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Pneumococcal InfectionPhase 3STRIDE-8NCT05696080

Safety and Immunogenicity of V116 in Adults With Increased Risk for Pneumococcal Disease (V116-008)

A Phase 3 study testing V116, PCV15 and PPSV23 in people with Pneumococcal Infection, run by Merck Sharp & Dohme LLC at 44 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objectives of this study are to evaluate the safety and tolerability of the pneumococcal 21 valent conjugate vaccine (V116), and to evaluate the serotype-specific opsonophagocytic activity (OPA) post-vaccination with V116 and PCV15 (a pneumococcal conjugate vaccine that includes 15 serotypes) + PPSV23… Read more about this study

Who is it for?
Ages 18 to 64 yearsHealthy volunteers can take part
Conditions the study is for
Pneumococcal Infection
What is being tested?
V116, PCV15 and PPSV23
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
518 participants
Where
44 sitesin 8 countries
Study dates
13 Feb 2023to 16 Feb 2024
Phase
Phase 3
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 to 64 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Has documented result(s) of ≥1 of the following risk conditions for pneumococcal disease: diabetes mellitus, receiving treatment with ≥1 approved antidiabetic medication, with all Hemoglobin A1c (HbA1c) measurements ≤9% within 6 months before first study vaccination; compensated chronic liver disease; diagnosis of chronic obstructive pulmonary disease (COPD) managed per local guidelines; diagnosis of mild or moderate persistent asthma managed per local guidelines; confirmed diagnosis of chronic heart disease managed per local guidelines; confirmed diagnosis of chronic kidney disease (>3 months duration).
  • Is receiving stable medical management for the listed risk conditions for ≥3 months with no anticipated major change in treatment expected for the duration of the study and with ≤1 hospitalization directly related to the risk condition.
  • Female Is not a participant of childbearing potential (POCBP); or if a POCBP Uses an acceptable contraceptive method or is abstinent from penile-vaginal intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis); their medical history, menstrual history, and recent sexual activity has been reviewed by the investigator.

Who cannot join

  • Has a history of active hepatitis.
  • Has a history of diabetic ketoacidosis or 2 or more episodes of severe, symptomatic hypoglycemia within 3 months before first study vaccination (Day 1).
  • Has a history of myocardial infarction, acute coronary syndrome, transient ischemic attack, or ischemic or hemorrhagic stroke within 3 months before first study vaccination (Day 1).
  • Has a history of severe pulmonary hypertension with World Health Organization (WHO) functional class ≥3 or history of Eisenmenger syndrome
  • Has a history of autoimmune related chronic kidney disease, chronic kidney failure, a reversible cause of kidney disease, nephrotic syndrome, or any ineligible Kidney Disease: Improving Global Outcomes (KDIGO)-recommended stage of glomerular filtration rate (GFR) and Albuminuria
  • Has a history of invasive pneumococcal disease (IPD) (positive blood culture, positive cerebrospinal fluid culture, or positive culture at another sterile site) or known history of other culture-positive pneumococcal disease within 3 years before first study vaccination (Day 1).
Show all 20Show fewer
  • Has a known hypersensitivity to any component of V116, PCV15, or PPSV23, including diphtheria toxoid.
  • Has a known or suspected impairment of immunological function including, but not limited to, congenital or acquired immunodeficiency, documented human immunodeficiency virus (HIV) infection, functional or anatomic asplenia, or autoimmune disease.
  • Has a coagulation disorder contraindicating intramuscular (IM) vaccination.
  • Had a recent febrile illness or received antibiotic therapy for any acute illness occurring within 72 hours before receipt of any study vaccine.
  • Has a known malignancy that is progressing or has required active treatment <3 years before randomization.
  • Has planned organ transplantation (heart, liver, lung, kidney, or pancreas) or other planned major surgical procedure during the duration of this study.
  • Has expected survival for <1 year.
  • Has received any prior pneumococcal vaccine or is expected to receive any pneumococcal vaccine during the study outside the protocol.
  • Has received systemic corticosteroids (prednisone equivalent of ≥20 mg/day) for ≥14 consecutive days and has not completed intervention ≥14 days before receipt of study vaccine at Visit 2 (Day 1).
  • Is currently receiving systemic immunosuppressive therapy, including chemotherapeutic agents or other immunotherapies/immunomodulators used to treat cancer or other conditions, and interventions associated with organ or bone marrow transplantation, or autoimmune disease.
  • Has received any non-live vaccine ≤14 days before receipt of any study vaccine or is scheduled to receive any non-live vaccine ≤30 days after receipt of any study vaccine.
  • Has received any live virus vaccine (including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) live virus vaccines) ≤30 days before receipt of any study vaccine or is scheduled to receive any live virus vaccine ≤30 days after receipt of any study vaccine
  • Has received a blood transfusion or blood products, including immunoglobulin ≤6 months before receipt of any study vaccine or is scheduled to receive a blood transfusion or blood product ≤30 days after receipt of any study vaccine.
  • Is receiving chronic home oxygen therapy.

Trial locations and contacts

44 sites in 8 countries.

44 sites in 8 countries

United States8 sites
  • EmVenio Research ( Site 0018)

    Fort Worth, Texas, 27713

  • Indago Research & Health Center, Inc ( Site 0002)

    Hialeah, Florida, 33012

  • Holston Medical Group ( Site 0010)

    Kingsport, Tennessee, 37660

  • Aventiv Research ( Site 0022)

    Mesa, Arizona, 85206

  • Mid Hudson Medical Research ( Site 0008)

    New Windsor, New York, 12553

  • SKY Integrative Medical Center/SKYCRNG ( Site 0012)

    Ridgeland, Mississippi, 39157

  • Wenatchee Valley Hospital ( Site 0019)

    Wenatchee, Washington, 98801

  • Triple O Research Institute, P.A ( Site 0011)

    West Palm Beach, Florida, 33407

Other trials in United States

Canada7 sites
  • Hamilton Medical Research Group ( Site 0107)

    Hamilton, Ontario, L8M 1K7

  • Milestone Research Inc. ( Site 0106)

    London, Ontario, N5W 6A2

  • Manna Research Mirabel ( Site 0105)

    Mirabel, Quebec, J7J 2K8

  • G A Research Associates ( Site 0100)

    Moncton, New Brunswick, E1G 1A7

  • Clinique de médecine Urbaine du Quartier Latin ( Site 0111)

    Montreal, Quebec, H2L 4E9

  • Diex Recherche Trois-Rivieres ( Site 0110)

    Trois-Rivières, Quebec, G9A 4P3

  • Diex Recherche Victoriavile Inc. ( Site 0102)

    Victoriaville, Quebec, G6P 6P6

Other trials in Canada

Chile7 sites
  • Universidad San Sebastian - Providencia ( Site 1003)

    Providencia, Region M. de Santiago, 7500000

  • Centro de Investigaciones Medicas Respiratorias (CIMER) ( Site 1008)

    Santiago, Region M. de Santiago, 7500692

  • Centro de Investigacion Clinicadela Universidad Catolica ( Site 1004)

    Santiago, Region M. de Santiago, 8330034

  • Universidad de Chile - Hospital Clínico Universidad de Chile-Cardiology ( Site 1006)

    Santiago, Region M. de Santiago, 8380420

  • CESFAM Esmeralda ( Site 1009)

    Santiago, Region M. de Santiago, 9340000

  • Centro de Investigación del Maule-Centro de Investigación 2 ( Site 1010)

    Talca, Maule Region, 3460000

  • Hospital Dr. Hernán Henríquez Aravena ( Site 1001)

    Temuco, Araucania, 4781151

Other trials in Chile

Poland7 sites
  • IN VIVO ( Site 0601)

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-048

  • Centrum Medyczne Pratia Bydgoszcz-Centrum Medyczne Pratia Bydgoszcz ( Site 0607)

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796

  • Centrum Medyczne Pratia Katowice ( Site 0604)

    Katowice, Silesian Voivodeship, 40-081

  • Clinical Medical Research ( Site 0605)

    Katowice, Silesian Voivodeship, 40-156

  • Centrum Medyczne Medyk ( Site 0602)

    Rzeszów, Podkarpackie Voivodeship, 35-055

  • Clinmedica Research Sp. z. o. o. ( Site 0603)

    Skierniewice, Łódź Voivodeship, 96-100

  • MICS Centrum Medyczne Torun ( Site 0606)

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

Other trials in Poland

New Zealand6 sites
  • CGM Research Trust ( Site 0505)

    Christchurch, Canterbury, 8011

  • Pacific Clinical Research Network - Forte ( Site 0501)

    Christchurch, Canterbury, 8013

  • P3 Research - Lower Hutt ( Site 0508)

    Lower Hutt, Wellington Region, 5010

  • Pacific Clinical Research Network - Rotorua ( Site 0500)

    Rotorua, Bay of Plenty, 3010

  • P3 Research - Tauranga ( Site 0507)

    Tauranga, Bay of Plenty, 3110

  • P3 Research - Wellington ( Site 0503)

    Wellington, 6021

Other trials in New Zealand

South Korea5 sites
  • Hallym University Sacred Heart Hospital ( Site 0303)

    Anyang-si, Kyonggi-do, 14068

  • Korea University Anam Hospital ( Site 0305)

    Seoul, 02841

  • Seoul National University Hospital ( Site 0300)

    Seoul, 03080

  • Konkuk University Medical Center ( Site 0302)

    Seoul, 05030

  • Hallym University Kangdong Sacred Heart Hospital ( Site 0301)

    Seoul, 05355

Other trials in South Korea

Australia2 sites
  • Royal Brisbane and Women's Hospital ( Site 0400)

    Brisbane, Queensland, 4029

  • Holdsworth House Medical Practice ( Site 0402)

    Darlinghurst, New South Wales, 2010

Other trials in Australia

Japan2 sites
  • Medical corporation Applied Bio-Pharmatech Kurume Clinical Pharmacology Clinic ( Site 0200)

    Kurume, Fukuoka, 830-0011

  • Shimonoseki Medical Center ( Site 0201)

    Shimonoseki, Yamaguchi, 750-0061

Other trials in Japan

About this study

Official title: A Phase 3, Randomized, Double-blind, Active Comparator-controlled Clinical Study to Evaluate the Safety, Tolerability, and Immunogenicity of V116 in Pneumococcal Vaccine-naïve Adults 18 to 64 Years of Age With Increased Risk for Pneumococcal Disease.

The primary objectives of this study are to evaluate the safety and tolerability of the pneumococcal 21 valent conjugate vaccine (V116), and to evaluate the serotype-specific opsonophagocytic activity (OPA) post-vaccination with V116 and PCV15 (a pneumococcal conjugate vaccine that includes 15 serotypes) + PPSV23 (comprised of the polysaccharides from 23 of the serotypes causing disease in adults) post-vaccination within each vaccination group separately.

Being tested
V116, Placebo, PCV15, PPSV23
Medical subject headings
Pneumococcal Infections

What participants receive

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

  • V116Biological

    Also called Pneumococcal 21-valent Conjugate Vaccine

    Pneumococcal 21-valent conjugate vaccine with 4 μg of each of the following pneumococcal polysaccharides (PnPs) antigen: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 15A, 15C, 16F, 17F, 19A, 20, 22F, 23A, 23B, 24F, 31, 33F, and 35B in each 0.5 mL sterile solution

  • PlaceboBiological

    Saline in each 0.5 mL sterile solution

  • PCV15Biological

    Also called VAXNEUVANCE™

    Pneumococcal 15-valent conjugate vaccine with 2 μg of each of the following PnPs antigen: 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 22F, 23F, and 33F; and 4 μg of PnPs antigen 6B in each 0.5 mL sterile suspension

  • PPSV23Biological

    Also called PNEUMOVAX™23

    Pneumococcal 23-valent polyvalent vaccine with 25 μg of each of the following PnPs antigen: 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, 10A, 11A, 12F, 14, 15B, 17F, 18C, 19A, 19F, 20, 22F, 23F, and 33F in each 0.5 mL sterile solution

Study groups in NCT05696080
Study groupRoleWhat they receive
V116 + PlaceboExperimentalParticipants administered a single intramuscular (IM) dose of V116 on Day 1, and single IM dose of placebo on Week 8.
Receives: Biological: V116; Biological: Placebo
PCV15 + PPSV23Active comparatorParticipants administered a single IM dose of PCV15 on Day 1, and a single IM dose of PPSV23 on Week 8.
Receives: Biological: PCV15; Biological: PPSV23

What is being measured

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

  1. Percentage of Participants With Solicited Injection-site Adverse Events (AEs) From Day 1 Through Day 5 Post-vaccination

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants with solicited injection-site AEs was assessed following any vaccination. Solicited injection-site AEs consist of the following: pain/tenderness, redness/erythema, and swelling.

    Measured: Up to 5 days following each vaccination

  2. Participants With Solicited Systemic AEs From Day 1 Through Day 5 Post-vaccination

    An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. The percentage of participants with solicited systemic AEs was assessed following any vaccination. Solicited systemic AEs consist of the following: fatigue (tiredness), headache, myalgia (muscle aches), and pyrexia (maximum temperature >= 100.4 °F/38.0 °C).

    Measured: Up to 5 days following each vaccination

  3. Participants With Vaccine-related Serious Adverse Events (SAEs) From Day 1 Through The Duration of Participation in The Study

    A vaccine-related SAE is any untoward medical consequence that results in death, is life-threatening, requires inpatient hospitalization or prolongs existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, or is another important medical event, which is determined by the investigator to be related to the vaccine. The percentage of participants with SAEs was assessed following any vaccination.

    Measured: Up to 194 days following Visit 2 (Day 1)

  4. Serotype-specific Opsonophagocytic Activity (OPA) Geometric Mean Titers (GMTs) for Pneumococcal Serotypes Contained in V116

    The serotype specific OPA GMTs for the pneumococcal serotypes were determined using the multiplex opsonophagocytic assay (MOPA). The point estimate was calculated by exponentiating the estimates of the mean of the natural log values and within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: 30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group.

Secondary outcomes (5)
  1. Serotype-specific Immunoglobulin G (IgG) Geometric Mean Concentrations (GMCs) for Pneumococcal Serotypes Contained in V116

    The serotype specific IgG GMCs for the pneumococcal serotypes were determined using pneumococcal electrochemiluminescence assay (PnECL). The point estimate was calculated by exponentiating the estimates of the mean of the natural log values and within-group 95% CIs were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: 30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group.

  2. Serotype-specific Geometric Mean Fold Rises (GMFRs) for OPA Responses From Baseline to Post-vaccination With V116 and PCV15 + PPSV23

    The geometric mean fold rise (GMFR) from baseline to post-vaccination in serotype specific OPA GMTs was determined using MOPA. The within-group 95% confidence intervals (Cis) were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: Baseline (Day 1) and postvaccination (30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group)

  3. Serotype-specific GMFRs for IgG Responses From Baseline to Post-vaccination With V116 and PCV15 + PPSV23

    The GMFR from baseline to post-vaccination in serotype specific IgG GMCs was determined using Pn electrochemiluminescence (ECL) assay. The within-group 95% confidence intervals (Cis) were obtained by exponentiating the CIs of the mean of the natural log values based on the t-distribution. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: Baseline (Day 1) and postvaccination (30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group)

  4. Percentage of Participants With ≥4-fold Change From Baseline to Post-vaccination With V116 and PCV15 + PPSV23 in Serotype Specific OPA Responses for Pneumococcal Serotypes Contained in V116

    The percentage of participants with ≥4-fold rise from baseline to post-vaccination with V116 and PCV15+PPSV23 in serotype-specific OPA responses for pneumococcal serotypes contained in V116 was calculated using MOPA. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: Baseline (Day 1) and postvaccination (30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group)

  5. Percentage of Participants With ≥4-fold Change From Baseline to Post-Vaccination With V116 and PCV15 + PPSV23 in Serotype Specific IgG Responses for Pneumococcal Serotypes Contained in V116

    The percentage of participants with ≥4-fold rise from baseline to post-vaccination with V116 and PCV15+PPSV23 in serotype-specific OPA responses for pneumococcal serotypes contained in V116 was calculated using Pn ECL assay. The 13 common pneumococcal serotypes in both V116 and PCV15 + PPSV23 were as follows: 3, 6A, 7F, 8, 9N, 10A, 11A, 12F, 17F, 19A, 20A, 22F, and 33F. The 8 unique pneumococcal serotypes in V116 were as follows: 15A, 15C, 16F, 23A, 23B, 24F, 31, and 35B.

    Measured: Baseline (Day 1) and postvaccination (30 days following V116 [Day 30] for the V116 + Placebo group and 30 days following PPSV23 [Week 12] for the PCV15 + PPSV23 group)

Timeline

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

  1. First posted25 Jan 2023
  2. Study start13 Feb 2023
  3. Primary completion16 Feb 2024
  4. Study completion16 Feb 2024

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
518 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05696080
Sponsor's protocol ID
V116-008
Other IDs
V116-008, jRCT2061220106, 2022-502791-22-01, U1111-1282- 1460
Acronym
STRIDE-8
Status last verified
Feb 2026
First submitted
13 Jan 2023
Last updated
3 Mar 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf

Publications

  • Scott PT, Pathirana J, Kato A, Tytus R, Perez CM, Gilchrist NL, Kanou H, Ha Yoo K, Kania G, Nissen M, Russell AF, Fernsler D, Waleed M, Li J, Buchwald UK, Platt HL. A Phase 3, Randomized Trial Investigating the Safety, Tolerability, and Immunogenicity of V116, an Adult-Specific Pneumococcal Conjugate Vaccine, in Pneumococcal Vaccine-Naive Adults 18-64 Years of Age at Increased Risk of Pneumococcal Disease, STRIDE-8. Clin Infect Dis. 2026 Feb 25;82(2):e217-e226. doi: 10.1093/cid/ciaf604.

    PubMed 41208546

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing V116, PCV15 and PPSV23 in people with Pneumococcal Infection, run by Merck Sharp & Dohme LLC at 44 sites in 8 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 3 inclusion and 20 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 3 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 44 sites in United States, Canada, Chile, Poland, New Zealand and 3 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?

Yes. Results are posted in the registry (first posted 26 Feb 2025). 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?

Percentage of Participants With Solicited Injection-site Adverse Events (AEs) From Day 1 Through Day 5 Post-vaccination (time frame: Up to 5 days following each vaccination). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05696080, which also lists 1 linked publication.

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 3 Mar 2026.

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