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AzTrials

Neovascular Age-related Macular DegenerationPhase 3NCT03630952

Efficacy and Safety Trial of Conbercept Intravitreal Injection for Neovascular AMD (PANDA-2)

A Phase 3 study testing 0.5 mg Conbercept Intravitreal Injection, 1.0 mg Conbercept Intravitreal Injection and 2.0 mg Aflibercept Intravitreal Injection in people with Neovascular Age-related Macular Degeneration, run by Chengdu Kanghong Biotech Co., Ltd. at 154 sites in 12 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The purpose of this clinical study is to evaluate the efficacy and safety of two different levels of conbercept intravitreal (IVT) injection as compared to the approved vascular endothelial growth factor (VEGF) antagonist active control, aflibercept intravitreal injection (2.0 mg/eye, Eylea®), in subjects with… Read more about this study

Who is it for?
Ages 50 years and older
What is being tested?
0.5 mg Conbercept Intravitreal Injection, 1.0 mg Conbercept Intravitreal Injection and 2.0 mg Aflibercept Intravitreal Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,157 participants
Where
154 sitesin 12 countries
Study dates
21 Dec 2018to 19 May 2021
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Men and women ≥ 50 years of age at the Screening visit;
  • Females must be at least 1 year postmenopausal, or surgically sterilized, or, if of childbearing potential, must have a negative pregnancy test at the Screening visit;
  • o Women of childbearing potential must agree to use a highly effective method of contraception throughout the study.
  • Have received no previous treatment for neovascular AMD, including laser photocoagulation and/or photodynamic therapy (PDT) and/or IVT VEGF antagonists (treatment naïve) and;
  • Have active subfoveal choroidal neovascularization (CNV) lesions secondary to AMD (including polypoidal choroidal vasculopathy (PCV)) evidenced by subfoveal fluorescein angiography (FA) leakage, or definite subfoveal fluid by SD-OCT in the study eye at Screening;
  • Have a ETDRS BCVA letter score of 78 to 25 in the study eye at Screening;
  • Are willing and able to sign the study written informed consent form (ICF).

Who cannot join

  • Have had any prior ocular or systemic treatment (investigational or approved) or surgery for the treatment of neovascular AMD in the study eye except dietary supplements or vitamins;
  • Have participated as a subject in any interventional clinical trial within one month (30 days) prior to Baseline visit;
  • Have a subretinal hemorrhage that is either 50% or more of the total lesion area, or blood is under the fovea and is one or more disc areas in size (greater than 2.5 mm2) in the study eye at Screening;
  • Have any retinal pigment epithelial tears or rips in the study eye at Screening or upon examination at Baseline;
  • Have any vitreous hemorrhage in the study eye upon examination at Baseline or history of vitreous hemorrhage within eight weeks prior to Screening;
  • Have any other cause of CNV;
Show all 17Show fewer
  • Have had prior pars plana vitrectomy in the study eye;
  • Have presence of a full thickness macular hole at Screening or upon examination at Baseline or a history of a full thickness macular hole in the study eye;
  • Have prior trabeculectomy or other filtration surgery in the study eye;
  • Have uncontrolled glaucoma;
  • Have active intraocular inflammation in either eye at Screening or upon examination at Baseline or a history of uveitis in either eye;
  • Have aphakia or pseudophakia with absence of posterior capsule (unless it occurred as a result of yttrium aluminum garnet (YAG) posterior capsulotomy) in the study eye.
  • Significant media opacities, including cataract, in the study eye that, in the opinion of the Investigator, could require either medical or surgical intervention during the study period;
  • Have any use of long acting intraocular steroids, including implants, within six months prior to Day 1, Baseline;
  • Have any known allergy to povidone iodine or known serious allergy to the fluorescein sodium for injection in angiography;
  • Any history of known contraindications indicated in the Food and Drug Administration (FDA)-approved label for the active control;
  • If female, be pregnant (positive urine pregnancy test at Screening) or breastfeeding.

Trial locations and contacts

154 sites in 12 countries.

154 sites in 12 countries

United States69 sites
  • Kanghong Investigative Site

    Albuquerque, New Mexico, 87109

  • Kanghong Investigative Site

    Arcadia, California, 91006

  • Kanghong Investigative Site

    Arcadia, California, 91007

  • Kanghong Investigative Site

    Arlington, Texas, 76012

  • Kanghong Investigative Site

    Asheville, North Carolina, 28803

  • Kanghong Investigative Site

    Atlanta, Georgia, 30328

  • Kanghong Investigative Site

    Augusta, Georgia, 30909

  • Kanghong Investigative Site

    Austin, Texas, 78705

  • Kanghong Investigative Site

    Austin, Texas, 78731

  • Kanghong Investigative Site

    Bakersfield, California, 93309

  • Kanghong Investigative Site

    Bellaire, Texas, 77401

  • Kanghong Investigative Site

    Bellevue, Washington, 98004

  • Kanghong Investigative Site

    Boynton Beach, Florida, 33426

  • Kanghong Investigative Site

    Bradenton, Florida, 34209

  • Kanghong Investigative Site

    Brooklyn, New York, 11201

  • Kanghong Investigative Site

    Burlington, Vermont, 05401

  • Kanghong Investigative Site

    Camp Hill, Pennsylvania, 17011

  • Kanghong Investigative Site

    Charlottesville, Virginia, 22903

  • Kanghong Investigative Site

    Colorado Springs, Colorado, 80909

  • Kanghong Investigative Site

    Dallas, Texas, 75231

  • Kanghong Investigative Site

    Elmhurst, Illinois, 60126

  • Kanghong Investigative Site

    Encino, California, 91436

  • Kanghong Investigative Site

    Fort Worth, Texas, 76102

  • Kanghong Investigative Site

    Glendale, California, 91203

  • Kanghong Investigative Site

    Glendora, California, 91741

  • Kanghong Investigative Site

    Grand Rapids, Michigan, 49546

  • Kanghong Investigative Site

    Great Neck, New York, 11021

  • Kanghong Investigative Site

    Huntington Beach, California, 92647

  • Kanghong Investigative Site

    Indianapolis, Indiana, 46290

  • Kanghong Investigative Site

    Kingston, Pennsylvania, 18704

  • Kanghong Investigative Site

    Kingwood, Texas, 77339

  • Kanghong Investigative Site

    Ladson, South Carolina, 29456

  • Kanghong Investigative Site

    Leawood, Kansas, 66211

  • Kanghong Investigative Site

    Liverpool, New York, 13088

  • Kanghong Investigative Site

    Marietta, Georgia, 30060

  • Kanghong Investigative Site

    McAllen, Texas, 78503

  • Kanghong Investigative Site

    Medford, Oregon, 97504

  • Kanghong Investigative Site

    Miami, Florida, 33126

  • Kanghong Investigative Site

    Miami, Florida, 33143

  • Kanghong Investigative Site

    Midland, Texas, 79706

  • Kanghong Investigative Site

    New Albany, Indiana, 47150

  • Kanghong Investigative Site

    Northfield, New Jersey, 08205

  • Kanghong Investigative Site

    Oklahoma City, Oklahoma, 73104

  • Kanghong Investigative Site

    Pasadena, California, 91107

  • Kanghong Investigative Site

    Phoenix, Arizona, 85020

  • Kanghong Investigative Site

    Phoenix, Arizona, 85021

  • Kanghong Investigative Site

    Portland, Oregon, 97225

  • Kanghong Investigative Site

    Poway, California, 92064

  • Kanghong Investigative Site

    Rapid City, South Dakota, 57701

  • Kanghong Investigative Site

    Redlands, California, 92373

  • Kanghong Investigative Site

    Redlands, California, 92374

  • Kanghong Investigative Site

    Reno, Nevada, 89502

  • Kanghong Investigative Site

    Riverside, California, 92505

  • Kanghong Investigative Site

    Salt Lake City, Utah, 84107

  • Kanghong Investigative Site

    San Francisco, California, 94109

  • Kanghong Investigative Site

    Santa Barbara, California, 93013

  • Kanghong Investigative Site

    Shirley, New York, 11967

  • Kanghong Investigative Site

    Springdale, Arkansas, 72762

  • Kanghong Investigative Site

    Springfield, Massachusetts, 01107

  • Kanghong Investigative Site

    Springfield, Oregon, 97477

  • Kanghong Investigative Site

    St Louis, Missouri, 63128

  • Kanghong Investigative Site

    Stuart, Florida, 34994

  • Kanghong Investigative Site

    Teaneck, New Jersey, 07666

  • Kanghong Investigative Site

    Temple, Texas, 76502

  • Kanghong Investigative Site

    Traverse City, Michigan, 49686

  • Kanghong Investigative Site

    Waterford, Connecticut, 06385

  • Kanghong Investigative Site

    Winston-Salem, North Carolina, 27157

  • Kanghong Investigative Site

    Winter Haven, Florida, 33880

  • Kanghong Investigative Site

    Youngstown, Ohio, 44505

Other trials in United States

United Kingdom16 sites
  • Kanghong Investigative Site

    Belfast, BT12 6BA

  • Kanghong Investigative Site

    Bradford, BD9 6RJ

  • Kanghong Investigative Site

    Bristol, BS1 2LX

  • Kanghong Investigative Site

    Canterbury, CT1 3NG

  • Kanghong Investigative Site

    Derby, DE22 3NE

  • Kanghong Investigative Site

    Frimley, Surrey, GU16 7UJ

  • Kanghong Investigative Site

    Gorleston-on-Sea, Norfolk, NR31 6LA

  • Kanghong Investigative Site

    Gorleston-on-Sea, NR31 6LA

  • Kanghong Investigative Site

    Leeds, LS9 7TF

  • Kanghong Investigative Site

    London, EC1V 2PD

  • Kanghong Investigative Site

    London, NW1 5QH

  • Kanghong Investigative Site

    London, NW10 7NS

  • Kanghong Investigative Site

    Sheffield, S10 2JF

  • Kanghong Investigative Site

    Southampton, Hampshire, SO16 6YD

  • Kanghong Investigative Site

    Sunderland, SR2 9HP

  • Kanghong Investigative Site

    Westcliff-on-Sea, Essex, SS0 0RY

Other trials in United Kingdom

Israel13 sites
  • Kanghong Investigative Site

    Ashkelon, Ha'Darom, 7830604

  • Kanghong Investigative Site

    Beersheba, 8457108

  • Kanghong Investigative Site

    Haifa, 31048

  • Kanghong Investigative Site

    Haifa, 31096

  • Kanghong Investigative Site

    Haifa, 3436212

  • Kanghong Investigative Site

    Jerusalem, 9103102

  • Kanghong Investigative Site

    Jerusalem, 9112001

  • Kanghong Investigative Site

    Kfar Saba, 4428164

  • Kanghong Investigative Site

    Petah Tikva, 4941492

  • Kanghong Investigative Site

    Poria – Neve Oved, 1520800

  • Kanghong Investigative Site

    Rehovot, 76100

  • Kanghong Investigative Site

    Tel Aviv, 64239

  • Kanghong Investigative Site

    Zrifin, 7030000

Other trials in Israel

France11 sites
  • Kanghong Investigative Site

    Bordeaux, 33000

  • Kanghong Investigative Site

    Créteil, 94010

  • Kanghong Investigative Site

    Dijon, 21079

  • Kanghong Investigative Site

    Marseille, 13008

  • Kanghong Investigative Site

    Paris, 75010

  • Kanghong Investigative Site

    Paris, 75012

  • Kanghong Investigative Site

    Paris, 75015

  • Kanghong Investigative Site

    Paris, 75019

  • Kanghong Investigative Site

    Poitiers, 86021

  • Kanghong Investigative Site

    Saint-Cyr-sur-Loire, 37540

  • Kanghong Investigative Site

    Strasbourg, 67000

Other trials in France

Hungary10 sites
  • Kanghong Investigative Site

    Budapest, Pest County, 1062

  • Kanghong Investigative Site

    Budapest, Pest County, 1076

  • Kanghong Investigative Site

    Budapest, Pest County, 1085

  • Kanghong Investigative Site

    Budapest, Pest County, 1106

  • Kanghong Investigative Site

    Budapest, Pest County, 1133

  • Kanghong Investigative Site

    Budapest, Pest County, 1204

  • Kanghong Investigative Site

    Debrecen, Hajdú-Bihar, 4032

  • Kanghong Investigative Site

    Pécs, Baranya, 7621

  • Kanghong Investigative Site

    Szeged, Csongrád megye, 6720

  • Kanghong Investigative Site

    Zalaegerszeg, Zala County, 8900

Other trials in Hungary

Italy10 sites
  • Kanghong Investigative Site

    Chieti, 66100

  • Kanghong Investigative Site

    Florence, 50134

  • Kanghong Investigative Site

    Genova, 16132

  • Kanghong Investigative Site

    Milan, 20122

  • Kanghong Investigative Site

    Milan, 20132

  • Kanghong Investigative Site

    Milan, 20157

  • Kanghong Investigative Site

    Negrar, 37024

  • Kanghong Investigative Site

    Roma, 00133

  • Kanghong Investigative Site

    Roma, 00198

  • Kanghong Investigative Site

    Udine, 33100

Other trials in Italy

Czechia5 sites
  • Kanghong Investigative Site

    Brno, 625 00

  • Kanghong Investigative Site

    Prague, 100 34

  • Kanghong Investigative Site

    Prague, 10034

  • Kanghong Investigative Site

    Prague, 128 00

  • Kanghong Investigative Site

    Prague, 15000

Other trials in Czechia

Denmark5 sites
  • Kanghong Investigative Site

    Aalborg, 9100

  • Kanghong Investigative Site

    Aarhus N, 8200

  • Kanghong Investigative Site

    Glostrup Municipality, 2600

  • Kanghong Investigative Site

    Roskilde, 4000

  • Kanghong Investigative Site

    Sønderborg, 6400

Other trials in Denmark

Bulgaria4 sites
  • Kanghong Investigative Site

    Plovdiv, 4003

  • Kanghong Investigative Site

    Sofia, 1408

  • Kanghong Investigative Site

    Sofia, 1517

  • Kanghong Investigative Site

    Varna, 9010

Other trials in Bulgaria

China4 sites
  • Kanghong Investigative Site

    Beijing, Beijing Municipality, 100044

  • Kanghong Investigative Site

    Shanghai, Shanghai Municipality, 200031

  • Kanghong Investigative Site

    Shanghai, Shanghai Municipality, 200080

  • Kanghong Investigative Site

    Tianjin, Tianjin Municipality, 300384

Other trials in China

Slovakia4 sites
  • Kanghong Investigative Site

    Bratislava, 82606

  • Kanghong Investigative Site

    Trenčín, 91171

  • Kanghong Investigative Site

    Žilina, 010 08

  • Kanghong Investigative Site

    Žilina, 01207

Other trials in Slovakia

Latvia3 sites
  • Kanghong Investigative Site

    Riga, LV-1002

  • Kanghong Investigative Site

    Riga, LV-1006

  • Kanghong Investigative Site

    Riga, LV-1009

Other trials in Latvia

About this study

Official title: A Multicenter, Double-Masked, Randomized, Dose-Ranging Trial to Evaluate the Efficacy and Safety of Conbercept Intravitreal Injection in Subjects With Neovascular Age-Related Macular Degeneration (AMD) (PANDA-2)

The purpose of this clinical study is to evaluate the efficacy and safety of two different levels of conbercept intravitreal (IVT) injection as compared to the approved vascular endothelial growth factor (VEGF) antagonist active control, aflibercept intravitreal injection (2.0 mg/eye, Eylea®), in subjects with neovascular AMD.

Read the detailed description

A multicenter, multinational, double-masked, parallel-group, dose-ranging, active-controlled, randomized trial, which will randomize approximately 1140 subjects in a ratio of 1:1:1 to receive IVT injections of 0.5 mg conbercept, 1.0 mg conbercept, or 2.0 mg aflibercept. The trial includes a screening period of less than or equal to 14 days, followed by a treatment period of 92 weeks (last assessment at 96 weeks) with primary efficacy analysis at 36 weeks.

Being tested
0.5 mg Conbercept Intravitreal Injection, 1.0 mg Conbercept Intravitreal Injection, 2.0 mg Aflibercept Intravitreal Injection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 0.5 mg Conbercept Intravitreal InjectionBiological

    Subjects received 0.5 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (0.5 mg, q8w) through Week 36. At the Week 40 visit, the criteria-based pro re nata (PRN) approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.

  • 1.0 mg Conbercept Intravitreal InjectionBiological

    Subjects received 1.0 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every twelve weeks thereafter (1.0 mg, q12w) through Week 36. At the Week 40 visit, the criteria-based PRN approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.

  • 2.0 mg Aflibercept Intravitreal InjectionBiological

    Also called Eylea®

    Subjects received 2.0 mg aflibercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (2.0 mg, q8w) through Week 36. At the Week 40 visit, the criteria-based PRN approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.

Study groups in NCT03630952
Study groupRoleWhat they receive
0.5 mg ConberceptExperimentalSubjects received 0.5 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (0.5 mg, q8w) through Week 36. At the Week 40 visit, the criteria-based pro re nata (PRN) approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.
Receives: Biological: 0.5 mg Conbercept Intravitreal Injection
1.0 mg ConberceptExperimentalSubjects received 1.0 mg conbercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every twelve weeks thereafter (1.0 mg, q12w) through Week 36. At the Week 40 visit, the criteria-based PRN approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.
Receives: Biological: 1.0 mg Conbercept Intravitreal Injection
AfliberceptActive comparatorSubjects received 2.0 mg aflibercept intravitreal injection at Day 1, Week 4 and Week 8 (three injection loading dose), and treated every eight weeks thereafter (2.0 mg, q8w) through Week 36. At the Week 40 visit, the criteria-based PRN approach will begin through the end of the treatment period at Week 92, for a total of 92 weeks treatment in the study eye.
Receives: Biological: 2.0 mg Aflibercept Intravitreal Injection

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean change from baseline in best corrected visual acuity (BCVA) at Week 36 in the study eye

    BCVA was assessed by Early Treatment of Diabetic Retinopathy Study (ETDRS) method

    Measured: Baseline to Week 36

Secondary outcomes (9)
  1. Proportion of subjects maintaining vision (i.e., losing <15 ETDRS BCVA letters) from baseline to Week 36

    To Assess Proportion of subjects maintaining vision (i.e., losing <15 ETDRS BCVA letters) from baseline to Week 36

    Measured: Baseline to Week 36

  2. Proportion of subjects gaining ≥15 ETDRS BCVA letters from baseline to Week 36

    To Assess Proportion of subjects gaining ≥15 ETDRS BCVA letters from baseline to Week 36

    Measured: Baseline to Week 36

  3. Mean change from baseline in central retinal thickness (µm) by spectral domain optical coherence tomography (SD-OCT) at Week

    To Assess Mean change from baseline in central retinal thickness (µm) by spectral domain optical coherence tomography (SD-OCT) at Week

    Measured: Baseline and Week 36

  4. Proportion of subjects maintaining vision (i.e. losing <15 ETDRS BCVA letters) from baseline to Week 48

    To Assess Proportion of subjects maintaining vision (i.e. losing <15 ETDRS BCVA letters) from baseline to Week 48

    Measured: Baseline to Week 48

  5. Mean change from baseline in ETDRS BCVA letter score at Week 96

    To Assess Mean change from baseline in ETDRS BCVA letter score at Week 96

    Measured: Baseline and Week 96

  6. Number of participants with adverse events as measure of safety and tolerability

    To Assess Number of participants with adverse events as measure of safety and tolerability

    Measured: Baseline to Week 96

  7. Blood concentration of conbercept doses conducted in a subgroup of subjects, when feasible

    To Assess Blood concentration of conbercept doses conducted in a subgroup of subjects, when feasible

    Measured: Baseline to Week 96

  8. Half-life (t1/2) of conbercept doses conducted in a subgroup of subjects, when feasible

    To Assess Half-life (t1/2) of conbercept doses conducted in a subgroup of subjects, when feasible

    Measured: Baseline to Week 96

  9. Presence of anti-drug antibody of conbercept doses conducted in a subgroup of subjects, when feasible

    To Assess Presence of anti-drug antibody of conbercept doses conducted in a subgroup of subjects, when feasible

    Measured: Baseline to Week 96

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Aug 2018
  2. Study start21 Dec 2018
  3. Primary completion10 Sep 2020
  4. Study completion19 May 2021

Why it stopped: desired primary endpoint was not met

Resources

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,157 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03630952
Sponsor's protocol ID
KHB-1802
Status last verified
Jun 2021
First submitted
11 Aug 2018
Last updated
23 Jun 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 0.5 mg Conbercept Intravitreal Injection, 1.0 mg Conbercept Intravitreal Injection and 2.0 mg Aflibercept Intravitreal Injection in people with Neovascular Age-related Macular Degeneration, run by Chengdu Kanghong Biotech Co., Ltd. at 154 sites in 12 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 7 inclusion and 17 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: stopped early, as of the sponsor's last update on 23 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 154 sites in United States, United Kingdom, Israel, France, Hungary and 7 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: desired primary endpoint was not met). Results are not available in the source record.

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?

Mean change from baseline in best corrected visual acuity (BCVA) at Week 36 in the study eye (time frame: Baseline to Week 36). 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 23 Jun 2021.

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