Trial Outcomes & Findings for Single Agent Ofatumumab Vs. Single Agent Rituximab in Indolent B-Cell Non Hodgkin Lymphoma Relapsed After Rituximab-Containing Therapy (NCT NCT01200589)

NCT ID: NCT01200589

Last Updated: 2018-05-16

Results Overview

Disease response assessed by modified 2007 Revised Response Criteria for Malignant Lymphoma. Nodal disease, PD: 1)prev. normal node (\<=1.5cm x \<=1.0cm) that incr. to \>2.0 x ≥1.5cm; 2)≥50% incr. from nadir product of perpendicular diameter (PPD) of any prev. involved node with long axis \>1.5cm at baseline (BL) (must incr. by ≥0.5mm \& to \>2.0cm) OR ≥50% incr. from nadir in long axis of any prev. inv. node with long axis of \>1.5cm at BL (long axis must incr. by ≥0.5mm \& to \>2.0cm); or 3)≥50% incr. from nadir in the sums of prod. of diameters (SPD) of target nodes \& ≥1 node with long axis \>1.5cm. Extranodal, PD 1)any new lesion \>2.0 x ≥1.5cm not attributed to non-lymphoma causes; 2)≥50% incr. from nadir PPD of any targ. les. \& \>5mm incr. in either axis \& les. must measure \>1.5cm x ≥1.5cm OR ≥50% incr. from nadir in long axis of any targ. les. \& \>5mm incr. in either axis \& les. must measure \>1.5cm x ≥1.5cm; or 3)≥50% incr. from nadir in SPD of targ. nodes \& ≥1 node with long axis \>1.5cm.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

438 participants

Primary outcome timeframe

200 weeks

Results posted on

2018-05-16

Participant Flow

Participants were randomized in a 1:1 ratio to Ofatumumab or Rituximab.

Participant milestones

Participant milestones
Measure
Ofatumumab
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Overall Study
STARTED
219
219
Overall Study
Intent-to-treat (ITT) Analysis Set
219
219
Overall Study
Safety Set
217
218
Overall Study
COMPLETED
29
30
Overall Study
NOT COMPLETED
190
189

Reasons for withdrawal

Reasons for withdrawal
Measure
Ofatumumab
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Overall Study
Withdrawal by Subject
13
11
Overall Study
Physician Decision
2
2
Overall Study
Lost to Follow-up
5
4
Overall Study
Study terminated
170
172

Baseline Characteristics

Single Agent Ofatumumab Vs. Single Agent Rituximab in Indolent B-Cell Non Hodgkin Lymphoma Relapsed After Rituximab-Containing Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ofatumumab
n=219 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=219 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Total
n=438 Participants
Total of all reporting groups
Age, Continuous
60.8 Years
STANDARD_DEVIATION 11.27 • n=5 Participants
60.7 Years
STANDARD_DEVIATION 11.84 • n=7 Participants
60.8 Years
STANDARD_DEVIATION 11.54 • n=5 Participants
Sex: Female, Male
Female
115 Participants
n=5 Participants
109 Participants
n=7 Participants
224 Participants
n=5 Participants
Sex: Female, Male
Male
104 Participants
n=5 Participants
110 Participants
n=7 Participants
214 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 200 weeks

Population: The Intent-to-treat (ITT) analysis set, comprised of all randomized participants, was analyzed.

Disease response assessed by modified 2007 Revised Response Criteria for Malignant Lymphoma. Nodal disease, PD: 1)prev. normal node (\<=1.5cm x \<=1.0cm) that incr. to \>2.0 x ≥1.5cm; 2)≥50% incr. from nadir product of perpendicular diameter (PPD) of any prev. involved node with long axis \>1.5cm at baseline (BL) (must incr. by ≥0.5mm \& to \>2.0cm) OR ≥50% incr. from nadir in long axis of any prev. inv. node with long axis of \>1.5cm at BL (long axis must incr. by ≥0.5mm \& to \>2.0cm); or 3)≥50% incr. from nadir in the sums of prod. of diameters (SPD) of target nodes \& ≥1 node with long axis \>1.5cm. Extranodal, PD 1)any new lesion \>2.0 x ≥1.5cm not attributed to non-lymphoma causes; 2)≥50% incr. from nadir PPD of any targ. les. \& \>5mm incr. in either axis \& les. must measure \>1.5cm x ≥1.5cm OR ≥50% incr. from nadir in long axis of any targ. les. \& \>5mm incr. in either axis \& les. must measure \>1.5cm x ≥1.5cm; or 3)≥50% incr. from nadir in SPD of targ. nodes \& ≥1 node with long axis \>1.5cm.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=219 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=219 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Progression-free Survival (PFS) - Number of Participants With PFS Events
114 Participants
117 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The Intent-to-treat (ITT) analysis set, comprised of all randomized participants, was analyzed.

Complete response was assessed according to modified 2007 Revised Response Criteria for Malignant Lymphoma (RRCML) and defined as follows: 1) complete disappearance of all detectable clinical evidence of disease (all target nodes regressing to \<=1.5cm in the long axis and all non-target lesions being normal in size by imaging) and disease-related symptoms if present before therapy; 2) the spleen/liver, if considered enlarged due to lymphoma based on CT scan prior to therapy, would be normal and nodules should disappear; and 3) if bone marrow was involved before treatment, the infiltrate must clear on repeat bone marrow biopsy. Computed tomography (CT) scans of the neck, thorax, abdomen and pelvis were performed as part of the efficacy evaluation.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=219 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=219 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Participants With Complete Response (CR)
36 Participants
44 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The Intent-to-treat (ITT) analysis set, comprised of all randomized participants, was analyzed.

The overall response rate (ORR) was defined as the number of participants achieving a CR or partial response (PR). from start of randomization until disease progression, or the start of a new anti-cancer therapy. Disease response was assessed according to modified 2007 Revised Response Criteria for Malignant Lymphoma (RRCML). Computed tomography (CT) scans of the neck, thorax, abdomen and pelvis were performed as part of the efficacy evaluation. Bone marrow examination to confirm a suspected complete response (CR) was performed within 8 weeks following the onset of a CT scan confirmed CR.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=219 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=219 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Participants With Overall Response (OR)
110 Participants
144 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The Intent-to-treat (ITT) analysis set, comprised of all randomized participants, was analyzed.

The number of deaths were assessed.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=219 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=219 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Deaths
28 Participants
30 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The safety set, comprised of all participants who received one dose of study drug, was analyzed.

The number of participants with infection related adverse events was assessed.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=217 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=218 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Participants With Infection Related Adverse Events
69 Participants
81 Participants

SECONDARY outcome

Timeframe: 36 weeks + 60 days

Population: The safety set, comprised of all participants who received one dose of study drug, was analyzed.

The number of participants with infusion related adverse events due to study drug was assessed.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=217 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=218 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Participants With Infusion Related Adverse Events Due to Study Drug
178 Participants
112 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The safety set, comprised of all participants who received one dose of study drug, was analyzed.

The number of participants with myelosuppression adverse events was assessed.

Outcome measures

Outcome measures
Measure
Ofatumumab
n=217 Participants
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=218 Participants
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Number of Participants With Myelosuppression Adverse Events
24 Participants
41 Participants

SECONDARY outcome

Timeframe: 200 weeks

Population: The analysis of this outcome was not performed due to the early termination of the study. Please see the brief summary of the protocol section for additional details.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 200 weeks

Population: The analysis of this outcome was not performed due to the early termination of the study. Please see the brief summary of the protocol section for additional details.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 70 weeks

Population: The analysis of this outcome was not performed due to the early termination of the study. Please see the brief summary of the protocol section for additional details.

Outcome measures

Outcome data not reported

Adverse Events

Ofatumumab

Serious events: 38 serious events
Other events: 177 other events
Deaths: 0 deaths

Rituximab

Serious events: 37 serious events
Other events: 150 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ofatumumab
n=217 participants at risk
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=218 participants at risk
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Blood and lymphatic system disorders
Anaemia
0.46%
1/217
0.00%
0/218
Blood and lymphatic system disorders
Febrile neutropenia
0.46%
1/217
0.00%
0/218
Blood and lymphatic system disorders
Lymphopenia
0.46%
1/217
0.00%
0/218
Blood and lymphatic system disorders
Neutropenia
0.92%
2/217
0.46%
1/218
Blood and lymphatic system disorders
Pancytopenia
0.00%
0/217
0.46%
1/218
Cardiac disorders
Acute myocardial infarction
0.00%
0/217
0.46%
1/218
Cardiac disorders
Atrial fibrillation
0.46%
1/217
0.92%
2/218
Cardiac disorders
Cardiac failure congestive
0.00%
0/217
0.46%
1/218
Ear and labyrinth disorders
Otosclerosis
0.00%
0/217
0.46%
1/218
Eye disorders
Cataract
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Constipation
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Crohn's disease
0.46%
1/217
0.00%
0/218
Gastrointestinal disorders
Diarrhoea
0.46%
1/217
0.00%
0/218
Gastrointestinal disorders
Ileus
0.46%
1/217
0.00%
0/218
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/217
0.92%
2/218
Gastrointestinal disorders
Intestinal perforation
0.46%
1/217
0.00%
0/218
Gastrointestinal disorders
Mesenteric vein thrombosis
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Nausea
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Rectal haemorrhage
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Retroperitoneal haematoma
0.46%
1/217
0.00%
0/218
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/217
0.46%
1/218
Gastrointestinal disorders
Upper gastrointestinal haemorrhage
0.46%
1/217
0.00%
0/218
General disorders
Asthenia
0.00%
0/217
0.46%
1/218
General disorders
Chills
0.46%
1/217
0.00%
0/218
General disorders
Fatigue
0.00%
0/217
0.46%
1/218
General disorders
General physical health deterioration
0.00%
0/217
0.46%
1/218
General disorders
Non-cardiac chest pain
0.00%
0/217
0.46%
1/218
General disorders
Performance status decreased
0.46%
1/217
0.00%
0/218
General disorders
Pyrexia
0.00%
0/217
0.92%
2/218
Hepatobiliary disorders
Hepatotoxicity
0.00%
0/217
0.46%
1/218
Infections and infestations
Appendicitis
0.46%
1/217
0.00%
0/218
Infections and infestations
Bronchitis
0.46%
1/217
0.00%
0/218
Infections and infestations
Herpes zoster
0.46%
1/217
0.00%
0/218
Infections and infestations
Infection
0.46%
1/217
0.00%
0/218
Infections and infestations
Lymph gland infection
0.46%
1/217
0.00%
0/218
Infections and infestations
Neutropenic sepsis
0.00%
0/217
0.46%
1/218
Infections and infestations
Pneumonia
0.92%
2/217
2.3%
5/218
Infections and infestations
Respiratory syncytial virus infection
0.46%
1/217
0.00%
0/218
Infections and infestations
Sepsis
0.46%
1/217
1.4%
3/218
Infections and infestations
Septic shock
0.46%
1/217
0.00%
0/218
Infections and infestations
Skin infection
0.00%
0/217
0.46%
1/218
Infections and infestations
Urosepsis
0.00%
0/217
0.46%
1/218
Injury, poisoning and procedural complications
Fall
0.46%
1/217
0.00%
0/218
Injury, poisoning and procedural complications
Infusion related reaction
2.3%
5/217
0.00%
0/218
Injury, poisoning and procedural complications
Pubis fracture
0.46%
1/217
0.00%
0/218
Investigations
Alanine aminotransferase increased
0.46%
1/217
0.00%
0/218
Investigations
Aspartate aminotransferase increased
0.46%
1/217
0.00%
0/218
Metabolism and nutrition disorders
Dehydration
0.00%
0/217
0.46%
1/218
Metabolism and nutrition disorders
Hyponatraemia
0.00%
0/217
0.46%
1/218
Musculoskeletal and connective tissue disorders
Back pain
0.46%
1/217
0.46%
1/218
Musculoskeletal and connective tissue disorders
Bursitis
0.46%
1/217
0.00%
0/218
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.46%
1/217
0.00%
0/218
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of appendix
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma of colon
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Carcinoid tumour pulmonary
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colorectal cancer
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatic neoplasm
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Hepatocellular carcinoma
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung adenocarcinoma
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant pleural effusion
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Mycosis fungoides
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Oesophageal carcinoma
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.46%
1/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma
0.00%
0/217
0.46%
1/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Squamous cell carcinoma of skin
0.92%
2/217
0.00%
0/218
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinoma
0.46%
1/217
0.00%
0/218
Nervous system disorders
Cerebrovascular accident
0.00%
0/217
0.46%
1/218
Nervous system disorders
Normal pressure hydrocephalus
0.46%
1/217
0.00%
0/218
Nervous system disorders
Presyncope
0.46%
1/217
0.00%
0/218
Nervous system disorders
Syncope
0.00%
0/217
0.46%
1/218
Nervous system disorders
Transient ischaemic attack
0.46%
1/217
0.00%
0/218
Psychiatric disorders
Depression
0.00%
0/217
0.46%
1/218
Renal and urinary disorders
Acute kidney injury
0.46%
1/217
0.46%
1/218
Renal and urinary disorders
Hydronephrosis
0.00%
0/217
0.46%
1/218
Renal and urinary disorders
Renal colic
0.00%
0/217
0.46%
1/218
Renal and urinary disorders
Renal failure
0.00%
0/217
0.46%
1/218
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.00%
0/217
0.46%
1/218
Respiratory, thoracic and mediastinal disorders
Asthma
0.46%
1/217
0.00%
0/218
Respiratory, thoracic and mediastinal disorders
Bronchopneumopathy
0.00%
0/217
0.46%
1/218
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/217
0.92%
2/218
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.00%
0/217
0.92%
2/218
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.00%
0/217
0.46%
1/218
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.46%
1/217
0.46%
1/218
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.00%
0/217
0.92%
2/218
Skin and subcutaneous tissue disorders
Toxic epidermal necrolysis
0.46%
1/217
0.00%
0/218
Vascular disorders
Hypotension
0.46%
1/217
0.00%
0/218
Vascular disorders
Poor peripheral circulation
0.00%
0/217
0.46%
1/218
Vascular disorders
Shock haemorrhagic
0.46%
1/217
0.00%
0/218

Other adverse events

Other adverse events
Measure
Ofatumumab
n=217 participants at risk
Four weekly doses of single agent ofatumumab 1000 mg by intravenous (i.v.) infusion, followed by ofatumumab 1000 mg i.v. every two months for four additional doses.
Rituximab
n=218 participants at risk
Four weekly doses of single agent rituximab 375 mg/m2 i.v., followed by rituximab 375 mg/m2 i.v. every two months for four additional doses.
Blood and lymphatic system disorders
Neutropenia
2.8%
6/217
7.3%
16/218
Gastrointestinal disorders
Abdominal pain
5.5%
12/217
3.2%
7/218
Gastrointestinal disorders
Constipation
7.8%
17/217
5.0%
11/218
Gastrointestinal disorders
Diarrhoea
9.2%
20/217
6.9%
15/218
Gastrointestinal disorders
Nausea
8.8%
19/217
7.3%
16/218
General disorders
Asthenia
4.1%
9/217
6.4%
14/218
General disorders
Chills
3.7%
8/217
6.0%
13/218
General disorders
Fatigue
9.7%
21/217
12.8%
28/218
General disorders
Pyrexia
4.1%
9/217
9.6%
21/218
Infections and infestations
Nasopharyngitis
6.5%
14/217
10.1%
22/218
Infections and infestations
Upper respiratory tract infection
6.0%
13/217
5.0%
11/218
Injury, poisoning and procedural complications
Infusion related reaction
18.4%
40/217
8.7%
19/218
Investigations
Alanine aminotransferase increased
1.4%
3/217
5.0%
11/218
Investigations
Neutrophil count decreased
4.6%
10/217
7.3%
16/218
Investigations
White blood cell count decreased
5.5%
12/217
10.6%
23/218
Musculoskeletal and connective tissue disorders
Arthralgia
3.7%
8/217
5.0%
11/218
Nervous system disorders
Headache
5.1%
11/217
9.2%
20/218
Psychiatric disorders
Insomnia
6.5%
14/217
3.2%
7/218
Respiratory, thoracic and mediastinal disorders
Cough
4.1%
9/217
8.3%
18/218
Respiratory, thoracic and mediastinal disorders
Dyspnoea
6.0%
13/217
6.0%
13/218
Respiratory, thoracic and mediastinal disorders
Oropharyngeal discomfort
2.8%
6/217
5.0%
11/218
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
5.5%
12/217
5.0%
11/218
Skin and subcutaneous tissue disorders
Pruritus
9.2%
20/217
6.4%
14/218
Skin and subcutaneous tissue disorders
Rash
19.4%
42/217
5.0%
11/218
Skin and subcutaneous tissue disorders
Rash maculo-papular
7.4%
16/217
0.92%
2/218
Skin and subcutaneous tissue disorders
Urticaria
18.9%
41/217
1.4%
3/218

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 or disclosure of trial results in their entirety.
  • Publication restrictions are in place

Restriction type: OTHER