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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06163430
Registration number
NCT06163430
Ethics application status
Date submitted
8/11/2023
Date registered
8/12/2023
Date last updated
16/07/2025
Titles & IDs
Public title
CARDINAL- A Clinical Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of TERN-701 in Participants With Chronic Myeloid Leukemia
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Scientific title
A Phase 1 Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of TERN-701 in Participants With Chronic Myeloid Leukemia
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Secondary ID [1]
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TERN701-1012
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Chronic Myeloid Leukemia, Chronic Phase
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Chronic Myeloid Leukemia
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - TERN-701
Experimental: Part 1- Dose Level 1 of TERN-701 - Dose Level 1 of TERN-701 dosed once daily.
Experimental: Part 1- Dose Level 2 of TERN-701 - Dose Level 2 of TERN-701 dosed once daily.
Experimental: Part 1- Dose Level 3 of TERN-701 - Dose Level 3 of TERN-701 dosed once daily.
Experimental: Part 1- Dose Level 4 of TERN-701 - Dose Level 4 of TERN-701 dosed once daily.
Experimental: Part 2 - Dose 1 - Dose 1 will be selected from Part 1 based on the totality of safety, PK, PD and efficacy data from Part 1 will be selected. TERN-701 is planned to be administered once daily.
Experimental: Part 2 - Dose 2 - Dose 2 will be selected from Part 1 based on the totality of safety, PK, PD and efficacy data from Part 1 will be selected. TERN-701 is planned to be administered once daily.
Treatment: Drugs: TERN-701
TERN-701 orally QD
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Part 1 - Incidence of Dose Limiting Toxicities during the first cycle of treatment
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Assessment method [1]
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Determination of the Maximum Tolerated Dose (MTD) and recommended doses for expansion (RDE) cohorts of TERN-701.
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Timepoint [1]
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First cycle is 28 days
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Primary outcome [2]
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Part 1 - Serious Adverse Events
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Assessment method [2]
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Number and percentage of patients with any serious adverse event
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Timepoint [2]
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up to 3 years
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Primary outcome [3]
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Part 1 - Adverse Events
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Assessment method [3]
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Number and percentage of patients with any adverse event
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Timepoint [3]
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up to 3 years
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Primary outcome [4]
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Part 2- Complete Hematologic Response (CHR)
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Assessment method [4]
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CHR Defined by ELN 2020 criteria in participants who are not in CHR at baseline.
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Timepoint [4]
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up to 3 years
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Primary outcome [5]
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Part 2: Molecular response (MR)
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Assessment method [5]
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MR defined by ELN 2020 criteria measured by quantitative polymerase chain reaction of BCR-ABL transcript levels.
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Timepoint [5]
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up to 3 years
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Primary outcome [6]
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Part 2 - Best categorical shift in BCR-ABL1 transcript levels from baseline
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Assessment method [6]
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The best categorical molecular response shift on treatment relative to baseline
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Timepoint [6]
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up to 3 years
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Eligibility
Key inclusion criteria
Key
* Male or female participants = 18 years of age at the time of signing the informed consent
* Have an ECOG performance status score of 0 to 2
* Have an established cytopathologically confirmed diagnosis of BCR-ABL1 positive CML in Chronic Phase
* Have received treatment with active site targeting TKIs and have treatment failure, suboptimal response, or treatment intolerance
* Prior treatment with asciminib may be allowed
* Adequate organ function, as assessed by local laboratory
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Systemic antineoplastic therapy (including prior TKIs, interferon-alfa, therapeutic antibodies, chemotherapy) or other experimental therapy 7 days before the first dose of TERN-701
* Have completed previous anticancer therapy without resolution of all associated clinically significant toxicity (to = Grade 2 or baseline)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
26/03/2024
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/05/2026
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA,WA
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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Royal Perth Hospital - Perth
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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6000 - Perth
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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United States of America
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Colorado
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United States of America
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Georgia
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United States of America
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New York
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United States of America
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Oregon
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United States of America
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Tennessee
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United States of America
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Texas
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United States of America
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Washington
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France
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Bordeaux
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France
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Marseille Cedex 9
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France
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Nantes Cedex 1
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France
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Paris
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France
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Pierre-Benite
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Germany
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Berlin
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Germany
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Hannover
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Germany
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Jena
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Germany
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Mannheim
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Germany
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München
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Italy
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Bologna
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Italy
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Milano
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Italy
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Monza
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Korea, Republic of
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State/province [22]
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Gyeonggi-do
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Korea, Republic of
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State/province [23]
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Gyeonggido
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Korea, Republic of
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Busan
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Korea, Republic of
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Daegu
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Spain
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Barcelona
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Spain
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Las Palmas
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Spain
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Madrid
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Spain
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State/province [29]
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Zaragoza
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Terns, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The goal of the study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of TERN-701, a novel highly selective allosteric inhibitor of BCR-ABL1, in participants with previously treated chronic phase - chronic myeloid leukemia (CP-CML). The study has two parts: Part 1 of the trial (Dose Escalation) will evaluate sequential dose escalation cohorts of TERN-701 administered once daily. Part 2 (Dose Expansion) consists of randomized, parallel dose expansion cohorts of TERN-701 that will further evaluate the efficacy and safety of at least 2 recommended dose levels for expansion selected from Part 1. In both Part 1 and Part 2, participants will receive continuous daily dosing of TERN-701 divided into 28-day cycles. During the treatment period, participants will have scheduled visits to the trial center at Cycle 1 day 1(C1D1), C1D2, C1D8, C1D15, and C1D16, followed by Day 1 of Cycles 2 through 7, and Day 1 of every 3 cycles thereafter. Approximately 100 participants could be enrolled in this trial, including up to 60 participants in Part 1 (dose escalation), including optional backfill cohorts, and approximately 40 participants in Part 2 (randomized dose expansion). All participants will receive active trial intervention. At least 4 dose-level cohorts may be evaluated in Part 1; at least 2 dose levels may be evaluated in Part 2.
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Trial website
https://clinicaltrials.gov/study/NCT06163430
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Phone
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Fax
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Email
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Contact person for public queries
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Study Director
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Address
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Phone
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650-525-5535
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06163430
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