Trial Outcomes & Findings for Proton w/FOLFIRINOX-Losartan for Pancreatic Cancer (NCT NCT01821729)

NCT ID: NCT01821729

Last Updated: 2020-09-25

Results Overview

The number of participants that received treatment with proton radiation along with FOLFIRINOX-Losartan and then subsequently underwent attempted surgery and achieved R0 resection. R0 resection means that no cancer cells were seen microscopically at the resection margin.

Recruitment status

UNKNOWN

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

At the time of surgery (approximately 4 months after the start of treatment)

Results posted on

2020-09-25

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Arm
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Overall Study
STARTED
50
Overall Study
Received Chemoradiotherapy
45
Overall Study
Underwent Attempted Surgery
42
Overall Study
COMPLETED
49
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Arm
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Arm
n=49 Participants
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Age, Continuous
63 years
n=49 Participants
Sex: Female, Male
Female
23 Participants
n=49 Participants
Sex: Female, Male
Male
26 Participants
n=49 Participants
Region of Enrollment
United States
49 Participants
n=49 Participants
ECOG PS
0
36 Participants
n=49 Participants
ECOG PS
1
13 Participants
n=49 Participants
CA19-9 level
<35 U/mL (Normal)
9 Participants
n=49 Participants
CA19-9 level
≥ 35 U/mL (Elevated)
40 Participants
n=49 Participants
CEA level
<3.4 ng/mL (Normal)
30 Participants
n=48 Participants • CEA levels were not available for one participant
CEA level
≥3.4 ng/mL (Elevated)
18 Participants
n=48 Participants • CEA levels were not available for one participant
Tumor site
Head
31 Participants
n=49 Participants
Tumor site
Body
14 Participants
n=49 Participants
Tumor site
Tail
4 Participants
n=49 Participants
Tumor size
41 mm
n=49 Participants
Vascular involvement
Arterial alone
15 Participants
n=47 Participants • Two participants did not have vascular involvement
Vascular involvement
Venous alone
11 Participants
n=47 Participants • Two participants did not have vascular involvement
Vascular involvement
Arterial + venous
21 Participants
n=47 Participants • Two participants did not have vascular involvement

PRIMARY outcome

Timeframe: At the time of surgery (approximately 4 months after the start of treatment)

The number of participants that received treatment with proton radiation along with FOLFIRINOX-Losartan and then subsequently underwent attempted surgery and achieved R0 resection. R0 resection means that no cancer cells were seen microscopically at the resection margin.

Outcome measures

Outcome measures
Measure
Experimental Arm
n=49 Participants
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Number of Participants With R0 Resection
34 Participants

SECONDARY outcome

Timeframe: From the start of treatment until death or progression, median duration of 17.5 months

To determine the progression free survival of patients with locally advanced disease who receive FOLFIRINOX-Losartan and proton beam radiation therapy. Disease progression was assessed using Response Evaluation Criteria in Solid Tumors (RECIST 1.1). Progressive disease (PD): At least a 20% increase in the sum of the longest diameter (LD) of target lesion, taking as reference the smal lest sum LD recorded since the treatment started or the appearance of one or more new lesions (new lesions must be \> slice thickness).

Outcome measures

Outcome measures
Measure
Experimental Arm
n=49 Participants
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Progression-Free Survival
17.5 Months
Interval 13.9 to 22.7

SECONDARY outcome

Timeframe: 2 years

To determine overall survival in patients treated with preoperative FOLFIRINOX and proton beam radiation therapy

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the overall survival of patients with locally advanced disease who receive FOLFIRINOX-Losartan without proton radiation (i.e. patients who demonstrate progression at restaging)

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the toxicity of FOLFIRINOX-Losartan in patients with locally advanced pancreatic disease

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the toxicity of FOLFIRINOX-Losartan and proton beam radiation in patients with locally advanced pancreatic cancer.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the rate of downstaging to surgical resection of FOLFIRINOX-Losartan followed by proton radiation in patients with locally advanced pancreatic cancer

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the correlation between a panel of somatic genetic mutations (SNaPSHOT) and outcome in locally advanced pancreatic cancer treated with FOLFIRINOX-Losartan +/- proton beam radiation/capecitabine

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To determine the correlation between circulating biomarkers of TGF-B1 downregulation, including circulating Collagen I levels, and outcome in locally advanced pancreatic cancer treated with FOLFIRINOX-Losartan +/- proton beam radiation/capecitabine.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

Describe quality of life, symptom burden and mood in the study population

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 2 years

To measure utilization of health services (ER, hospital and ICU visits) in the study population

Outcome measures

Outcome data not reported

Adverse Events

Experimental Arm

Serious events: 15 serious events
Other events: 40 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Experimental Arm
n=49 participants at risk
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Blood and lymphatic system disorders
Anemia
4.1%
2/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Blood and lymphatic system disorders
Febrile neutropenia
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Fatigue
4.1%
2/49 • Number of events 2 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
General disorders and administration site conditions - Other, specify
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Abdominal pain
4.1%
2/49 • Number of events 2 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Colitis
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Diarrhea
10.2%
5/49 • Number of events 6 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Mucositis oral
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Nausea
6.1%
3/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Vomiting
4.1%
2/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Alanine aminotransferase increased
4.1%
2/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Aspartate aminotransferase increased
2.0%
1/49 • Number of events 2 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Neutrophil count decreased
10.2%
5/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Platelet count decreased
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Weight loss
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
White blood cell decreased
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Metabolism and nutrition disorders
Dehydration
4.1%
2/49 • Number of events 2 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Ataxia
2.0%
1/49 • Number of events 1 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years

Other adverse events

Other adverse events
Measure
Experimental Arm
n=49 participants at risk
FOLFIRINOX, Losartan, Proton Beam Radiation Therapy FOLFIRINOX: Oxaliplatin via IV on Day 1 over 2 hours; Irinotecan via IV on Day 1 over 90 minutes, 5FU via IV on Day 1 over 2-4 minutes Losartan: Taken orally every day during Phase I for all 8 cycles Proton Beam Radiation: 30-45 minutes per day, daily Monday-Friday
Blood and lymphatic system disorders
Anemia
10.2%
5/49 • Number of events 11 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Cardiac disorders
Cardiac disorders - Other, specify
12.2%
6/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Chills
12.2%
6/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Edema limbs
20.4%
10/49 • Number of events 13 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Fatigue
81.6%
40/49 • Number of events 124 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Fever
20.4%
10/49 • Number of events 13 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Localized edema
12.2%
6/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Malaise
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
General disorders
Non-cardiac chest pain
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Skin and subcutaneous tissue disorders
Alopecia
20.4%
10/49 • Number of events 14 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Skin and subcutaneous tissue disorders
Hyperhidrosis
6.1%
3/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Skin and subcutaneous tissue disorders
Pruritus
14.3%
7/49 • Number of events 11 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
26.5%
13/49 • Number of events 27 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Abdominal distension
18.4%
9/49 • Number of events 13 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Abdominal pain
75.5%
37/49 • Number of events 105 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Bloating
26.5%
13/49 • Number of events 16 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Colitis
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Constipation
65.3%
32/49 • Number of events 72 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Diarrhea
59.2%
29/49 • Number of events 101 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Dry mouth
10.2%
5/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Dyspepsia
18.4%
9/49 • Number of events 13 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Dysphagia
14.3%
7/49 • Number of events 9 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Flatulence
26.5%
13/49 • Number of events 20 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Gastritis
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Gastroesophageal reflux disease
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Hemorrhoidal hemorrhage
6.1%
3/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Malabsorption
22.4%
11/49 • Number of events 11 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Mucositis oral
24.5%
12/49 • Number of events 15 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Nausea
67.3%
33/49 • Number of events 123 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Oral pain
8.2%
4/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Vomiting
44.9%
22/49 • Number of events 53 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
26.5%
13/49 • Number of events 23 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Immune system disorders
Allergic reaction
10.2%
5/49 • Number of events 10 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Infections and infestations
Upper respiratory infection
6.1%
3/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Infections and infestations
Urinary tract infection
8.2%
4/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Infections and infestations
Infections and infestations - Other, specify
8.2%
4/49 • Number of events 6 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Injury, poisoning and procedural complications
Bruising
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Alanine aminotransferase increased
20.4%
10/49 • Number of events 14 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Aspartate aminotransferase increased
10.2%
5/49 • Number of events 6 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Blood bilirubin increased
18.4%
9/49 • Number of events 14 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Neutrophil count decreased
12.2%
6/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Platelet count decreased
26.5%
13/49 • Number of events 16 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Investigations
Weight loss
67.3%
33/49 • Number of events 91 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Metabolism and nutrition disorders
Anorexia
73.5%
36/49 • Number of events 80 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Metabolism and nutrition disorders
Dehydration
44.9%
22/49 • Number of events 59 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Metabolism and nutrition disorders
Hypokalemia
22.4%
11/49 • Number of events 21 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Metabolism and nutrition disorders
Hyponatremia
8.2%
4/49 • Number of events 5 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
6.1%
3/49 • Number of events 6 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Back pain
38.8%
19/49 • Number of events 33 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
12.2%
6/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Myalgia
10.2%
5/49 • Number of events 5 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Pain in extremity
8.2%
4/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder -
18.4%
9/49 • Number of events 20 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Concentration impairment
8.2%
4/49 • Number of events 4 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Dizziness
44.9%
22/49 • Number of events 37 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Dysarthria
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Dysgeusia
36.7%
18/49 • Number of events 24 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Paresthesia
8.2%
4/49 • Number of events 5 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Peripheral sensory neuropathy
71.4%
35/49 • Number of events 131 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Spasticity
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Tremor
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Nervous system disorders
Nervous system disorders - Other, specify
18.4%
9/49 • Number of events 14 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Psychiatric disorders
Anxiety
44.9%
22/49 • Number of events 31 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Psychiatric disorders
Depression
14.3%
7/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Psychiatric disorders
Insomnia
40.8%
20/49 • Number of events 36 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Cough
12.2%
6/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
24.5%
12/49 • Number of events 15 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Epistaxis
16.3%
8/49 • Number of events 11 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Hiccups
14.3%
7/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Hoarseness
8.2%
4/49 • Number of events 6 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Sore throat
12.2%
6/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other, specify
24.5%
12/49 • Number of events 24 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Renal and urinary disorders
Hematuria
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Renal and urinary disorders
Urinary frequency
12.2%
6/49 • Number of events 8 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Renal and urinary disorders
Urine discoloration
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Renal and urinary disorders
Renal and urinary disorders - Other, specify
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Vascular disorders
Hypertension
6.1%
3/49 • Number of events 3 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Vascular disorders
Hypotension
32.7%
16/49 • Number of events 28 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Vascular disorders
Thromboembolic event
10.2%
5/49 • Number of events 5 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years
Vascular disorders
Vascular disorders - Other, specify
12.2%
6/49 • Number of events 7 • From the start of treatment until 30 days after the end of treatment, up to approximately 2 years

Additional Information

Dr. Theodore Hong

Massachusetts General Hospital

Phone: 617-726-6050

Results disclosure agreements

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