PTCL and CTCL; measurable disease who have relapsed or are refractory following at least 2 prior systemic therapeutic attempts (1 prior systemic attempt for PTCL). For CTCL, extracorporeal photochemotherapy (ECP) considered a systemic therapy. Local radiation and topical agents are not systemic therapies. Phase 1b dose optimization (Part 4) • Histologically confirmed diagnosis of CTCL (both Mycosis Fungoides and Sezary Syndrome): Failed at least 2 prior systemic therapies for CTCL (Systemic therapy does not include local radiation therapy or topical agents); History of histologically documented diagnosis of CTCL stage IB to IVB Inclusion Criteria (all subjects): * Advanced measurable malignancy with previously progressed on, or currently progressing on standard anticancer therapy or for whom no other approved conventional therapy exists * Eastern Cooperative Oncology Group (ECOG) 0-2 * Adequate hematologic, hepatic, renal, and coagulation function; fresh or archived tumor tissue available for immunohistochemistry * Recovery from prior treatments and/or surgeries; no history of hemolytic anemia or bleeding diathesis. * AML M3 (French American British, FAB, classification) (i.e., acute promyelocytic leukemia \[APL\]) excluded Exclusion Criteria: * Known current central nervous system disease involvement or untreated brain metastases * Allogeneic transplant within 30 days prior to the planned start of treatment or subjects with active graft-vs-host disease with the exception of Grade 1 skin involvement * History of hemolytic anemia or bleeding diathesis
- healthy Volunteers
- false
- minimum Age
- 18 Years
- sex
- ALL
- std Ages
- ADULT
- OLDER_ADULT
Treatment arms and interventions
- arm Groups
- description
- The Escalation Phase will include multiple doses of PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- PF-07901800 (TTI-621) Escalation Phase - R/R Lymphoma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Indolent B-Cell Lymphoma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Aggressive B-Cell Lymphoma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- T-Cell Lymphoma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Hodgkin Lymphoma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Chronic Lymphocytic Leukemia
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Multiple Myeloma
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Acute Myeloid Leukemia
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Myelodysplastic Syndrome
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Myeloproliferative Neoplasms
- type
- EXPERIMENTAL
- description
- Monotherapy expansion cohort with PF-07901800 (TTI-621)
- intervention Names
- Drug: PF-0791800 (TTI-621)
- label
- Small Cell Lung Cancer
- type
- EXPERIMENTAL
- description
- Combination therapy expansion cohort with PF-07901800 (TTI-621) plus Rituximab for CD20 positive malignancies
- intervention Names
- Drug: PF-07901800 (TTI-621) plus Rituximab
- label
- Rituximab Combination
- type
- EXPERIMENTAL
- interventions
- arm Group Labels
- Acute Myeloid Leukemia
- Aggressive B-Cell Lymphoma
- Chronic Lymphocytic Leukemia
- Cutaneous T-Cell Lymphoma (CTCL)
- Hodgkin Lymphoma
- Indolent B-Cell Lymphoma
- Multiple Myeloma
- Myelodysplastic Syndrome
- Myeloproliferative Neoplasms
- PF-07901800 (TTI-621) Escalation Phase - R/R Lymphoma
- Part 4: Cutaneous T-Cell Lymphoma (CTCL)
- Peripheral T-Cell Lymphoma (PTCL)
- description
- Monotherapy
- name
- PF-0791800 (TTI-621)
- other Names
- TTI-621 (SIRPα-IgG1 Fc)
- type
- DRUG
- arm Group Labels
- Rituximab Combination
- description
- Combination therapy
- name
- PF-07901800 (TTI-621) plus Rituximab
- other Names
- TTI-621 plus Rituxan
- type
- DRUG
- arm Group Labels
- Nivolumab Combination
- description
- Combination therapy
- name
- PF-07901800 (TTI-621) plus Nivolumab
- other Names
- TTI-621 plus Opdivo
- type
- DRUG
Study design
- allocation
- NON_RANDOMIZED
- intervention Model
- SEQUENTIAL
- intervention Model Description
- Phase 1a/1b trial of PF-07901800 (TTI-621) for relapsed or refractory hematologic malignancies and selected solid tumors were conducted in 4 parts. In the dose escalation phase (Part 1), advanced lymphomas were enrolled in sequential dose cohorts for safety, tolerability, PK, and MTD. In the expansion phase (Part 2), subjects with various hematologic malignancies and selected solid tumors were treated at recommended dose determined in phase 1a (Part 1) for safety and efficacy. In the expansion phase (Part 3), 2 cohorts (cutaneous T-cell lymphoma and peripheral T-cell lymphoma) were evaluated for potentially further studied using Simon 2-stage design. In the phase 1b dose optimization (Part 4), further dose escalation was investigated in patients with relapsed and/or refractory CTCL following a 3+3 escalation and revised DLT criteria.
- masking Info
- masking
- NONE
- masking Description
- Open label
- primary Purpose
- TREATMENT
Enrollment
- count
- 249
- type
- ACTUAL
Registered outcome plans (not posted results)
- primary Outcomes
- description
- An adverse event (AE) was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A serious adverse event (SAE) was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.
- measure
- Part 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
- time Frame
- Part 1: Day 1 of dosing up to 30 days of safety follow-up visit after the last dose (maximum treatment exposure for Part 1 was 414 days)
- description
- DLT was defined as any of the protocol specified TEAEs that occurred during the 21-day. DLT treatment/observation period (including the pre-dose tests on Day 22/Week 4 Day 1) and that were considered at least possibly related to study treatment by the investigator. Protocol specified DLT TEAE criteria: Grade 4 thrombocytopenia; Grade 3 thrombocytopenia with bleeding (with the exception of brief, easily-controlled epistaxis, mild gum bleeding or normal menses) or with any requirement for platelet transfusions; Grade 4 anemia, unexplained by underlying disease; Grade 4 neutropenia lasting more than 5 days; Febrile neutropenia of any duration ( Absolute Neutrophil Count (ANC) less than (\<) 1.0 \* 10\^9/L. fever greater than (\>) 38.5° Degree Celsius (C); Grade 3 or higher non-hematologic toxicity except for alopecia and nausea controlled by medical management; Grade 3 or 4 hemorrhage.
- measure
- Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
- time Frame
- Part 1: Day 1 of dosing up to Pre-dose on Day 22
- description
- An AE was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A SAE was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.
- measure
- Part 2 and 3: Number of Participants With TEAEs and TESAEs
- time Frame
- Day 1 of dosing up to 30 days of safety follow-up visit after the last dose (maximum treatment exposure for Part 2 was 1793 days and for Part 3 was 938 days)
- description
- An AE was any untoward medical occurrence in administered medicinal product, event need not necessarily have a causal relationship with product treatment or usage. A SAE event was any untoward medical occurrence in a participant administered a medicinal or nutritional product (including pediatric formulas) at any dose that: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity (substantial disruption of the ability to conduct normal life functions); resulted in congenital anomaly/birth defect. Treatment emergent AEs were events emerged during treatment period and were absent before treatment or that worsened relative to pretreatment state.
- measure
- Part 4: Number of Participants With TEAEs and TESAEs
- time Frame
- Part 4: Day 1 of dosing up to 1 year of safety follow-up visit after the last dose (maximum treatment exposure for Part 4 was 667 days)
- description
- DLT was defined as any of the protocol specified TEAEs that occurred during the 21-day. DLT treatment/observation period (including the pre-dose tests on Day 22/Week 4 Day 1) and that were considered at least possibly related to study treatment by the investigator. Protocol specified DLT TEAE criteria: Grade 4 thrombocytopenia; Grade 3 thrombocytopenia with bleeding (with the exception of brief, easily-controlled epistaxis, mild gum bleeding or normal menses) or with any requirement for platelet transfusions; Grade 4 anemia, unexplained by underlying disease; Grade 4 neutropenia lasting more than 5 days; Febrile neutropenia of any duration (ANC \< 1.0 x 109/L, fever \> 38.5°C); Grade 3 or higher non-hematologic toxicity except for alopecia and nausea controlled by medical management; Grade 3 or 4 hemorrhage.
- measure
- Part 4: Number of Participants With Dose Limiting Toxicities (DLTs)
- time Frame
- Part 4: Day 1 of dosing up to Pre-dose on Day 22
- secondary Outcomes
- measure
- Part 1: Maximum Plasma Concentration (Cmax) of TTI-621
- time Frame
- Part 1: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1
- measure
- Part 1: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621
- time Frame
- Part 1: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1
- description
- CD47 is a cell-surface protein expressed on multiple normal cell types and often at high levels on many malignant tumour cells .
- measure
- Part 1: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells
- time Frame
- Part 1: Week 1 end of infusion (EOI)
- description
- A participant was ADA (or NAb) positive if: (1) baseline titer was missing or negative and participants had \>1 post-treatment positive titer (treatment-induced), or (2) positive titer at baseline and had a \> \[4-fold dilution increase\] in titer from baseline in \>1 post-treatment sample (treatment-boosted).
- measure
- Part 1: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)
- time Frame
- Part 1: From pre-infusion on day 1 up to end of study treatment (maximum treatment exposure for Part 1 was 414 days)
- description
- Results for this outcome measure was reported for Part 2 and Part 3 combined.
- measure
- Part 2 and 3 Combined: Maximum Plasma Concentration (Cmax) of TTI-621
- time Frame
- Part 2 and 3: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1
- description
- Results for this outcome measure was reported for Part 2 and Part 3 combined.
- measure
- Part 2 and 3 Combined: Area Under the Plasma Concentration Time Curve From Time Zero to 168 (AUC[0-168]) of TTI-621
- time Frame
- Part 2 and 3: Pre-dose, end of infusion (EOI), 2, 4, 24, 72, 168 hours post dose on Week 1
- description
- CD47 is a cell-surface protein expressed on multiple normal cell types and often at high levels on many malignant tumour cells. Results are reported for combined Part 2 and 3.
- measure
- Part 2 and 3 Combined: Percentage of CD47 Receptor Occupancy on Peripheral Blood CD3+ Cells
- time Frame
- Part 2 and 3: Week 1 end of infusion (EOI)
- description
- A participant was ADA (or NAb) positive if: (1) baseline titer was missing or negative and participants had \>1 post-treatment positive titer (treatment-induced), or (2) positive titer at baseline and had a \> 4-fold dilution increase in titer from baseline in \> 1 post-treatment sample (treatment-boosted).
- measure
- Part 2 and 3: Number of Participants With Positive Anti-Drug Antibody (ADA) and Neutralizing Antibodies (NAb)
- time Frame
- Part 2 and 3: From pre-infusion on day 1 up to end of study treatment (maximum treatment exposure for Part 2 was 1793 days and for Part 3 was 938 days)
- description
- ORR is presented in this outcome measure as number of responders. Responders were those who had complete remission and partial remission. Lugano classification (Cheson et al., 2014) and refinement (Cheson et al., 2016) were used for tumor response assessment for lymphomas by computed tomography (CT)-based criteria and complete metabolic response (CMR) or partial metabolic response (PMR) by positron emission tomography (PET-CT) based criteria were used for evaluation. Lymphomas evaluated by Lugano Classification include aggressive B-cell lymphoma (ABCL), Hodgkin's lymphoma (HL), Non-Hodgkin's lymphoma, indolent B-cell lymphoma (IBCL), peripheral T-cell lymphoma (PTCL), and part of T-cell lymphoma (TCL).
- measure
- Part 2 and 3: Overall Response Rate (ORR) - Lugano Classification (Cheson 2014) and Refinement (Cheson 2016) Disease Indications and Nivolumab/Rituximab Combinations
- time Frame
- From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months)
- description
- ORR is presented in this outcome measure as number of responders. Responders were those who had complete response and partial response. Clinical endpoints and response criteria (Olsen et al., 2011) for in CTCL (mycosis fungoides and Sezary syndrome) and TCL were used for assessment. Tumor types evaluated included Cutaneous T-cell lymphoma (CTCL) and a part of T-cell lymphoma (TCL).
- measure
- Parts 2 and 3: Overall Response Rate (ORR)-Olsen 2011-Disease Indication
- time Frame
- From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months)
- description
- ORR is presented in this outcome measure as number of responders. Responders were those who had complete remission, partial remission and marrow response. International Consortium Proposal of Uniform Response Criteria for Myelodysplastic/Myeloproliferative Neoplasms (MDS/MPN) in adults (Savona et al., 2015) was used for assessment of tumors. Tumor types evaluated include Myelodysplastic/Myeloproliferative Neoplasms (MDS/MPN).
- measure
- Part 2: Overall Response Rate (ORR)-Savona 2015- Disease Indication
- time Frame
- From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months)
- description
- ORR is presented in this outcome measure as number of responders. Responders were those who had complete response or complete remission, complete response or complete remission with incomplete marrow recovery, partial response. International Workshop on CLL update of the NCI 1996 Guidelines (Hallek et al., 2008) was used for assessment of tumors. Tumor types evaluated include chronic lymphocytic leukemia (CLL).
- measure
- Part 2: Overall Response Rate (ORR)- Hallek 2008- Disease Indication
- time Frame
- From first dose of study till the progressive disease/ death or withdrawal (maximum observation 6 years 10 months)
Full study description
- brief Summary
- Multicenter, open-label, phase 1a/1b trial of PF-07901800 (TTI-621) in subjects with relapsed or refractory hematologic malignancies and selected solid tumors.
- detailed Description
- This is a trial of PF-07901800 (TTI-621) in subjects with relapsed or refractory hematologic malignancies and selected solid tumors. TTI-621 (SIRPαFc) is a soluble recombinant fusion protein created by directly linking the sequences encoding the N-terminal CD47 binding domain of human SIRPα with the Fc domain of human immunoglobulin (IgG1). TTI-621 acts by binding human CD47 and preventing it from delivering an inhibitory "do not eat" (anti phagocytic) signal to macrophages. This trial will be conducted in 2 phases and 4 parts: Phase 1a Part 1 (escalation phase) and Phase 1b Parts 2-4 (expansion phase). In the dose Escalation Phase (phase 1a Part 1), subjects with lymphoma will be enrolled in sequential dose cohorts to receive TTI-621 to characterize safety, tolerability, pharmacokinetics, and the maximum-tolerated dose (MTD). In the Expansion Phase (phase 1b Parts 2-4), TTI-621 will be given to subjects with a variety of hematologic malignancies and selected solid tumors to further define safety and to characterize efficacy. In the Expansion Phase Part 2, the safety and efficacy of TTI-621 will also be assessed when it is given in combination with other anti-cancer drugs. The dose of TTI-621 to be delivered in the Expansion Phase Parts 2-3 of the study may be increased or decreased based on the subject's tolerability and on the subject's response to treatment. In the phase 1b dose optimization of the study (Part 4), further dose escalation of TTI-621, beyond the dose determined during phase 1a dose escalation, will be pursued in patients with relapsed and/or refractory CTCL following a 3+3 escalation design and using a revised DLT criteria to further evaluate the safety and tolerability of TTI-621 at dose levels higher than the initially recommended phase 1b Parts 2-3. Secondary objectives include further characterization of the pharmacokinetics, pharmacodynamics, and development of ADA; and to gain preliminary evidence of the anti-tumor activity of TTI-621 in subjects with a variety of hematologic malignancies and selected solid tumors. In addition, the safety of TTI-621 will be evaluated in combination with other anti-cancer agents. Pfizer decided terminating this study for administrative reasons on 22Mar2022 (stopping enrollment as of 15Apr2022). The decision wasn't due to safety concerns or requests from regulatory authorities.
Source references
- references
- citation
- Marks JA, Wang X, Fenu EM, Bagg A, Lai C. TP53 in AML and MDS: The new (old) kid on the block. Blood Rev. 2023 Jul;60:101055. doi: 10.1016/j.blre.2023.101055. Epub 2023 Feb 14.
- pmid
- 36841672
- type
- DERIVED
- citation
- Ansell SM, Maris MB, Lesokhin AM, Chen RW, Flinn IW, Sawas A, Minden MD, Villa D, Percival MM, Advani AS, Foran JM, Horwitz SM, Mei MG, Zain J, Savage KJ, Querfeld C, Akilov OE, Johnson LDS, Catalano T, Petrova PS, Uger RA, Sievers EL, Milea A, Roberge K, Shou Y, O'Connor OA. Phase I Study of the CD47 Blocker TTI-621 in Patients with Relapsed or Refractory Hematologic Malignancies. Clin Cancer Res. 2021 Apr 15;27(8):2190-2199. doi: 10.1158/1078-0432.CCR-20-3706. Epub 2021 Jan 15.
- pmid
- 33451977
- type
- DERIVED
- citation
- Johnson LDS, Banerjee S, Kruglov O, Viller NN, Horwitz SM, Lesokhin A, Zain J, Querfeld C, Chen R, Okada C, Sawas A, O'Connor OA, Sievers EL, Shou Y, Uger RA, Wong M, Akilov OE. Targeting CD47 in Sezary syndrome with SIRPalphaFc. Blood Adv. 2019 Apr 9;3(7):1145-1153. doi: 10.1182/bloodadvances.2018030577.
- pmid
- 30962222
- type
- DERIVED
- see Also Links
- label
- To obtain contact information for a study center near you, click here.
Source notices and limitations
Discovery and provenance
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Preserved source evidence · Not medical advice
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