Trial Outcomes & Findings for Safety and Tolerability of Odanacatib (0822-059) (NCT NCT01068262)

NCT ID: NCT01068262

Last Updated: 2018-08-28

Results Overview

uNTx/Cr is a biomarker of bone resorption. Urine samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4). Fold change from baseline in time weighted average (TWA) of uNTx/Cr on log scale was analyzed via a linear mixed effect model. All analyses were carried out on the log-fold scale and final results were reported on the original percent scale in WAI after back transformation. The conversion used was weighted average inhibition (WAI) = (1-exp \[mean\])\*100, where the mean was the least squares (LS) mean of log-transformed ratio (TWA/baseline) from the above model.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

44 participants

Primary outcome timeframe

Baseline to Week 4

Results posted on

2018-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Healthy Males: Odanacatib (Panel A)
Healthy male participants randomized to Odanacatib 50 mg tablet administered once weekly (Qw) for 4 consecutive weeks
Healthy Males: Placebo (Panel A)
Healthy male participants randomized to placebo administered Qw for 4 consecutive weeks.
Healthy Postmenopausal Females: Odanacatib (Panel B)
Healthy postmenopausal female participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Healthy Postmenopausal Females: Placebo (Panel B)
Healthy postmenopausal female participants randomized to placebo administered Qw for 4 consecutive weeks
Overall Study
STARTED
23
9
10
2
Overall Study
COMPLETED
20
8
9
2
Overall Study
NOT COMPLETED
3
1
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Healthy Males: Odanacatib (Panel A)
Healthy male participants randomized to Odanacatib 50 mg tablet administered once weekly (Qw) for 4 consecutive weeks
Healthy Males: Placebo (Panel A)
Healthy male participants randomized to placebo administered Qw for 4 consecutive weeks.
Healthy Postmenopausal Females: Odanacatib (Panel B)
Healthy postmenopausal female participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Healthy Postmenopausal Females: Placebo (Panel B)
Healthy postmenopausal female participants randomized to placebo administered Qw for 4 consecutive weeks
Overall Study
Adverse Event
2
0
1
0
Overall Study
Protocol Violation
1
0
0
0
Overall Study
Withdrawal by Subject
0
1
0
0

Baseline Characteristics

Safety and Tolerability of Odanacatib (0822-059)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Healthy Males: Odanacatib (Panel A)
n=23 Participants
Healthy male participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Healthy Males: Placebo (Panel A)
n=9 Participants
Healthy male participants randomized to placebo administered Qw for 4 consecutive weeks.
Healthy Postmenopausal Females: Odanacatib (Panel B)
n=10 Participants
Healthy postmenopausal female participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Healthy Postmenopausal Females: Placebo (Panel B)
n=2 Participants
Healthy postmenopausal female participants randomized to placebo administered Qw for 4 consecutive weeks
Total
n=44 Participants
Total of all reporting groups
Age, Continuous
58.35 years
STANDARD_DEVIATION 6.11 • n=5 Participants
56.44 years
STANDARD_DEVIATION 6.60 • n=7 Participants
57.50 years
STANDARD_DEVIATION 7.59 • n=5 Participants
65.00 years
STANDARD_DEVIATION 14.14 • n=4 Participants
58.07 years
STANDARD_DEVIATION 6.84 • n=21 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
10 Participants
n=5 Participants
2 Participants
n=4 Participants
12 Participants
n=21 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
9 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
32 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Baseline to Week 4

Population: The population of male and postmenopausal female participants on Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol. The population of male participants on placebo are also included. Postmenopausal females on placebo were not analyzed for WAI due to there being too few participants in this group (N=2).

uNTx/Cr is a biomarker of bone resorption. Urine samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4). Fold change from baseline in time weighted average (TWA) of uNTx/Cr on log scale was analyzed via a linear mixed effect model. All analyses were carried out on the log-fold scale and final results were reported on the original percent scale in WAI after back transformation. The conversion used was weighted average inhibition (WAI) = (1-exp \[mean\])\*100, where the mean was the least squares (LS) mean of log-transformed ratio (TWA/baseline) from the above model.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=8 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
n=9 Participants
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Weighted Average Inhibition (WAI) of Urine Aminoterminal Crosslinked Telopeptide of Type I Collagen (u-NTx/Cr) After Administration of Odanacatib 50 mg or Placebo Qw for 4 Weeks in Healthy Males and Postmenopausal Females
42.8 Percent inhibition
Interval 35.5 to 49.3
-26.4 Percent inhibition
Interval -48.9 to -7.3
42.7 Percent inhibition
Interval 30.3 to 52.9

SECONDARY outcome

Timeframe: Baseline, Week 4 (1, 2, 6, 12, 24, 48, 72, 96, 120, 144, 168, 240, and 336 hours post-dose)

Population: The population of male and postmenopausal female participants who received Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol.

Blood samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4) to determine the similarity of steady-state AUC0-168 hr of odanacatib 50 mg administered Qw for 4 weeks in healthy males and postmenopausal females. Characterization of AUC0-168hr after administration of the final, Qw dose of Odanacatib 50 mg at steady state is reflective of the clinical dosing interval.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Area Under the Curve of Plasma Concentration-time From 0 to 168 Hours (AUC0-168hr) of Odanacatib at Week 4
33.9 µM·hr
Interval 30.1 to 38.2
37.9 µM·hr
Interval 31.9 to 45.0

SECONDARY outcome

Timeframe: Baseline, Week 4 (1, 2, 6, 12, 24, 48, 72, 96, 120, 144, 168, 240, and 336 hours post-dose)

Population: The population of male and postmenopausal female participants who received Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol.

Blood samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4) to determine the similarity of steady-state Cmax of odanacatib 50 mg administered Qw for 4 weeks in healthy males and postmenopausal females.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Overall Maximum Concentration (Cmax) of Odanacatib in Healthy Male and Postmenopausal Female Participants at Week 4
379 nM
Interval 350.0 to 411.0
409 nM
Interval 363.0 to 461.0

SECONDARY outcome

Timeframe: Week 4 (168 hours postdose)

Population: The population of male and postmenopausal female participants who received Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol.

Blood samples were obtained at 168 hours postdose on Day 22 (Week 4) to determine the similarity of steady-state C168hr (trough concentrations) of odanacatib 50 mg administered Qw for 4 weeks in healthy males and postmenopausal females.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Concentration of Odanacatib at 168 Hours (C168hr) in Healthy Male and Postmenopausal Female Participants at Week 4
80 nM
Interval 63.0 to 102.0
85 nM
Interval 59.0 to 121.0

SECONDARY outcome

Timeframe: Baseline, Week 4 (1, 2, 6, 12, 24, 48, 72, 96, 120, 144, 168, 240, and 336 hours post-dose)

Population: The population of male and postmenopausal female participants who received Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol.

Blood samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4) to determine the similarity of steady-state Tmax of odanacatib 50 mg administered Qw for 4 weeks in healthy males and postmenopausal females.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Overall Time to Maximum Concentration (Tmax) of Odanacatib in Healthy Male and Postmenopausal Female Participants at Week 4
4.0 hr
Interval 2.0 to 24.0
6.0 hr
Interval 2.0 to 12.0

SECONDARY outcome

Timeframe: Baseline, Week 4 (1, 2, 6, 12, 24, 48, 72, 96, 120, 144, 168, 240, and 336 hours post-dose)

Population: The population of male and postmenopausal female participants who received Qw treatment with Odanacatib 50 mg for 4 weeks and were compliant with the protocol.

Blood samples were obtained predose on Day 1 (Baseline) and at various timepoints up to 336 hr postdose on Day 22 (Week 4) to determine the similarity of the apparent t1/2 of odanacatib 50 mg administered Qw for 4 weeks in healthy males and postmenopausal females. Harmonic mean, jack-knife standard deviation reported for apparent terminal t1/2.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=20 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=8 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Apparent Terminal Half-Life (t1/2) of Odanacatib in Healthy Male and Postmenopausal Female Participants at Week 4
89.3 hr
Standard Deviation 14.6
94.7 hr
Standard Deviation 20.4

SECONDARY outcome

Timeframe: Up to Day 58

Population: All randomized participants who received ≥1 dose of study treatment

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition which is temporally associated with the use of the SPONSOR's product, is also an AE. The study determined if the number of AEs experienced by participants receiving Odanacatib 50 mg Qw for 4 consecutive weeks was sufficiently low to permit continued clinical investigation. In addition to AEs during the treatment period and post-treatment follow-up period, AEs may have occurred prior to treatment in screened participants as a result of urine and blood sampling at Baseline.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=23 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
n=10 Participants
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
n=2 Participants
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Number of Participants With At Least One Adverse Event (AE) in the Baseline, Treatment, or Post-Treatment Periods
8 Participants
5 Participants
7 Participants
2 Participants

SECONDARY outcome

Timeframe: Up to Week 4

Population: All randomized participants who received ≥1 dose of study treatment

An AE is defined as any unfavorable and unintended change in the structure, function, or chemistry of the body temporally associated with the use of the SPONSOR's product, whether or not considered related to the use of the product. Any worsening (i.e., any clinically significant adverse change in frequency and/or intensity) of a pre-existing condition which is temporally associated with the use of the SPONSOR's product, is also an AE. The study determined if the number of participants who discontinued treatment with Odanacatib 50 mg Qw for 4 consecutive weeks due to AEs was sufficiently low to permit continued clinical investigation.

Outcome measures

Outcome measures
Measure
Odanacatib (MK-0822) in Males (Panel A)
n=23 Participants
Healthy males received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Males (Panel A)
n=9 Participants
Healthy males received oral doses of placebo administered Qw for 4 consecutive weeks
Odnacatib (MK-0822) in Postmenopausal Females (Panel B)
n=10 Participants
Healthy postmenopausal females received oral doses of Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Placebo in Postmenopausal Females (Panel B)
n=2 Participants
Healthy postmenopausal females received oral doses of placebo administered Qw for 4 consecutive weeks
Number of Participants Who Discontinued Study Treatment Due to an AE
2 Participants
0 Participants
1 Participants
0 Participants

Adverse Events

Healthy Males: Odanacatib 50 mg (Panel A)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Healthy Males: Placebo (Panel A)

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Postmenopausal Females: Odanacatib 50 mg (Panel B)

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Postmenopausal Females: Placebo (Panel B)

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Healthy Males: Odanacatib 50 mg (Panel A)
n=23 participants at risk
Healthy male participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Healthy Males: Placebo (Panel A)
n=9 participants at risk
Healthy male participants randomized to placebo administered Qw for 4 consecutive weeks
Postmenopausal Females: Odanacatib 50 mg (Panel B)
n=10 participants at risk
Healthy postmenopausal female participants randomized to Odanacatib 50 mg tablet administered Qw for 4 consecutive weeks
Postmenopausal Females: Placebo (Panel B)
n=2 participants at risk
Healthy postmenopausal female participants randomized to placebo administered Qw for 4 consecutive weeks
Cardiac disorders
Bundle branch block right
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Eye disorders
Dry eye
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Abdominal pain
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Gastrointestinal disorders
Diarrhoea
4.3%
1/23 • Number of events 1
11.1%
1/9 • Number of events 1
10.0%
1/10 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Eructation
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Gastrointestinal disorders
Gingival pain
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Nausea
8.7%
2/23 • Number of events 4
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Toothache
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Vomiting
4.3%
1/23 • Number of events 5
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
General disorders
Chills
4.3%
1/23 • Number of events 1
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
General disorders
Pain
4.3%
1/23 • Number of events 3
11.1%
1/9 • Number of events 1
10.0%
1/10 • Number of events 1
0.00%
0/2
General disorders
Pyrexia
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Immune system disorders
Mycotic allergy
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Infections and infestations
Cellulitis
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Infections and infestations
Pharyngitis
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Injury, poisoning and procedural complications
Laceration
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Injury, poisoning and procedural complications
Splinter
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Investigations
Blood urine present
0.00%
0/23
0.00%
0/9
0.00%
0/10
50.0%
1/2 • Number of events 1
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Musculoskeletal and connective tissue disorders
Arthralgia
8.7%
2/23 • Number of events 4
0.00%
0/9
10.0%
1/10 • Number of events 3
0.00%
0/2
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
50.0%
1/2 • Number of events 2
Musculoskeletal and connective tissue disorders
Muscle spasms
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Musculoskeletal and connective tissue disorders
Musculoskeletal discomfort
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 2
0.00%
0/2
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.00%
0/23
0.00%
0/9
20.0%
2/10 • Number of events 2
50.0%
1/2 • Number of events 1
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
50.0%
1/2 • Number of events 3
Nervous system disorders
Dizziness
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Nervous system disorders
Headache
8.7%
2/23 • Number of events 2
22.2%
2/9 • Number of events 2
20.0%
2/10 • Number of events 2
50.0%
1/2 • Number of events 1
Nervous system disorders
Sinus headache
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 2
0.00%
0/2
Nervous system disorders
Somnolence
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Psychiatric disorders
Mental status changes
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Cough
4.3%
1/23 • Number of events 1
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Nasal congestion
8.7%
2/23 • Number of events 2
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
4.3%
1/23 • Number of events 2
0.00%
0/9
0.00%
0/10
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
0.00%
0/23
0.00%
0/9
20.0%
2/10 • Number of events 2
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 2
0.00%
0/2
Skin and subcutaneous tissue disorders
Pityriasis rosea
4.3%
1/23 • Number of events 1
0.00%
0/9
0.00%
0/10
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash
0.00%
0/23
0.00%
0/9
10.0%
1/10 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Skin lesion
0.00%
0/23
11.1%
1/9 • Number of events 1
0.00%
0/10
0.00%
0/2

Additional Information

Vice President, Late Stage Development Group Leader

Merck Sharp and Dohme Corp

Phone: 1-800-672-6372

Results disclosure agreements

  • Principal investigator is a sponsor employee The SPONSOR has the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study 60 days prior to submission for publication/presentation. Any information identified by the SPONSOR as confidential must be deleted prior to submission. SPONSOR review can be expedited to meet publication guidelines.
  • Publication restrictions are in place

Restriction type: OTHER