BRIEF Bendamustine and Rituximab In Elderly Follicular

NCT ID: NCT01313611

Last Updated: 2018-03-07

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-02-28

Study Completion Date

2017-12-31

Brief Summary

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The objective of this study is to evaluate the complete response rate after a short induction treatment with rituximab (375mg/m2)and bendamustine (90mg/m2)in In Elderly (≥ 60 years old) patients with untreated Follicular lymphoma, with an intermediate or high FLIPI score and without high tumor burden.

This short induction is followed by a rituximab (375mg/m2)maintenance/ Induction schedule:Rituximab+Bendamustine on Day 1, Bendamustine on Day 2, Rituximab on Day 8, Rituximab on Day 15, rituximab on day 22, Bendamustine on Day 29, Bendamustine on Day 30 Maintenance schedule: 12 infusions of rituximab, each 8 weeks

Detailed Description

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Conditions

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Follicular Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rituximab + bendamustine

Group Type EXPERIMENTAL

Rituximab + bendamustine

Intervention Type DRUG

Induction phase: rituximab and bendamustine on Day 1, Bendamustine on Day 2, Rituximab on Day 8, Rituximab on Day 15, Rituximab on Day 22, bendamustine on Day 29, Bendamustine on Day 30

Interventions

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Rituximab + bendamustine

Induction phase: rituximab and bendamustine on Day 1, Bendamustine on Day 2, Rituximab on Day 8, Rituximab on Day 15, Rituximab on Day 22, bendamustine on Day 29, Bendamustine on Day 30

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed follicular lymphoma CD20+, all grades except the grade 3b with a lymph node biopsy performed within 6 months before study entry and with material available for central review
* A minimal initial immunology is required, including : CD20, bcl-2, CD10 and CD5
* Age must be ≥ 60 years
* Patients not previously treated
* Patients with an intermediate or high risk FLIPI score requiring 2 or more of the following adverse prognostic factors:

1. Age \>60 ans
2. Ann Arbor Stage (III-IV vs. I-II)
3. Hemoglobin level ( \< 12g/dL vs. ≥ 12 g/dL)
4. Number of nodal areas (\< 5 vs. ≥ 5) (Note: LDH should not be considered as an adverse prognostic factor in this study since it is considered as high tumor burden in the GELF criteria)
* Low burden disease at study entry according to the GELF criteria
* Patients with at least one measurable site of disease: patients with only blood or marrow or splenic infiltration are excluded
* Performance status ≤ 2 on the ECOG scale
* Adequate hematological function (unless abnormalities are related to lymphoma infiltration of the bone marrow) including:
* Hemoglobin ≥ 8.0 g/dL (5.0 mmol/L)
* Absolute neutrophil count (ANC) ≥ 1.5 x 109/L
* Platelet count ≥ 100 x 109/L
* Adequate renal function: calculated creatinine clearance \> 50 ml/min (according to MDRD method) unless these abnormalities are related to lymphoma
* Adequate hepatic function: Total bilirubin \< 2.0 mg/dl (34 µmol/L), AST (SGOT) and ALT (SGPT) ≤ 2.5 x the upper limit of normal unless these abnormalities are related to lymphoma
* Adequate cardiac function: LEVF ≥ 50% calculated by echocardiography or scintigraphy
* Having previously signed a written informed consent

Exclusion Criteria

* Other histological types of lymphoma than follicular lymphoma
* Grade 3b follicular lymphoma
* Patients previously on watch and wait since more than 6 months from diagnosis
* Patients previously treated for lymphoma, except splenectomy
* Patients with low FLIPI score (0 or 1 adverse prognostic factors not considering elevated LDH)
* Bulky disease at study entry according to the GELF criteria
* Presence or history of CNS disease (either CNS lymphoma or lymphomatous meningitis)
* Patients with prior or concomitant malignancies except non-melanoma skin cancer or adequately treated in situ cervical cancer or previous cancer in CR without any treatment in the last 5 years
* Positive HIV, HBV (anti-HBc positivity) and HCV serologies before inclusion
* Poor Performance status \> 2 on the ECOG scale
* Known contra-indication to study product
* Serious underlying medical conditions, which could impair the ability of the patient to participate in the trial (e.g. ongoing infection, uncontrolled diabetes mellitus, gastric ulcers, active autoimmune disease).
* Any other co-existing medical or psychological condition that will preclude participation in the study or compromise ability to give informed consent.
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Lymphoma Academic Research Organisation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pierre FEUGIER, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Brabois, 54511 Vandoeuvre les Nancy

Locations

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ZNA Stuivenberg

Antwerp, , Belgium

Site Status

Clinique Sud du Luxembourg

Arlon, , Belgium

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RHMS

Baudour, , Belgium

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A. Z. Sint-Jan

Bruges, , Belgium

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CHU Brugmann

Brussels, , Belgium

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Université Libre de Bruxelles - Hôpital Erasme

Brussels, , Belgium

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Université Catholique de Louvain Saint Luc

Brussels, , Belgium

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CH Notre Dame

Charleroi, , Belgium

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CHU Charleroi-Vésale

Charleroi, , Belgium

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Centre de Santé des Fagnes

Chimay, , Belgium

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Clinique Notre Dame de Grace

Gosselies, , Belgium

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Hôpital Jolimont

Haine-Saint-Paul, , Belgium

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CH Hutois

Huy, , Belgium

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AZ Groeninge - Campus Maria's Voorzienigheid

Kortrljk, , Belgium

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CHU Tivoli

La Louvière, , Belgium

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CHR de la Citadelle

Liège, , Belgium

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CHU de Liège

Liège, , Belgium

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CHU Ambroise Paré

Mons, , Belgium

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Clinique Saint Joseph

Mons, , Belgium

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Hôpital Sainte Elisabeth

Namur, , Belgium

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Heilig Hart Ziekenhuis

Roeselare, , Belgium

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Centre Hospitalier de Wallonie Picarde - CHwapi

Tournai, , Belgium

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CH de la Tourelle-Peltzer

Verviers, , Belgium

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UCL Mt Godinne

Yvoir, , Belgium

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CH du Pays d'Aix

Aix-en-Provence, , France

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CHU Amiens - Hôpital Sud

Amiens, , France

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CHU d'Angers

Angers, , France

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CH Antibes

Antibes, , France

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CH Victor Dupouy

Argenteuil, , France

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CH d'Avignon - Hôpital Henri Dufaut

Avignon, , France

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Hôpital de Bayonne

Bayonne, , France

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Centre Hospitalier de Beauvais

Beauvais, , France

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CH Jean Minjoz

Besançon, , France

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CH Béziers

Béziers, , France

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Centre Hospitalier de Blois

Blois, , France

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Institut Bergonié

Bordeaux, , France

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Polyclinique Bordeaux Nord Aquitaine

Bordeaux, , France

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CH Dr Duchenne

Boulogne-sur-Mer, , France

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CH de Bourg en Bresse

Bourg-en-Bresse, , France

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CHU Morvan

Brest, , France

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Centre Hospitalier de Brive

Brive-la-Gaillarde, , France

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CHU Clémenceau

Caen, , France

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Centre Francois Baclesse

Caen, , France

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CH Cannes

Cannes, , France

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CH Chambéry

Chambéry, , France

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CH de Chartres

Chartres, , France

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Hôpital de Châlon

Châlon Sur Saône, , France

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Hôpital Antoine Béclère

Clamart, , France

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Hôpital d'Instruction des Armées Percy

Clamart, , France

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CHU Estaing

Clermont-Ferrand, , France

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Pôle Santé Publique

Clermont-Ferrand, , France

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CH de Compiègne

Compiègne, , France

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Hôpital Sud Francilien

Corbeil Essonne, , France

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Hôpital Henri Mondor

Créteil, , France

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CHU le Bocage

Dijon, , France

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CH de Dunkerque

Dunkirk, , France

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CH Fréjus St Raphaël

Fréjus, , France

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CHU Grenoble

Grenoble, , France

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Centre Hospitalier de Guéret

Guéret, , France

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CHD Vendée

La Roche-sur-Yon, , France

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Centre Hospitalier de Laval

Laval, , France

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Hôpital André Mignot

Le Chesnay, , France

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Hôpital Bicêtre

Le Kremlin-Bicêtre, , France

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CH Le Mans

Le Mans, , France

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Clinique Victor Hugo - Centre Jean Bernard

Le Mans, , France

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CHRU de Lille - Hôpital Claude Huriez

Lille, , France

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CHU LIMOGES - Hôpital Universitaire Dupuytren

Limoges, , France

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CH de Bretagne Sud

Lorient, , France

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Clinique de la Sauvegarde

Lyon, , France

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Centre Léon Bérard

Lyon, , France

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Institut Paoli Calmettes

Marseille, , France

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CH les Chanaux

Mâcon, , France

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CH de Meaux

Meaux, , France

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Ch Marc Jacquet

Melun, , France

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Hôpital Notre Dame de Bon Secours

Metz, , France

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CH Saint-Eloi

Montpellier, , France

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CRCL Val d'Aurelle

Montpellier, , France

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Centre Azuréen de Cancérologie

Mougins, , France

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CHU de Mulhouse - Hôpital Emile Muller

Mulhouse, , France

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Centre Catherine de Sienne

Nantes, , France

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CHU Hôtel Dieu

Nantes, , France

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Hôpital Américain de Paris

Neuilly, , France

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Centre Antoine Lacassagne

Nice, , France

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CHU de Nice

Nice, , France

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CHU Caremeau

Nîmes, , France

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Clinique Valdegour

Nîmes, , France

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CHR de la Source

Orléans, , France

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Hôpital Saint Antoine

Paris, , France

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Hôpital de la Pitié Salpétrière

Paris, , France

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Hôpital Necker

Paris, , France

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Hôpital Hôtel Dieu

Paris, , France

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Institut Curie

Paris, , France

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Hôpital St Louis

Paris, , France

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Hôpital Saint Antoine

Paris, , France

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CH Saint Jean

Perpignan, , France

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Hôpital Haut Levêque

Pessac, , France

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Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

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CHU de Poitiers - Hôpital de la Milétrie

Poitiers, , France

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CH René Dubos

Pontoise, , France

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Centre Hospitalier de la Région d'Annecy

Pringy, , France

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Hôpital Robert Debré

Reims, , France

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Clinique de Courlancy

Reims, , France

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Hôpital Pontchaillou

Rennes, , France

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Centre Henri Becquerel

Rouen, , France

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Clinique Mathilde

Rouen, , France

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CHU Saint-Etienne

Saint Priest En Jarest, , France

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Centre René Huguenin

Saint-Cloud, , France

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CHG St Germain

Saint-Germain-en-Laye, , France

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CH de Saint Quentin

Saint-Quentin, , France

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CHU de Saint Malo

St-Malo, , France

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Hôpital Font Pré

Toulon, , France

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CHU Bretonneau

Tours, , France

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Hôpital de Troyes

Troyes, , France

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CH de Valence

Valence, , France

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CHU Nancy Brabois

Vandœuvre-lès-Nancy, , France

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Centre Hospitalier Bretagne Atlantique

Vannes, , France

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Institut Gustave Roussy

Villejuif, , France

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Countries

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Belgium France

References

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Gyan E, Sonet A, Brice P, Anglaret B, Laribi K, Fruchart C, Tilly H, Araujo C, Soubeyran P, Gonzalez H, Morineau N, Nicolas-Virelizier E, Ghesquieres H, Salles B, Bouabdallah R, Orfeuvre H, Fahri J, Couturier O, Xerri L, Feugier P; Lymphoma Study Association (LYSA). Bendamustine and rituximab in elderly patients with low-tumour burden follicular lymphoma. Results of the LYSA phase II BRIEF study. Br J Haematol. 2018 Oct;183(1):76-86. doi: 10.1111/bjh.15513. Epub 2018 Aug 16.

Reference Type DERIVED
PMID: 30117149 (View on PubMed)

Other Identifiers

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BRIEF

Identifier Type: -

Identifier Source: org_study_id

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