Study With Omecamtiv Mecarbil (CK-1827452) to Treat Chronic Heart Failure With Severely Reduced Ejection Fraction

NCT ID: NCT06736574

Last Updated: 2025-12-22

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

1800 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-19

Study Completion Date

2027-12-31

Brief Summary

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The purpose of this study is to find out if the investigational drug called omecamtiv mecarbil can reduce the risk of the effects of heart failure, like hospitalization, transplantation, or death in patients with heart failure and severely reduced ejection fraction.

Detailed Description

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This study is designed to evaluate the efficacy and safety of omecamtiv mecarbil in reducing the risk of the primary composite endpoint of cardiovascular (CV) death, first heart failure (HF) event, left ventricular assist device (LVAD) implantation, cardiac transplantation, and stroke in patients with symptomatic heart failure with severely reduced ejection fraction (HFrEF).

Eligible patients will be randomized 1:1 to investigational product (IP) - omecamtiv mecarbil or placebo. The study is event-driven and will conclude when at least 850 participants experience a HF event or CV death, whichever comes first. An interim analysis for futility and efficacy based on the primary composite endpoint is planned when approximately 570 (67%) of the planned 850 first HF events or CV deaths are observed.

Estimated duration of participation: Up to 3 years.

Conditions

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Heart Failure Heart Failure With Reduced Ejection Fraction

Keywords

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CK-1827452 omecamtiv mecarbil

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Omecamtiv Mecarbil

Participants randomized to omecamtiv mecarbil will be dosed based on their omecamtiv mecarbil plasma concentration at 25, 37.5 or 50 mg twice daily until at least 850 participants experience a HF event or CV death, whichever comes first.

Group Type EXPERIMENTAL

Omecamtiv Mecarbil (OM)

Intervention Type DRUG

Oral Tablet

Placebo

Participants randomized to placebo will receive placebo twice daily until at least 850 participants experience a HF event or CV death, whichever comes first.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Oral Tablet

Interventions

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Omecamtiv Mecarbil (OM)

Oral Tablet

Intervention Type DRUG

Placebo

Oral Tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

Adult patients who meet all the following criteria at screening may be included in the study:

* Are between ≥ 18 years and ≤ 85 years at the signing of informed consent
* Have a history of chronic HFrEF, defined as requiring treatment for HF for a minimum of 3 months prior to screening
* Are receiving oral loop diuretics
* Patients without AFF on screening ECG:

* LVEF \< 30% within 6 months of screening
* Elevated N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) ≥ 1000 pg/mL (BNP ≥ 300 pg/mL)
* Patients with AFF on screening ECG:

* LVEF \< 25% within 6 months of screening
* Elevated N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) ≥ 3000 pg/mL (BNP ≥ 900 pg/mL)
* Not currently taking digoxin
* Are currently hospitalized with the primary reason of HF, or had an HF event within 6 months prior to screening
* Are established on regional standard-of-care HF therapies for at least 30 days prior to screening
* Systolic blood pressure ≤ 130 mmHg and diastolic blood pressure ≤ 90 mmHg

Exclusion Criteria

Any of the following criteria will exclude potential patients from the study:

* Have AFF on the screening ECG and are currently taking digoxin
* Have had acute coronary syndrome, cardiac surgery, valve surgery, any coronary revascularization, and/or cardiac resynchronization therapy within 3 months of screening
* Are admitted to a long-term care facility or hospice
* Have a projected survival of \< 12 months due to non-cardiovascular causes based on clinical judgment
* Are receiving intravenous inotropes or intravenous vasopressors ≤ 3 days prior to screening
* Are receiving mechanical hemodynamic support or mechanical ventilation ≤ 7 days prior to screening
* Are receiving intravenous diuretics, intravenous vasodilators, or supplemental oxygen therapy ≤ 12 hours prior to screening
* Have an estimated glomerular filtration rate (eGFR) \< 20 mL/min/1.73m2 or receiving dialysis at screening
* Have previously had a solid organ transplant
* Are receiving treatment in another investigational device or drug study or are within 30 days of ending such investigational treatment at screening
* Have previously received omecamtiv mecarbil
* Are pregnant or planning pregnancy during the study period, or planning to breastfeed during treatment with IP or within 5 days after the end of treatment with IP
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cytokinetics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cytokinetics MD

Role: STUDY_DIRECTOR

Cytokinetics

Locations

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Advanced Cardiovascular, LLC

Alexander City, Alabama, United States

Site Status RECRUITING

University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

Pima Heart and Vascular Clinical Research

Tucson, Arizona, United States

Site Status WITHDRAWN

National Heart Institute

Beverly Hills, California, United States

Site Status RECRUITING

UC San Diego Health - Sulpizio Cardiovascular Center

La Jolla, California, United States

Site Status RECRUITING

Nutrition Research Center (SPH)

Loma Linda, California, United States

Site Status RECRUITING

Keck Medical Center of USC (outpatient clinic)

Los Angeles, California, United States

Site Status RECRUITING

UCLA Medical Center Cardiovascular Clinic

Los Angeles, California, United States

Site Status RECRUITING

University of California, Irvine Medical Center

Orange, California, United States

Site Status RECRUITING

Sutter Institute for Medical Research (SIMR)

Sacramento, California, United States

Site Status RECRUITING

UC Davis Health

Sacramento, California, United States

Site Status RECRUITING

San Diego Cardiac Center

San Diego, California, United States

Site Status RECRUITING

California Pacific Medical Center Van Ness Campus

San Francisco, California, United States

Site Status RECRUITING

Kaiser Permanente Santa Clara

Santa Clara, California, United States

Site Status RECRUITING

Stanford University Hospital / Stanford Health Care

Stanford, California, United States

Site Status RECRUITING

Lundquist Institute for Biomedical Innovation at Harbor - UCLA Medical Center

Torrance, California, United States

Site Status RECRUITING

Rocky Mountain Regional VA Medical Center

Aurora, Colorado, United States

Site Status RECRUITING

Cardiology Associates of Fairfield County, P.C

Bridgeport, Connecticut, United States

Site Status RECRUITING

Hartford Hospital

Hartford, Connecticut, United States

Site Status RECRUITING

Yale New Haven Health Heart & Vascular Center Outpatient Services

New Haven, Connecticut, United States

Site Status RECRUITING

CHF Heart Clinical (Subject Visits & IP Shipments)

Clearwater, Florida, United States

Site Status RECRUITING

Holy Cross Medical Group - Cardiology Associates

Fort Lauderdale, Florida, United States

Site Status RECRUITING

South Florida Research Solutions, LLC

Hollywood, Florida, United States

Site Status RECRUITING

UF Health Jacksonville

Jacksonville, Florida, United States

Site Status RECRUITING

Broward Research Center

Miami Beach, Florida, United States

Site Status RECRUITING

Ocala Cardiovascular Research

Ocala, Florida, United States

Site Status RECRUITING

AdventHealth

Orlando, Florida, United States

Site Status RECRUITING

USF Health South Tampa Center for Advanced Healthcare

Tampa, Florida, United States

Site Status RECRUITING

Grady Health System

Atlanta, Georgia, United States

Site Status RECRUITING

Piedmont Atlanta Hospital

Atlanta, Georgia, United States

Site Status RECRUITING

Emory Clinic

Atlanta, Georgia, United States

Site Status RECRUITING

Piedmont Fayette Hospital

Fayetteville, Georgia, United States

Site Status RECRUITING

The Queen's Medical Center - Punchbowl

Honolulu, Hawaii, United States

Site Status RECRUITING

Midwest Cardiovascular Institute

Naperville, Illinois, United States

Site Status RECRUITING

Cardiovascular Research of Northwest Indiana, LLC.

Munster, Indiana, United States

Site Status RECRUITING

Deaconess Heart Group

Newburgh, Indiana, United States

Site Status RECRUITING

Reid Physician Associates

Richmond, Indiana, United States

Site Status RECRUITING

The University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

AHMG Cardiology and Surgery

Overland Park, Kansas, United States

Site Status RECRUITING

University Medical Center New Orleans

New Orleans, Louisiana, United States

Site Status RECRUITING

Eastern Main Medical Center dba Northern Light Eastern Maine Medical Center

Bangor, Maine, United States

Site Status RECRUITING

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status RECRUITING

Tufts Medical Center

Boston, Massachusetts, United States

Site Status RECRUITING

Henry Ford Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Midwest Heart and Vascular Specialists, LLC

Independence, Missouri, United States

Site Status RECRUITING

Saint Luke's Hospital of Kansas City

Kansas City, Missouri, United States

Site Status RECRUITING

Washington University Center for Advanced Medicine

St Louis, Missouri, United States

Site Status RECRUITING

St. Louis Heart and Vascular

St Louis, Missouri, United States

Site Status RECRUITING

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status RECRUITING

Advanced Heart Care, LLC

Bridgewater, New Jersey, United States

Site Status RECRUITING

Monmouth Cardiology Associates, LLC

Eatontown, New Jersey, United States

Site Status RECRUITING

Capital Cardiology Associates

Albany, New York, United States

Site Status RECRUITING

Northwell Health North Shore University Hospital

Manhasset, New York, United States

Site Status RECRUITING

Mount Sinai Hospital

New York, New York, United States

Site Status RECRUITING

Columbia University Medical Center / New York - Presbyterian

New York, New York, United States

Site Status RECRUITING

Montefiore Medical Center (Moses Campus)

The Bronx, New York, United States

Site Status RECRUITING

WakeMed Heart & Vascular - Cary Cardiology

Cary, North Carolina, United States

Site Status RECRUITING

Clinical and Translational Research Center - University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status RECRUITING

Duke University Hospital

Durham, North Carolina, United States

Site Status RECRUITING

Moses H. Cone Memorial Hospital Operating Corporation d/b/a Cone Health

Greensboro, North Carolina, United States

Site Status RECRUITING

Wake Forest University Health Sciences

Winston-Salem, North Carolina, United States

Site Status RECRUITING

The Lindner Research Center at the Christ Hospital

Cincinnati, Ohio, United States

Site Status RECRUITING

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

K&R Research LLC

Marion, Ohio, United States

Site Status WITHDRAWN

University of Hospitals North Ohio Heart

Sandusky, Ohio, United States

Site Status RECRUITING

Oklahoma State University Center for Health Sciences

Tulsa, Oklahoma, United States

Site Status RECRUITING

Oregon Health and Science University

Portland, Oregon, United States

Site Status RECRUITING

Capital Area Research, LLC

Camp Hill, Pennsylvania, United States

Site Status RECRUITING

Penn State Health Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status RECRUITING

Hospital of the University of Pennsylvania (University of Pennsylvania School of Medicine)

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Medical University of South Carolina - Gazes Research Institute

Charleston, South Carolina, United States

Site Status RECRUITING

Monument Health Clinical Research, a department of Monument Health Rapid City Hospital, Inc.

Rapid City, South Dakota, United States

Site Status RECRUITING

Stern Cardiovascular Foundation, Inc.

Germantown, Tennessee, United States

Site Status RECRUITING

Tennova Healthcare-Turkey Creek Medical Center

Knoxville, Tennessee, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Center for Clinical Trials

Tullahoma, Tennessee, United States

Site Status RECRUITING

Baylor University Medical Center

Dallas, Texas, United States

Site Status RECRUITING

The University of Texas Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

Medresearch Inc

El Paso, Texas, United States

Site Status RECRUITING

University of Texas Medical Branch - UTMB

Galveston, Texas, United States

Site Status RECRUITING

CHI St. Luke's Health Baylor College of Medicine Medical Center

Houston, Texas, United States

Site Status RECRUITING

Baylor Scott & White Medical Center- The Hearth Hospital

Plano, Texas, United States

Site Status RECRUITING

Intermountain Medical Center

Murray, Utah, United States

Site Status RECRUITING

University of Utah Health

Salt Lake City, Utah, United States

Site Status RECRUITING

Sentara Norfolk General Hospital

Norfolk, Virginia, United States

Site Status RECRUITING

Providence Advanced Heart Disease and Transplant

Spokane, Washington, United States

Site Status RECRUITING

Medical College of Wisconsin / Froedtert Hospital

Milwaukee, Wisconsin, United States

Site Status RECRUITING

Mazankowski Alberta Heart Institute / University of Alberta Hospital

Edmonton, Alberta, Canada

Site Status RECRUITING

Kelowna General Hospital

Kelowna, British Columbia, Canada

Site Status RECRUITING

SMH - Cardiology Clinical Trials Inc.

Surrey, British Columbia, Canada

Site Status RECRUITING

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

Victoria Heart Institute Foundation

Victoria, British Columbia, Canada

Site Status RECRUITING

St. Boniface Hospital

Winnipeg, Manitoba, Canada

Site Status RECRUITING

London Health Sciences Centre

London, Ontario, Canada

Site Status RECRUITING

Oakville Trafalgar Memorial Hospital - Halton Healthcare

Oakville, Ontario, Canada

Site Status RECRUITING

St. Michael's Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

UHN-Toronto General Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Diex Recherche Sherbrooke

Sherbrooke, Quebec, Canada

Site Status RECRUITING

Centre Hospitalier Universitaire de Toulouse

Toulouse, Haute-Garonne, France

Site Status RECRUITING

Polyclinique Vauban

Valenciennes, Hauts-de-France, France

Site Status RECRUITING

CHU de Rennes - Hôpital Pontchaillou

Rennes, Ille-et-Vilaine, France

Site Status RECRUITING

Centre Hospitalier Universitaire Grenoble Alpes - Site Nord Michallon

La Tronche, Isère, France

Site Status RECRUITING

CHU de Montpellier- Hôpital Arnaud de Villeneuve

Montpellier, Occitanie, France

Site Status RECRUITING

L'Hôpital Privé Du Confluent

Nantes, Pays de la Loire Region, France

Site Status RECRUITING

Centre Hospitalier Intercommunal Toulon - La Seyne sur Mer (C.H.I.T.S)

Toulon, Var, France

Site Status RECRUITING

Hôpital Lariboisière - APHP

Paris, Île-de-France Region, France

Site Status RECRUITING

Hôpital Européen Georges Pompidou

Paris, Île-de-France Region, France

Site Status RECRUITING

APHP - Hôpital Bichât

Paris, Île-de-France Region, France

Site Status RECRUITING

Universitätsklinik Würzburg Deutsches Zentrum für Herzinsuffizienz

Würzburg, Bavaria, Germany

Site Status RECRUITING

Universitaetsklinikum Jena

Jena, Germany, Germany

Site Status RECRUITING

Marienhaus Klinikum Mainz GmbH

Mainz, Germany, Germany

Site Status RECRUITING

Kerckhoff-Klinik GmbH

Bad Nauheim, Hesse, Germany

Site Status RECRUITING

Universitaetsklinikum Frankfurt, Med. Klinik III - Kardiologie, Angiologie

Frankfurt am Main, Hesse, Germany

Site Status RECRUITING

Asklepios Klinik Langen-Seligenstadt GmbH

Langen, Hesse, Germany

Site Status RECRUITING

Universitaetsmedizin Goettingen

Göttingen, Lower Saxony, Germany

Site Status RECRUITING

Universitätsklinikum Bonn

Bonn, North Rhine-Westphalia, Germany

Site Status RECRUITING

Dr. med. Jens Taggeselle

Markkleeberg, Saxony, Germany

Site Status RECRUITING

General Hospital of Athens ''G. Gennimatas''

Athens, Attica, Greece

Site Status RECRUITING

General Hospital of Athens ''Hippokratio''

Athens, Attica, Greece

Site Status RECRUITING

General Hospital of Nea Ionia ''Konstantopouleio-Patision''

Athens, Attica, Greece

Site Status RECRUITING

University General Hospital ''ATTIKON'' - General Hospital of West Attica H

Chaïdári, Attica, Greece

Site Status RECRUITING

General Hospital ''Asklepieio Voulas''

Voula, Attica, Greece

Site Status RECRUITING

University General Hospital of Alexandroupolis

Alexandroupoli, Evros, Greece

Site Status RECRUITING

University General Hospital of Larissa

Larissa, Larissa, Greece

Site Status RECRUITING

Papageorgiou General Hospital of Thessaloniki

Efkarpia, Thessaloniki, Greece

Site Status RECRUITING

AHEPA University General Hospital of Thessaloniki

Thessaloniki, Thessaloniki, Greece

Site Status RECRUITING

ASST Spedali Civili di Brescia

Brescia, BS, Italy

Site Status RECRUITING

Ospedale Infermi

Rimini, Emilia-Romagna, Italy

Site Status RECRUITING

Ospedale di Arzignano

Arzignano, Lombardy, Italy

Site Status RECRUITING

Centro Cardiologico Monzino

Milan, Lombardy, Italy

Site Status RECRUITING

IRCCS Multimedica

Sesto San Giovanni, Lombardy, Italy

Site Status RECRUITING

IRCCS Ospedale San Raffaele

Milan, MI, Italy

Site Status RECRUITING

A.O. Perugia - Ospedale S.Maria della Misericordia

Perugia, Province of Perugia, Italy

Site Status RECRUITING

IRCCS San Raffaele

Roma, , Italy

Site Status RECRUITING

Balsammedica Sp. z o.o.

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Uniwersytecki Szpital Kliniczny w Bialymstoku

Bialystok, , Poland

Site Status RECRUITING

Krakowski Szpital Specjalistyczny im. Sw. Jana Pawla II

Krakow, , Poland

Site Status RECRUITING

SPZOZ Uniwersytecki Szpital Kliniczny nr 2 UM w Lodzi

Lodz, , Poland

Site Status RECRUITING

SPZOZ Centralny Szpital Kliniczny UM w Lodzi

Lodz, , Poland

Site Status RECRUITING

Szpital Sw. Anny w Miechowie

Miechów, , Poland

Site Status RECRUITING

Uniwersytecki Szpital Kliniczny w Opolu

Opole, , Poland

Site Status RECRUITING

Uniwersytecki Szpital Kliniczny w Poznaniu

Poznan, , Poland

Site Status RECRUITING

Poradnia AKA-MED Centrum Sp. z o.o.

Ruda Śląska, , Poland

Site Status RECRUITING

Tomasz Blicharski Lubelskie Centrum Diagnostyczne

Świdnik, , Poland

Site Status RECRUITING

Wojewodzki Szpital Zespolony im. L. Rydygiera

Torun, , Poland

Site Status RECRUITING

Hospital Universitario A Coruña

A Coruña, A Coruña, Spain

Site Status RECRUITING

Hospital Clinico Universitario de Santiago

Santiago de Compostela, A Coruña, Spain

Site Status RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital Universitari Vall d'Hebron

Barcelona, Barcelona, Spain

Site Status RECRUITING

Hospital Universitari de Bellvitge

L'Hospitalet de Llobregat, Barcelona, Spain

Site Status RECRUITING

Hospital San Juan de la Cruz

Úbeda, Jaen, Spain

Site Status RECRUITING

Hospital Universitario Lucus Augusti

Lugo, Lugo, Spain

Site Status RECRUITING

Hospital Universitario 12 de Octubre

Madrid, Madrid, Spain

Site Status RECRUITING

Hospital Universitario La Paz

Madrid, Madrid, Spain

Site Status RECRUITING

Hospital Universitario Puerta de Hierro

Majadahonda, Madrid, Spain

Site Status RECRUITING

Hospital Universitario Virgen de La Arrixaca

El Palmar, Murcia, Spain

Site Status RECRUITING

CHUVI - H.U. Alvaro Cunqueiro

Vigo, Pontevedra, Spain

Site Status RECRUITING

Hospital Universitario de Salamanca

Salamanca, Salamanca, Spain

Site Status RECRUITING

Hospital Universitario Virgen del Rocío

Seville, Sevilla, Spain

Site Status RECRUITING

Hospital Universitari Joan XXIII de Tarragona

Tarragona, Tarragona, Spain

Site Status RECRUITING

Hospital Clínico Universitario de Valencia

Valencia, Valencia, Spain

Site Status RECRUITING

Hospital Universitari i Politecnic La Fe de Valencia

Valencia, Valencia, Spain

Site Status RECRUITING

Southampton General Hospital

Southampton, Hampshire, United Kingdom

Site Status RECRUITING

Queen Elizabeth University Hospital

Glasgow, Scotland, United Kingdom

Site Status RECRUITING

Basingstoke and North Hampshire Hospital

Basingstoke, , United Kingdom

Site Status RECRUITING

Castle Hill Hospital

Cottingham, , United Kingdom

Site Status RECRUITING

Russells Hall Hospital

Dudley, , United Kingdom

Site Status RECRUITING

Ulster Hospital

Dundonald, , United Kingdom

Site Status RECRUITING

Glasgow Royal Infirmary

Glasgow, , United Kingdom

Site Status RECRUITING

Great Western Hospitals

Swindon, , United Kingdom

Site Status RECRUITING

Countries

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United States Canada France Germany Greece Italy Poland Spain United Kingdom

Central Contacts

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Cytokinetics MD

Role: CONTACT

Phone: (650) 624-2929

Email: [email protected]

Other Identifiers

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2024-519219-32-00

Identifier Type: CTIS

Identifier Source: secondary_id

CY 1033

Identifier Type: -

Identifier Source: org_study_id