A Study of Relatlimab Plus Nivolumab in Combination With Chemotherapy vs. Nivolumab in Combination With Chemotherapy as First Line Treatment for Participants With Stage IV or Recurrent Non-small Cell Lung Cancer (NSCLC)

NCT ID: NCT04623775

Last Updated: 2025-10-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

468 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-17

Study Completion Date

2026-02-27

Brief Summary

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The purpose of this study is to assess the safety profile of relatlimab plus nivolumab in combination with platinum doublet chemotherapy (PDCT) and to determine if nivolumab plus relatlimab in combination with PDCT improves overall response rate (ORR) when compared to nivolumab plus PDCT in participants with previously untreated Stage IV or recurrent non-small cell lung cancer (NSCLC).

Detailed Description

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Conditions

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Non-small Cell Lung Cancer Recurrent Non-small Cell Lung Cancer Metastatic Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Part 1: Arm A (Nivolumab + Relatlimab Dose 1 + Platinum Doublet Chemotherapy (PDCT))

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Relatlimab

Intervention Type BIOLOGICAL

Specified dose on specified days

Carboplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Cisplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Nab-Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Pemetrexed

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 1: Arm B (Nivolumab + Relatlimab Dose 2 + PDCT))

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Relatlimab

Intervention Type BIOLOGICAL

Specified dose on specified days

Carboplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Cisplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Nab-Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Pemetrexed

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 2: Arm C (Nivolumab + Relatlimab Dose 2 + PDCT)

Group Type EXPERIMENTAL

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Relatlimab

Intervention Type BIOLOGICAL

Specified dose on specified days

Carboplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Cisplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Pemetrexed

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Part 2: Arm D (Nivolumab + PDCT)

Group Type ACTIVE_COMPARATOR

Nivolumab

Intervention Type BIOLOGICAL

Specified dose on specified days

Carboplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Cisplatin

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Paclitaxel

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Pemetrexed

Intervention Type DRUG

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Interventions

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Nivolumab

Specified dose on specified days

Intervention Type BIOLOGICAL

Relatlimab

Specified dose on specified days

Intervention Type BIOLOGICAL

Carboplatin

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Intervention Type DRUG

Cisplatin

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Intervention Type DRUG

Paclitaxel

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Intervention Type DRUG

Nab-Paclitaxel

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Intervention Type DRUG

Pemetrexed

Specified dose on specified days. Participant will receive only two of the listed chemotherapies (carboplatin, cisplatin, paclitaxel, nab-paclitaxel) along with immunotherapy.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed metastatic non-small cell lung cancer (NSCLC) of squamous (SQ) or non-squamous (NSQ) histology with Stage IV A/B (as defined by the 8th International Association for the Study of Lung Cancer Classification) or recurrent disease following multi-modal therapy for locally advanced disease.
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) of less than or equal to 1 at screening and confirmed prior to randomization.
* Measurable disease by computed tomography (CT) or magnetic resonance resources (MRI) per response evaluation criteria in solid tumor version 1.1 (RECIST 1.1) criteria.
* No prior systemic anti-cancer treatment (including epidermal growth factor receptor (EGFR) and anaplastic lymphoma kinase (ALK) inhibitors) given as primary therapy for advanced or metastatic disease.

Exclusion Criteria

* Participants with EGFR, ALK, ROS-1, or known B-rapidly accelerated fibrosarcoma proto-oncogene (BRAF V600E) mutations that are sensitive to available targeted therapy.
* Untreated CNS metastases.
* Leptomeningeal metastases (carcinomatous meningitis).
* Concurrent malignancy requiring treatment or history of prior malignancy active within 2 years prior to randomization (ie, participants with a history of prior malignancy are eligible if treatment was completed at least 2 years before randomization and the participant has no evidence of disease).
* Prior treatment with an anti-programmed cell death protein 1 (PD-1), anti-programmed death-ligand 1 (PD-L1), anti-programmed death-ligand 2 (PD-L2), or anti-cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bristol-Myers Squibb

Role: STUDY_DIRECTOR

Bristol-Myers Squibb

Locations

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Local Institution - 0160

Duarte, California, United States

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Local Institution - 0081

Orange, California, United States

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Local Institution - 0139

New Haven, Connecticut, United States

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Local Institution - 0153

Jacksonville, Florida, United States

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Local Institution - 0011

Port Saint Lucie, Florida, United States

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Local Institution - 0089

Athens, Georgia, United States

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Local Institution - 0121

Wichita, Kansas, United States

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Local Institution - 0159

Lexington, Kentucky, United States

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Local Institution - 0002

Louisville, Kentucky, United States

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Local Institution - 0082

Scarborough, Maine, United States

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Local Institution - 0129

Omaha, Nebraska, United States

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Local Institution - 0152

Howell Township, New Jersey, United States

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Local Institution - 0124

Johnson City, New York, United States

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Local Institution - 0162

Mineola, New York, United States

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Local Institution - 0128

New York, New York, United States

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Local Institution - 0165

New York, New York, United States

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Local Institution - 0097

The Bronx, New York, United States

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Local Institution - 0117

Durham, North Carolina, United States

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Local Institution - 0156

Cincinnati, Ohio, United States

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Local Institution - 0155

Cleveland, Ohio, United States

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Local Institution - 0084

Lancaster, Pennsylvania, United States

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Local Institution - 0147

Pittsburgh, Pennsylvania, United States

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Local Institution - 0148

Providence, Rhode Island, United States

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Local Institution - 0083

Greenville, South Carolina, United States

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Local Institution - 0149

Dallas, Texas, United States

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Local Institution - 0091

Harlingen, Texas, United States

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Local Institution - 0001

Tyler, Texas, United States

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Local Institution - 0092

Spokane, Washington, United States

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Local Institution - 0157

Morgantown, West Virginia, United States

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Local Institution - 0037

Río Cuarto, Córdoba Province, Argentina

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Local Institution - 0021

Buenos Aires, Distrito Federal, Argentina

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Local Institution - 0014

Cuiudad Autonoma de Buenos Aires, Distrito Federal, Argentina

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Local Institution - 0039

Viedma, Río Negro Province, Argentina

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Local Institution - 0029

Rosario, Santa Fe Province, Argentina

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Local Institution - 0060

Córdoba, , Argentina

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Local Institution - 0038

Córdoba, , Argentina

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Local Institution - 0073

La Rioja, , Argentina

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Local Institution - 0055

Camperdown, New South Wales, Australia

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Local Institution - 0086

Gosford, New South Wales, Australia

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Local Institution - 0132

Tamworth, New South Wales, Australia

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Local Institution - 0057

Adelaide, South Australia, Australia

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Local Institution - 0130

Ballarat, Victoria, Australia

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Local Institution - 0138

Bendigo, Victoria, Australia

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Local Institution - 0141

Box Hill, Victoria, Australia

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Local Institution - 0109

Frankston, Victoria, Australia

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Local Institution - 0119

Murdoch, Western Australia, Australia

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Local Institution - 0085

Nedlands, Western Australia, Australia

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Local Institution - 0090

Graz, , Austria

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Local Institution - 0126

Vienna, , Austria

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Local Institution - 0127

Ghent, , Belgium

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Local Institution - 0131

Ghent, , Belgium

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Local Institution - 0125

Roeselare, , Belgium

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Local Institution - 0063

Natal, Rio Grande do Norte, Brazil

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Local Institution - 0161

Ijuí, Rio Grande do Sul, Brazil

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Local Institution - 0116

Porto Alegre, Rio Grande do Sul, Brazil

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Local Institution - 0112

Porto Alegre, Rio Grande do Sul, Brazil

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Local Institution - 0107

Barretos, São Paulo, Brazil

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Local Institution - 0111

Santo André, São Paulo, Brazil

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Local Institution - 0072

Rio de Janeiro, , Brazil

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Local Institution - 0163

São Paulo, , Brazil

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Local Institution - 0120

São Paulo, , Brazil

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Local Institution - 0079

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0041

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0016

Santiago, Santiago Metropolitan, Chile

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Local Institution - 0008

Rennes, Ille-Et-Vilaine, France

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Local Institution - 0007

Dijon, , France

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Local Institution - 0144

Le Mans, , France

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Local Institution - 0102

Paris, , France

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Local Institution - 0035

Paris, , France

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Saint-Mandé, , France

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Local Institution - 0110

Paris, Île-de-France Region, France

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Local Institution - 0065

Essen, North Rhine-Westphalia, Germany

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Local Institution - 0103

Berlin, , Germany

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Local Institution - 0045

Berlin, , Germany

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Local Institution - 0062

Großhansdorf, , Germany

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Homburg, , Germany

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Löwenstein, , Germany

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Local Institution - 0071

Marburg, , Germany

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Paderborn, , Germany

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Ravensburg, , Germany

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Local Institution - 0133

Elm Park, Dublin, Ireland

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Local Institution - 0023

Dublin, , Ireland

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Local Institution - 0106

Rome, RA, Italy

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Local Institution - 0028

Candiolo, , Italy

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Catania, , Italy

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Genova, , Italy

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Local Institution - 0059

Milan, , Italy

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Local Institution - 0164

Pesaro, , Italy

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Local Institution - 0019

Siena, , Italy

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Local Institution - 0070

Mexico City, Mexico City, Mexico

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Local Institution - 0115

Monterrey, Nuevo León, Mexico

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Local Institution - 0013

San Pedro Garza García, Nuevo León, Mexico

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Local Institution - 0020

Toluca, State of Mexico, Mexico

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Local Institution - 0053

Harderwijk, Gelderland, Netherlands

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Local Institution - 0158

Arnhem, , Netherlands

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Local Institution - 0145

Gdynia, , Poland

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Local Institution - 0036

Lublin, , Poland

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Local Institution - 0031

Lublin, , Poland

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Local Institution - 0080

Olsztyn, , Poland

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Local Institution - 0088

Warsaw, , Poland

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Local Institution - 0099

Cluj-Napoca, Cluj, Romania

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Local Institution - 0017

Craiova, Dolj, Romania

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Local Institution - 0012

Craiova, Jud. Dolj, Romania

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Local Institution - 0069

Timișoara, Timiș County, Romania

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Local Institution - 0052

Craiova, , Romania

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Arkhangelsk Clinical Oncological Dispensary

Arkhangelsk, , Russia

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LLC Eurocityclinic

Saint Petersburg, , Russia

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FSBI &quot,Research Institute of Influenza named after A.A. Smorodintsev &quot,of the MoH of the Rus

Saint Petersburg, , Russia

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Local Institution - 0075

Seville, Andalusia, Spain

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Local Institution - 0137

Badalona, Barcelona, Spain

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Local Institution - 0024

Barcelona, Catalonia, Spain

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Local Institution - 0051

A Coruña, , Spain

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Local Institution - 0154

Barcelona, , Spain

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Local Institution - 0048

Barcelona, , Spain

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Local Institution - 0061

Las Palmas, , Spain

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Local Institution - 0074

Madrid, , Spain

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Local Institution - 0123

Madrid, , Spain

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Local Institution - 0042

Málaga, , Spain

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Local Institution - 0043

Valencia, , Spain

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Local Institution - 0015

Basel, , Switzerland

Site Status

Local Institution - 0104

Sankt Gallen, , Switzerland

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Local Institution - 0135

Middlesbrough, Cleveland, United Kingdom

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Local Institution - 0101

London, Greater London, United Kingdom

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Local Institution - 0095

Manchester, Lancashire, United Kingdom

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Local Institution - 0067

Leicester, , United Kingdom

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Countries

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United States Argentina Australia Austria Belgium Brazil Chile France Germany Ireland Italy Mexico Netherlands Poland Romania Russia Spain Switzerland United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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2020-004026-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1256-8115

Identifier Type: REGISTRY

Identifier Source: secondary_id

CA224-104

Identifier Type: -

Identifier Source: org_study_id

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