Breast CancerPhase 1/2TRINITI-1NCT02732119
Study of Ribociclib With Everolimus + Exemestane in HR+ HER2- Locally Advanced/Metastatic Breast Cancer Post Progression on CDK 4/6 Inhibitor.
A Phase 1/2 study testing Ribociclib, Everolimus and Exemestane in people with Breast Cancer, run by Novartis Pharmaceuticals at 25 sites in United States.
Trial summary
The purpose of this study is determine if the triplet combination of ribociclib, everolimus and exemastane is safe and effective in the treatment of locally advanced/metastatic breast cancer following treatment with a CDK 4/6 inhibitor Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Breast Cancer
- What is being tested?
- Ribociclib, Everolimus and Exemestane
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 104 participants
- Where
- 25 sitesUnited States
- Study dates
- 14 Jun 2016to 25 Feb 2020
- Phase
- Phase 1/2
- 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 men and women
- Patient has a confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer by local laboratory and has HER2-negative breast cancer
- Patient must have either measurable disease by RECIST 1.1 or bone lesions in absence of measurable disease.
- ECOG Performance Status 0 - 1
- Disease refractory to either, AI, tamoxifen or fulvestrant
- Previously treated on any CDK 4/6 inhibitor.
- Patient has adequate bone marrow and organ function.
Who cannot join
- Patient with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine therapy per the investigator's best judgment.
- Patient has received more than one line of chemotherapy for advanced disease.
- Previous treatment with mTOR inhibitors, or exemestane for advanced disease.
- Progressed on more than one CDK 4/6 inhibitor
- Patient with CNS involvement unless they are at least 4 weeks from prior therapy completion.
- Clinically significant, uncontrolled heart disease and/or recent cardiac events.
Trial locations and contacts
25 sites in 1 country.
25 sites in 1 country
United States25 sites
Atlanta Cancer Center
Atlanta, Georgia
Massachusetts General Hospital Mass Gen Hos Cancer Center
Boston, Massachusetts, 02114
Ironwood Cancer and Research Centers Ironwood Cancer
Chandler, Arizona, 85224
Florida Cancer Research Institute Dept of Oncology
Davie, Florida, 33328
Henry Ford Health System
Detroit, Michigan, 48202
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Florida Cancer Specialists FL Cancer Specialists
Fort Myers, Florida, 33901
Penn State Hershey Cancer Institute
Hershey, Pennsylvania, 17033
Oncology Consultants Oncology Consultants
Houston, Texas, 77024
MD Anderson Cancer Center/University of Texas MDACC
Houston, Texas, 77030
St. Luke's Cancer Institute Regulatory
Kansas City, Missouri, 64111
Research Medical Center HCA Midwest Division
Kansas City, Missouri, 64132
Saint Barnabas Medical Center
Livingston, New Jersey, 07039
UCLA Department of Medicine UCLA Hematology/Oncology
Los Angeles, California, 90095
Sarah Cannon Research Institute Sarah Cannon Research Insti
Nashville, Tennessee, 37203
Yale University School of Medicine Smilow Cancer Hospital
New Haven, Connecticut, 06511
UF Health Cancer Center at Orlando Health UF Health (4)
Orlando, Florida, 32806
University of Pennsylvania Medical Center Abramson Cancer Ctr of the Uni
Philadelphia, Pennsylvania, 19104
Huntsman Cancer Institute Huntsman Cancer Insti
Salt Lake City, Utah, 84112
University of California San Francisco Comprehensive Cancer Center
San Francisco, California, 94115
Central Coast Medical Oncology Corporation Onc Dept
Santa Maria, California, 93454
Washington University School of Medicine Washington U School of Medicin
St Louis, Missouri, 63110
Florida Cancer Specialists-North
St. Petersburg, Florida, 33705
Northwest Medical Specialties Dept of Onc
Tacoma, Washington, 98405
University of Kansas Cancer Center Univ of KS CC Medical Pavilion
Westwood, Kansas, 66205
About this study
Official title: A Phase I/II, Single Arm, Open-label Study of Ribociclib in Combination With Everolimus + Exemestane in the Treatment of Men and Postmenopausal Women With HR+, HER2- Locally Advanced or Metastatic Breast Cancer Following Progression on a CDK 4/6 Inhibitor
The purpose of this study is determine if the triplet combination of ribociclib, everolimus and exemastane is safe and effective in the treatment of locally advanced/metastatic breast cancer following treatment with a CDK 4/6 inhibitor
Read the detailed description
This trial had two phases. The purpose of Phase I dose escalation and dose de-escalation was to determine the maximum tolerated doses (MTDs) and/or identify the recommended Phase II dose (RP2D) of the combination treatment of ribociclib+ everolimus + exemestane. The dosing was continuous in adult men and postmenopausal women with HR+ HER2-negative advanced breast cancer which was resistant to the non-steroidal aromatase inhibitors, fulvestrant or tamoxifen.
The purpose of the phase II portion of this trial was to evaluate the anti-tumor activity of exemestane, everolimus and ribociclib combination therapy following progression on a CDK 4/6 inhibitor.
The planned duration of the study was 30 months.
- Conditions
- Breast Cancer
- Being tested
- Ribociclib, Everolimus, Exemestane
- Keywords
- HR-positive, HER2-negative, Advanced breast cancer, LEE011, ribociclib, everolimus, Afinitor, exemestane, Aromasin, CDK, CDK4, CDK6, CDK4/6, CDK4/6 inhibitor, Phase I, Phase II, ER-positive, PR-positive, Postmenopausal, adult
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RibociclibDrug
supplied in 50 mg, 200 mg capsules/tablets taken orally and dosed daily for 28 day cycle
EverolimusDrug
supplied in 2.5 mg tablets taken orally, daily for 28 day cycle
ExemestaneDrug
supplied in 25 mg tablets taken orally, daily for 28 day cycle
| Study group | Role | What they receive |
|---|---|---|
| Cohort A | Experimental | Ribociclib (250 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally for 28 days. If no DLTs occurred, progressed to Cohort B Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane |
| Cohort B | Experimental | Ribociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane |
| Cohort C | Experimental | Ribociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane |
| Group 1 | Experimental | Ribociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane |
| Group 2 | Experimental | Ribociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally Receives: Drug: Ribociclib; Drug: Everolimus; Drug: Exemestane |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participants With Dose Limiting Toxicities by Preferred Term in Cycle 1 (28 Days) - in Phase I
A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a reasonably possible relationship to the study medication(s) and is unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first 28 days of treatment (cycle 1) and meets any of the criteria defined in the protocol. National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 4.03 will be used for all grading.
Measured: Baseline up to 28 days
Clinical Benefit Rate as Per Central Review by Group- Phase II
Clinical Benefit Rate (CBR) is defined as the percentage of participants with a complete response (CR) or partial response (PR) or with stable disease (SD) as per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 or Non-Complete Response or Non-Progressive Disease (NCRNPD) during first 24 weeks of first dose. CR=disappearance of all non-nodal target lesions, PR=at least a 30% decrease in the sum of diameter of all target lesions, SD=neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD), PD=at least a 20% increase in the sum of diameter of all target lesions.
The hypothesis was to be rejected if the lower limit of the 95% Confidence Interval for Clinical Benefit Rate (CBR) was greater than 10%.
Measured: From baseline up to 24 weeks
Best Overall Responses (BOR) Summary Table as Per Central Review by Group - Phase II
Complete response (CR) or partial response (PR), or stable disease (SD) at 24 weeks as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Non-CR Non-PD (NCRNPD) at Week 24.
Measured: Baseline up to 24 weeks and at 24 weeks
Secondary outcomes (8)
Everolimus Pharmacokinetic Plasma Concentrations by Cohort - Phase I
Plasma concentrations; below limit of quantitation values set to zero
Measured: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose
Best Overall Responses (BOR) Summary Table as Per Central Review by Cohort - Phase I
Complete response (CR) or partial response (PR), or stable disease (SD)as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Non-CR Non-PD (NCRNPD)
Measured: From baseline up to 24 weeks
Clinical Benefit Rate as Per Central Review by Dose Cohort - Phase I
Clinical Benefit Rate (CBR) is defined as the percentage of patients with a complete response (CR) or partial response (PR) or with stable disease (SD) at 24 weeks as per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 or Non-Complete Response Non-Progressive Disease (NCRNPD) up to Week 24 and at Week 24.
Measured: Baseline up to 24 weeks and at week 24
Summary of Progression-free Survival (PFS) (Months), as Per Central Review by Group - Phase II
Progression is defined as <= 12 weeks after randomization/ start of treatment (and not qualifying for CR, PR or SD).
Measured: Baseline up to approximately 32 months
Overall Survival (OS) by Group - Phase II
Overall survival is the time from date of first treatment to the date of death due to any cause. If a patient is not known to have died, survival will be censored at the last date of contact.
Measured: Baseline up to approximately 32 months
Duration of Overall Response (DOR) by Group - Phase II
Patients whose best response is complete response (CR) or partial response (PR). The start date is the date of first documented response (CR or PR) and the end date is the date of first documented progression or death due to underlying cancer.
Measured: Baseline up to approximately 16 months
Time to Definitive Deterioration of ECOG Performance Status in One Category of the Score by Group - Phase II
Time to definitive deterioration of ECOG performance status in one category of score is defined as the time from the date of randomization to the date of event, which is defined as at least one score lower than the baseline.
Measured: Baseline up to approximately 8 months
Everolimus Pharmacokinetic Plasma Concentrations - Phase II
Plasma concentrations; below limit of quantitation values set to zero
Measured: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Apr 2016 (estimated)
- Study start14 Jun 2016
- Primary completion25 Feb 2020
- Study completion25 Feb 2020
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 Breast CancerStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 104 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02732119
- Sponsor's protocol ID
- CLEE011XUS29
- Acronym
- TRINITI-1
- Status last verified
- Apr 2021
- First submitted
- 4 Apr 2016
- Last updated
- 5 May 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- Individual data sharing
- Yes: Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. his trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Study at a glance
From the registry record, last updated by the sponsor on 5 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I/II, Single Arm, Open-label Study of Ribociclib in Combination With Everolimus + Exemestane in the Treatment of Men and Postmenopausal Women With HR+, HER2- Locally Advanced or Metastatic Breast Cancer Following Progression on a CDK 4/6 Inhibitor
- ClinicalTrials.gov ID
- NCT02732119
- Acronym / sponsor ID
- TRINITI-1 / CLEE011XUS29
- Conditions
- Breast Cancer
- Keywords
- HR-positive, HER2-negative, Advanced breast cancer, LEE011, ribociclib, everolimus, Afinitor, exemestane
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 104 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 14 Jun 2016 (actual)
- Primary completion
- 25 Feb 2020 (actual)
- Study completion
- 25 Feb 2020 (actual)
- First posted
- 8 Apr 2016 (estimated)
- Results
- Posted 5 May 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is determine if the triplet combination of ribociclib, everolimus and exemastane is safe and effective in the treatment of locally advanced/metastatic breast cancer following treatment with a CDK 4/6 inhibitor
Detailed description
This trial had two phases. The purpose of Phase I dose escalation and dose de-escalation was to determine the maximum tolerated doses (MTDs) and/or identify the recommended Phase II dose (RP2D) of the combination treatment of ribociclib+ everolimus + exemestane. The dosing was continuous in adult men and postmenopausal women with HR+ HER2-negative advanced breast cancer which was resistant to the non-steroidal aromatase inhibitors, fulvestrant or tamoxifen.
The purpose of the phase II portion of this trial was to evaluate the anti-tumor activity of exemestane, everolimus and ribociclib combination therapy following progression on a CDK 4/6 inhibitor.
The planned duration of the study was 30 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| Cohort A | Experimental | Drug: Ribociclib, Drug: Everolimus, Drug: ExemestaneRibociclib (250 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally for 28 days. If no DLTs occurred, progressed to Cohort B |
| Cohort B | Experimental | Drug: Ribociclib, Drug: Everolimus, Drug: ExemestaneRibociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally |
| Cohort C | Experimental | Drug: Ribociclib, Drug: Everolimus, Drug: ExemestaneRibociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally |
| Group 1 | Experimental | Drug: Ribociclib, Drug: Everolimus, Drug: ExemestaneRibociclib (300 mg daily), everolimus (2.5 mg daily) and exemestane (25 mg daily) taken orally |
| Group 2 | Experimental | Drug: Ribociclib, Drug: Everolimus, Drug: ExemestaneRibociclib (200 mg daily), everolimus (5 mg daily) and exemestane (25 mg daily) taken orally |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Adult men and women
- Patient has a confirmed diagnosis of estrogen-receptor positive and/or progesterone receptor positive breast cancer by local laboratory and has HER2-negative breast cancer
- Patient must have either measurable disease by RECIST 1.1 or bone lesions in absence of measurable disease.
- ECOG Performance Status 0 - 1
- Disease refractory to either, AI, tamoxifen or fulvestrant
Key exclusion criteria (6 listed)
- Patient with symptomatic visceral disease or any disease burden that makes the patient ineligible for endocrine therapy per the investigator's best judgment.
- Patient has received more than one line of chemotherapy for advanced disease.
- Previous treatment with mTOR inhibitors, or exemestane for advanced disease.
- Progressed on more than one CDK 4/6 inhibitor
- Patient with CNS involvement unless they are at least 4 weeks from prior therapy completion.
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 |
|---|---|---|
| Ribociclibsupplied in 50 mg, 200 mg capsules/tablets taken orally and dosed daily for 28 day cycle | Drug | Cohort A, Cohort B, Cohort C, Group 1, Group 2 |
| Everolimussupplied in 2.5 mg tablets taken orally, daily for 28 day cycle | Drug | Cohort A, Cohort B, Cohort C, Group 1, Group 2 |
| Exemestanesupplied in 25 mg tablets taken orally, daily for 28 day cycle | Drug | Cohort A, Cohort B, Cohort C, Group 1, Group 2 |
Primary outcome
Participants With Dose Limiting Toxicities by Preferred Term in Cycle 1 (28 Days) - in Phase I
Time frame: Baseline up to 28 days
A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as having a reasonably possible relationship to the study medication(s) and is unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first 28 days of treatment (cycle 1) and meets any of the criteria defined in the protocol. National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 4.03 will be used for all grading.
Clinical Benefit Rate as Per Central Review by Group- Phase II
Time frame: From baseline up to 24 weeks
Clinical Benefit Rate (CBR) is defined as the percentage of participants with a complete response (CR) or partial response (PR) or with stable disease (SD) as per Response Evaluation Criteria in Solid Tumors (RECIST) V1.1 or Non-Complete Response or Non-Progressive Disease (NCRNPD) during first 24 weeks of first dose. CR=disappearance of all non-nodal target lesions, PR=at least a 30% decrease in the sum of diameter of all target lesions, SD=neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD), PD=at least a 20% increase in the sum of diameter of all target lesions. The hypothesis was to be rejected if the lower limit of the 95% Confidence Interval for Clinical Benefit Rate (CBR) was greater than 10%.
Best Overall Responses (BOR) Summary Table as Per Central Review by Group - Phase II
Time frame: Baseline up to 24 weeks and at 24 weeks
Complete response (CR) or partial response (PR), or stable disease (SD) at 24 weeks as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or Non-CR Non-PD (NCRNPD) at Week 24.
8 secondary outcomes
Everolimus Pharmacokinetic Plasma Concentrations by Cohort - Phase I
Time frame: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose
Best Overall Responses (BOR) Summary Table as Per Central Review by Cohort - Phase I
Time frame: From baseline up to 24 weeks
Clinical Benefit Rate as Per Central Review by Dose Cohort - Phase I
Time frame: Baseline up to 24 weeks and at week 24
Summary of Progression-free Survival (PFS) (Months), as Per Central Review by Group - Phase II
Time frame: Baseline up to approximately 32 months
Overall Survival (OS) by Group - Phase II
Time frame: Baseline up to approximately 32 months
Duration of Overall Response (DOR) by Group - Phase II
Time frame: Baseline up to approximately 16 months
Time to Definitive Deterioration of ECOG Performance Status in One Category of the Score by Group - Phase II
Time frame: Baseline up to approximately 8 months
Everolimus Pharmacokinetic Plasma Concentrations - Phase II
Time frame: Cycle 1,2: Day 1 and 15 - pre-dose, 2 and 4 hour post dose, Cycle 3 , Day 1 - pre-dose
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 May 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. his trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
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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.
25 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Ribociclib, Everolimus and Exemestane in people with Breast Cancer, run by Novartis Pharmaceuticals at 25 sites in United States.
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 7 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 5 May 2021. 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. 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 5 May 2021). 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?
Participants With Dose Limiting Toxicities by Preferred Term in Cycle 1 (28 Days) - in Phase I (time frame: Baseline up to 28 days). 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 5 May 2021; AzTrials last refreshed its copy on 8 Nov 2026.