Study to Evaluate the Safety and Efficacy of IV Infusion Treatment With Omecamtiv Mecarbil in Subjects With Left Ventricular Systolic Dysfunction Hospitalized for Acute Heart Failure (ATOMIC-AHF)

NCT ID: NCT01300013

Last Updated: 2021-07-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

614 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-30

Study Completion Date

2013-09-30

Brief Summary

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The primary objective of the study is to evaluate the effect of 48 hours of intravenous (IV) omecamtiv mecarbil compared with placebo on dyspnea in subjects with left ventricular systolic dysfunction hospitalized for acute heart failure. This is a multicenter, randomized, double-blind, placebo-controlled study with 3 dose cohorts enrolled sequentially in order of ascending dose strength of omecamtiv mecarbil. In each cohort, subjects are randomized 1:1 to omecamtiv mecarbil or placebo.

Detailed Description

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This study was conducted by Amgen as the IND holder, with Cytokinetics as a collaborator. Due to the termination of the collaboration agreement between Amgen and Cytokinetics in May 2021 and subsequent transfer of the omecamtiv mecarbil IND from Amgen to Cytokinetics, Cytokinetics is now listed as the sponsor.

Conditions

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Heart Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Omecamtiv mecarbil

Group Type EXPERIMENTAL

Omecamtiv mecarbil

Intervention Type DRUG

48-hour infusion of omecamtiv mecarbil; dose strength will depend on cohort assignment.

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

48-hour infusion of placebo

Interventions

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Placebo

48-hour infusion of placebo

Intervention Type DRUG

Omecamtiv mecarbil

48-hour infusion of omecamtiv mecarbil; dose strength will depend on cohort assignment.

Intervention Type DRUG

Other Intervention Names

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CK-1827452 AMG 423

Eligibility Criteria

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Inclusion Criteria

* Male or female 18 - 85 years
* Hospitalized for worsening heart failure, within 24 hours of initiating IV loop diuretic
* Dyspnea due to heart failure, at rest or with minimal exertion
* History of left ventricular ejection fraction (LVEF) ≤ 40%
* Elevated brain natriuretic peptide (BNP) or N-terminal fragment BNP (NT-proBNP)

Exclusion Criteria

* Receiving IV vasopressor (excluding low dopamine), inotropic or mechanical support
* Acute coronary syndrome (ACS)
* Within 30 days prior to enrollment: cardiac resynchronization therapy (CRT) or implantable cardioverter defibrillator (ICD) implantation, ACS, coronary revascularization, transient ischemic attack (TIA) or stroke, sustained ventricular arrhythmia, or major surgery
* Severe valvular stenosis, hypertrophic obstructive cardiomyopathy, active myocarditis, constrictive pericarditis, or clinically significant congenital heart disease
* Estimated glomerular filtration rate (eGFR) \< 20 mL/min/1.73m2
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cytokinetics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Mobile, Alabama, United States

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Inglewood, California, United States

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La Jolla, California, United States

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San Francisco, California, United States

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Danbury, Connecticut, United States

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Newark, Delaware, United States

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Atlantis, Florida, United States

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Clearwater, Florida, United States

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Fort Lauderdale, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Atlanta, Georgia, United States

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Chicago, Illinois, United States

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Peoria, Illinois, United States

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Baltimore, Maryland, United States

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Detroit, Michigan, United States

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Detroit, Michigan, United States

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Novi, Michigan, United States

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Minneapolis, Minnesota, United States

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St Louis, Missouri, United States

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Lincoln, Nebraska, United States

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Newark, New Jersey, United States

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Cortlandt Manor, New York, United States

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Roslyn, New York, United States

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The Bronx, New York, United States

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Chapel Hill, North Carolina, United States

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Charlotte, North Carolina, United States

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Durham, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cincinnati, Ohio, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Fairfield, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Portland, Oregon, United States

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Charleston, South Carolina, United States

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Greenville, South Carolina, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Nashville, Tennessee, United States

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Tullahoma, Tennessee, United States

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Houston, Texas, United States

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Murray, Utah, United States

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Darlinghurst, New South Wales, Australia

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Woolloongabba, Queensland, Australia

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Bedford Park, South Australia, Australia

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Prahran, Victoria, Australia

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Richmond, Victoria, Australia

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Aalst, , Belgium

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Bonheiden, , Belgium

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Ghent, , Belgium

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Roeselare, , Belgium

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Blagoevgrad, , Bulgaria

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Kazanlak, , Bulgaria

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Pazardzhik, , Bulgaria

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Plovdiv, , Bulgaria

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Sandanski, , Bulgaria

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Smolyan, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Edmonton, Alberta, Canada

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Halifax, Nova Scotia, Canada

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Ottawa, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Sherbrooke, Quebec, Canada

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Brno, , Czechia

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Brno, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Ústí nad Labem, , Czechia

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Helsinki, , Finland

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Turku, , Finland

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Caen, , France

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Lille, , France

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Montpellier, , France

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Paris, , France

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Strasbourg, , France

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Toulouse, , France

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Bad Nauheim, , Germany

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Dortmund, , Germany

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Frankfurt, , Germany

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Greifswald, , Germany

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Halle, , Germany

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Hamburg, , Germany

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Homburg, , Germany

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Langen, , Germany

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Regensburg, , Germany

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Stuttgart, , Germany

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Würzburg, , Germany

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Athens, , Greece

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Athens, , Greece

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Haidari, , Greece

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Heraklion, , Greece

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Pátrai, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Budapest, , Hungary

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Pécs, , Hungary

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Szolnok, , Hungary

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Brescia, , Italy

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Cagliari, , Italy

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Pavia, , Italy

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Udine, , Italy

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Kaunas, , Lithuania

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Vilnius, , Lithuania

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Delft, , Netherlands

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Deventer, , Netherlands

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Utrecht, , Netherlands

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Oslo, , Norway

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Stavanger, , Norway

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Bialystok, , Poland

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Gdansk, , Poland

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Krakow, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Wroclaw, , Poland

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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St.-Petrsburg, , Russia

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Bratislava, , Slovakia

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Bratislava, , Slovakia

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Košice, , Slovakia

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Nitra, , Slovakia

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Bristol, , United Kingdom

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Cottingham, , United Kingdom

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Glasgow, , United Kingdom

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Harrow, , United Kingdom

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Countries

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United States Australia Belgium Bulgaria Canada Czechia Finland France Germany Greece Hungary Italy Lithuania Netherlands Norway Poland Russia Slovakia United Kingdom

References

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Teerlink JR, Felker GM, McMurray JJV, Ponikowski P, Metra M, Filippatos GS, Ezekowitz JA, Dickstein K, Cleland JGF, Kim JB, Lei L, Knusel B, Wolff AA, Malik FI, Wasserman SM; ATOMIC-AHF Investigators. Acute Treatment With Omecamtiv Mecarbil to Increase Contractility in Acute Heart Failure: The ATOMIC-AHF Study. J Am Coll Cardiol. 2016 Mar 29;67(12):1444-1455. doi: 10.1016/j.jacc.2016.01.031.

Reference Type DERIVED
PMID: 27012405 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20100754

Identifier Type: -

Identifier Source: org_study_id

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