Trial Outcomes & Findings for INTERVAL: Varying Intervals of ART to Improve Outcomes in HIV (NCT NCT03101592)

NCT ID: NCT03101592

Last Updated: 2020-10-27

Results Overview

The primary outcome to be studied is whether scripting/dispensing of ART for intervals of six months is non-inferior to three months with respect to retention in care.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

9118 participants

Primary outcome timeframe

12 months

Results posted on

2020-10-27

Participant Flow

Recruitment relied on active identification and referral of stable patients by clinic staff. Clinics were randomized to a study arm, and enrolled individuals initiated the study drug dispensing interval to which the clinic had been randomly assigned. A total of 14,430 individuals were screened from May 2017- April 2018 across 30 study sites.

Unit of analysis: clinics

Participant milestones

Participant milestones
Measure
Standard of Care ART Dispensing
The standard of care arm will allow ART dispensing based on usual practice at the clinic. Standard of care is anticipated to have variability in how ART is dispensed, although the approach should be consistent with applicable country guidelines at the time of study.
Three-month ART Dispensing
Providers at facilities randomized to three-month ART dispensing will be expected to provide all enrolled patients with a 90-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Three-month ART dispensing: Patients enrolled in the three-month ART dispensing arm will receive a 90-day supply of ART from their provider for the duration of the study.
Six-month ART Dispensing
Providers at facilities randomized to six-month ART dispensing will be expected to provide all enrolled patients with a 180-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Six-month ART dispensing: Patients enrolled in the six-month ART dispensing arm will receive a 180-day supply of ART from their provider for the duration of the study.
Overall Study
STARTED
3123 10
2896 10
3099 10
Overall Study
COMPLETED
3012 10
2726 10
2981 10
Overall Study
NOT COMPLETED
111 0
170 0
118 0

Reasons for withdrawal

Reasons for withdrawal
Measure
Standard of Care ART Dispensing
The standard of care arm will allow ART dispensing based on usual practice at the clinic. Standard of care is anticipated to have variability in how ART is dispensed, although the approach should be consistent with applicable country guidelines at the time of study.
Three-month ART Dispensing
Providers at facilities randomized to three-month ART dispensing will be expected to provide all enrolled patients with a 90-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Three-month ART dispensing: Patients enrolled in the three-month ART dispensing arm will receive a 90-day supply of ART from their provider for the duration of the study.
Six-month ART Dispensing
Providers at facilities randomized to six-month ART dispensing will be expected to provide all enrolled patients with a 180-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Six-month ART dispensing: Patients enrolled in the six-month ART dispensing arm will receive a 180-day supply of ART from their provider for the duration of the study.
Overall Study
participant files could not be located
111
170
118

Baseline Characteristics

For each demographic variable analyzed, some responses were missing, so could not be included.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care ART Dispensing (SOC)
n=10 clinics
The standard of care arm will allow ART dispensing based on usual practice at the clinic. Standard of care is anticipated to have variability in how ART is dispensed, although the approach should be consistent with applicable country guidelines at the time of study.
Three-month ART Dispensing (3MD)
n=10 clinics
Providers at facilities randomized to three-month ART dispensing will be expected to provide all enrolled patients with a 90-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Three-month ART dispensing: Patients enrolled in the three-month ART dispensing arm will receive a 90-day supply of ART from their provider for the duration of the study.
Six-month ART Dispensing (6MD)
n=10 clinics
Providers at facilities randomized to six-month ART dispensing will be expected to provide all enrolled patients with a 180-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Six-month ART dispensing: Patients enrolled in the six-month ART dispensing arm will receive a 180-day supply of ART from their provider for the duration of the study.
Total
n=30 clinics
Total of all reporting groups
Age, Continuous
42.9 years
n=2965 Participants • For each demographic variable analyzed, some responses were missing, so could not be included.
42.7 years
n=2669 Participants • For each demographic variable analyzed, some responses were missing, so could not be included.
42.6 years
n=2956 Participants • For each demographic variable analyzed, some responses were missing, so could not be included.
42.6 years
n=8590 Participants • For each demographic variable analyzed, some responses were missing, so could not be included.
Sex: Female, Male
Female
2020 Participants
n=3011 Participants • In the SOC arm, there was 1 missing data point for sex.
1841 Participants
n=2726 Participants • In the SOC arm, there was 1 missing data point for sex.
1913 Participants
n=2981 Participants • In the SOC arm, there was 1 missing data point for sex.
5774 Participants
n=8718 Participants • In the SOC arm, there was 1 missing data point for sex.
Sex: Female, Male
Male
991 Participants
n=3011 Participants • In the SOC arm, there was 1 missing data point for sex.
885 Participants
n=2726 Participants • In the SOC arm, there was 1 missing data point for sex.
1068 Participants
n=2981 Participants • In the SOC arm, there was 1 missing data point for sex.
2944 Participants
n=8718 Participants • In the SOC arm, there was 1 missing data point for sex.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Malawi
1532 participants
n=3012 Participants
1430 participants
n=2726 Participants
1588 participants
n=2981 Participants
4550 participants
n=8719 Participants
Region of Enrollment
Zambia
1480 participants
n=3012 Participants
1296 participants
n=2726 Participants
1393 participants
n=2981 Participants
4169 participants
n=8719 Participants
Disclosure of HIV status to primary partner
Yes
2054 Participants
n=2215 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
1819 Participants
n=2043 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
2100 Participants
n=2266 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
5973 Participants
n=6524 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
Disclosure of HIV status to primary partner
No
161 Participants
n=2215 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
224 Participants
n=2043 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
166 Participants
n=2266 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
551 Participants
n=6524 Participants • The number that disclosed HIV status was among those who reported having a primary partner. Additionally, there were missing/not answered data for each arm: in the standard of care arm, 3 were missing; in 3MD 3 were missing; and in 6MD, 1 was missing.
Median years on ART
4.9 years
n=2030 Participants • Medians calculated among those with data available
5.4 years
n=1666 Participants • Medians calculated among those with data available
4.9 years
n=1885 Participants • Medians calculated among those with data available
5.0 years
n=5581 Participants • Medians calculated among those with data available
Marital status
Married or long-term partner
1889 Participants
n=3012 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
1650 Participants
n=2725 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
1977 Participants
n=2980 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
5516 Participants
n=8717 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
Marital status
Single or no long-term partner
247 Participants
n=3012 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
248 Participants
n=2725 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
267 Participants
n=2980 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
762 Participants
n=8717 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
Marital status
Widowed, divorced, or separated
876 Participants
n=3012 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
827 Participants
n=2725 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
736 Participants
n=2980 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
2439 Participants
n=8717 Participants • In the 3MD arm and 6MD arm, there was 1 missing from each.
Median household size
4 People in household
n=3012 Participants • Calculated by arm and overall
5 People in household
n=2726 Participants • Calculated by arm and overall
5 People in household
n=2981 Participants • Calculated by arm and overall
4 People in household
n=8719 Participants • Calculated by arm and overall
School (highest level completed)
No education or less than primary school
574 Participants
n=3005 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
480 Participants
n=2722 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
347 Participants
n=2964 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
1401 Participants
n=8691 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
School (highest level completed)
Primary school
1453 Participants
n=3005 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
1293 Participants
n=2722 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
1372 Participants
n=2964 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
4118 Participants
n=8691 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
School (highest level completed)
Secondary school
841 Participants
n=3005 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
811 Participants
n=2722 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
978 Participants
n=2964 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
2630 Participants
n=8691 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
School (highest level completed)
University/Graduate
137 Participants
n=3005 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
138 Participants
n=2722 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
267 Participants
n=2964 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
542 Participants
n=8691 Participants • Missing/not answered: SOC arm- 7; 3MD arm- 4; 6MD arm- 17
Work status
Formal employment
450 Participants
n=3006 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
398 Participants
n=2722 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
629 Participants
n=2977 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
1477 Participants
n=8705 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
Work status
Informal employment
1435 Participants
n=3006 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
1027 Participants
n=2722 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
1545 Participants
n=2977 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
4007 Participants
n=8705 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
Work status
Not working
1121 Participants
n=3006 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
1297 Participants
n=2722 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
803 Participants
n=2977 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
3221 Participants
n=8705 Participants • 6 missing/not answered from the SOC arm, 4 from the 3MD arm, and 4 from the 6MD arm
Missed work to attend current ART clinic visit
1490 Participants
n=3004 Participants • Missing/Unanswered for SOC arm = 8, 3MD arm = 6, 6MD arm =4.
1101 Participants
n=2720 Participants • Missing/Unanswered for SOC arm = 8, 3MD arm = 6, 6MD arm =4.
1600 Participants
n=2977 Participants • Missing/Unanswered for SOC arm = 8, 3MD arm = 6, 6MD arm =4.
4191 Participants
n=8701 Participants • Missing/Unanswered for SOC arm = 8, 3MD arm = 6, 6MD arm =4.
Average monthly earnings
48.02 USD
n=1861 Participants • Average monthly earnings among those who reported working in US dollars
66.24 USD
n=1418 Participants • Average monthly earnings among those who reported working in US dollars
72.45 USD
n=2158 Participants • Average monthly earnings among those who reported working in US dollars
60.00 USD
n=5437 Participants • Average monthly earnings among those who reported working in US dollars
Transport method to ART clinic
Walk
1786 Participants
n=3012 Participants
1618 Participants
n=2726 Participants
1306 Participants
n=2981 Participants
4710 Participants
n=8719 Participants
Transport method to ART clinic
Bicycle
339 Participants
n=3012 Participants
304 Participants
n=2726 Participants
385 Participants
n=2981 Participants
1028 Participants
n=8719 Participants
Transport method to ART clinic
Bus or minibus
770 Participants
n=3012 Participants
634 Participants
n=2726 Participants
925 Participants
n=2981 Participants
2329 Participants
n=8719 Participants
Transport method to ART clinic
Bicycle taxi
65 Participants
n=3012 Participants
96 Participants
n=2726 Participants
237 Participants
n=2981 Participants
398 Participants
n=8719 Participants
Transport method to ART clinic
Personal or friend's vehicle
42 Participants
n=3012 Participants
55 Participants
n=2726 Participants
119 Participants
n=2981 Participants
216 Participants
n=8719 Participants
Transport method to ART clinic
Other
10 Participants
n=3012 Participants
19 Participants
n=2726 Participants
9 Participants
n=2981 Participants
38 Participants
n=8719 Participants
Median one-way travel time to clinic
40.2 minutes
n=3012 Participants • Medians overall and by arm among those for whom data were reported.
45.0 minutes
n=2726 Participants • Medians overall and by arm among those for whom data were reported.
40.2 minutes
n=2981 Participants • Medians overall and by arm among those for whom data were reported.
40.3 minutes
n=8719 Participants • Medians overall and by arm among those for whom data were reported.
Proportion of patients incurring transport costs to clinic
917 Participants
n=3012 Participants
812 Participants
n=2726 Participants
1265 Participants
n=2981 Participants
2994 Participants
n=8719 Participants
For those incurring transport costs, median one-way cost
0.69 USD
n=917 Participants • For those who did incur transport costs.
0.55 USD
n=812 Participants • For those who did incur transport costs.
0.69 USD
n=1265 Participants • For those who did incur transport costs.
0.69 USD
n=2994 Participants • For those who did incur transport costs.
Median time spent at ART clinic
120.0 minutes
n=3012 Participants • Medians by arm and overall.
180.0 minutes
n=2726 Participants • Medians by arm and overall.
180.0 minutes
n=2981 Participants • Medians by arm and overall.
150.0 minutes
n=8719 Participants • Medians by arm and overall.
Median ART dispensing interval in year prior
60.0 days
n=2208 Participants • Medians by arm and overall
80.0 days
n=2084 Participants • Medians by arm and overall
78.0 days
n=2197 Participants • Medians by arm and overall
75.0 days
n=6489 Participants • Medians by arm and overall
Among reproductive age women, received contraception in last three months
139 Participants
n=1001 Participants • This variable was just among women of reproductive age. In each arm, there were missing/unanswered among this group: in the SOC arm= 204, 3MD arm = 212, 6MD arm = 220.
155 Participants
n=962 Participants • This variable was just among women of reproductive age. In each arm, there were missing/unanswered among this group: in the SOC arm= 204, 3MD arm = 212, 6MD arm = 220.
214 Participants
n=1035 Participants • This variable was just among women of reproductive age. In each arm, there were missing/unanswered among this group: in the SOC arm= 204, 3MD arm = 212, 6MD arm = 220.
508 Participants
n=2998 Participants • This variable was just among women of reproductive age. In each arm, there were missing/unanswered among this group: in the SOC arm= 204, 3MD arm = 212, 6MD arm = 220.

PRIMARY outcome

Timeframe: 12 months

Population: The sample includes only those participants for whom outcome data was available (n=8719). As described in the participant flow, 399 participant files could not be located to analyze final outcome data at the endpoint.

The primary outcome to be studied is whether scripting/dispensing of ART for intervals of six months is non-inferior to three months with respect to retention in care.

Outcome measures

Outcome measures
Measure
Standard of Care ART Dispensing (SOC)
n=3012 Participants
The standard of care arm will allow ART dispensing based on usual practice at the clinic. Standard of care is anticipated to have variability in how ART is dispensed, although the approach should be consistent with applicable country guidelines at the time of study.
Three-month ART Dispensing (3MD)
n=2726 Participants
Providers at facilities randomized to three-month ART dispensing will be expected to provide all enrolled patients with a 90-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Three-month ART dispensing: Patients enrolled in the three-month ART dispensing arm will receive a 90-day supply of ART from their provider for the duration of the study.
Six-month ART Dispensing (6MD)
n=2981 Participants
Providers at facilities randomized to six-month ART dispensing will be expected to provide all enrolled patients with a 180-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Six-month ART dispensing: Patients enrolled in the six-month ART dispensing arm will receive a 180-day supply of ART from their provider for the duration of the study.
Zambia: Standard of Care (SOC)
Patients in the standard of care arm in Zambia.
Zambia: 3 Month Dispensing (3MD)
Patients in the 3 month dispensing arm in Zambia.
Zambia: 6 Month Dispensing (6MD)
Patients in the 6 month dispensing arm in Zambia.
Retention in Care at 12 Months
Death
11 Participants
8 Participants
8 Participants
Retention in Care at 12 Months
Retention
2478 Participants
2356 Participants
2729 Participants
Retention in Care at 12 Months
Transfer
60 Participants
66 Participants
58 Participants
Retention in Care at 12 Months
Lost to follow-up
463 Participants
296 Participants
186 Participants

SECONDARY outcome

Timeframe: 12 months

Population: Viral load was originally listed as a secondary outcome. However, given the nature of this implementation science project, and under real world conditions, Viral Load testing was not done due to the early state of viral load scale-up in both Malawi and Zambia.

The secondary outcome to be studied is whether scripting/dispensing of ART for intervals of six months is non-inferior to three months with respect to a viral load outcome of \<1,000 copies/ml (undetectable) at 12 months.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 12 months

Population: For the cost analysis, we excluded 179 participants whose visit data were unclear, leaving an analytic sample of 8,540 patients.

The secondary outcome to be studied is the cost-effectiveness of scripting/dispensing of ART for intervals of six months compared to three months and SOC. Cost-effectiveness will be estimated as the average cost per successful outcome (patient retained at 12 months).

Outcome measures

Outcome measures
Measure
Standard of Care ART Dispensing (SOC)
n=1328 Participants
The standard of care arm will allow ART dispensing based on usual practice at the clinic. Standard of care is anticipated to have variability in how ART is dispensed, although the approach should be consistent with applicable country guidelines at the time of study.
Three-month ART Dispensing (3MD)
n=1224 Participants
Providers at facilities randomized to three-month ART dispensing will be expected to provide all enrolled patients with a 90-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Three-month ART dispensing: Patients enrolled in the three-month ART dispensing arm will receive a 90-day supply of ART from their provider for the duration of the study.
Six-month ART Dispensing (6MD)
n=1465 Participants
Providers at facilities randomized to six-month ART dispensing will be expected to provide all enrolled patients with a 180-day supply of ART and associated HIV medications (cotrimoxazole and isoniazid if part of country guidelines). All other aspects of care will be as per standard of care for the enrolling clinic. Six-month ART dispensing: Patients enrolled in the six-month ART dispensing arm will receive a 180-day supply of ART from their provider for the duration of the study.
Zambia: Standard of Care (SOC)
n=1101 Participants
Patients in the standard of care arm in Zambia.
Zambia: 3 Month Dispensing (3MD)
n=1056 Participants
Patients in the 3 month dispensing arm in Zambia.
Zambia: 6 Month Dispensing (6MD)
n=1241 Participants
Patients in the 6 month dispensing arm in Zambia.
Provider Cost Per Patient by Outcome (USD) (Mean, 95% CI)
Achieved primary outcome
89.00 US Dollars
Interval 87.9 to 91.9
88.40 US Dollars
Interval 86.44 to 90.36
85.92 US Dollars
Interval 83.97 to 87.89
143.60 US Dollars
Interval 141.68 to 145.6
141.60 US Dollars
Interval 139.64 to 143.56
131.13 US Dollars
Interval 129.2 to 133.12
Provider Cost Per Patient by Outcome (USD) (Mean, 95% CI)
Did not achieve primary outcome
63.40 US Dollars
Interval 61.42 to 65.37
62.30 US Dollars
Interval 60.35 to 64.3
66.10 US Dollars
Interval 64.12 to 68.09
99.00 US Dollars
Interval 97.04 to 100.98
99.00 US Dollars
Interval 97.04 to 100.98
99.00 US Dollars
Interval 96.98 to 100.92
Provider Cost Per Patient by Outcome (USD) (Mean, 95% CI)
All patients
86.50 US Dollars
Interval 84.5 to 88.42
86.00 US Dollars
Interval 83.99 to 87.91
84.60 US Dollars
Interval 82.62 to 86.54
132.00 US Dollars
Interval 130.43 to 134.35
134.00 US Dollars
Interval 132.09 to 136.02
128.00 US Dollars
Interval 125.64 to 129.57

Adverse Events

Standard of Care ART Dispensing (SOC)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 11 deaths

Three-month ART Dispensing (3MD)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Six-month ART Dispensing (6MD)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Risa Hoffman, MD, MPH; Director of GHP; Associate Professor of Clinical Medicine

David Geffen School of Medicine at UCLA

Phone: 310 825-7225

Results disclosure agreements

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