A Study of Belzutifan (MK-6482) in Combination With Lenvatinib Versus Cabozantinib for Treatment of Renal Cell Carcinoma (MK-6482-011)

Sponsor
Merck Sharp & Dohme LLC (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04586231
Collaborator
Eisai Inc. (Industry)
708
139
2
45.9
5.1
0.1

Study Details

Study Description

Brief Summary

This study will compare the efficacy and safety of belzutifan + lenvatinib versus cabozantinib in participants with advanced renal cell carcinoma (RCC) with clear cell component after prior therapy.

The primary hypothesis is that belzutifan + lenvatinib is superior to cabozantinib in terms of progression-free survival or overall survival.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Anticipated Enrollment :
708 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-label, Randomized, Phase 3 Study of MK-6482 in Combination With Lenvatinib (MK-7902) vs Cabozantinib in Participants With Advanced Renal Cell Carcinoma Who Have Progressed After Prior Anti-PD-1/L1 Therapy
Actual Study Start Date :
Feb 25, 2021
Anticipated Primary Completion Date :
Dec 23, 2024
Anticipated Study Completion Date :
Dec 23, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Belzutifan + Lenvatinib

Belzutifan 120 mg and lenvatinib 20 mg orally once a day

Drug: Belzutifan
Immediate-release 40 mg tablet
Other Names:
  • PT2977
  • MK-6482
  • WELIREG™
  • Drug: Lenvatinib
    Capsule available in 4 mg and 10 mg dosages
    Other Names:
  • Lenvima
  • E7080
  • MK-7902
  • Active Comparator: Cabozantinib

    Cabozantinib 60 mg orally once a day

    Drug: Cabozantinib
    Tablet available in 20 mg, 40 mg and 60 mg dosages
    Other Names:
  • Cabometyx
  • Cometriq
  • XL184
  • BMS-907351
  • Outcome Measures

    Primary Outcome Measures

    1. Progression-Free Survival (PFS) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) [Up to approximately 34 months]

      PFS is defined as the time from randomization to the first documented progressive disease (PD) or death due to any cause, whichever occurs first. Per RECIST 1.1, PD is defined as ≥20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of ≥5 mm. The appearance of one or more new lesions is also considered PD. PFS as assessed by blinded independent central review will be presented.

    2. Overall Survival (OS) [Up to approximately 44 months]

      OS is defined as time from randomization to death due to any cause.

    Secondary Outcome Measures

    1. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) [Up to approximately 24 months]

      ORR is defined as the percentage of participants who have a complete response (CR: Disappearance of all target lesions) or a partial response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1. The percentage of participants who experience a CR or PR as assessed by blinded independent central review based on RECIST 1.1 will be presented.

    2. Duration of Response (DOR) per Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1) as Assessed by Blinded Independent Central Review (BICR) [Up to approximately 44 months]

      For participants who demonstrate a confirmed complete response (CR: Disappearance of all target lesions) or confirmed partial response (PR: At least a 30% decrease in the sum of diameters of target lesions) per RECIST 1.1, DOR is defined as the time from first documented evidence of CR or PR until disease progression or death. The DOR as assessed by blinded independent central review will be presented.

    3. Number of Participants Who Experienced One or More Adverse Events (AEs) [Up to approximately 44 months]

      An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

    4. Number of Participants Who Discontinued Study Treatment Due to an Adverse Event (AE) [Up to approximately 44 months]

      An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a study intervention.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Unresectable, locally advanced or metastatic clear cell renal cell carcinoma (RCC).

    • Disease progression on or after an anti-programmed cell death-1/ligand 1 (PD-1/L1) therapy as either first or second-line treatment for locally advanced/metastatic RCC or as adjuvant treatment with progression on or within 6 months of last dose.

    • Measurable disease per RECIST 1.1 criteria as assessed by local study investigator.

    • Karnofsky performance status (KPS) score of at least 70% assessed within 10 days before randomization.

    • Received no more than 2 prior systemic regimens.

    • Received only 1 prior antiPD-1/L1 therapy for adjuvant or locally advanced/metastatic RCC.

    • A male participant is eligible to participate if he is abstinent from heterosexual intercourse or agrees to use contraception during the intervention period and for at least 7 days after the last dose of belzutifan or lenvatinib in the belzutifan+lenvatinib arm, whichever occurs last, and 23 days after the last dose of cabozantinib.

    • A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least 1 of the following conditions applies: Not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow the contraceptive guidance during the intervention period and for at least 30 days after the last dose of study intervention in the belzutifan+ lenvatinib arm, or 120 days after the last dose of study intervention in the cabozantinib arm.

    • Adequately controlled blood pressure.

    • Adequate organ function.

    Exclusion Criteria:
    • A pulse oximeter reading <92% at rest, requires intermittent supplemental oxygen, or requires chronic supplemental oxygen.

    • Known additional malignancy that is progressing or has required active treatment within the past 3 years except for basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or carcinoma in situ (eg, breast carcinoma, cervical cancer in situ) that have undergone potentially curative therapy.

    • Known central nervous system (CNS) metastases and/or carcinomatous meningitis.

    • Clinically significant cardiac disease within 6 months of first dose of study intervention.

    • Prolongation of QTc interval to >480 ms.

    • Symptomatic pleural effusion (e.g.,cough, dyspnea, pleuritic chest pain) that is not clinically stable.

    • Pre-existing ≥Grade 3 gastrointestinal or nongastrointestinal fistula.

    • Moderate to severe hepatic impairment.

    • History of significant bleeding within 3 months before randomization.

    • History of solid organ transplantation.

    • Known psychiatric or substance abuse disorder that would interfere with cooperation with the requirements of the study.

    • Unable to swallow orally administered medication or has a gastrointestinal disorder affecting absorption (e.g., gastrectomy, partial bowel obstruction, malabsorption).

    • Known hypersensitivity or allergy to the active pharmaceutical ingredients or any component of the study intervention formulations.

    • Received colony-stimulating factors [eg, granulocyte colony-stimulating factor (G-CSF), granulocyte macrophage colony-stimulating factor (GMCSF) or recombinant erythropoietin (EPO)] within 28 days before randomization.

    • Prior treatment with belzutifan or another hypoxia-inducible factor (HIF)-2α inhibitor.

    • Prior treatment with lenvatinib.

    • Prior treatment with cabozantinib.

    • Currently participating in a study of an investigational agent or using an investigational device.

    • Active infection requiring systemic therapy.

    • History of human immunodeficiency virus (HIV) infection.

    • History of hepatitis B or known active hepatitis C infection.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Ironwood Cancer & Research Centers ( Site 0077) Chandler Arizona United States 85224
    2 Cedars Sinai Medical Center ( Site 0027) Los Angeles California United States 90048
    3 UCLA Hematology/Oncology - Santa Monica ( Site 0048) Los Angeles California United States 90404
    4 St. Joseph Hospital-The Center for Cancer Prevention and Treatment ( Site 0095) Orange California United States 92868
    5 UC Irvine Health ( Site 0029) Orange California United States 92868
    6 Providence Saint John's Health Center ( Site 0083) Santa Monica California United States 90404
    7 Georgetown University Medical Center ( Site 0006) Washington District of Columbia United States 20007
    8 AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlando ( Site 0003) Orlando Florida United States 32804
    9 Orlando Health, Inc. ( Site 0035) Orlando Florida United States 32806
    10 University Cancer & Blood Center, LLC ( Site 0057) Athens Georgia United States 30607
    11 Emory University Hospital ( Site 0012) Atlanta Georgia United States 30322
    12 Rush University Medical Center ( Site 0040) Chicago Illinois United States 60612
    13 Illinois Cancer Care, PC ( Site 0008) Peoria Illinois United States 61615
    14 Parkview Cancer Institute ( Site 0088) Fort Wayne Indiana United States 46845
    15 Norton Cancer Institute - St. Matthews ( Site 0065) Louisville Kentucky United States 40207
    16 Tulane University School of Medicine ( Site 0098) New Orleans Louisiana United States 70112
    17 Lahey Hospital & Medical Center ( Site 0090) Burlington Massachusetts United States 01805
    18 Cancer & Hematology Centers of Western Michigan ( Site 0018) Grand Rapids Michigan United States 49503
    19 HealthPartners Cancer Research Center-HealthPartners Frauenshuh Cancer Center ( Site 0005) Saint Louis Park Minnesota United States 55426
    20 University of Mississippi Medical Ctr ( Site 0037) Jackson Mississippi United States 39213
    21 Cancer Partners of Nebraska ( Site 0086) Lincoln Nebraska United States 68510
    22 Rutgers Cancer Institute of New Jersey ( Site 0078) New Brunswick New Jersey United States 08903
    23 Northwell Health- Monter Cancer Center ( Site 0013) Lake Success New York United States 11042
    24 Memorial Sloan Kettering Cancer Center ( Site 0055) New York New York United States 10065
    25 Levine Cancer Institute ( Site 0004) Charlotte North Carolina United States 28204
    26 Lehigh Valley Hospital- Cedar Crest-Oncology Clinical Trials ( Site 0056) Allentown Pennsylvania United States 18103
    27 University of Texas, Southwestern Medical Center ( Site 0015) Dallas Texas United States 75390
    28 University of Vermont Medical Center ( Site 0001) Burlington Vermont United States 05401
    29 Blue Ridge Cancer Care - Roanoke ( Site 0043) Roanoke Virginia United States 24014
    30 Seattle Cancer Care Alliance-Renal/Melanoma/MCC ( Site 0093) Seattle Washington United States 98109
    31 Confluence Health | Wenatchee Valley Hospital & Clinics ( Site 0061) Wenatchee Washington United States 98801
    32 GenesisCare North Shore ( Site 4011) St Leonards New South Wales Australia 2065
    33 Lyell McEwin Hospital ( Site 4004) Elizabeth Vale South Australia Australia 5112
    34 Peninsula Health Frankston Hospital ( Site 4001) Frankston Victoria Australia 3199
    35 Peter MacCallum Cancer Centre ( Site 4010) Melbourne Victoria Australia 3000
    36 Ordensklinikum Linz GmbH Elisabethinen-Urologie ( Site 1001) Linz Oberosterreich Austria 4020
    37 Medizinische Universitätsklinik Graz ( Site 1051) Graz Steiermark Austria 8036
    38 Klinik Ottakring-1.Medizinische Abteilung - Zentrum für Onkologie und Hämatologie ( Site 1031) Vienna Wien Austria 1160
    39 Krankenhaus der Barmherzigen Brüder Wien ( Site 1041) Wien Austria 1020
    40 Medizinische Universität Wien ( Site 1021) Wien Austria 1090
    41 Institut Jules Bordet ( Site 1103) Anderlecht Bruxelles-Capitale, Region De Belgium 1070
    42 Grand Hopital de Charleroi ( Site 1104) Charleroi Hainaut Belgium 6000
    43 UZ Gent ( Site 1100) Gent Oost-Vlaanderen Belgium 9000
    44 UZ Leuven ( Site 1101) Leuven Vlaams-Brabant Belgium 3000
    45 CHU de Liege ( Site 1102) Liege Belgium 4000
    46 Liga Norte Riograndense Contra o Cancer ( Site 0313) Natal Rio Grande Do Norte Brazil 59151600
    47 Centro Gaucho Integrado de Oncologia ( Site 0304) Porto Alegre Rio Grande Do Sul Brazil 90110-270
    48 Real e Benemerita Associacao Portuguesa de Beneficencia ( Site 0311) Sao Paulo Brazil 01323-900
    49 CISSS de la Monteregie-Centre ( Site 0103) Greenfield Park Quebec Canada J4V 2H1
    50 Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0 Quebec City Quebec Canada G1J 1Z4
    51 CIUSSS de l Estrie - CHUS - Centre Hosp. Univ. Sherbrooke ( Site 0102) Sherbrooke Quebec Canada J1H 5N4
    52 Bradfordhill-Clinical Area ( Site 0400) Santiago Region M. De Santiago Chile 8420383
    53 Clínica Vida Fundación - Sede Poblado ( Site 0505) Medellin Antioquia Colombia 050030
    54 Sociedad De Oncologia Y Hematologia Del Cesar-Oncology ( Site 0508) Valledupar Cesar Colombia 200001
    55 Instituto Nacional de Cancerología-Clinical Oncology ( Site 0500) Bogotá Cundinamarca Colombia 111511
    56 Fundación Cardiovascular de Colombia ( Site 0501) Piedecuesta Santander Colombia 681017
    57 Tampereen yliopistollinen sairaala ( Site 1801) Tampere Pirkanmaa Finland 33520
    58 HYKS ( Site 1800) Helsinki Uusimaa Finland 00290
    59 TYKS ( Site 1802) Turku Varsinais-Suomi Finland 20520
    60 Institut Jean Godinot ( Site 1216) Reims Ain France 51726
    61 Centre Antoine Lacassagne ( Site 1217) Nice Alpes-Maritimes France 06189
    62 CHU de Bordeaux- Hopital Saint Andre ( Site 1209) Bordeaux Gironde France 33075
    63 Institut Claudius Regaud ( Site 1215) Toulouse Haute-Garonne France 31059
    64 Clinique Francois Chenieux ( Site 1210) Limoges Haute-Vienne France 87039
    65 Institut de Cancerologie de l Ouest Centre Rene Gauducheau ( Site 1201) Saint Herblain Loire-Atlantique France 44805
    66 Institut de Cancerologie de l Ouest Site Paul Papin ( Site 1200) Angers Maine-et-Loire France 49055
    67 Hopital Tenon ( Site 1213) Paris France 75020
    68 Klinik fuer Urologie ( Site 1303) Freiburg Baden-Wurttemberg Germany 79106
    69 NCT-Department of Medical Oncology ( Site 1320) Heidelberg Baden-Wurttemberg Germany 69120
    70 Klinikum Nuernberg Nord ( Site 1300) Nuremberg Bayern Germany 90419
    71 Universitaetsklinikum Frankfurt ( Site 1301) Frankfurt am Main Hessen Germany 60590
    72 Universitaetsklinikum Aachen AOER ( Site 1317) Aachen Nordrhein-Westfalen Germany 52074
    73 Krankenhaus Martha Maria Halle-Doelau ( Site 1314) Halle Sachsen-Anhalt Germany 06120
    74 Helios Klinikum Erfurt GmbH ( Site 1315) Erfurt Thuringen Germany 99089
    75 Charite Universitaetsmedizin Berlin ( Site 1321) Berlin Germany 10117
    76 HELIOS Klinikum Berlin-Buch ( Site 1311) Berlin Germany 13125
    77 Mater Misericordiae University Hospital ( Site 3201) Dublin 7 Dublin Ireland D07 A8NN
    78 Mater Private Hospital - Dublin ( Site 3202) Dublin Ireland D07 R2WY
    79 Tallaght University Hospital ( Site 3200) Dublin Ireland Dublin24
    80 Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori ( Site 1407) Meldola Forli-Cesena Italy 47014
    81 Istituto Clinico Humanitas Research Hospital ( Site 1406) Rozzano Milano Italy 20089
    82 Ospedale San Luigi Gonzaga ( Site 1405) Orbassano Torino Italy 10043
    83 Medical Oncology Ospedale San Donato ( Site 1404) Arezzo Italy 52100
    84 Azienda Ospedaliera Policlinico di Bari ( Site 1402) Bari Italy 70124
    85 IRCCS Ospedale San Raffaele ( Site 1409) Milano Italy 20132
    86 Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1400) Milano Italy 20133
    87 Istituti Clinici Scientifici Maugeri Spa ( Site 1403) Pavia Italy 27100
    88 Fondazione Policlinico Universitario Agostino Gemelli-Medical Oncology ( Site 1410) Roma Italy 00168
    89 Azienda Ospedaliera S. Maria di Terni ( Site 1401) Terni Italy 05100
    90 Ospedale Maggiore Borgo Trento ( Site 1408) Verona Italy 37126
    91 Fujita Health University ( Site 5003) Toyoake Aichi Japan 470-1192
    92 National Cancer Center Hospital East ( Site 5000) Kashiwa Chiba Japan 2778577
    93 Sapporo Medical University Hospital ( Site 5008) Sapporo Hokkaido Japan 060-8543
    94 Yokohama City University Hospital ( Site 5007) Yokohama Kanagawa Japan 236-0004
    95 Nara Medical University Hospital ( Site 5002) Kashihara Nara Japan 634-8522
    96 Kindai University Hospital- Osakasayama Campus-Urology ( Site 5010) Osakasayama Osaka Japan 589-8511
    97 Osaka University Hospital ( Site 5012) Suita Osaka Japan 565-0871
    98 Hamamatsu University School of Medicine University Hospital ( Site 5004) Hamamatsu Shizuoka Japan 431-3192
    99 Tokyo Medical And Dental University Medical Hospital ( Site 5009) Bunkyo-ku Tokyo Japan 113-8510
    100 Toranomon Hospital ( Site 5001) Minato-ku Tokyo Japan 105-8470
    101 Kyushu University Hospital ( Site 5005) Fukuoka Japan 812-8582
    102 Nippon Medical School Hospital ( Site 5006) Tokyo Japan 113-8603
    103 Keio university hospital ( Site 5011) Tokyo Japan 160-8582
    104 Chonnam National University Hwasun Hospital-Oncology ( Site 4203) Hwasun Jeonranamdo Korea, Republic of 58128
    105 Samsung Medical Center ( Site 4201) Seoul Korea, Republic of 06351
    106 Medisch Centrum Leeuwarden ( Site 1905) Leeuwarden Fryslan Netherlands 8934 AD
    107 Zuyderland Medical Centre-Trialbureau Interne Geneeskunde ( Site 1904) Sittard-Geleen Limburg Netherlands 6162 BG
    108 Amphia Hospital Location Molengracht ( Site 1912) Breda Noord-Brabant Netherlands 4818 CK
    109 Antoni van Leeuwenhoek Ziekenhuis ( Site 1901) Amsterdam Noord-Holland Netherlands 1066 CX
    110 Erasmus MC ( Site 1913) Rotterdam Zuid-Holland Netherlands 3015 GD
    111 Universitair Medisch Centrum Utrecht ( Site 1910) Utrecht Netherlands 3584 CX
    112 Centrum Onkologii im. Prof. Franciszka Lukaszczyka ( Site 2402) Bydgoszcz Kujawsko-pomorskie Poland 85-796
    113 Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - O-Klinika Onkologii Klinicznej ( Site 240 Krakow Malopolskie Poland 31-115
    114 Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie ( Site 2400) Warszawa Mazowieckie Poland 02-781
    115 Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego ( Site 2401) Poznan Wielkopolskie Poland 60-569
    116 Ivanovo Regional Oncology Dispensary ( Site 2616) Ivanovo Ivanovskaya Oblast Russian Federation 153040
    117 MEDSI Clinical Hospital on Pyatnitsky Highway-Departmentof Antitumor Drug therapy ( Site 2618) Krasnogorsk Moskovskaya Oblast Russian Federation 143442
    118 Hadassah Medical-Oncology department ( Site 2609) Moscow Moskovskaya Oblast Russian Federation 121205
    119 FSBI United Hospital with Polyclinic ( Site 2613) Moscow Moskva Russian Federation 119285
    120 SHI of Moscow City Oncology Clinical Hospital - 62 ( Site 2614) Moscow Moskva Russian Federation 125130
    121 Volgograd Regional Uronephrological Center ( Site 2615) Volzhsky Volgogradskaya Oblast Russian Federation 404120
    122 Yaroslavl Regional Cancer Hospital-Oncology ( Site 2619) Yaroslavl Yaroslavskaya Oblast Russian Federation 150054
    123 Complejo Hospitalario Universitario A Coruna ( Site 1502) A Coruna La Coruna Spain 15006
    124 Hospital Universitario 12 de Octubre-Medical Oncology ( Site 1508) Madrid Madrid, Comunidad De Spain 28041
    125 Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1507) Barcelona Spain 08035
    126 Hospital Clinic i Provincial ( Site 1500) Barcelona Spain 08036
    127 Hospital Santa Creu i Sant Pau ( Site 1501) Barcelona Spain 08041
    128 Hospital General Universitario Gregorio Maranon ( Site 1505) Madrid Spain 28009
    129 Hospital Clinico San Carlos ( Site 1504) Madrid Spain 28040
    130 Hospital Virgen del Rocio ( Site 1503) Sevilla Spain 41013
    131 Hopitaux Universitaires de Geneve HUG ( Site 1602) Geneva Geneve Switzerland 1211
    132 Kantonsspital Graubuenden ( Site 1600) Chur Grisons Switzerland 7000
    133 Istituto Oncologica della Svizzera Italiana (IOSI) ( Site 1604) Bellinzona Ticino Switzerland 6500
    134 Universitaetsspital Zuerich ( Site 1601) Zuerich Zurich Switzerland 8091
    135 Aberdeen Royal Infirmary-Department of Oncology ( Site 3105) Aberdeen Aberdeen City United Kingdom AB25 2ZN
    136 Nottingham University Hospitals NHS Trust. City Hospital Campus ( Site 3106) Nottingham England United Kingdom ng5 1pb
    137 Imperial Healthcare NHS Trust Charing Cross Hospital ( Site 3107) London London, City Of United Kingdom W6 8RF
    138 Mount Vernon Cancer Centre ( Site 3101) Northwood London, City Of United Kingdom HA6 2RN
    139 Singleton Hospital ( Site 3111) Swansea Wales United Kingdom SA2 8QA

    Sponsors and Collaborators

    • Merck Sharp & Dohme LLC
    • Eisai Inc.

    Investigators

    • Study Director: Medical Director, Merck Sharp & Dohme LLC

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Merck Sharp & Dohme LLC
    ClinicalTrials.gov Identifier:
    NCT04586231
    Other Study ID Numbers:
    • 6482-011
    • MK-6482-011
    • jRCT2031210311
    • 2020-002075-35
    First Posted:
    Oct 14, 2020
    Last Update Posted:
    Aug 12, 2022
    Last Verified:
    Aug 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    Yes
    Plan to Share IPD:
    Yes
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Aug 12, 2022