Trial Outcomes & Findings for Intraoperative Ketamine Versus Saline in Depressed Patients Undergoing Anesthesia for Non-cardiac Surgery (NCT NCT03861988)

NCT ID: NCT03861988

Last Updated: 2023-10-05

Results Overview

The MADRS is a 10-item scale for the evaluation of depressive symptoms (Montgomery et al 1979). Each MADRS item is rated on a 0 to 6 scale. Total score range from 0-60, where lower MADRS scores indicate lower levels of depressive symptoms. The assessment for this outcome will be taken once daily on days 1, 2 and 3 post procedure. A mixed model for repeated measures (MMRM) was used to analyze the difference in postoperative MADRS score between ketamine and placebo groups..

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

45 participants

Primary outcome timeframe

Post-intervention days 1, 2 and 3

Results posted on

2023-10-05

Participant Flow

For the open-label arm, recruitment occurred between August 2019 and March 2020. For the double-blind arms, recruitment occurred between February 2020 and August 2022. In all arms, recruitment occurred in medical clinics and by telephone and video visits.

Five participants were recruited for an open label study to evaluate and optimize study procedures prior to randomizing participants enrolled in the double-blind trial ("Double blind ketamine" vs "Double blind placebo").

Participant milestones

Participant milestones
Measure
Open Label Ketamine
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Overall Study
STARTED
5
20
20
Overall Study
COMPLETED
5
19
19
Overall Study
NOT COMPLETED
0
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Intraoperative Ketamine Versus Saline in Depressed Patients Undergoing Anesthesia for Non-cardiac Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Total
n=45 Participants
Total of all reporting groups
Age, Continuous
62.3 years
STANDARD_DEVIATION 6.4 • n=5 Participants
50.5 years
STANDARD_DEVIATION 12.0 • n=7 Participants
51.9 years
STANDARD_DEVIATION 18.9 • n=5 Participants
52.4 years
STANDARD_DEVIATION 15.3 • n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
12 Participants
n=7 Participants
16 Participants
n=5 Participants
31 Participants
n=4 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
8 Participants
n=7 Participants
4 Participants
n=5 Participants
14 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
18 Participants
n=7 Participants
17 Participants
n=5 Participants
39 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
13 Participants
n=7 Participants
13 Participants
n=5 Participants
31 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
3 Participants
n=7 Participants
2 Participants
n=5 Participants
5 Participants
n=4 Participants
Region of Enrollment
United States
5 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
45 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Post-intervention days 1, 2 and 3

Population: Missing data occurred when the number of participants analyzed on specific days was fewer than the overall number of participants analyzed. This situation arose when some participants did not complete the instrument.

The MADRS is a 10-item scale for the evaluation of depressive symptoms (Montgomery et al 1979). Each MADRS item is rated on a 0 to 6 scale. Total score range from 0-60, where lower MADRS scores indicate lower levels of depressive symptoms. The assessment for this outcome will be taken once daily on days 1, 2 and 3 post procedure. A mixed model for repeated measures (MMRM) was used to analyze the difference in postoperative MADRS score between ketamine and placebo groups..

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Montgomery-Asberg Depression Rating Scale (MADRS) Score
Day 1
17.0 score on a scale
Standard Deviation 13.0
12.7 score on a scale
Standard Deviation 7.6
16.4 score on a scale
Standard Deviation 17.5
Montgomery-Asberg Depression Rating Scale (MADRS) Score
Day 2
25.4 score on a scale
Standard Deviation 17.3
15.1 score on a scale
Standard Deviation 11.1
17.5 score on a scale
Standard Deviation 11.5
Montgomery-Asberg Depression Rating Scale (MADRS) Score
Day 3
10.5 score on a scale
Standard Deviation 7.1
17.0 score on a scale
Standard Deviation 10.5
17.2 score on a scale
Standard Deviation 12.0

SECONDARY outcome

Timeframe: Post-intervention days 1, 2 and 3

Population: Includes all participants still enrolled in the trial

Clinical response defined as \>=50% reduction in MADRS score from baseline. MADRS score range: 0 to 60, a lower score indicates lower severity of symptoms.

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Number of Participants With Clinical Response
Day 1
2 Participants
12 Participants
10 Participants
Number of Participants With Clinical Response
Day 2
1 Participants
10 Participants
12 Participants
Number of Participants With Clinical Response
Day 3
3 Participants
9 Participants
10 Participants

SECONDARY outcome

Timeframe: Post-intervention day 14

Remission defined as a MADRS score of \<=12 on day 14. MADRS score range: 0 to 60, a lower score indicates lower severity of symptoms.

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=19 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=19 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Number of Participants With Remission
3 Participants
8 Participants
10 Participants

SECONDARY outcome

Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

Population: Missing data occurred when the number of participants analyzed on specific days was fewer than the overall number of participants analyzed. This situation arose when some participants did not complete the instrument.

This outcome measures self-reported symptoms of anxiety and depression on a scale that ranges from 0 to 42. A lower score indicates lower severity of symptoms.

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 1
14.8 score on a scale
Standard Deviation 8.4
17.8 score on a scale
Standard Deviation 6.6
19.9 score on a scale
Standard Deviation 5.5
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 2
22.6 score on a scale
Standard Deviation 12.7
18.8 score on a scale
Standard Deviation 7.5
21.2 score on a scale
Standard Deviation 5.9
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 3
13.0 score on a scale
Standard Deviation 9.2
19.3 score on a scale
Standard Deviation 6.3
20.8 score on a scale
Standard Deviation 5.4
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 5
16.6 score on a scale
Standard Deviation 10.2
18.3 score on a scale
Standard Deviation 4.8
18.9 score on a scale
Standard Deviation 7.3
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 7
19.2 score on a scale
Standard Deviation 10.0
18.4 score on a scale
Standard Deviation 5.3
19.6 score on a scale
Standard Deviation 8.1
Hospital Anxiety and Depression Scale (HADS) Scale Score
Day 14
14.0 score on a scale
Standard Deviation 9.7
16.4 score on a scale
Standard Deviation 7.2
17.2 score on a scale
Standard Deviation 8.5

SECONDARY outcome

Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

Population: In the open-label group, total opioid consumption was recorded only for the first 3 postoperative days

This outcome measures how many cumulative morphine-equivalents milligrams of opioid pain medication the patient has taken as an inpatient and after discharge from hospital

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Cumulative Opioid Use
Day 7
171.6 milligram morphine equivalents
Standard Deviation 219.0
163.3 milligram morphine equivalents
Standard Deviation 221.4
Cumulative Opioid Use
Day 14
206.1 milligram morphine equivalents
Standard Deviation 270.1
186.4 milligram morphine equivalents
Standard Deviation 242.3
Cumulative Opioid Use
Day 1
108.5 milligram morphine equivalents
Standard Deviation 72.2
60.9 milligram morphine equivalents
Standard Deviation 60.3
56.1 milligram morphine equivalents
Standard Deviation 61.5
Cumulative Opioid Use
Day 2
249.3 milligram morphine equivalents
Standard Deviation 173.2
104.6 milligram morphine equivalents
Standard Deviation 109.0
107.7 milligram morphine equivalents
Standard Deviation 126.3
Cumulative Opioid Use
Day 3
361.5 milligram morphine equivalents
Standard Deviation 237.3
137.9 milligram morphine equivalents
Standard Deviation 165.9
144.3 milligram morphine equivalents
Standard Deviation 188.4
Cumulative Opioid Use
Day 5
150.6 milligram morphine equivalents
Standard Deviation 204.3
156.2 milligram morphine equivalents
Standard Deviation 218.7

SECONDARY outcome

Timeframe: Average approximately 3 days post-intervention

Number of days from admission (day of surgery) through discharge after surgery.

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Hospital Length of Stay
3.7 days
Standard Deviation 0.9
1.9 days
Standard Deviation 1.7
4.0 days
Standard Deviation 3.3

SECONDARY outcome

Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

Population: Missing data occurred when the number of participants analyzed on specific days was fewer than the overall number of participants analyzed. This situation arose when some participants did not complete the instrument.

Average pain intensity in the past 24 hours, rated on a numerical scale from 0 to 10 (with 0 representing "No pain" and 10 representing "Pain as bad as you can imagine").

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Brief Pain Inventory Pain Intensity Scale Score
Day 1
4.6 score on a scale
Standard Deviation 1.8
6.0 score on a scale
Standard Deviation 2.0
5.2 score on a scale
Standard Deviation 2.8
Brief Pain Inventory Pain Intensity Scale Score
Day 2
5.5 score on a scale
Standard Deviation 2.5
5.3 score on a scale
Standard Deviation 2.1
6.0 score on a scale
Standard Deviation 2.3
Brief Pain Inventory Pain Intensity Scale Score
Day 3
3.5 score on a scale
Standard Deviation 3.0
5.5 score on a scale
Standard Deviation 1.9
5.2 score on a scale
Standard Deviation 2.4
Brief Pain Inventory Pain Intensity Scale Score
Day 5
4.4 score on a scale
Standard Deviation 2.3
5.5 score on a scale
Standard Deviation 1.7
4.4 score on a scale
Standard Deviation 2.3
Brief Pain Inventory Pain Intensity Scale Score
Day 7
4.8 score on a scale
Standard Deviation 2.4
5.1 score on a scale
Standard Deviation 2.2
4.4 score on a scale
Standard Deviation 2.4
Brief Pain Inventory Pain Intensity Scale Score
Day 14
4.4 score on a scale
Standard Deviation 3.0
4.8 score on a scale
Standard Deviation 1.5
3.7 score on a scale
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Post-intervention days 1, 2, 3, 5, 7 and 14

Population: Missing data occurred when the number of participants analyzed on specific days was fewer than the overall number of participants analyzed. This situation arose when some participants did not complete the instrument.

Pain interference in the past 24 hours, rated on a numerical scale from 0 to 10 (with 0 representing "Does not interfere" and 10 representing "Completely interferes").

Outcome measures

Outcome measures
Measure
Open Label Ketamine
n=5 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 Participants
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 Participants
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Brief Pain Inventory Pain Interference Scale Score
Day 1
6.0 units on a scale
Standard Deviation 2.7
8.1 units on a scale
Standard Deviation 2.6
7.6 units on a scale
Standard Deviation 3.2
Brief Pain Inventory Pain Interference Scale Score
Day 2
6.3 units on a scale
Standard Deviation 3.0
8.0 units on a scale
Standard Deviation 2.5
8.1 units on a scale
Standard Deviation 2.1
Brief Pain Inventory Pain Interference Scale Score
Day 3
4.8 units on a scale
Standard Deviation 2.2
7.5 units on a scale
Standard Deviation 2.6
7.7 units on a scale
Standard Deviation 2.8
Brief Pain Inventory Pain Interference Scale Score
Day 5
6.6 units on a scale
Standard Deviation 4.3
7.0 units on a scale
Standard Deviation 3.0
7.0 units on a scale
Standard Deviation 2.9
Brief Pain Inventory Pain Interference Scale Score
Day 7
7.6 units on a scale
Standard Deviation 3.8
6.7 units on a scale
Standard Deviation 2.8
7.2 units on a scale
Standard Deviation 3.1
Brief Pain Inventory Pain Interference Scale Score
Day 14
4.8 units on a scale
Standard Deviation 3.1
6.2 units on a scale
Standard Deviation 2.2
5.7 units on a scale
Standard Deviation 3.5

Adverse Events

Open Label Ketamine

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Double Blind Ketamine

Serious events: 1 serious events
Other events: 7 other events
Deaths: 1 deaths

Double Blind Placebo

Serious events: 2 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Open Label Ketamine
n=5 participants at risk
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 participants at risk
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 participants at risk
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Cardiac disorders
Acute pulmonary embolism
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Cardiac disorders
Cardiac arrest
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Infections and infestations
Postoperative wound infection
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments

Other adverse events

Other adverse events
Measure
Open Label Ketamine
n=5 participants at risk
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Ketamine
n=20 participants at risk
Patients received intravenous ketamine (0.5 mg/kg over 40 minutes) infusion during surgery.
Double Blind Placebo
n=20 participants at risk
Participants received placebo (normal saline infusion over 40 minutes) during surgery.
Gastrointestinal disorders
Nausea/vomiting
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
10.0%
2/20 • Number of events 2 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Nervous system disorders
Uncontrolled muscle movement in fingers
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Nervous system disorders
Dizziness
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Musculoskeletal and connective tissue disorders
Knee pain
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Nervous system disorders
Hallucinations
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Respiratory, thoracic and mediastinal disorders
Hemoptysis
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Surgical and medical procedures
IV site pain
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Gastrointestinal disorders
Abdominal pain
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Surgical and medical procedures
Surgical revision of implanted neurostimulator
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Immune system disorders
Pruritis
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Nervous system disorders
Postoperative delirium
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Skin and subcutaneous tissue disorders
Rash
0.00%
0/5 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
5.0%
1/20 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
Musculoskeletal and connective tissue disorders
Baker's cyst
20.0%
1/5 • Number of events 1 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments
0.00%
0/20 • Average approximately 19 days
Patients reported adverse events during follow-up assessments

Additional Information

Boris Heifets, MD, PhD

Stanford University

Phone: (650) 497-8057

Results disclosure agreements

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