Trial Outcomes & Findings for Efficacy and Safety Study of Symbicort® Turbuhaler® Versus Oxis® Turbuhaler® in Chronic Obstructive Pulmonary Disease (COPD) Patients (NCT NCT01069289)

NCT ID: NCT01069289

Last Updated: 2012-10-25

Results Overview

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1293 participants

Primary outcome timeframe

Before randomization, 0, 4, 8 and 12 weeks after randomization

Results posted on

2012-10-25

Participant Flow

The first participant entered the study on 28 January 2010, and the last participant completed the study on 30 March 2011. A total of 1,710 participants were enrolled at 163 centres in 9 countries in Asia and Europe, and 1,293 participants who fulfilled the randomisation criteria were randomised.

The study started with an enrolment visit, Visit 1, 0 to 4 weeks prior to Visit 2, and 1-2 week run-in period before randomization. At Visit 2 participants had to have pre-bronchodilatory forced expiratory volume in one second (FEV1) less than or equal to 50 percent of the predicted normal value.

Participant milestones

Participant milestones
Measure
Symbicort Turbuhaler (Experimental)
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Overall Study
STARTED
636
657
Overall Study
COMPLETED
594
601
Overall Study
NOT COMPLETED
42
56

Reasons for withdrawal

Reasons for withdrawal
Measure
Symbicort Turbuhaler (Experimental)
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Overall Study
Withdrawal by Subject
15
26
Overall Study
Adverse Event
21
28
Overall Study
Eligibility criteria not fulfilled
2
0
Overall Study
Severe non-compliance to protocol
3
2
Overall Study
Due to deteriorating health condition
1
0

Baseline Characteristics

Efficacy and Safety Study of Symbicort® Turbuhaler® Versus Oxis® Turbuhaler® in Chronic Obstructive Pulmonary Disease (COPD) Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Symbicort Turbuhaler (Experimental)
n=636 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Total
n=1293 Participants
Total of all reporting groups
Age Continuous
64.5 Years
n=5 Participants
65.6 Years
n=7 Participants
65.1 Years
n=5 Participants
Sex: Female, Male
Female
79 Participants
n=5 Participants
64 Participants
n=7 Participants
143 Participants
n=5 Participants
Sex: Female, Male
Male
557 Participants
n=5 Participants
593 Participants
n=7 Participants
1150 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Before randomization, 0, 4, 8 and 12 weeks after randomization

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=618 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=635 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Pre-dose Forced Expiratory Volume in One Second (FEV1)
104.6 percentage of Baseline
Interval 37.4 to 311.1
101.5 percentage of Baseline
Interval 35.1 to 218.5

SECONDARY outcome

Timeframe: Before randomization, 0, 4, 8 and 12 weeks after randomization

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=635 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
1 Hour Post Dose Forced Expiratory Volume in One Second (FEV1)
113.9 percentage of Baseline
Interval 55.5 to 336.3
111.2 percentage of Baseline
Interval 51.3 to 203.3

SECONDARY outcome

Timeframe: Before randomization, 0, 4, 8 and 12 weeks after randomization

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=618 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=635 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Pre-dose Forced Vital Capacity (FVC)
102.2 percentage of Baseline
Interval 57.3 to 313.8
100.9 percentage of Baseline
Interval 61.5 to 347.6

SECONDARY outcome

Timeframe: Before randomization, 0, 4, 8 and 12 weeks after randomization

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS. Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The ratio, expressed as percentage, of the geometric mean of available data for Weeks 0, 4, 8 and 12 to the baseline for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=635 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
1 Hour Post-dose Forced Vital Capacity (FVC)
110.1 percentage of Baseline
Interval 62.0 to 262.7
108.7 percentage of Baseline
Interval 63.5 to 272.7

SECONDARY outcome

Timeframe: Daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS).Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. The percentage of participants who had experienced COPD exacerbation at the end of the study for each treatment group.

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=636 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Percentage of Participants With Exacerbations
11.9 percentage of participants
16.9 percentage of participants

SECONDARY outcome

Timeframe: Daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

A Chronic Obstructive Pulmonary Disease (COPD) exacerbation was defined as worsening in COPD symptoms requiring treatment with either a course of systemic steroid or hospitalisation. Number of COPD exacerbation during 12-week randomization treatment

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=636 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Number of Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
93 event
151 event

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=613 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=637 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Morning Peak Expiratory Flow(PEF)
4.29 Liter/minute (L/min)
Standard Deviation 36.58
-4.78 Liter/minute (L/min)
Standard Deviation 30.61

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=612 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=637 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Evening Peak Expiratory Flow (PEF)
2.55 Liter/minute (L/min)
Standard Deviation 36.57
-5.13 Liter/minute (L/min)
Standard Deviation 31.52

SECONDARY outcome

Timeframe: Daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

Total number of days with COPD exacerbation for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=636 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Total Number of Day With Exacerbation
653 days
1098 days

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=613 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=637 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Morning Forced Expiratory Volume in One Second (FEV1)
0.0244 Liter (L)
Standard Deviation 0.2136
-0.0312 Liter (L)
Standard Deviation 0.1712

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=612 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=637 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Evening Forced Expiratory Volume in One Second (FEV1)
0.0176 Liter (L)
Standard Deviation 0.2268
-0.0324 Liter (L)
Standard Deviation 0.1724

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

Scored 0 to 1 (0 = no awakening and 1 = awakening). The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=628 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=647 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Night-time Awakening Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
-0.20 Nights with symptoms
Standard Deviation 0.67
-0.15 Nights with symptoms
Standard Deviation 0.66

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=628 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=647 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Breathlessness Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
-0.34 units on a scale
Standard Deviation 0.66
-0.23 units on a scale
Standard Deviation 0.65

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

There are 5 alternatives (scored 0 to 4, with 4 being the most severe condition). The change from Run-in period average to Treatment period average for each treatment group

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=628 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=647 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Cough Due to Chronic Obstructive Pulmonary Disease (COPD) Symptoms
-0.24 units on a scale
Standard Deviation 0.70
-0.24 units on a scale
Standard Deviation 0.68

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The Total COPD Symptom score is the sum of the measures night-time awakening, breathlessness and cough, ranges from 0 to 12 with 12 being the most severe. The change from Run-in period average to Treatment period average for each treatment group.

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=628 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=647 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Total Chronic Obstructive Pulmonary Disease (COPD) Symptom Score
-0.78 units on a scale
Standard Deviation 1.62
-0.61 units on a scale
Standard Deviation 1.56

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group.

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=628 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=647 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Use of Rescue Medication
-0.51 inhalations/day
Standard Deviation 1.51
-0.26 inhalations/day
Standard Deviation 1.49

SECONDARY outcome

Timeframe: Daily during run-in period and daily during 12-week randomization treatment

Population: The analysis set for efficacy was based on the Full Analysis Set (FAS). Available data represent patients who had both baseline and on treatment data which is required to be included in the analysis.

The change from Run-in period average to Treatment period average for each treatment group. The SGRQ ranges from 0 (no impairment of quality of life) to 100 (highest impairment of quality of life).

Outcome measures

Outcome measures
Measure
Symbicort Turbuhaler (Experimental)
n=621 Participants
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=634 Participants
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
St George's Respiratory Questionnaire (SGRQ) Total Score
-4.37 units on a scale
Standard Deviation 14.544
-2.90 units on a scale
Standard Deviation 13.783

Adverse Events

Symbicort Turbuhaler (Experimental)

Serious events: 43 serious events
Other events: 61 other events
Deaths: 0 deaths

Oxis Turbuhaler (Active Comparator)

Serious events: 45 serious events
Other events: 66 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Symbicort Turbuhaler (Experimental)
n=636 participants at risk
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 participants at risk
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
HEPATIC NEOPLASM MALIGNANT
0.00%
0/636
0.15%
1/657
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
LUNG NEOPLASM MALIGNANT
0.16%
1/636
0.00%
0/657
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
METASTASES TO LUNG
0.00%
0/636
0.15%
1/657
Cardiac disorders
ACUTE MYOCARDIAL INFARCTION
0.00%
0/636
0.15%
1/657
Cardiac disorders
ANGINA PECTORIS
0.00%
0/636
0.15%
1/657
Cardiac disorders
ANGINA UNSTABLE
0.00%
0/636
0.15%
1/657
Cardiac disorders
CARDIAC FAILURE
0.16%
1/636
0.00%
0/657
Cardiac disorders
CARDIAC FAILURE CHRONIC
0.16%
1/636
0.00%
0/657
Cardiac disorders
CARDIOVASCULAR INSUFFICIENCY
0.16%
1/636
0.00%
0/657
Cardiac disorders
CORONARY ARTERY INSUFFICIENCY
0.00%
0/636
0.15%
1/657
Cardiac disorders
MYOCARDIAL ISCHAEMIA
0.00%
0/636
0.15%
1/657
Nervous system disorders
BRAIN STEM STROKE
0.16%
1/636
0.00%
0/657
Nervous system disorders
HYPOXIC-ISCHAEMIC ENCEPHALOPATHY
0.16%
1/636
0.00%
0/657
Nervous system disorders
ISCHAEMIC STROKE
0.00%
0/636
0.15%
1/657
Eye disorders
AMAUROSIS FUGAX
0.16%
1/636
0.00%
0/657
Eye disorders
CATARACT
0.16%
1/636
0.00%
0/657
Metabolism and nutrition disorders
HYPOGLYCAEMIA
0.00%
0/636
0.15%
1/657
Metabolism and nutrition disorders
HYPOKALAEMIA
0.16%
1/636
0.00%
0/657
Hepatobiliary disorders
CHOLECYSTITIS ACUTE
0.16%
1/636
0.00%
0/657
General disorders
DEATH
0.16%
1/636
0.00%
0/657
Vascular disorders
AORTIC ANEURYSM RUPTURE
0.00%
0/636
0.15%
1/657
Investigations
COMPUTERISED TOMOGRAM THORAX ABNORMAL
0.16%
1/636
0.00%
0/657
Respiratory, thoracic and mediastinal disorders
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
3.8%
24/636
4.3%
28/657
Respiratory, thoracic and mediastinal disorders
PNEUMOTHORAX
0.16%
1/636
0.30%
2/657
Respiratory, thoracic and mediastinal disorders
ACUTE RESPIRATORY FAILURE
0.16%
1/636
0.00%
0/657
Respiratory, thoracic and mediastinal disorders
HAEMOPTYSIS
0.00%
0/636
0.15%
1/657
Respiratory, thoracic and mediastinal disorders
INFECTIVE EXACERBATION OF CHRONIC OBSTRUCTIVE AIRWAYS DISEASE
0.16%
1/636
0.46%
3/657
Respiratory, thoracic and mediastinal disorders
PNEUMONIA
0.47%
3/636
0.15%
1/657
Infections and infestations
APPENDICITIS
0.31%
2/636
0.00%
0/657
Infections and infestations
PNEUMONIA BACTERIAL
0.16%
1/636
0.15%
1/657
Infections and infestations
BRONCHITIS
0.00%
0/636
0.15%
1/657
Infections and infestations
BRONCHOPNEUMONIA
0.16%
1/636
0.00%
0/657
Infections and infestations
POSTOPERATIVE ABSCESS
0.16%
1/636
0.00%
0/657
Gastrointestinal disorders
ABDOMINAL PAIN
0.00%
0/636
0.15%
1/657
Gastrointestinal disorders
COLITIS ISCHAEMIC
0.00%
0/636
0.15%
1/657
Gastrointestinal disorders
DIVERTICULUM INTESTINAL HAEMORRHAGIC
0.00%
0/636
0.15%
1/657
Gastrointestinal disorders
ILEUS
0.16%
1/636
0.00%
0/657
Gastrointestinal disorders
PANCREATIC MASS
0.00%
0/636
0.15%
1/657
Gastrointestinal disorders
PERITONITIS
0.16%
1/636
0.00%
0/657
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
COLON CANCER
0.16%
1/636
0.15%
1/657
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
GASTRIC CANCER
0.00%
0/636
0.15%
1/657

Other adverse events

Other adverse events
Measure
Symbicort Turbuhaler (Experimental)
n=636 participants at risk
Symbicort Turbuhaler 160/4.5 microgram (mcg), 2 inhalations twice daily (bid)
Oxis Turbuhaler (Active Comparator)
n=657 participants at risk
Oxis Turbuhaler 4.5 microgram (mcg), 2 inhalations twice daily(bid)
Infections and infestations
Nasopharyngitis
5.5%
35/636
4.9%
32/657
Respiratory, thoracic and mediastinal disorders
Chronic Obstructive Pulmonary Disease
4.6%
29/636
5.5%
36/657

Additional Information

Gerard Lynch

AstraZeneca

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER