Hepatitis C, ChronicPhase 4NCT00077649
A Study of PEGASYS (Peginterferon Alfa-2a (40KD)) in Combination With COPEGUS (Ribavirin) in Interferon-Naive Patients With Chronic Hepatitis C Infection (CHC).
A Phase 4 study testing ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 25 sites in 2 countries.
Trial summary
The effects of treatment with different doses of PEGASYS in combination with different doses of ribavirin will be evaluated in patients with CHC genotype 1 who have a high viral titer, body weight greater than 85kg (187lbs) and no prior treatment with interferon. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hepatitis C, Chronic
- What is being tested?
- ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 188 participants
- Where
- 25 sitesin 2 countries
- Study dates
- Jan 2004to Dec 2005
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- adult patients >=18 years of age;
- body weight >85kg (187lbs);
- CHC (genotype 1);
- liver biopsy (in <24 calendar months of first dose), with results consistent with CHC infection;
- use of 2 forms of contraception during study and 6 months after the study in both men and women.
Who cannot join
- women who are pregnant or breastfeeding;
- male partners of women who are pregnant;
- conditions associated with decompensated liver disease;
- other forms of liver disease, including liver cancer;
- human immunodeficiency virus infection;
- previous treatment with an interferon, ribavirin, viramidine, levovirin or amantadine.
Trial locations and contacts
25 sites in 2 countries.
25 sites in 2 countries
United States24 sites
Study site
Boston, Massachusetts, 02111
Study site
Bradenton, Florida, 34209
Study site
Chapel Hill, North Carolina, 27599-7584
Study site
Charlottesville, Virginia, 22906-0013
Study site
Chicago, Illinois, 60612
Study site
Cincinnati, Ohio, 45267-0595
Study site
Farmington, Connecticut, 06030
Study site
Gainesville, Florida, 32610-0214
Study site
Honolulu, Hawaii, 96817
Study site
Houston, Texas, 77030
Study site
Iowa City, Iowa, 52242
Study site
Jacksonville, Florida, 32207
Study site
La Jolla, California, 92037-1030
Study site
Long Beach, California, 90822
Study site
Manhasset, New York, 11030
Study site
Philadelphia, Pennsylvania, 19104
Study site
Pittsburgh, Pennsylvania, 15213
Study site
Richmond, Virginia, 23249
Study site
Salt Lake City, Utah, 84121
Study site
San Diego, California, 92105
Study site
San Diego, California, 92154
Study site
St Louis, Missouri, 63104
Study site
Statesville, North Carolina, 28677
Study site
Wellington, Florida, 33414
About this study
Official title: Randomized, Multicenter, Double-blind, Phase IV Pilot Study Evaluating the Effect of PEGASYS Doses of 180 ug or 270 ug in Combination With Copegus Doses of 1200 mg or 1600 mg on Viral Kinetics, Virological Response, Pharmacokinetics, and Safety in Interferon-naïve Patients With Chronic Hepatitis C Genotype 1 Virus Infection of High Viral Titer and Body Weight Greater Than 85 kg
The effects of treatment with different doses of PEGASYS in combination with different doses of ribavirin will be evaluated in patients with CHC genotype 1 who have a high viral titer, body weight greater than 85kg (187lbs) and no prior treatment with interferon. The anticipated time on study treatment is 3-12 months and the target sample size is 100-500 individuals.
- Conditions
- Hepatitis C, Chronic
- Being tested
- ribavirin [Copegus], peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]
- Medical subject headings
- Hepatitis C, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ribavirin [Copegus]Drug
600mg po bid for 48 weeks
ribavirin [Copegus]Drug
800mg po bid for 48 weeks
peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Drug
180 micrograms sc weekly for 48 weeks
peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Drug
270 micrograms sc weekly for 48 weeks
| Study group | Role | What they receive |
|---|---|---|
| PEG-IFN Alfa-2a 180 μg +Ribavirin 1200 mg | Active comparator | Participants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] |
| PEG-IFN Alfa-2a 180 μg + Ribavirin 1600 mg | Experimental | Participants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] |
| PEG-IFN Alfa-2a 270 μg + Ribavirin 1200 mg | Experimental | Participants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered po daily in split doses for 48 weeks Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] |
| PEG-IFN Alfa-2a 270 μg + Ribavirin 1600 mg | Experimental | Participants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1600 mg of ribavirin (200 mg/tablet) administered po daily in split doses for 48 weeks. Receives: Drug: ribavirin [Copegus]; Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] |
What is being measured
The primary outcome is the main question the study is designed to answer.
HCV RNA Profile During The First 24 Weeks
Viral loads (quantitative HCV RNA) collected during the initial 24 weeks were first logarithmically (based 10) transformed. Results falling below the assay sensitivity level were set to the assay sensitivity level before the analyses. Thus, a qualitative HCV RNA negative result was set to 50 IU/mL (or 100 copies/mL). A qualitative HCV RNA positive result along with an unquantifiable HCV RNA result from the quantitative assay corresponded to a numeric HCV RNA result of 600 IU/mL (or 1000 copies/mL).
Measured: Baseline (Day 1), At 72 hour (h), Week (W)-1, 2, 4, 12, 24
Percentage of Participants With Virological Response Over Time to Week 24
Virological response over time to Week 24 is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, V. 2.0 (detection limit = 50 IU/mL) at 72 hours and at weeks 1, 2, 12, and 24.
Measured: 72 hours post-dose, Weeks 1, 2, 4, 12, and 24
Percentage of Participants With Predicted Sustained Virological Response
The predicted sustained virological response (SVR) for each treatment group, is determined using a model based on the log10-transformed HCV viral load in copies/mL at Week 4 and the virological response status at Week 12. Each participant was classified as a predicted SVR if p was ≥ 0.5 or as a non-SVR if p was <0.5. The percentage was calculated from the number of participant (N) analyzed under "Distribution of the predicted probability of an SVR."
Measured: Week 4 and 12
Secondary outcomes (7)
Percentage of Participants With Sustained Virological Response
SVR is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/ml) at the end of the 24-week untreated follow-up period.
Measured: Week 72
Percentage of Participants With Virological Response at the End of the Treatment Period
Virological response at the end of the treatment period is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/mL) at the completion of the treatment period.
Measured: Week 48
Percentage of Participants With Virological Response At 12 Weeks After The End of The Treatment Period
Virological response at 12 weeks after the end of the treatment period is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, v 2.0 (detection limit = 50 IU/mL) at 12 weeks after completion of the treatment period.
Measured: Week 60
Percentage of Participants With Adverse Events and Serious Adverse Events
An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events. A serious adverse event is any adverse event (SAE) that can result in death or is Life-threatening or required in-patient hospitalization or prolongation of existing hospitalization or results in persistent or significant disability/incapacity; or is a congenital anomaly/birth defect; or is medically significant or requires intervention to prevent one or other of the outcomes listed above.
Measured: Up to Week 72
Percentage of Participants With Marked Laboratory Abnormalities
Marked laboratory abnormalities are the values outside the roche defined reference range.It is hemoglobin 11.0 - 20.0 (g/dL),platelets 100 - 700 (10^9/L), lymphocyte 1.00 - 6.30 (10^9/L),neutrophils 1.50 or more (10^9/L), white blood cells(WBC) 3.0 - 18.0 (10^9/L),serum glutamic-pyruvic transaminase (SGPT) 0 - 60 (U/L), serum glutamic oxaloacetic transaminase (SGOT) 0 - 50 (U/L), alkaline phosphatase 0 - 190 (U/L),albumin was 27.0 or more (g/L),gamma glutamyl transferases (GGT) 0 - 120 (U/L),Total protein 55 - 87 (g/L),total bilirubin 0 - 34.2 (μmol/L),BUN 0 - 14.3 (mmol/L),creatinine 0 - 154 (μmol/L),chloride 95 - 115 (mmol/L),potassium 3.0 - 6.0 (mmol/L), sodium 130 - 150 (mmol/L),thyroid stimulating hormone (TSH) 0.0 - 10.0 (mU/L),triglycerides 0.00 - 2.83 (mmol/L), calcium 2.00 - 2.90 (mmol/L),phosphate 0.75 - 1.60 (mmol/L),Blood Glucose 2.80 - 11.10 (mmol/L),Uric Acid 0 - 600 (μmol/L),proteinuria 0 - 1 (0 to 4+), glycosuria 0 - 1 (0 to 4+), hematuria 0 - 1 (0 to 4+).
Measured: Up to Week 60
Percentage of Participants With Abnormal Vital Signs
Vital signs (Systolic blood pressure, Diastolic blood pressure, Pulse rate) were considered to be abnormal and of potential clinical relevance if the values measured for these parameters represented a change from baseline of greater than 20% in the direction of worsening. High diastolic blood pressure is defined as >110 mmhg and >20% increase from baseline. High systolic blood pressure is defined as >180 mmhg and >20% increase from baseline. Low systolic blood pressure is defined as <85 mmhg and >20% decrease from baseline. High heart rate is defined as >120 beats/minute and >20% increase from baseline. Low heart rate is defined as < 50 beats/minute and >20% decrease from baseline.
Measured: Up to Week 72
Total BDI-II (Beck Depression Inventory) Scores
The BDI-II is a self-reported assessment of 21 items which included sadness, pessimism, past failure, loss of pleasure, guilty feelings, punishment feelings, self-dislike, self-criticalness, suicidal thoughts or wishes, crying, agitation, loss of interest, indecisiveness, worthlessness, loss of energy, changes in sleeping pattern, irritability, changes in appetite, concentration difficulty, tiredness or fatigue, loss of interest in sex that are summarized by treatment group. All except two items had four statements that were scored on a scale ranging from 0 to 3. The maximum total score was 63. The scores for each item were summed to obtain the total for that assessment. The participants neurological status could then be categorized as follows: minimal depression: 0 to 13; mild depression: 14 to 19; moderate depression: 20 to 28; and severe depression: 29 to 63. The BDI-II questionnaire was self-administered by the patient at each visit.
Measured: From Baseline (Day 1) to Week 72
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Feb 2004 (estimated)
- Study startJan 2004
- Primary completionDec 2005
- Study completionDec 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Hepatitis C, ChronicStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 188 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00077649
- Sponsor's protocol ID
- NV17318
- Status last verified
- Mar 2016
- First submitted
- 10 Feb 2004
- Last updated
- 18 Apr 2016
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Multicenter, Double-blind, Phase IV Pilot Study Evaluating the Effect of PEGASYS Doses of 180 ug or 270 ug in Combination With Copegus Doses of 1200 mg or 1600 mg on Viral Kinetics, Virological Response, Pharmacokinetics, and Safety in Interferon-naïve Patients With Chronic Hepatitis C Genotype 1 Virus Infection of High Viral Titer and Body Weight Greater Than 85 kg
- ClinicalTrials.gov ID
- NCT00077649
- Acronym / sponsor ID
- NV17318
- Conditions
- Hepatitis C, Chronic
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 188 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- Jan 2004
- Primary completion
- Dec 2005 (actual)
- Study completion
- Dec 2005 (actual)
- First posted
- 13 Feb 2004 (estimated)
- Results
- Posted 18 Apr 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The effects of treatment with different doses of PEGASYS in combination with different doses of ribavirin will be evaluated in patients with CHC genotype 1 who have a high viral titer, body weight greater than 85kg (187lbs) and no prior treatment with interferon. The anticipated time on study treatment is 3-12 months and the target sample size is 100-500 individuals.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| PEG-IFN Alfa-2a 180 μg +Ribavirin 1200 mg | Active comparator | Drug: ribavirin [Copegus], Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Participants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks |
| PEG-IFN Alfa-2a 180 μg + Ribavirin 1600 mg | Experimental | Drug: ribavirin [Copegus], Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Participants received 180 μg of PEG-IFN [peginterferon] alfa-2a in 1 mL solution administered [subcutaneously] sc, once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered [orally ] po daily in split doses for 48 weeks |
| PEG-IFN Alfa-2a 270 μg + Ribavirin 1200 mg | Experimental | Drug: ribavirin [Copegus], Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Participants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1200 mg of ribavirin (200 mg/tablet) + ribavirin placebo (2 tablets) administered po daily in split doses for 48 weeks |
| PEG-IFN Alfa-2a 270 μg + Ribavirin 1600 mg | Experimental | Drug: ribavirin [Copegus], Drug: peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]Participants received 270 μg of PEG-IFN alfa-2a in 1-mL solution administered sc once weekly + 1600 mg of ribavirin (200 mg/tablet) administered po daily in split doses for 48 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- adult patients >=18 years of age;
- body weight >85kg (187lbs);
- CHC (genotype 1);
- liver biopsy (in <24 calendar months of first dose), with results consistent with CHC infection;
- use of 2 forms of contraception during study and 6 months after the study in both men and women.
Key exclusion criteria (6 listed)
- women who are pregnant or breastfeeding;
- male partners of women who are pregnant;
- conditions associated with decompensated liver disease;
- other forms of liver disease, including liver cancer;
- human immunodeficiency virus infection;
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 |
|---|---|---|
| ribavirin [Copegus]600mg po bid for 48 weeks | Drug | PEG-IFN Alfa-2a 180 μg +Ribavirin 1200 mg, PEG-IFN Alfa-2a 270 μg + Ribavirin 1200 mg |
| ribavirin [Copegus]800mg po bid for 48 weeks | Drug | PEG-IFN Alfa-2a 180 μg + Ribavirin 1600 mg, PEG-IFN Alfa-2a 270 μg + Ribavirin 1600 mg |
| peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]180 micrograms sc weekly for 48 weeks | Drug | PEG-IFN Alfa-2a 180 μg + Ribavirin 1600 mg, PEG-IFN Alfa-2a 180 μg +Ribavirin 1200 mg |
| peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys]270 micrograms sc weekly for 48 weeks | Drug | PEG-IFN Alfa-2a 270 μg + Ribavirin 1200 mg, PEG-IFN Alfa-2a 270 μg + Ribavirin 1600 mg |
Primary outcome
HCV RNA Profile During The First 24 Weeks
Time frame: Baseline (Day 1), At 72 hour (h), Week (W)-1, 2, 4, 12, 24
Viral loads (quantitative HCV RNA) collected during the initial 24 weeks were first logarithmically (based 10) transformed. Results falling below the assay sensitivity level were set to the assay sensitivity level before the analyses. Thus, a qualitative HCV RNA negative result was set to 50 IU/mL (or 100 copies/mL). A qualitative HCV RNA positive result along with an unquantifiable HCV RNA result from the quantitative assay corresponded to a numeric HCV RNA result of 600 IU/mL (or 1000 copies/mL).
Percentage of Participants With Virological Response Over Time to Week 24
Time frame: 72 hours post-dose, Weeks 1, 2, 4, 12, and 24
Virological response over time to Week 24 is defined as the percentage of participants with undetectable HCV RNA as measured by the Roche Amplicor HCV Test, V. 2.0 (detection limit = 50 IU/mL) at 72 hours and at weeks 1, 2, 12, and 24.
Percentage of Participants With Predicted Sustained Virological Response
Time frame: Week 4 and 12
The predicted sustained virological response (SVR) for each treatment group, is determined using a model based on the log10-transformed HCV viral load in copies/mL at Week 4 and the virological response status at Week 12. Each participant was classified as a predicted SVR if p was ≥ 0.5 or as a non-SVR if p was <0.5. The percentage was calculated from the number of participant (N) analyzed under "Distribution of the predicted probability of an SVR."
7 secondary outcomes
Percentage of Participants With Sustained Virological Response
Time frame: Week 72
Percentage of Participants With Virological Response at the End of the Treatment Period
Time frame: Week 48
Percentage of Participants With Virological Response At 12 Weeks After The End of The Treatment Period
Time frame: Week 60
Percentage of Participants With Adverse Events and Serious Adverse Events
Time frame: Up to Week 72
Percentage of Participants With Marked Laboratory Abnormalities
Time frame: Up to Week 60
Percentage of Participants With Abnormal Vital Signs
Time frame: Up to Week 72
Total BDI-II (Beck Depression Inventory) Scores
Time frame: From Baseline (Day 1) to Week 72
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Clinical Trials study director
Hoffmann-La Roche
25 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing ribavirin [Copegus] and peginterferon alfa-2a (PEG-IFN alfa-2a) [Pegasys] in people with Hepatitis C, Chronic, run by Hoffmann-La Roche at 25 sites in 2 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 5 inclusion and 6 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 18 Apr 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 25 sites in United States, Puerto Rico. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Apr 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
HCV RNA Profile During The First 24 Weeks (time frame: Baseline (Day 1), At 72 hour (h), Week (W)-1, 2, 4, 12, 24). 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 18 Apr 2016.