Efficacy Against Oral Persistent Infection, Immunogenicity and Safety of the 9-valent Human Papillomavirus Vaccine (9vHPV) in Men Aged 20-45 Years (V503-049)

NCT ID: NCT04199689

Last Updated: 2025-03-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

6033 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-27

Study Completion Date

2028-08-31

Brief Summary

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The purpose of this study is to evaluate the efficacy, immunogenicity and safety of the 9vHPV vaccine in men 20 to 45 years of age. The primary hypothesis tested after the primary database lock is that administration of a 3-dose regimen of 9vHPV vaccine will reduce the incidence of human papillomavirus (HPV) 16/18/31/33/45/52/58-related oral persistent infection (6 months or longer) compared with placebo.

There will also be an Extension Study to offer an opportunity to complete the 3 dose regimen of 9vHPV vaccine for participants who received placebo in the Base Study, or received less than 3 doses of 9vHPV vaccine in the Base Study.

Detailed Description

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Conditions

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Papillomavirus Infections

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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9vHPV vaccine

Single 0.5-mL intramuscular injection at Day 1, Month 2, and Month 6

Group Type EXPERIMENTAL

9vHPV Vaccine

Intervention Type BIOLOGICAL

9vHPV is an aluminum-adjuvanted recombinant protein vaccine prepared from the highly purified virus-like particles of the recombinant major capsid (L1) protein of HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 given as a 0.5 mL intramuscular injection.

Placebo

Single 0.5-mL intramuscular injection at Day 1, Month 2, and Month 6

Group Type PLACEBO_COMPARATOR

Placebo (Saline for Injection)

Intervention Type OTHER

0.9% sodium chloride given as a 0.5-mL intramuscular injection

Interventions

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9vHPV Vaccine

9vHPV is an aluminum-adjuvanted recombinant protein vaccine prepared from the highly purified virus-like particles of the recombinant major capsid (L1) protein of HPV Types 6, 11, 16, 18, 31, 33, 45, 52, and 58 given as a 0.5 mL intramuscular injection.

Intervention Type BIOLOGICAL

Placebo (Saline for Injection)

0.9% sodium chloride given as a 0.5-mL intramuscular injection

Intervention Type OTHER

Other Intervention Names

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GARDASIL®9 V503

Eligibility Criteria

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Inclusion Criteria

Base Study:

* Is healthy and is judged to be in good physical health based on medical history and physical examination
* Has provided written informed consent for the study. The participant may also provide consent for future biomedical research. However, the participant may participate in the main study without participating in future biomedical research
* Agrees to provide study personnel with a primary telephone number as well as an alternate means of contact, if available (such as an alternate telephone number or email) for follow-up purposes
* Can read, understand, and complete the electronic vaccination report card (eVRC)
* Has had at least 1 lifetime sexual partner

Extension Study:

* Provides documented consent for the Extension Study

Exclusion Criteria

Base Study:

* Has a history of HPV-related anal lesion (anal intraepithelial neoplasia or anal cancer) or HPV related head and neck cancer
* Has a history of or clinical evidence at the Day 1 external genital examination of HPV-related external lesion
* Has clinical evidence at the Day 1 external genital examination of gross genital lesion suggesting sexually transmitted disease
* Has a fever (defined as oral temperature ≥100.0°F or ≥37.8°C) within a 24-hour period prior to Day 1 visit
* Has a history of severe allergic reaction (e.g., swelling of the mouth and throat, difficulty breathing, hypotension, or shock) that required medical intervention
* Is allergic to any vaccine component, including aluminum, yeast, or BENZONASE®
* Has known thrombocytopenia or any coagulation disorder that would contraindicate intramuscular injections
* Is currently immunocompromised or has been diagnosed as having congenital or acquired immunodeficiency, HIV infection, lymphoma, leukemia, systemic lupus erythematosus, rheumatoid arthritis, juvenile rheumatoid arthritis, inflammatory bowel disease, or other autoimmune condition
* Has a history of splenectomy
* Has a history or current evidence of any condition, therapy, laboratory abnormality or other circumstance that might confound the results of the study, or interfere with the participant's participation for the full duration of the study, such that it is not in the best interest of the participant to participate by judgment of investigator
* Is, at the time of signing informed consent, a user of recreational or illicit drugs or has had a recent history (within the last year) of drug or alcohol abuse or dependence at the discretion of the investigator. Alcohol abusers are defined as those who drink despite recurrent social, interpersonal, and/or legal problems because of alcohol use
* Has received within 12 months prior to enrollment, is receiving, or plans to receive during the study, the following immunosuppressive therapies: radiation therapy, cyclophosphamide, azathioprine, methotrexate, any chemotherapy, cyclosporin, leflunomide (ARAVA®), TNF-α antagonists, monoclonal antibody therapies (including rituximab \[RITUXAN®\]), intravenous immunoglobulin (IVIG), anti-lymphocyte sera, or other therapy known to interfere with the immune response. Regarding systemic corticosteroids, a participant will be excluded if he is currently receiving steroid therapy, has recently received such therapy, or has received 2 or more courses of high-dose corticosteroids (≥20 mg/day of prednisone \[or equivalent\] orally or parenterally) lasting at least 1 week in duration in the year prior. Participants using inhaled, nasal, or topical steroids are considered eligible for the study
* Has received within the 3 months prior to vaccination, is receiving, or plans to receive during the study, any immune globulin product (including RhoGAM™) or blood-derived product other than IVIG
* Has received inactivated or recombinant vaccines within 14 days prior to vaccination or receipt of live vaccines within 21 days prior to vaccination
* Is concurrently enrolled in other clinical studies of investigational agents
* Has previously received a marketed HPV vaccine, or has participated in a clinical trial for any HPV vaccine (receiving either active agent or placebo)
* Has engaged in sexual activity 48 hours prior to vaccination. Sexual activity is defined as: penile penetrative vaginal intercourse with female partner; penile penetrative or receptive anal intercourse with male or female partner; or oral sex involving any contact between participant's mouth with a female partner's vagina, genital or anal area or male partner's penis or genital or anal area. This also includes any contact between participant's partner's mouth with participant's penis, genital or anal area
* Is unlikely to adhere to the study procedures, keep appointments, or is planning to permanently relocate from the area prior to the completion of the study or to leave for an extended period when study visits would need to be scheduled
* Is or has an immediate family member (e.g., spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this study

Extension Study:
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Valley Clinical Trials Inc. ( Site 0002)

Northridge, California, United States

Site Status

Inland Empire Clinical Trials, LLC ( Site 0025)

Rialto, California, United States

Site Status

Alta California Medical Group ( Site 0031)

Simi Valley, California, United States

Site Status

Encompass Clinical Research ( Site 0028)

Spring Valley, California, United States

Site Status

Diablo Clinical Research, Inc ( Site 0042)

Walnut Creek, California, United States

Site Status

Clinical Research of South Florida ( Site 0036)

Coral Gables, Florida, United States

Site Status

Acevedo Clinical Research Associates ( Site 0001)

Miami, Florida, United States

Site Status

Moffitt Cancer Center ( Site 0017)

Tampa, Florida, United States

Site Status

Augusta University ( Site 0010)

Augusta, Georgia, United States

Site Status

Solaris Clinical Research, LLC ( Site 0003)

Meridian, Idaho, United States

Site Status

Cotton-O'Neil Clinical Research Center ( Site 0044)

Topeka, Kansas, United States

Site Status

Heartland Research Associates, LLC ( Site 0034)

Wichita, Kansas, United States

Site Status

Kentucky Pediatric/Adult Research Inc ( Site 0011)

Bardstown, Kentucky, United States

Site Status

Healthcare Research Network LLC ( Site 0035)

Hazelwood, Missouri, United States

Site Status

Alliance for Multispecialty Reseach, LLC ( Site 0021)

Las Vegas, Nevada, United States

Site Status

Certified Research Associates ( Site 0041)

Cortland, New York, United States

Site Status

Laser Surgery Care ( Site 0018)

New York, New York, United States

Site Status

Weill Cornell Medicine ( Site 0046)

New York, New York, United States

Site Status

Rochester Clinical Research, Inc. ( Site 0008)

Rochester, New York, United States

Site Status

PMG Research of Salisbury ( Site 0009)

Salisbury, North Carolina, United States

Site Status

Rapid Medical Research, Inc. ( Site 0037)

Cleveland, Ohio, United States

Site Status

Preferred Primary Care Physicians ( Site 0032)

Pittsburgh, Pennsylvania, United States

Site Status

Coastal Carolina Research Center ( Site 0043)

North Charleston, South Carolina, United States

Site Status

Holston Medical Group ( Site 0030)

Kingsport, Tennessee, United States

Site Status

University of Texas Medical Branch at Galveston ( Site 0038)

Galveston, Texas, United States

Site Status

Texas Center For Drug Development ( Site 0013)

Houston, Texas, United States

Site Status

Crossroads Clinical Research LLC ( Site 0027)

Victoria, Texas, United States

Site Status

J Lewis Research Inc/Foothill Family Clinic South ( Site 0006)

Salt Lake City, Utah, United States

Site Status

J Lewis Research Inc/Jordan River Family Medicine ( Site 0023)

South Jordan, Utah, United States

Site Status

Charlottesville Medical Research Center, LLC ( Site 0007)

Charlottesville, Virginia, United States

Site Status

Health Research of Hampton Roads, Inc. ( Site 0015)

Newport News, Virginia, United States

Site Status

Clinical Research Partners, LLC. ( Site 0004)

Richmond, Virginia, United States

Site Status

University of Antwerp ( Site 0352)

Wilrijk, Antwerpen, Belgium

Site Status

Universitair Ziekenhuis Gasthuisberg ( Site 0353)

Leuven, Vlaams-Brabant, Belgium

Site Status

Femicare VZW ( Site 0350)

Tienen, Vlaams-Brabant, Belgium

Site Status

Hospital Santo Antonio - Obras Sociais Irma Dulce ( Site 0101)

Salvador, Estado de Bahia, Brazil

Site Status

CPCLIN ( Site 0100)

Natal, Rio Grande do Norte, Brazil

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Centro de Pesquisa Clinica II - ICHC - FMUSP ( Site 0102)

São Paulo, , Brazil

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Fundacion Centro de Investigacion Clinica CIC ( Site 0153)

Medellín, Antioquia, Colombia

Site Status

Clinica de la Costa Ltda. ( Site 0152)

Barranquilla, Atlántico, Colombia

Site Status

Centro de Atención e Investigación Médica SAS - CAIMED CHIA ( Site 0156)

Chía, Cundinamarca, Colombia

Site Status

Centrum ambulantni gynekologie a primarni pece ( Site 0401)

Brno, Brno-mesto, Czechia

Site Status

G-CENTRUM Olomouc s.r.o. ( Site 0400)

Olomouc, , Czechia

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MediStar s.r.o. ( Site 0403)

Prague, , Czechia

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FN Motol ( Site 0402)

Prague, , Czechia

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CHU Dijon Bourgogne - Hopital F. Mitterrand ( Site 0223)

Dijon, Cote-d Or, France

Site Status

Hopital Saint Eloi ( Site 0504)

Montpellier, Herault, France

Site Status

C.H.R.U. de Rennes. Hopital de Pontchaillou ( Site 0507)

Rennes, Ille-et-Vilaine, France

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CHU Nantes - Hopital Hotel Dieu ( Site 0510)

Nantes, Loire-Atlantique, France

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Hopital Cochin ( Site 0506)

Paris, Île-de-France Region, France

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Infektiologikum Frankfurt-Sachsenhausen ( Site 0456)

Frankfurt am Main, Hesse, Germany

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Epimed GmbH ( Site 0450)

Berlin, , Germany

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Klinische Forschung Berlin ( Site 0454)

Berlin, , Germany

Site Status

Universitatsklinikum Hamburg-Eppendorf ( Site 0451)

Hamburg, , Germany

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Meir Medical Center ( Site 0602)

Kfar Saba, Central District, Israel

Site Status

Maccabi Health Services Medical Center ( Site 0604)

Tel Aviv, Central District, Israel

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Rambam Medical Center ( Site 0601)

Haifa, , Israel

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Hadassah Medical Center. Ein Kerem ( Site 0600)

Jerusalem, , Israel

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Istittuto Nazionale dei Tumori Regina Elena IRCCS - IFO ( Site 0551)

Rome, Roma, Italy

Site Status

Azienda Ospedaliera - Universita di Padova ( Site 0555)

Padua, Veneto, Italy

Site Status

Azienda Ospedaliera Policlinico di Bari ( Site 0550)

Bari, , Italy

Site Status

AOU Policlinico Vittorio Emanuele ( Site 0552)

Catania, , Italy

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Universita di Roma "La Sapienza" ( Site 0553)

Roma, , Italy

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P-One Clinic, Keikokai Medical Corp. ( Site 1101)

Hachiōji, Tokyo, Japan

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Sagiyama Urology Clinic ( Site 1116)

Fukuoka, , Japan

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Souseikai PS Clinic ( Site 1103)

Fukuoka, , Japan

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Souseikai Nishikumamoto Hospital ( Site 1104)

Kumamoto, , Japan

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Medical Corporation Heishinkai OPHAC Hospital ( Site 1105)

Osaka, , Japan

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Nomura Clinic Namba ( Site 1114)

Osaka, , Japan

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Medical Corporation Seiwakai Hayakawa Clinic ( Site 1113)

Osaka, , Japan

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Doujin Memorial Medical Foundation, Meiwa Hospital ( Site 1111)

Tokyo, , Japan

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Taisei Clinic ( Site 1109)

Tokyo, , Japan

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Medical Corporation Mori to Umi Tokyo Tokyo Kamata Hospital ( Site 1112)

Tokyo, , Japan

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Naoko Dermatology Clinic ( Site 1107)

Tokyo, , Japan

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Medical Corporation Shinanokai Shinanozaka Clinic ( Site 1106)

Tokyo, , Japan

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Medical Corporation Iseikai My City Clinic ( Site 1108)

Tokyo, , Japan

Site Status

Medical Corporation Houeikai Sekino Clinical Pharmacology Clinic ( Site 1102)

Tokyo, , Japan

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Kusunoki Clinic ( Site 1110)

Tokyo, , Japan

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Arke Estudios Clinicos S.A. de C.V. ( Site 0203)

Mexico City, Mexico City, Mexico

Site Status

Instituto Nacional de Salud Publica ( Site 0202)

Cuernavaca, Morelos, Mexico

Site Status

Icaro Investigaciones en Medicina S.A. de C.V. ( Site 0200)

Chihuahua City, , Mexico

Site Status

ARKE Estudios Clinicos S.A de C.V ( Site 0211)

Veracruz, , Mexico

Site Status

Asociacion Civil Selva Amazonica ( Site 0252)

Iquitos, Loreto, Peru

Site Status

Policlinico Universidad Nacional Mayor de San Marcos ( Site 0257)

Lima, , Peru

Site Status

Investigaciones Medicas en Salud - INMENSA ( Site 0255)

Lima, , Peru

Site Status

Instituto de Investigacion Nutricional - Anexo Huascar ( Site 0251)

Lima, , Peru

Site Status

Asociacion Via Libre ( Site 0250)

Lima, , Peru

Site Status

Korea University Ansan Hospital ( Site 0952)

Ansan-si, Kyonggi-do, South Korea

Site Status

The Catholic University of Korea Eunpyeong St Mary s Hospital ( Site 0954)

Seoul, , South Korea

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Severance Hospital ( Site 0953)

Seoul, , South Korea

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Hallym University Kangnam Sacred Heart Hospital ( Site 0951)

Seoul, , South Korea

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Korea University Guro Hospital ( Site 0950)

Seoul, , South Korea

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Institut Catala d Oncologia Hospital Germans Trias i Pujol ( Site 0755)

Badalona, Barcelona, Spain

Site Status

CAP Centelles ( Site 0751)

Centelles, Barcelona, Spain

Site Status

ICO L Hospitalet ( Site 0754)

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status

Chang Gung Medical Foundation. Kaohsiung Branch ( Site 1003)

Kaohsiung City, , Taiwan

Site Status

National Cheng Kung University Hospital ( Site 1002)

Tainan City, , Taiwan

Site Status

National Taiwan University Hospital ( Site 1000)

Taipei, , Taiwan

Site Status

Chang Gung Medical Foundation.Linkou Branch ( Site 1001)

Taoyuan District, , Taiwan

Site Status

Armed Forces Research Institute of Medical Sciences ( Site 1051)

Bangkok, Bangkok, Thailand

Site Status

Vaccine Trial Center Faculty of Tropical Medicine ( Site 1052)

Bangkok, Bangkok, Thailand

Site Status

Faculty of Medicine Siriraj Hospital ( Site 1050)

Bangkok, Bangkok, Thailand

Site Status

Research Institute for Health Sciences ( Site 1053)

Chiang Mai, , Thailand

Site Status

Countries

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United States Belgium Brazil Colombia Czechia France Germany Israel Italy Japan Mexico Peru South Korea Spain Taiwan Thailand

References

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Giuliano AR. Initiation of three complementary international studies investigating prevalence of oral HPV infection, burden of HPV-related head and neck disease, and efficacy of 9-valent HPV vaccination against oral HPV persistent infection. Contemp Clin Trials. 2022 Apr;115:106629. doi: 10.1016/j.cct.2021.106629. Epub 2021 Nov 24. No abstract available.

Reference Type DERIVED
PMID: 34838718 (View on PubMed)

Morais E, Kothari S, Roberts C, Yen G, Chen YT, Lynam M, Pedros M, Mirghani H, Alemany L, Pavon MA, Waterboer T, Mehanna H, Giuliano AR. Oral human papillomavirus (HPV) and associated factors among healthy populations: The design of the PROGRESS (PRevalence of Oral hpv infection, a Global aSSessment) study. Contemp Clin Trials. 2022 Apr;115:106630. doi: 10.1016/j.cct.2021.106630. Epub 2021 Nov 25.

Reference Type DERIVED
PMID: 34838717 (View on PubMed)

Giuliano AR, Wilkin T, Bautista OM, Cheon K, Connor L, Dubey S; Thomas Group; Luxembourg A, Rawat S, Shaw A, Velicer C, Vendetti N, Tu Y. Design of a phase III efficacy, immunogenicity, and safety study of 9-valent human papillomavirus vaccine in prevention of oral persistent infection in men. Contemp Clin Trials. 2022 Apr;115:106592. doi: 10.1016/j.cct.2021.106592. Epub 2021 Oct 19.

Reference Type DERIVED
PMID: 34678491 (View on PubMed)

Related Links

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Other Identifiers

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V503-049

Identifier Type: OTHER

Identifier Source: secondary_id

205346

Identifier Type: REGISTRY

Identifier Source: secondary_id

2022-501974-21

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1275-8682

Identifier Type: REGISTRY

Identifier Source: secondary_id

2019-003236-23

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

V503-049

Identifier Type: -

Identifier Source: org_study_id

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