Trial Outcomes & Findings for Study of RAD001 in Patients With Relapsed/Refractory Hodgkin Lymphoma That Has Progressed After High-dose Chemotherapy and Autologous Stem Cell Transplant and/or After Gemcitabine- or Vinorelbine- or Vinblastine-based Treatment. (NCT NCT01022996)

NCT ID: NCT01022996

Last Updated: 2016-05-18

Results Overview

ORR: % of patients whose overall disease response was a complete response (CR) or a partial response (PR) in 8 cycles CR: Complete normalization of all index nodal \& extranodal lesions: Radiological regression to normal size of all lymph nodes \& nodal masses \& complete disappearance of all lesions PR: At least a 50% decrease in the SPD of all index nodal \& extranodal lesions FDG-avid or PET positive prior to therapy: one or more PET positive at previously involved site.At least a 50% increase in the SPD of all index nodal \& extranodal lesions, taking as reference the smallest sum of the product of the diameters of all index lesions recorded at or after baseline . Lesions PET positive if FDG-avid lymphoma or PET positive prior to therapy. Unknown (UNK): Progression not documented \& one or more of the index lesions not assessed or assessed using a different method than baseline at the time of radiologic evaluation. Each cycle was 28 days.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

57 participants

Primary outcome timeframe

at screening and every threee months beginning at cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Results posted on

2016-05-18

Participant Flow

Participant milestones

Participant milestones
Measure
RAD001
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Overall Study
STARTED
57
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
57

Reasons for withdrawal

Reasons for withdrawal
Measure
RAD001
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Overall Study
Adverse Event
14
Overall Study
Withdrawal by Subject
3
Overall Study
Lost to Follow-up
1
Overall Study
Administrative problems
6
Overall Study
Disease Progression
32
Overall Study
Protocol Violation
1

Baseline Characteristics

Study of RAD001 in Patients With Relapsed/Refractory Hodgkin Lymphoma That Has Progressed After High-dose Chemotherapy and Autologous Stem Cell Transplant and/or After Gemcitabine- or Vinorelbine- or Vinblastine-based Treatment.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Age, Continuous
36.33 years
STANDARD_DEVIATION 14.101 • n=93 Participants
Sex: Female, Male
Female
33 Participants
n=93 Participants
Sex: Female, Male
Male
24 Participants
n=93 Participants

PRIMARY outcome

Timeframe: at screening and every threee months beginning at cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS) consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

ORR: % of patients whose overall disease response was a complete response (CR) or a partial response (PR) in 8 cycles CR: Complete normalization of all index nodal \& extranodal lesions: Radiological regression to normal size of all lymph nodes \& nodal masses \& complete disappearance of all lesions PR: At least a 50% decrease in the SPD of all index nodal \& extranodal lesions FDG-avid or PET positive prior to therapy: one or more PET positive at previously involved site.At least a 50% increase in the SPD of all index nodal \& extranodal lesions, taking as reference the smallest sum of the product of the diameters of all index lesions recorded at or after baseline . Lesions PET positive if FDG-avid lymphoma or PET positive prior to therapy. Unknown (UNK): Progression not documented \& one or more of the index lesions not assessed or assessed using a different method than baseline at the time of radiologic evaluation. Each cycle was 28 days.

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Overall Response Rate (ORR) Based on the Assessments by Investigator
Complete response (CR)
8.8 percentage of participants
Overall Response Rate (ORR) Based on the Assessments by Investigator
Partial response (PR)
36.8 percentage of participants
Overall Response Rate (ORR) Based on the Assessments by Investigator
Response of CR or PR
45.6 percentage of participants

SECONDARY outcome

Timeframe: Every three months beginning at Cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS) consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

Time to overall response was defined as the time from the first date of treatment to the date of first documented response of CR or PR. Time to overall response is applied to patients whose best overall response is CR or PR. Patients who drop-out or did not have a response (CR or PR) will be treated as censored at the date of last adequate tumor assessment.

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Time to Overall Response (TTR) Per Kaplan-Meier Estimate
NA Days
Interval 79.0 to
N/A = Not achieved

SECONDARY outcome

Timeframe: Every three months beginning at Cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS): consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

The duration of overall response was calculated from the date of first documented response (CR or PR) to the date of first documented disease progression or death due to any cause or start of a new antineoplastic therapy. This only applies to patients whose best overall response is CR or PR.

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Duration of Overall Response (DoR)
350.8 Days
Standard Deviation 388.63

SECONDARY outcome

Timeframe: Every three months beginning at Cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS): consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

The disease control rate was defined as the percentage of patients with a best overall response of CR, PR or stable disease (SD).

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Disease Control Rate (DCR)
80.7 Percentage of participants
Interval 68.09 to 89.95

SECONDARY outcome

Timeframe: Every three months beginning at Cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS): consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

The duration of overall response (CR/PR) was applied only to patients whose best overall response was CR or PR. Duration of overall response was calculated from the date of the first documented response of CR or PR to the date of first documented disease progression or death due to any cause or start of a new antineoplastic therapy.

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Duration of Disease Control
321.9 Days
Standard Deviation 394.92

SECONDARY outcome

Timeframe: Every three months beginning at Cycle 3 until end of treatment due to progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason

Population: Full analysis set (FAS): consisted of all patients who received at least 1 dose of study drug and was the primary set for efficacy analyses.

Progression-free survival (PFS) was defined as the time from the first date of treatment to the date of first documented disease progression or death due to any cause or start of a new antineoplastic therapy. An event for PFS was defined as a documented disease progression or death due to any cause or start of a new antineoplastic therapy, whichever occurred first. Cycle = 28 days.

Outcome measures

Outcome measures
Measure
RAD001
n=57 Participants
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Progression Free Survival (PFS) by Kaplan-Meier Estimate
8.0 Days
Interval 5.07 to 10.96

Adverse Events

RAD001

Serious events: 18 serious events
Other events: 56 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RAD001
n=57 participants at risk
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Blood and lymphatic system disorders
Anaemia
3.5%
2/57
Blood and lymphatic system disorders
Thrombocytopenia
1.8%
1/57
Cardiac disorders
Atrial fibrillation
1.8%
1/57
Cardiac disorders
Myocarditis
1.8%
1/57
Cardiac disorders
Pericardial effusion
1.8%
1/57
Cardiac disorders
Tachycardia
3.5%
2/57
Gastrointestinal disorders
Colitis
1.8%
1/57
Gastrointestinal disorders
Diarrhoea
1.8%
1/57
General disorders
Drug ineffective
1.8%
1/57
General disorders
Pain
1.8%
1/57
General disorders
Pyrexia
5.3%
3/57
Infections and infestations
Influenza
1.8%
1/57
Infections and infestations
Pneumonia
7.0%
4/57
Infections and infestations
Pseudomembranous colitis
1.8%
1/57
Infections and infestations
Respiratory tract infection
1.8%
1/57
Infections and infestations
Upper respiratory tract infection
1.8%
1/57
Injury, poisoning and procedural complications
Ankle fracture
1.8%
1/57
Investigations
Haemoglobin decreased
1.8%
1/57
Metabolism and nutrition disorders
Dehydration
1.8%
1/57
Metabolism and nutrition disorders
Diabetes mellitus
1.8%
1/57
Metabolism and nutrition disorders
Hypercalcaemia
1.8%
1/57
Musculoskeletal and connective tissue disorders
Back pain
1.8%
1/57
Musculoskeletal and connective tissue disorders
Muscular weakness
1.8%
1/57
Musculoskeletal and connective tissue disorders
Pain in extremity
1.8%
1/57
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour flare
1.8%
1/57
Nervous system disorders
Complex regional pain syndrome
1.8%
1/57
Nervous system disorders
Nerve compression
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Alveolitis
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Cough
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Dyspnoea
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Haemoptysis
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Interstitial lung disease
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Pleural effusion
3.5%
2/57
Respiratory, thoracic and mediastinal disorders
Pneumonitis
1.8%
1/57
Respiratory, thoracic and mediastinal disorders
Tachypnoea
1.8%
1/57
Vascular disorders
Hypotension
3.5%
2/57
Vascular disorders
Subclavian artery occlusion
1.8%
1/57

Other adverse events

Other adverse events
Measure
RAD001
n=57 participants at risk
Patients with a history of classical Hodgkin lymphoma (ie, nodular sclerosing, mixed cellularity, lymphocyte-rich, lymphocyte-depleted) whose disease had progressed after receiving high-dose chemotherapy with AHSCT (if eligible) and/or after therapy with a gemcitabine- or vinorelbine- or vinblastine-containing regimen, were enrolled into this study. Patients had at least one site of measurable disease at baseline ≥ 2.0 cm in the longest transverse diameter and clearly measurable in at least two perpendicular dimensions, as determined by CT scan. Patients received 10 mg of everolimus (two 5 mg tablets), self-administered orally once daily (qd), continuously from Cycle 1 Day 1 until progression of disease, unacceptable toxicity, death or discontinuation from the study for any other reason. The treatment cycle consisted of 28 days.
Blood and lymphatic system disorders
Anaemia
31.6%
18/57
Blood and lymphatic system disorders
Neutropenia
14.0%
8/57
Blood and lymphatic system disorders
Thrombocytopenia
47.4%
27/57
Eye disorders
Vision blurred
7.0%
4/57
Gastrointestinal disorders
Abdominal distension
5.3%
3/57
Gastrointestinal disorders
Abdominal pain
15.8%
9/57
Gastrointestinal disorders
Abdominal pain upper
7.0%
4/57
Gastrointestinal disorders
Constipation
8.8%
5/57
Gastrointestinal disorders
Diarrhoea
26.3%
15/57
Gastrointestinal disorders
Dyspepsia
8.8%
5/57
Gastrointestinal disorders
Mouth ulceration
7.0%
4/57
Gastrointestinal disorders
Nausea
24.6%
14/57
Gastrointestinal disorders
Stomatitis
24.6%
14/57
Gastrointestinal disorders
Toothache
5.3%
3/57
Gastrointestinal disorders
Vomiting
22.8%
13/57
General disorders
Chest discomfort
7.0%
4/57
General disorders
Chest pain
10.5%
6/57
General disorders
Chills
8.8%
5/57
General disorders
Fatigue
57.9%
33/57
General disorders
Localised oedema
5.3%
3/57
General disorders
Malaise
5.3%
3/57
General disorders
Mucosal inflammation
8.8%
5/57
General disorders
Oedema peripheral
21.1%
12/57
General disorders
Pain
12.3%
7/57
General disorders
Peripheral swelling
5.3%
3/57
General disorders
Pyrexia
31.6%
18/57
Infections and infestations
Bronchitis
12.3%
7/57
Infections and infestations
Nasopharyngitis
8.8%
5/57
Infections and infestations
Oral herpes
5.3%
3/57
Infections and infestations
Pneumonia
7.0%
4/57
Infections and infestations
Rhinitis
7.0%
4/57
Infections and infestations
Sinusitis
17.5%
10/57
Infections and infestations
Upper respiratory tract infection
24.6%
14/57
Infections and infestations
Urinary tract infection
7.0%
4/57
Injury, poisoning and procedural complications
Contusion
7.0%
4/57
Investigations
Alanine aminotransferase increased
14.0%
8/57
Investigations
Aspartate aminotransferase increased
15.8%
9/57
Investigations
Blood alkaline phosphatase increased
15.8%
9/57
Investigations
Blood cholesterol increased
5.3%
3/57
Investigations
Blood glucose increased
5.3%
3/57
Investigations
Blood lactate dehydrogenase increased
10.5%
6/57
Investigations
Liver function test abnormal
5.3%
3/57
Investigations
Weight decreased
12.3%
7/57
Investigations
White blood cell count decreased
5.3%
3/57
Metabolism and nutrition disorders
Decreased appetite
12.3%
7/57
Metabolism and nutrition disorders
Hypercholesterolaemia
10.5%
6/57
Metabolism and nutrition disorders
Hyperglycaemia
17.5%
10/57
Metabolism and nutrition disorders
Hypertriglyceridaemia
12.3%
7/57
Metabolism and nutrition disorders
Hypocalcaemia
5.3%
3/57
Metabolism and nutrition disorders
Hypokalaemia
10.5%
6/57
Metabolism and nutrition disorders
Hypophosphataemia
12.3%
7/57
Musculoskeletal and connective tissue disorders
Arthralgia
15.8%
9/57
Musculoskeletal and connective tissue disorders
Back pain
26.3%
15/57
Musculoskeletal and connective tissue disorders
Joint swelling
5.3%
3/57
Musculoskeletal and connective tissue disorders
Muscle spasms
15.8%
9/57
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
8.8%
5/57
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
8.8%
5/57
Musculoskeletal and connective tissue disorders
Myalgia
5.3%
3/57
Musculoskeletal and connective tissue disorders
Pain in extremity
14.0%
8/57
Nervous system disorders
Dysgeusia
14.0%
8/57
Nervous system disorders
Headache
22.8%
13/57
Nervous system disorders
Neuropathy peripheral
15.8%
9/57
Psychiatric disorders
Anxiety
5.3%
3/57
Psychiatric disorders
Depression
5.3%
3/57
Psychiatric disorders
Insomnia
10.5%
6/57
Respiratory, thoracic and mediastinal disorders
Cough
47.4%
27/57
Respiratory, thoracic and mediastinal disorders
Dyspnoea
29.8%
17/57
Respiratory, thoracic and mediastinal disorders
Epistaxis
14.0%
8/57
Respiratory, thoracic and mediastinal disorders
Haemoptysis
5.3%
3/57
Respiratory, thoracic and mediastinal disorders
Nasal congestion
8.8%
5/57
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
19.3%
11/57
Respiratory, thoracic and mediastinal disorders
Pleural effusion
7.0%
4/57
Respiratory, thoracic and mediastinal disorders
Pneumonitis
8.8%
5/57
Respiratory, thoracic and mediastinal disorders
Productive cough
7.0%
4/57
Respiratory, thoracic and mediastinal disorders
Wheezing
5.3%
3/57
Skin and subcutaneous tissue disorders
Acne
14.0%
8/57
Skin and subcutaneous tissue disorders
Night sweats
10.5%
6/57
Skin and subcutaneous tissue disorders
Pruritus
21.1%
12/57
Skin and subcutaneous tissue disorders
Rash
38.6%
22/57
Vascular disorders
Hot flush
5.3%
3/57

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER