Small Cell Lung CancerPhase 3AK112-311NCT07010263
A Study of AK112 as Consolidation Treatment for Patients With Limited Stage Small-cell Lung Cancer Who Have Not Progressed Following Concurrent Chemoradiation Therapy
A Phase 3 study testing AK112 in people with Small Cell Lung Cancer, run by Akeso at 53 sites in China.
Trial summary
This is a randomized, double-blind, phase III clinical study to compare the efficacy and safety of AK112 to placebo as consolidation treatment for patients with limited stage small cell lung cancer who have not progressed following concurrent chemoradiation therapy. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Small Cell Lung Cancer
- What is being tested?
- AK112
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 560 participants
- Where
- 53 sitesChina
- Study dates
- 13 Jun 2025to 31 Jul 2029
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- The subjects voluntarily participated in the study with full informed consent and signed written informed consent form.
- Aged ≥18 years on day fo signing the informed consent.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Life expectancy ≥ 3 months
- Histologically or cytologically confirmed small cell lung cancer.
- Documented limited-stage SCLC (Stage I-III SCLC [T any, N any, M0] according to the American Joint Committee on Cancer Staging Manual [AJCC Cancer Staging Manual, 8th Edition] or the Veterans Administration Lung Study Group (VALG) stage.
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- Have Received concurrent chemoradiotherapy regimen as defined in protocol and have not progressed following concurrent chemoradiotherapy.
- Adequate organ function.
- Women of childbearing potential must have a negative serum pregnancy test within 7 days prior to the first dose and agree to take effective contraception measures during the study drug administration and within 120 days after the last dose.
Who cannot join
- Histologically or cytological confirmed the presence of mixed small cell lung cancer or non-small cell lung cancer components.
- Toxicities from previous anti-tumor treatments have not resolved to grade 0 or 1 based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v5.0), or to the levels specified in inclusion/exclusion criteria, except for alopecia.
- Symptoms or signs of primary disease deterioration that the investigator judges clinically unacceptable, such as cachexia.
- Presence of pleural effusion, pericardial effusion, or ascites, which was clinically symptomatic or requiring frequent drainage.
- History of active malignant tumors within the previous 5 years.
- Received major surgery within 28 days prior to the first dose of study drug, or expected to undergo major surgery during the study period within 28 days after the first dose of study drug.
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- Uncontrolled comorbidities, including but not limited to decompensated cirrhosis, nephrotic syndrome, uncontrolled metabolic disorders, severe active peptic ulcer disease or gastritis, and other related diseases..
- Have serious neurological or mental illnesses, including dementia and epileptic seizures.
- Pregnant or lactating women.
- Have cardiovascular or cerebrovascular diseases or risk factors.
- Prior treatments with systemic non-specific immunomodulatory therapy (such as interleukin, interferon, thymosin, etc.) within 2 weeks before the first administration of the study drugs. Prior treatment with Chinese herbal medicine or traditional Chinese patent medicines with anti-tumor indications within 1 weeks before the first administration of the study drugs.
- Prior treatments targeting immune mechanisms, including, but not limited to, immune checkpoint inhibitors, immune checkpoint agonists, immune cell therapy.
- Prior treatments with anti-angiogenic therapy.
- Subjects requiring systemic treatment with corticosteroids (>10mg/day prednisone or equivalent dose) or other immunosuppressive drugs within 14 days prior to the first dose of study drug.
- Known history of severe hypersensitivity reactions to other monoclonal antibodies or with a known history of allergy or hypersensitivity reactions to any of study drugs or their components.
- Active autoimmune diseases that require systemic treatment within 2 years prior to the study, or autoimmune diseases that the investigator judges to be potentially recurrent or require planned treatment.
- Known interstitial lung disease or non infectious pneumonia, which currently has symptoms or requires systemic corticosteroid treatment in the past,or investigator juges may affect the toxicity assessment or management related to the study treatment.
- Known severe infection within 4 weeks prior to the first dose of study drug. Known active tuberculosis. Known active syphilis infection. Known history of immunodeficiency or positive HIV test results.
- .Known history of allogeneic organ transplantation and allogeneic hematopoietic stem cell transplantation.
- Active hepatitis B or active hepatitis C.
- Received a live vaccine within 30 days prior to the first dose of study drug, or planning to receive a live vaccine during the study period.
Trial locations and contacts
53 sites in 1 country. Contact the study team or a site near you to ask about taking part.
53 sites in 1 country
China53 sites, 53 recruiting
- Recruiting
Anyang Cancer Hospital
Anyang, Henan, 455000
Anping Zheng, M.D.
Anping Zheng, M.D.
- Recruiting
Cancer Hospital, Chinese Academy of Medical Sciences
Beijin, Beijin, 100021
Zhijie Wang, M.D.
Zhijie Wang, M.D.
- Recruiting
Beijing Cancer Hospital
Beijing, Beijing Municipality, 100142
Rong Yu, M.D.
Rong Yu, M.D.
- Recruiting
The First Medical Center of Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853
Yi Hu, M.D.
Yi Hu, M.D.
- Recruiting
Beijing Chest Hospital
Beijing, Beijing Municipality, 101149
Gen Lin, M.D.
Gen Lin, M.D.
- Recruiting
Beijing Luhe Hospital, Capital Medical University
Beijing, Beijing Municipality, 101149
Dong Yan, M.D.
Dong Yan, M.D.
- Recruiting
Jilin Cancer Hospital
Changchun, Jilin, 130000
Haifeng Liu, M.D.
Haifeng Liu, M.D.
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan, 410013
Yongzhong Luo, M.D.
Yongzhong Luo, M.D.
- Recruiting
Hunan Cancer Hospital
Changsha, Hunan, 410013
Lin Wu, M.D.
Lin Wu, M.D.
- Recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing, Chongqing Municipality, 400016
Ge Luo, M.D.
Ge Luo, M.D.
- Recruiting
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Haipeng Xu, M.D.
Haipeng Xu, M.D.
- Recruiting
PLA No. 900 Hospital of the Joint Support Force
Fuzhou, Fujian, 350025
Zongyang Yu, M.D.
Zongyang Yu, M.D.
- Recruiting
The First Affiliated Hospital of Gannan Medical University
Gannan, Jiangxi, 341000
Jie Li, M.D.
Jie Li, M.D.
- Recruiting
Guangdong Provincial People's Hospital
Guangzhou, Guangzhou, 510080
Jing Li, M.D.
Jing Li, M.D.
- Recruiting
Guizhou Provincial People's Hospital
Guiyang, Guizhou, 400042
Yu Zhang, M.D.
Yu Zhang, M.D.
- Recruiting
Harbin Medical University Cancer Hospital
Harbin, Heilongjiang, 150081
Yan Yu, M.D.
Yan Yu, M.D.
- Recruiting
The Second Affiliated Hospital of Harbin Medical University
Harbin, Heilongjiang, 150086
Yu Yang, M.D.
Yu Yang, M.D.
- Recruiting
The First Affiliated Hospital of South China University
Hengyang, Hunan, 421001
Yuehua Li, M.D.
Yuehua Li, M.D.
- Recruiting
Jiangmen Central Hospital
Jiangmen, Guangdong, 529030
Gengsheng Yu, M.D.
Gengsheng Yu, M.D.
- Recruiting
Shandong Provincial Hospital
Jinan, Shandong, 250021
Zhe Yang, M.D.
Zhe Yang, M.D.
- Recruiting
Shandong Cancer Hospital
Jinan, Shandong, 250117
Hui Zhu, M.D.
Hui Zhu, M.D.
- Recruiting
Jingzhou First People's Hospital
Jingzhou, Hubei, 434000
Yonghua Yang, M.D.
Yonghua Yang, M.D.
- Recruiting
Gansu Provincial Cancer Hospital
Lanzhou, Gansu, 730050
Shihong Wei, M.D.
Shihong Wei, M.D.
- Recruiting
Linyi Cancer Hospital
Linyi, Shandong, 276000
Jianhua Shi, M.D.
Jianhua Shi, M.D.
- Recruiting
Linyi People's Hospital
Linyi, Shandong, 276000
Zhongmin Zhang, M.D.
Xueliang Xu, M.D.
- Recruiting
Liuzhou People's Hospital
Liuzhou, Guangxi, 545006
Leili Wang, M.D.
Leili Wang, M.D.
- Recruiting
Longyan First Hospital
Longyan, Fujian, 364000
Chunyue Wang, M.D.
Chunyue Wang, M.D.
- Recruiting
Mianyang Central Hospital
Mianyang, Sichuan, 621000
Xiaobo Du, M.D.
Xiaobo Du, M.D.
- Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang, Jiangxi, 330006
Longhua Sun, M.D.
Longhua Sun, M.D.
- Recruiting
General Hospital of the PLA Eastern Theater Command
Nanjing, Jiangsu, 210002
Xiangfeng Lv, M.D.
Xiangfeng Lv, M.D.
- Recruiting
Jiangsu Cancer Hospital
Nanjing, Jiangsu, 210009
Lin Shi, M.D.
Lin Shi, M.D.
- Recruiting
Affiliated Cancer Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
Jiangqiong Huang, M.D.
Jiangqiong Huang, M.D.
- Recruiting
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, 530021
Qing Bu, M.D.
Qing Bu, M.D.
- Recruiting
Qingdao Central Hospital of Health and Rehabilitation Sciences University
Qingdao, Shandong, 266000
Zhen Zhang, M.D.
Xiaotao Zhang, M.D.
- Recruiting
Fudan University Shanghai Cancer Center
Shanghai, Shanghai Municipality, 200032
Zhengfei Zhu, M.D.
Zhengfei Zhu, M.D.
- Recruiting
Shanghai Pulmonary Hospital
Shanghai, Shanghai Municipality, 200433
Fengying Wu, M.D.
Fengying Wu, M.D.
- Recruiting
The First Affiliated Hospital of Xi'an Jiaotong University
Shaxi, Xi'an, 710061
Yu Yao, M.D.
Yu Yao, M.D.
- Recruiting
The First Hospital of China Medical University
Shenyang, Liaoning, 110001
Bo Jin, M.D.
Bo Jin, M.D.
- Recruiting
The Fourth Hospital of Hebei Medical University
Shijiazhuang, Hebei, 050011
Jun Wang, M.D.
Jun Wang, M.D.
- Recruiting
Shanxi Cancer Hospital
Taiyuan, Shanxi, 300013
Hongwei Li, M.D.
Hongwei Li, M.D.
- Recruiting
Tangshan People's Hospital
Tangshan, Hebei, 063001
Zhiwu Wang, M.D.
Zhiwu Wang, M.D.
- Recruiting
Tianjin Cancer Hospital
Tianjin, Tianjin Municipality, 300060
Dingzhi Huang, M.D.
Dingzhi Huang, M.D.
- Recruiting
Weifang No.2 People's Hospital
Weifang, Shangdong, 261041
Kunning Yang, M.D.
Kunning Yang, M.D.
- Recruiting
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
Yuping Li, M.D.
Yuping Li, M.D.
- Not yet recruiting
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Xiaorong Dong, M.D.
Xiaorong Dong, M.D.
- Recruiting
Tangdu Hospital, The Fourth Military Medical University
Xi’an, Shanxi, 710038
Xiaolong Yan, M.D.
Xiaolong Yan, M.D.
- Recruiting
The First Affiliated Hospital of Xinxiang Medical University
Xinxiang, Henan, 453100
Qingqin Zhang, M.D.
Qingqin Zhang, M.D.
- Recruiting
Xuzhou Municipal Hospital
Xuzhou, Jiangsu, 221002
Haitao Yin, M.D.
Haitao Yin, M.D.
- Recruiting
Ningxia Medical University General Hospital
Yinchuan, Ningxia, 750004
Yanyang Wang, M.D.
Yanyang Wang, M.D.
- Recruiting
Zaozhuang Municipal Hospital
Zaozhuang, Shandong, 277100
Shifeng Kan, M.D.
Shifeng Kan, M.D.
- Recruiting
Zhangzhou Municipal Hospital of Fujian Province
Zhangzhou, Fujian, 363000
Li Lin, M.D.
Li Lin, M.D.
- Recruiting
Henan Cancer Hospital
Zhengzhou, Henan, 450008
Yanqiu Zhao, M.D.
Yanqiu Zhao, M.D.
- Recruiting
The Second Affiliated Hospital of Zunyi Medical University
Zunyi, Guizhou, 563000
Shiyun Xing, M.D.
Shiyun Xing, M.D.
About this study
Official title: A Multicenter, Randomized, Double-blind, Phase III Clinical Study of Comparing the Efficacy and Safety of AK112 (PD-1/VEGF Bispecific Antibody) Versus Placebo as Consolidation Treatment for Patients With Limited Stage Small-Cell Lung Cancer Who Have Not Progressed Following Concurrent Chemoradiation Therapy
This is a randomized, double-blind, phase III clinical study to compare the efficacy and safety of AK112 to placebo as consolidation treatment for patients with limited stage small cell lung cancer who have not progressed following concurrent chemoradiation therapy.
- Conditions
- Small Cell Lung Cancer
- Being tested
- AK112, Placebo
- Keywords
- AK112, Ivonescimab
- Medical subject headings
- Small Cell Lung Carcinoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AK112Drug
Also called Ivonescimab
AK112 20mg/kg, intravenous [IV]),Q3W
PlaceboOther
Placebo, intravenous [IV]),Q3W
| Study group | Role | What they receive |
|---|---|---|
| Ak112 arm | Experimental | AK112 intravenous [IV]),every 3 weeks Receives: Drug: AK112 |
| Placebo arm | Placebo comparator | Placebo intravenous [IV]),every 3 weeks Receives: Other: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-Free Survival(PFS) assessed by Blinded independent center review(BIRC)
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST v1.1
Measured: Approximately 6 years
Overall Survival (OS)
OS is defined as the time from randomization or first dosing to death due to any cause.
Measured: Approximately 6 years
Secondary outcomes (8)
PFS assessed by investigator per RECIST v1.1
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST v1.1
Measured: Approximately 6 years
Objective Response Rate (ORR) assessed by BICR Per RECIST v1.1
Measured: Approximately 6 years
ORR assessed by investigator Per RECIST v1.1
Measured: Approximately 6 years
Disease control rate(DCR) assessed by BICR per RECIST v1.1
Measured: Approximately 6 years
DCR assessed by investigator per RECIST v1.1
Measured: Approximately 6 years
Duration of Response (DOR) assessed by BICR per RECIST v1.1
Measured: Approximately 6 years
DOR assessed by investigator per RECIST v1.1
Measured: Approximately 6 years
Number of participants with adverse event (AE)
The number of participants experiencing an AE and the severity of AEs will be assessed. AE refers to any untoward medical occurrence or deterioration of existing medical event after the subject signed the ICF, whether or not considered related to the study treatment.
Measured: Approximately 6 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jun 2025
- Study start13 Jun 2025
- Primary completion31 Dec 2028 (estimated)
- Study completion31 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by AkesoThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Parallel assignment
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 560 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Akeso
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07010263
- Sponsor's protocol ID
- AK112-311
- Acronym
- AK112-311
- Status last verified
- Mar 2026
- First submitted
- 25 May 2025
- Last updated
- 5 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind, Phase III Clinical Study of Comparing the Efficacy and Safety of AK112 (PD-1/VEGF Bispecific Antibody) Versus Placebo as Consolidation Treatment for Patients With Limited Stage Small-Cell Lung Cancer Who Have Not Progressed Following Concurrent Chemoradiation Therapy
- ClinicalTrials.gov ID
- NCT07010263
- Acronym / sponsor ID
- AK112-311 / AK112-311
- Conditions
- Small Cell Lung Cancer
- Keywords
- AK112, Ivonescimab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 560 participants (estimated)
- Lead sponsor
- AkesoIndustry (pharma, biotech, devices)
- Study start
- 13 Jun 2025 (actual)
- Primary completion
- 31 Dec 2028 (estimated)
- Study completion
- 31 Jul 2029 (estimated)
- First posted
- 8 Jun 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a randomized, double-blind, phase III clinical study to compare the efficacy and safety of AK112 to placebo as consolidation treatment for patients with limited stage small cell lung cancer who have not progressed following concurrent chemoradiation therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
- Model description
- Parallel assignment
| Arm | Type | Receives |
|---|---|---|
| Ak112 arm | Experimental | Drug: AK112AK112 intravenous [IV]),every 3 weeks |
| Placebo arm | Placebo comparator | Other: PlaceboPlacebo intravenous [IV]),every 3 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- The subjects voluntarily participated in the study with full informed consent and signed written informed consent form.
- Aged ≥18 years on day fo signing the informed consent.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Life expectancy ≥ 3 months
- Histologically or cytologically confirmed small cell lung cancer.
Key exclusion criteria (21 listed)
- Histologically or cytological confirmed the presence of mixed small cell lung cancer or non-small cell lung cancer components.
- Toxicities from previous anti-tumor treatments have not resolved to grade 0 or 1 based on the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE v5.0), or to the levels specified in inclusion/exclusion criteria, except for alopecia.
- Symptoms or signs of primary disease deterioration that the investigator judges clinically unacceptable, such as cachexia.
- Presence of pleural effusion, pericardial effusion, or ascites, which was clinically symptomatic or requiring frequent drainage.
- History of active malignant tumors within the previous 5 years.
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 |
|---|---|---|
| AK112Also: IvonescimabAK112 20mg/kg, intravenous [IV]),Q3W | Drug | Ak112 arm |
| PlaceboPlacebo, intravenous [IV]),Q3W | Other | Placebo arm |
Primary outcome
Progression-Free Survival(PFS) assessed by Blinded independent center review(BIRC)
Time frame: Approximately 6 years
PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST v1.1
Overall Survival (OS)
Time frame: Approximately 6 years
OS is defined as the time from randomization or first dosing to death due to any cause.
8 secondary outcomes
PFS assessed by investigator per RECIST v1.1
Time frame: Approximately 6 years
Objective Response Rate (ORR) assessed by BICR Per RECIST v1.1
Time frame: Approximately 6 years
ORR assessed by investigator Per RECIST v1.1
Time frame: Approximately 6 years
Disease control rate(DCR) assessed by BICR per RECIST v1.1
Time frame: Approximately 6 years
DCR assessed by investigator per RECIST v1.1
Time frame: Approximately 6 years
Duration of Response (DOR) assessed by BICR per RECIST v1.1
Time frame: Approximately 6 years
DOR assessed by investigator per RECIST v1.1
Time frame: Approximately 6 years
Number of participants with adverse event (AE)
Time frame: Approximately 6 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2026.
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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.
53 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing AK112 in people with Small Cell Lung Cancer, run by Akeso at 53 sites in China.
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 9 inclusion and 21 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: looking for participants now, as of the sponsor's last update on 5 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 53 sites in China. 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Zhifang Yao, M.D. (+86-0760-89873999, clinicaltrials@akesobio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-Free Survival(PFS) assessed by Blinded independent center review(BIRC) (time frame: Approximately 6 years). The study lists 2 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 Mar 2026.