Long Term Safety and Efficacy Study of Teriflunomide 7 mg or 14 mg in Patients With Relapsing-Remitting Multiple Sclerosis

NCT ID: NCT00803049

Last Updated: 2017-01-30

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

742 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-10-31

Study Completion Date

2015-12-31

Brief Summary

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The primary objective of this study was to document the long-term safety and tolerability of teriflunomide in Multiple Sclerosis (MS) participants with relapse.

The secondary objective was to document the long-term efficacy on disability progression, relapse rate and Magnetic Resonance Imaging (MRI) parameters.

Detailed Description

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Participants completing the EFC6049 (HMR1726D/3001) study were given the opportunity to continue in the extension study;

* participants receiving teriflunomide 7 mg or 14 mg were blindly maintained on the same dose of teriflunomide.
* participants receiving placebo were randomized at a 1:1 ratio to teriflunomide 7 mg or 14 mg.

The study period per participant was broken down as follows:

* Double-blind treatment: up to a maximum of 288 weeks or until teriflunomide was commercially available in the country where participant lived,
* Post-washout follow-up: 4 weeks after last treatment intake. No post-washout follow up if participant continued on teriflunomide treatment by obtaining its commercial form after end of the study.

The total duration of the extension was 292 weeks (about 6 years) from the first participant enrolled or until teriflunomide is commercially available in the country where participant lived.

Conditions

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Multiple Sclerosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo/Teriflunomide 7 mg

Participants who completed treatment of placebo (for teriflunomide) tablet once daily (QD) for 108 weeks in EFC6049 study, received teriflunomide tablet 7 mg QD for 288 weeks in this extension study.

Group Type EXPERIMENTAL

Teriflunomide (HMR1726)

Intervention Type DRUG

Tablet, oral administration QD.

Teriflunomide 7 mg/7 mg

Participants who completed treatment of teriflunomide 7 mg tablet QD for 108 weeks in EFC6049 study, continued their treatment with teriflunomide 7 mg tablet QD for 288 weeks in this extension study.

Group Type EXPERIMENTAL

Teriflunomide (HMR1726)

Intervention Type DRUG

Tablet, oral administration QD.

Placebo/Teriflunomide 14 mg

Participants who completed treatment of placebo (for teriflunomide) tablet QD for 108 weeks in EFC6049, study received teriflunomide 14 mg tablet QD for 288 weeks in this extension study.

Group Type EXPERIMENTAL

Teriflunomide (HMR1726)

Intervention Type DRUG

Tablet, oral administration QD.

Teriflunomide 14 mg/14 mg

Participants who completed treatment of teriflunomide 14 mg tablet QD for 108 weeks in EFC6049 study, continued their treatment with teriflunomide 14 mg tablet QD for 288 weeks in this extension study.

Group Type EXPERIMENTAL

Teriflunomide (HMR1726)

Intervention Type DRUG

Tablet, oral administration QD.

Interventions

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Teriflunomide (HMR1726)

Tablet, oral administration QD.

Intervention Type DRUG

Other Intervention Names

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Aubagio

Eligibility Criteria

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Inclusion Criteria

* Participant who completed the previous double-blind placebo-controlled study EFC6049 and who did not meet criteria for treatment withdrawal.
* Willingness to participate in a long-term safety/efficacy trial.

Exclusion Criteria

* Any known condition or circumstance that would prevent in the investigator's opinion, compliance or completion of the study.

The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 1032

Maitland, Florida, United States

Site Status

Investigational Site Number 1038

Fort Wayne, Indiana, United States

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Investigational Site Number 1033

Detroit, Michigan, United States

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Investigational Site Number 1037

Allentown, Pennsylvania, United States

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Investigational Site Number 1603

Graz, , Austria

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Investigational Site Number 1604

Innsbruck, , Austria

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Investigational Site Number 1601

Vienna, , Austria

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Investigational Site Number 1602

Vienna, , Austria

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Investigational Site Number 1208

Calgary, , Canada

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Investigational Site Number 1212

Gatineau, , Canada

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Investigational Site Number 1205

Greenfield Park, , Canada

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Investigational Site Number 1201

Halifax, , Canada

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Investigational Site Number 1206

London, , Canada

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Investigational Site Number 1203

Montreal, , Canada

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Investigational Site Number 1204

Ottawa, , Canada

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Investigational Site Number 1202

Québec, , Canada

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Investigational Site Number 1211

St. John's, , Canada

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Investigational Site Number 1209

Toronto, , Canada

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Investigational Site Number 1210

Vancouver, , Canada

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Investigational Site Number 1207

Winnipeg, , Canada

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Investigational Site Number 3804

Santiago, , Chile

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Investigational Site Number 3802

Santiago, , Chile

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Investigational Site Number 3803

Santiago, , Chile

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Investigational Site Number 3801

Santiago, , Chile

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Investigational Site Number 3805

Viña del Mar, , Chile

Site Status

Investigational Site Number 4101

Olomouc, , Czechia

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Investigational Site Number 4801

Glostrup Municipality, , Denmark

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Investigational Site Number 4804

Sønderborg, , Denmark

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Investigational Site Number 4802

Vejle, , Denmark

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Investigational Site Number 1502

Tallinn, , Estonia

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Investigational Site Number 1501

Tartu, , Estonia

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Investigational Site Number 2203

Helsinki, , Finland

Site Status

Investigational Site Number 2206

Pori, , Finland

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Investigational Site Number 2201

Tampere, , Finland

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Investigational Site Number 2202

Turku, , Finland

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Investigational Site Number 2415

Besançon, , France

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Investigational Site Number 2403

Clermont-Ferrand, , France

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Investigational Site Number 2408

Dijon, , France

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Investigational Site Number 2413

Lille, , France

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Investigational Site Number 2404

Limoges, , France

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Investigational Site Number 2401

Lyon, , France

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Investigational Site Number 2409

Marseille, , France

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Investigational Site Number 2402

Montpellier, , France

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Investigational Site Number 2405

Nancy, , France

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Investigational Site Number 2414

Nantes, , France

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Investigational Site Number 2407

Nice, , France

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Investigational Site Number 2410

Paris, , France

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Investigational Site Number 2406

Rennes, , France

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Investigational Site Number 2411

Toulouse, , France

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Investigational Site Number 2011

Berlin, , Germany

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Investigational Site Number 2001

Berlin, , Germany

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Bochum, , Germany

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Investigational Site Number 2012

Erbach im Odenwald, , Germany

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Essen, , Germany

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Giessen, , Germany

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Hanover, , Germany

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Münster, , Germany

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Investigational Site Number 2010

Offenbach, , Germany

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Investigational Site Number 2009

Rostock, , Germany

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Investigational Site Number 2003

Wiesbaden, , Germany

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Investigational Site Number 2819

Bari, , Italy

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Investigational Site Number 2827

Fidenza, , Italy

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Investigational Site Number 2803

Florence, , Italy

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Investigational Site Number 2814

Gallarate, , Italy

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Investigational Site Number 2808

Milan, , Italy

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Investigational Site Number 2812

Padua, , Italy

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Investigational Site Number 2809

Pavia, , Italy

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Investigational Site Number 2813

Roma, , Italy

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Investigational Site Number 2824

Roma, , Italy

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Investigational Site Number 4602

's-Hertogenbosch, , Netherlands

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Investigational Site Number 4605

Breda, , Netherlands

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Investigational Site Number 4601

Nijmegen, , Netherlands

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Investigational Site Number 4604

Sittard-Geleen, , Netherlands

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Investigational Site Number 3601

Oslo, , Norway

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Investigational Site Number 3604

Tønsberg, , Norway

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Investigational Site Number 3008

Bialystok, , Poland

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Investigational Site Number 3009

Bialystok, , Poland

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Investigational Site Number 3007

Gdansk, , Poland

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Investigational Site Number 3005

Lodz, , Poland

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Investigational Site Number 3006

Lublin, , Poland

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Investigational Site Number 3004

Lublin, , Poland

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Investigational Site Number 3001

Poznan, , Poland

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Investigational Site Number 3002

Warsaw, , Poland

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Investigational Site Number 3003

Warsaw, , Poland

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Investigational Site Number 4201

Coimbra, , Portugal

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Investigational Site Number 4203

Lisbon, , Portugal

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Investigational Site Number 3203

Moscow, , Russia

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Investigational Site Number 3205

Moscow, , Russia

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Investigational Site Number 3207

Nizhny Novgorod, , Russia

Site Status

Investigational Site Number 3208

Novosibirsk, , Russia

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Investigational Site Number 3201

Saint Petersburg, , Russia

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Investigational Site Number 3202

Saint Petersburg, , Russia

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Investigational Site Number 3206

Saint Petersburg, , Russia

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Investigational Site Number 3401

Stockholm, , Sweden

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Investigational Site Number 1802

Basel, , Switzerland

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Investigational Site Number 5003

Izmir, , Turkey (Türkiye)

Site Status

Investigational Site Number 5006

Izmir, , Turkey (Türkiye)

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Investigational Site Number 5005

Kocaeli, , Turkey (Türkiye)

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Investigational Site Number 5001

Sihhiye / Ankara, , Turkey (Türkiye)

Site Status

Investigational Site Number 3504

Dnipropetrovsk, , Ukraine

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Investigational Site Number 3505

Ivano-Frankivsk, , Ukraine

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Investigational Site Number 3506

Kharkiv, , Ukraine

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Investigational Site Number 3510

Kharkiv, , Ukraine

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Investigational Site Number 3508

Lviv, , Ukraine

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Investigational Site Number 3502

Odesa, , Ukraine

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Investigational Site Number 3509

Uzhhorod, , Ukraine

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Investigational Site Number 3507

Vinnitsa, , Ukraine

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Investigational Site Number 3501

Zaporizhzhya, , Ukraine

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Investigational Site Number 2604

Dundee, , United Kingdom

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Investigational Site Number 2607

London, , United Kingdom

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Investigational Site Number 2608

London, , United Kingdom

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Investigational Site Number 2600

Newcastle upon Tyne, , United Kingdom

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Investigational Site Number 2601

Nottingham, , United Kingdom

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Investigational Site Number 2609

Plymouth, , United Kingdom

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Investigational Site Number 2606

Sheffield, , United Kingdom

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Investigational Site Number 2602

Stoke-on-Trent, , United Kingdom

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Countries

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United States Austria Canada Chile Czechia Denmark Estonia Finland France Germany Italy Netherlands Norway Poland Portugal Russia Sweden Switzerland Turkey (Türkiye) Ukraine United Kingdom

References

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Sprenger T, Kappos L, Sormani MP, Miller AE, Poole EM, Cavalier S, Wuerfel J. Effects of teriflunomide treatment on cognitive performance and brain volume in patients with relapsing multiple sclerosis: Post hoc analysis of the TEMSO core and extension studies. Mult Scler. 2022 Oct;28(11):1719-1728. doi: 10.1177/13524585221089534. Epub 2022 Apr 29.

Reference Type DERIVED
PMID: 35485424 (View on PubMed)

Comi G, Freedman MS, Meca-Lallana JE, Vermersch P, Kim BJ, Parajeles A, Edwards KR, Gold R, Korideck H, Chavin J, Poole EM, Coyle PK. Prior treatment status: impact on the efficacy and safety of teriflunomide in multiple sclerosis. BMC Neurol. 2020 Oct 6;20(1):364. doi: 10.1186/s12883-020-01937-4.

Reference Type DERIVED
PMID: 33023488 (View on PubMed)

Sprenger T, Kappos L, Radue EW, Gaetano L, Mueller-Lenke N, Wuerfel J, Poole EM, Cavalier S. Association of brain volume loss and long-term disability outcomes in patients with multiple sclerosis treated with teriflunomide. Mult Scler. 2020 Sep;26(10):1207-1216. doi: 10.1177/1352458519855722. Epub 2019 Jun 14.

Reference Type DERIVED
PMID: 31198103 (View on PubMed)

Sormani MP, Truffinet P, Thangavelu K, Rufi P, Simonson C, De Stefano N. Predicting long-term disability outcomes in patients with MS treated with teriflunomide in TEMSO. Neurol Neuroimmunol Neuroinflamm. 2017 Jun 28;4(5):e379. doi: 10.1212/NXI.0000000000000379. eCollection 2017 Sep.

Reference Type DERIVED
PMID: 28680917 (View on PubMed)

Other Identifiers

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2006-003361-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LTS6050

Identifier Type: -

Identifier Source: org_study_id

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