Trial Outcomes & Findings for Ranolazine When Added to Glimepiride in Subjects With Type 2 Diabetes Mellitus (NCT NCT01494987)

NCT ID: NCT01494987

Last Updated: 2014-11-18

Results Overview

The average (mean) change from baseline in HbA1c at Week 24 was analyzed.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

431 participants

Primary outcome timeframe

Baseline; Week 24

Results posted on

2014-11-18

Participant Flow

Participants were enrolled (during the Qualifying Period) at a total of 103 study sites in Asia, Europe, South Africa, and the United States. The first participant was screened on 12 January 2012. The last participant observation occurred on 28 August 2013.

595 participants entered the qualifying period (355 required and completed the glimepiride stabilization period); 431 were randomized and treated (Safety Analysis Set). Of these, 14 were excluded due to major eligibility criteria protocol violation or had no baseline or ontreatment data; thus, 417 were included in the Full Analysis Set.

Participant milestones

Participant milestones
Measure
Placebo+Glimepiride
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Overall Study
STARTED
216
215
Overall Study
COMPLETED
188
187
Overall Study
NOT COMPLETED
28
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo+Glimepiride
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Overall Study
Adverse Event
6
5
Overall Study
Hyperglycemia
6
4
Overall Study
Investigator's Discretion
1
2
Overall Study
Lost to Follow-up
1
1
Overall Study
Protocol Violation
3
3
Overall Study
Subject Non-Compliance
9
10
Overall Study
Subject Withdrew Consent
2
3

Baseline Characteristics

Ranolazine When Added to Glimepiride in Subjects With Type 2 Diabetes Mellitus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo+Glimepiride
n=216 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=215 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Total
n=431 Participants
Total of all reporting groups
Duration of Diabetes
7.0 years
STANDARD_DEVIATION 5.07 • n=5 Participants
7.1 years
STANDARD_DEVIATION 4.92 • n=7 Participants
7.0 years
STANDARD_DEVIATION 4.99 • n=5 Participants
Estimated glomerular filtration rate (eGFR)
83.2 mL/min/1.73m^2
STANDARD_DEVIATION 18.77 • n=5 Participants
81.2 mL/min/1.73m^2
STANDARD_DEVIATION 20.85 • n=7 Participants
82.2 mL/min/1.73m^2
STANDARD_DEVIATION 19.84 • n=5 Participants
Age, Continuous
59 years
STANDARD_DEVIATION 8.6 • n=5 Participants
59 years
STANDARD_DEVIATION 8.8 • n=7 Participants
59 years
STANDARD_DEVIATION 8.7 • n=5 Participants
Sex: Female, Male
Female
123 Participants
n=5 Participants
120 Participants
n=7 Participants
243 Participants
n=5 Participants
Sex: Female, Male
Male
93 Participants
n=5 Participants
95 Participants
n=7 Participants
188 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
181 Participants
n=5 Participants
182 Participants
n=7 Participants
363 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
10 participants
n=5 Participants
3 participants
n=7 Participants
13 participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Race/Ethnicity, Customized
White
198 participants
n=5 Participants
204 participants
n=7 Participants
402 participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 participants
n=5 Participants
5 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
Serbia
4 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
Region of Enrollment
United States
61 participants
n=5 Participants
60 participants
n=7 Participants
121 participants
n=5 Participants
Region of Enrollment
Czech Republic
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Hungary
4 participants
n=5 Participants
6 participants
n=7 Participants
10 participants
n=5 Participants
Region of Enrollment
Slovakia
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Region of Enrollment
Poland
5 participants
n=5 Participants
4 participants
n=7 Participants
9 participants
n=5 Participants
Region of Enrollment
Ukraine
26 participants
n=5 Participants
27 participants
n=7 Participants
53 participants
n=5 Participants
Region of Enrollment
Romania
11 participants
n=5 Participants
9 participants
n=7 Participants
20 participants
n=5 Participants
Region of Enrollment
South Africa
4 participants
n=5 Participants
3 participants
n=7 Participants
7 participants
n=5 Participants
Region of Enrollment
Russian Federation
99 participants
n=5 Participants
104 participants
n=7 Participants
203 participants
n=5 Participants
Body Mass Index
32.8 kg/m^2
STANDARD_DEVIATION 4.35 • n=5 Participants
32.2 kg/m^2
STANDARD_DEVIATION 3.88 • n=7 Participants
32.5 kg/m^2
STANDARD_DEVIATION 4.13 • n=5 Participants
Glycosylated hemoglobin (HbA1c)
8.10 percent HbA1c in blood
STANDARD_DEVIATION 0.746 • n=5 Participants
8.07 percent HbA1c in blood
STANDARD_DEVIATION 0.776 • n=7 Participants
8.08 percent HbA1c in blood
STANDARD_DEVIATION 0.760 • n=5 Participants
Fasting Serum Glucose
177.2 mg/dL
STANDARD_DEVIATION 34.27 • n=5 Participants
177.4 mg/dL
STANDARD_DEVIATION 37.03 • n=7 Participants
177.3 mg/dL
STANDARD_DEVIATION 35.63 • n=5 Participants

PRIMARY outcome

Timeframe: Baseline; Week 24

Population: Participants in the Full Analysis Set (randomized participants who received ≥ 1 dose of study treatment with a baseline and at least one postbaseline measurement of HbA1c, excluding participants with major eligibility violations and analyzed based on randomized treatment, regardless of actual treatment received) with available data were analyzed.

The average (mean) change from baseline in HbA1c at Week 24 was analyzed.

Outcome measures

Outcome measures
Measure
Placebo+Glimepiride
n=184 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=188 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
HbA1c at Week 24
8.08 percent of HbA1c in blood
Standard Deviation 1.070
7.58 percent of HbA1c in blood
Standard Deviation 1.089
Change From Baseline in Glycosylated Hemoglobin (HbA1c) at Week 24
Change from baseline in HbA1c at Week 24
0.03 percent of HbA1c in blood
Standard Deviation 0.949
-0.47 percent of HbA1c in blood
Standard Deviation 0.971

SECONDARY outcome

Timeframe: Baseline; Week 24

Population: Participants in the Mixed Meal Tolerance Test (MMTT) Full Analysis Set with available data were analyzed.

The average (mean) change from baseline in incremental change of 2-hour postprandial serum glucose at Week 24 was analyzed. Mixed Meal Tolerance Test (MMTT) Full Analysis Set: randomized participants who received at least one dose of study treatment with a baseline and at least one postbaseline measurement of serum glucose at T=120 minutes during the MMTT, administered under fasting conditions, excluding participants with major eligibility protocol violations, analyzed based on the randomized treatment regardless of actual treatment received.

Outcome measures

Outcome measures
Measure
Placebo+Glimepiride
n=169 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=168 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Change From Baseline in Incremental Change of 2-hour Postprandial Serum Glucose at Week 24
-2 mg/dL
Standard Deviation 42.6
1 mg/dL
Standard Deviation 44.7

SECONDARY outcome

Timeframe: Baseline; Week 24

Population: Participants in the Full Analysis Set with available data were analyzed.

The average (mean) change from baseline in fasting serum glucose at Week 24 was analyzed.

Outcome measures

Outcome measures
Measure
Placebo+Glimepiride
n=181 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=183 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Change From Baseline in Fasting Serum Glucose at Week 24
8 mg/dL
Standard Deviation 40.7
2 mg/dL
Standard Deviation 45.3

SECONDARY outcome

Timeframe: Baseline; Week 24

Population: Participants in the MMTT Full Analysis Set with available data were analyzed.

The average (mean) change from baseline in 2-hour postprandial serum glucose at Week 24 was analyzed.

Outcome measures

Outcome measures
Measure
Placebo+Glimepiride
n=175 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=172 Participants
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Change From Baseline in 2-hour Postprandial Serum Glucose at Week 24
4 mg/dL
Standard Deviation 58.0
1 mg/dL
Standard Deviation 59.6

Adverse Events

Placebo+Glimepiride

Serious events: 4 serious events
Other events: 46 other events
Deaths: 0 deaths

Ranolazine+Glimepiride

Serious events: 4 serious events
Other events: 42 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo+Glimepiride
n=216 participants at risk
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=215 participants at risk
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Cardiac disorders
Acute myocardial infarction
0.46%
1/216 • Up to 24 weeks plus 30 days
0.00%
0/215 • Up to 24 weeks plus 30 days
Cardiac disorders
Myocardial ischaemia
0.00%
0/216 • Up to 24 weeks plus 30 days
0.47%
1/215 • Up to 24 weeks plus 30 days
Cardiac disorders
Ventricular extrasystoles
0.46%
1/216 • Up to 24 weeks plus 30 days
0.00%
0/215 • Up to 24 weeks plus 30 days
Eye disorders
Eye haemorrhage
0.00%
0/216 • Up to 24 weeks plus 30 days
0.47%
1/215 • Up to 24 weeks plus 30 days
Eye disorders
Retinal vein thrombosis
0.00%
0/216 • Up to 24 weeks plus 30 days
0.47%
1/215 • Up to 24 weeks plus 30 days
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/216 • Up to 24 weeks plus 30 days
0.47%
1/215 • Up to 24 weeks plus 30 days
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.00%
0/216 • Up to 24 weeks plus 30 days
0.47%
1/215 • Up to 24 weeks plus 30 days
Nervous system disorders
Ischaemic stroke
0.46%
1/216 • Up to 24 weeks plus 30 days
0.00%
0/215 • Up to 24 weeks plus 30 days
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.46%
1/216 • Up to 24 weeks plus 30 days
0.00%
0/215 • Up to 24 weeks plus 30 days

Other adverse events

Other adverse events
Measure
Placebo+Glimepiride
n=216 participants at risk
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive placebo to match ranolazine plus glimepiride 4 mg once daily for 24 weeks. Participants were required to maintain their diet and exercise regimen.
Ranolazine+Glimepiride
n=215 participants at risk
Glimepiride stabilization period (up to 8 weeks): participants not on stable glimepiride received glimepiride 2 mg once daily, and if tolerated the dose was increased on Day 8 (+ 2 days) to 4 mg once daily. Qualifying period: participants received placebo to match ranolazine twice daily in addition to glimepiride for 14 days (+ 2 days) and if ≥ 80% compliant and meeting eligibility criteria continued to the treatment period. Treatment period: participants were randomized to receive ranolazine (1 x 500 mg tablet) twice daily plus glimepiride 4 mg once daily on Days 1 through 7, followed by ranolazine 1000 mg (2 x 500 mg tablets) twice daily plus glimepiride 4 mg once daily from Day 8 (or by Day 16 if not well tolerated) through Week 24. Participants were required to maintain their diet and exercise regimen.
Metabolism and nutrition disorders
Hyperglycemia
14.8%
32/216 • Up to 24 weeks plus 30 days
9.8%
21/215 • Up to 24 weeks plus 30 days
Metabolism and nutrition disorders
Hypoglycaemia
4.6%
10/216 • Up to 24 weeks plus 30 days
6.0%
13/215 • Up to 24 weeks plus 30 days
Gastrointestinal disorders
Nausea
3.2%
7/216 • Up to 24 weeks plus 30 days
5.1%
11/215 • Up to 24 weeks plus 30 days

Additional Information

Clinical Trial Disclosures

Gilead Sciences, Inc.

Results disclosure agreements

  • Principal investigator is a sponsor employee After conclusion of the study and without prior written approval from Gilead, investigators in this study may communicate, orally present, or publish in scientific journals or other media only after the following conditions have been met: * The results of the study in their entirety have been publicly disclosed by or with the consent of Gilead in an abstract, manuscript, or presentation form; or * The study has been completed at all study sites for at least 2 years
  • Publication restrictions are in place

Restriction type: OTHER