Clinical Trial Results:
A Phase 3, Multicenter, Randomized, Double-blind, Active Comparator-controlled Study to Evaluate the Safety, Tolerability, and Immunogenicity of V114 in Children with Sickle Cell Disease (PNEU-SICKLE)
Summary
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EudraCT number |
2018-001152-35 |
Trial protocol |
GR IT |
Global end of trial date |
08 Jun 2020
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Results information
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Results version number |
v1(current) |
This version publication date |
25 Apr 2021
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First version publication date |
25 Apr 2021
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
V114-023
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT03731182 | ||
WHO universal trial number (UTN) |
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Sponsors
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Sponsor organisation name |
Merck Sharp & Dohme Corp.
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Sponsor organisation address |
2000 Galloping Hill Road, Kenilworth, NJ, United States, 07033
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Public contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Scientific contact |
Clinical Trials Disclosure, Merck Sharp & Dohme Corp., ClinicalTrialsDisclosure@merck.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
05 Nov 2020
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
08 Jun 2020
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Global end of trial reached? |
Yes
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Global end of trial date |
08 Jun 2020
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
This study is designed to describe the safety, tolerability, and immunogenicity of V114 in children with sickle cell disease.
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Protection of trial subjects |
This study was conducted in conformance with Good Clinical Practice standards and applicable country and/or local statutes and regulations regarding ethical committee review, informed consent, and the protection of human subjects participating in biomedical research.
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Background therapy |
- | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
23 Jan 2019
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
Yes
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Brazil: 17
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Country: Number of subjects enrolled |
Colombia: 14
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Country: Number of subjects enrolled |
Dominican Republic: 22
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Country: Number of subjects enrolled |
Greece: 6
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Country: Number of subjects enrolled |
Italy: 5
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Country: Number of subjects enrolled |
Panama: 15
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Country: Number of subjects enrolled |
United States: 25
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Worldwide total number of subjects |
104
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EEA total number of subjects |
11
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
57
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Adolescents (12-17 years) |
47
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Adults (18-64 years) |
0
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
- | ||||||||||||||||||||||||
Pre-assignment
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Screening details |
This study enrolled children with sickle cell disease. Other inclusion criteria applied. | ||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall study (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||||||||||||
Allocation method |
Randomised - controlled
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Blinding used |
Double blind | ||||||||||||||||||||||||
Roles blinded |
Subject, Investigator, Carer | ||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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V114 | ||||||||||||||||||||||||
Arm description |
Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1. | ||||||||||||||||||||||||
Arm type |
Experimental | ||||||||||||||||||||||||
Investigational medicinal product name |
V114
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Suspension for injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
15-valent pneumococcal capsular polysaccharide with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19F, 19A, 22F, 23F, 33F (2 mcg each), and serotype 6B (4 mcg) in each 0.5 mL dose
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Arm title
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Prevnar 13™ | ||||||||||||||||||||||||
Arm description |
Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1. | ||||||||||||||||||||||||
Arm type |
Active comparator | ||||||||||||||||||||||||
Investigational medicinal product name |
Prevnar 13™
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Suspension for injection
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Routes of administration |
Intramuscular use
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Dosage and administration details |
13-valent pneumococcal capsular polysaccharide with serotypes 1, 3, 4, 5, 6A, 7F, 9V, 14, 18C, 19A, 19F, 23F (2.2 mcg) and 6B (4.4 mcg) in each 0.5 ml dose
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Baseline characteristics reporting groups
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Reporting group title |
V114
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Reporting group description |
Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Prevnar 13™
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Reporting group description |
Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
V114
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Reporting group description |
Participants received a single 0.5 mL intramuscular (IM) injection of V114 on Day 1. | ||
Reporting group title |
Prevnar 13™
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Reporting group description |
Participants received a single 0.5 mL IM injection of Prevnar 13™ on Day 1. |
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End point title |
Percentage of Participants with a Solicited Injection-site Adverse Event [1] | ||||||||||||||||||||||||
End point description |
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited injection-site AEs included injection-site erythema (redness), injection-site induration (hard lump), injection-site pain (tenderness), and injection-site swelling. The analysis population for this endpoint included all randomized participants who received at least 1 dose of study vaccination.
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End point type |
Primary
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End point timeframe |
Up to 14 days post-vaccination
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: There were no pre-defined between-group statistical analyses for this endpoint. |
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No statistical analyses for this end point |
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End point title |
Percentage of Participants with a Solicited Systemic Adverse Event [2] | |||||||||||||||||||||||||||
End point description |
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. Solicited systemic AEs included arthralgia (joint pain), fatigue (tiredness), headache, myalgia (muscle pain), and urticaria (hives or welts). The analysis population for this endpoint included all randomized participants who received at least 1 dose of study vaccination.
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End point type |
Primary
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End point timeframe |
Up to 14 days post-vaccination
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Notes [2] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: There were no pre-defined between-group statistical analyses for this endpoint. |
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No statistical analyses for this end point |
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End point title |
Percentage of Participants with a Vaccine-related Serious Adverse Event [3] | ||||||||||||
End point description |
A serious adverse event (SAE) is an AE that results in death, is life-threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, or is another important medical event deemed such by medical or scientific judgment. SAEs that were reported by the investigator to be at least possibly related to the study vaccination were summarized. The analysis population for this endpoint included all randomized participants who received at least 1 dose of study vaccination.
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End point type |
Primary
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End point timeframe |
Up to 6 months post-vaccination
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Notes [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: There were no pre-defined between-group statistical analyses for this endpoint. |
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No statistical analyses for this end point |
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End point title |
Geometric Mean Concentration (GMC) of Serotype-specific Immunoglobulin G (IgG) at Day 30 [4] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
The GMC of IgG serotype-specific antibodies to the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 were quantitated from participants' sera by a multiplex electrochemiluminescence (ECL) assay. The analysis population included all randomized participants without deviations from the protocol that may have substantially affected the results of this immunogenicity endpoint and who had sufficient data to perform the analyses.
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End point type |
Primary
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End point timeframe |
Day 30
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Notes [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: There were no pre-defined between-group statistical analyses for this endpoint. |
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No statistical analyses for this end point |
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End point title |
Geometric Mean Titer (GMT) of Serotype-specific Opsonophagocytic Activity (OPA) at Day 30 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Sera from participants was used to measure GMT of 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes (22F and 33F) unique to V114 using the multiplexed opsonophagocytic assay (MOPA). The analysis population included all randomized participants without deviations from the protocol that may have substantially affected the results of this immunogenicity endpoint and who had sufficient data to perform the analyses.
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End point type |
Secondary
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End point timeframe |
Day 30
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No statistical analyses for this end point |
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End point title |
Geometric Mean Fold Rise (GMFR) in Serotype-specific IgG from Day 1 (Baseline) to Day 30 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
IgG for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes unique to V114 (22F and 33F) was determined using an electrochemiluminescence assay. GMFR is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline (Day 1, pre-vaccination). The analysis population included all randomized participants without protocol deviations that could have substantially impacted the results of these immunogenicity analyses and who had sufficient data to perform the analyses.
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End point type |
Secondary
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End point timeframe |
Day 1 (Baseline) and Day 30
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No statistical analyses for this end point |
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End point title |
GMFR in Serotype-specific OPA from Day 1 (Baseline) to Day 30 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
End point description |
Activity for the 13 serotypes (1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, and 23F) included in V114 and Prevnar 13™ and 2 serotypes unique to V114 (22F and 33F) was determined using a MOPA. GMFR is defined as the geometric mean of the ratio of concentration at Day 30 after vaccination divided by concentration at baseline (Day 1, pre-vaccination). The analysis population included all randomized participants without protocol deviations that could have substantially affected the results of these immunogenicity analyses and who had sufficient data to perform the analyses.
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End point type |
Secondary
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End point timeframe |
Day 1 (Baseline) and Day 30
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
Non-serious AEs: up to 14 days post-vaccination; serious AEs and deaths (all causes): up to 6 months post-vaccination
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Adverse event reporting additional description |
The safety analysis population included all randomized participants who received at least 1 dose of study vaccination.
The analysis population for number of deaths (all causes) included all randomized participants.
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Assessment type |
Systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
23.1
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Reporting groups
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Reporting group title |
Prevnar 13
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Reporting group description |
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Reporting group title |
V114
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Reporting group description |
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |