Safety and Efficacy of Eltrombopag at Escalated Doses

Sponsor
Weill Medical College of Cornell University (Other)
Overall Status
Completed
CT.gov ID
NCT01880047
Collaborator
Novartis (Industry)
35
1
2
56.4
0.6

Study Details

Study Description

Brief Summary

Study rationale is based on the data that in previous clinical studies of eltrombopag in ITP there are some patients who have been reported as non responders at the maximal approved dose of 75 mg daily. The trend in both normal volunteers and in patients with ITP suggest and increasing response rate with increased doses of eltrombopag up to a dose of 75mg. Previously published data has shown no overt increase in toxicity in normal volunteers, oncology patients and aplastic anemia patients treated with escalated doses as high or higher than those proposed in this study.

It therefore seems possible that in ITP patients who did not respond to a dose of 75mg daily, eltrombopag could be more effective at a higher dose. We propose a double blind randomized controlled trial in ITP patients who have been defined as non-responders at the maximum dose (75mg) of eltrombopag, assessing efficacy and toxicity at higher daily doses (100mg, 125 mg, 150 mg)

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

Preliminary data in pediatric patients (who seem to metabolize eltrombopag differently especially at younger ages) find that in the middle and lowest age cohort, even doses of 75 mg were often insufficient to obtain a response.

Altogether, this data suggest both that a higher dose in ITP may be more efficacious in increasing the platelet count and that there is no overt increase in toxicity in normal volunteers, oncology patients and aplastic anemia patients treated with doses as high or higher than those proposed in this study.

Double-blind, randomized, placebo-controlled trial in subjects with ITP who are 'non-responders' at the maximum package insert dose (75mg) of eltrombopag; non-responders are those with platelet counts < 50,000 despite taking 75 mg/day of eltrombopag for at least 3 weeks.

Study Design (First part): 8 Weeks

Subjects will be randomly allocated in a two to one ratio to receive treatment or placebo. All subjects in the study will receive 75 mg eltrombopag and then be randomized to receive either an additional 25 mg of eltrombopag or matching placebo tablet dispensed by the research pharmacy. Subjects and investigators will be blinded to randomization. Randomization will be stratified according to splenectomy status. Randomization will be performed at the time of informed consent with a computer generated randomization table. Subjects and investigators will be blinded to assignment and treatment in this phase. Eltrombopag will be administered for 8 weeks or until the platelet count exceeds 100,000; at this point dosing will stop, subject will be considered a responder and the subject will eligible for entering Part 2 (the long term treatment part of the study) if desired and agreed to be appropriate by the subject giving consent, and the treating physician. The dose at which the subject achieved the primary endpoint (> 50,000 and increase by > 20,000) will be considered the dose of response. Even if a patient achieves a response, if the platelet counts remains < 100,000, then the dose escalation schema in the figure above will continue.

Dose escalation will continue, despite satisfaction of the primary endpoint of study (> 50,000 and > 20,000 above baseline), unless the platelet count reaches 100,000. The rationale for this approach is to maximize clinically relevant responses for the subjects and standardize data for analysis. Subjects will stop study medication if the platelet count is within the normal range, thereby minimizing any safety risk associated with elevated platelet count. By continuing to dose escalate subjects until the platelet count is > 100,000, the maximum response and correlation of dose will be tracked allowing better understanding of sustained response and dose-dependent response, which can be applied to future consideration dosage for periods of short-term hemostasis ( i.e surgical procedures). The 8 weeks of data collected in enrolled subjects on the standardized protocol will have the balance of consistency of dosage and unequivocality of response while maintaining subject safety.

Enrollment will be stratified to address concerns regarding the inclusion of pediatric subjects. Enrollment will begin with adult subjects ≥ 18 years of age, until there is safety information available for review from at least three adult patients who received active therapy for 8 weeks with exposure to the maximal proposed dose of 150 mg. After review of this unblinded safety information by independent Data Safety Monitoring Officer (DMSO) we will allow pediatric patients 12-18 years of age to enroll on the protocol.

Long Term Treatment Extension (Part 2): (18 months)

After 8 weeks or once dosing is stopped because the platelet count is > 100,000, the subject will be unblinded, once the data forms are complete with the assistance of the research pharmacy.

Subjects who received and responded to eltrombopag higher dose treatment will have the option to continue therapy with periodic monitoring and ongoing dose adjustment.

Subject who had a platelet count > 100,000 can enter Part 2 at the dose at which the subject met primary response criteria after the platelet count decreases to < 100,000/uL (microliters) on serial monitoring in the immediate post-study monitoring period.

Subjects randomized to the placebo group who did not respond will have the opportunity to receive open label escalated dose eltrombopag over 8 weeks following the study protocol as if they had been randomized to active drug in the study. This group will provide the "confirmatory group" to see if the rate of response in the randomized group can be confirmed in this group.

Consent will be obtained for additional monitoring with bone marrow aspirate and biopsy at 1 year and additional ophthalmologic examinations at 6 months and 18 months.

The trial will have an 80% statistical power at the 5% level of significance (two sided) to detect a difference in the proportion of subjects receiving increased dose of eltrombopag with a primary response (2 consecutive platelet counts of > 50,000 and an increase of > 20,000 from the study baseline with in the 8 week increased dose window not as a result of rescue treatment ) to subjects without a primary response in the placebo group assuming 50% of subjects randomized to active drug will have a response and 5% of subjects randomized to placebo would have a response. However an interim analysis would be performed after 18 subjects to test for futility and efficacy and also to re-estimate sample size. If neither futility or efficacy are met the trial would continue to enroll. Based on the observed treatment effect at the interim analysis the sample size would be allowed to expand to up to 60 subjects.

Dose modification will be made on the basis of individual platelet response as detailed below to a maximal dose of 150mg.

Study Design

Study Type:
Interventional
Actual Enrollment :
35 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Safety and Efficacy of Eltrombopag at Escalated Doses up to 150mg in Patients With Persistent and Chronic Immune Thrombocytopenia (ITP) Not Responsive to 75 mg
Actual Study Start Date :
Feb 1, 2013
Actual Primary Completion Date :
Feb 15, 2017
Actual Study Completion Date :
Oct 16, 2017

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Eltrombopag

Subjects in the study will receive 75 mg eltrombopag and then be randomized to receive either an additional 25 mg of eltrombopag or matching placebo tablet dispensed by the research pharmacy. Subjects and investigators will be blinded to randomization. Randomization will be stratified according to splenectomy status. Randomization will be performed at the time of informed consent with a computer generated randomization table. Subjects and investigators will be blinded to assignment and treatment in this phase.

Drug: Eltrombopag
Eltrombopag will be administered for 8 weeks or until the platelet count exceeds 150,000; at this point dosing will stop, subject will be considered a responder and the subject will eligible for entering Part 2 (the long term treatment part of the study. The dose at which the subject achieved the primary endpoint (> 50,000 and increase by > 20,000) will be considered the dose of response. Dose escalation will continue, despite satisfaction of the primary endpoint of study (> 50,000 and > 20,000 above baseline), unless the platelet count reaches the lower limit of normal range 150,000. Subjects will stop study medication if the platelet count is within the normal range, thereby minimizing any safety risk associated with elevated platelet count.
Other Names:
  • SB-497115-GR
  • Promacta
  • Placebo Comparator: Placebo

    Subjects will be randomly allocated in a two to one ratio to receive treatment or placebo. All subjects in the study will receive 75 mg eltrombopag and then be randomized to receive either an additional 25 mg of eltrombopag or matching placebo tablet dispensed by the research pharmacy. Subjects and investigators will be blinded to randomization. Randomization will be stratified according to splenectomy status.

    Drug: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. Number of Patients Responding to >75mg Daily as Defined by a Rise in Platelet Count by 20,000/Microliter, With a Total Platelet Count >50,000/Microliter, ON TWO CONSECUTIVE OCCASIONS During the 8 Week Period [8 weeks]

      To determine if patients with chronic ITP who do not respond to 75 mg of eltrombopag daily given for at least 3 weeks but then do respond to eltrombopag given daily first for 2 weeks at doses of 100, then for 2 weeks at 125 mg and finally for 4 weeks at a dose of 150mg daily. Response will be defined as 2 consecutive platelet counts of > 50,000 with an increase of > 20,000 from the study baseline within the 8 week increased dose window not as a result of rescue treatment.

    Secondary Outcome Measures

    1. Number of Particiapants With Drug Related Adverse Events [8 weeks]

      Monitoring for AEs, SAEs, abnormalities in liver or kidney function, thrombotic complications, hematologic malignancies, parameters suggesting bone marrow fibrosis (a bone marrow may be done at the discretion of the investigator), cataracts.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    12 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Subject or their parent/ guardian has signed and dated a written informed consent

    • Male and Females aged 12 years or older diagnosed with chronic ITP according to the new consensus guidelines

    • No indication of a disease which may cause thrombocytopenia other than ITP----no specific testing required

    • Subjects with thrombocytopenia ≤ 50,000 /uL after at least 21 days of daily dosage with eltrombopag 75mg

    • Stable dosage of concomitant treatments for ITP

    ≥ 2 weeks or longer (corticosteroids);

    • At least 2 weeks from rescue therapy for ITP (WinRho, Intravenous Immunoglobulin (IVIG), corticosteroids, platelet transfusion)

    • At least 4 weeks from rituximab treatment

    • Pregnant or Lactating Women are excluded

    • Women of child-bearing age with a negative pregnancy test within 7 days of enrollment and who agree to use acceptable methods of birth control will be eligible for this study

    • Female subjects or female partners of male subjects must either be of non-child bearing potential (hysterectomy, bilateral ovariectomy, bilateral tubal ligation or post menopausal for more than one year) OR, if of child bearing potential, using one of the following highly effective methods of contraception.

    • complete abstinence from intercourse

    • Intrauterine device (IUD)

    • Two forms of barrier contraception. diaphragm plus spermicide, or for males condoms plus spermicide.

    • Male partner is sterile and is the only partner of the female.

    • Systemic contraceptives (combined oral progesterone only)

    Exclusion Criteria:
    • Previous history of eltrombopag-related liver function test (LFT) elevation that required interruption of treatment

    • Previous history of immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to eltrombopag

    • HIV Infection

    • History of Arterial of Venous Thrombosis within the past year or requiring ongoing therapy

    • Active Hepatitis C infection

    • Treatment with medications that affect platelet function ( including but not limited to Aspirin, Clopidogrel and /or NSAIDs) or anti-coagulant medications

    • Elevated Aspartate Aminotransferase(AST/ALT) or Creatinine > 1.5 times upper limit of normal in 4 weeks prior to enrollment*

    • Abnormalities in white blood cell count (WBC), automatic neutrophil count (ANC), and Hemoglobin > 1.5 times upper or lower limit of normal*

      • Subjects can be rescreened to be included

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Weill Cornell Medicine New York New York United States 10065

    Sponsors and Collaborators

    • Weill Medical College of Cornell University
    • Novartis

    Investigators

    • Principal Investigator: Sujit Sheth, M.D., Weill Medical College of Cornell University

    Study Documents (Full-Text)

    More Information

    Publications

    None provided.
    Responsible Party:
    Weill Medical College of Cornell University
    ClinicalTrials.gov Identifier:
    NCT01880047
    Other Study ID Numbers:
    • 116862
    First Posted:
    Jun 18, 2013
    Last Update Posted:
    Jun 11, 2019
    Last Verified:
    May 1, 2019
    Individual Participant Data (IPD) Sharing Statement:
    Undecided
    Plan to Share IPD:
    Undecided
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Weill Medical College of Cornell University
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail One splenectomized subject was removed from the study because of increased bone marrow reticulin, prior to receiving any study drug
    Arm/Group Title Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo
    Arm/Group Description Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks
    Period Title: Weeks 0-2
    STARTED 17 9 5 3
    COMPLETED 17 8 4 2
    NOT COMPLETED 0 1 1 1
    Period Title: Weeks 0-2
    STARTED 17 8 4 2
    COMPLETED 17 7 4 2
    NOT COMPLETED 0 1 0 0
    Period Title: Weeks 0-2
    STARTED 17 7 4 2
    COMPLETED 15 6 4 2
    NOT COMPLETED 2 1 0 0
    Period Title: Weeks 0-2
    STARTED 15 6 4 2
    COMPLETED 6 3 3 0
    NOT COMPLETED 9 3 1 2

    Baseline Characteristics

    Arm/Group Title Non-splenectomized Active Drug Non-splenectomized Placebo Splectomized on Active Drug Splectomized on Placebo Total
    Arm/Group Description Includes patients on active drug who have not been splenectomized Includes patients on placebo who have not been splenectomized Includes patients on active drug who have been splenectomized Includes patients on placebo who have been splenectomized Total of all reporting groups
    Overall Participants 17 9 5 3 34
    Age (Count of Participants)
    <=18 years
    8
    47.1%
    5
    55.6%
    0
    0%
    0
    0%
    13
    38.2%
    Between 18 and 65 years
    8
    47.1%
    1
    11.1%
    3
    60%
    3
    100%
    15
    44.1%
    >=65 years
    1
    5.9%
    3
    33.3%
    2
    40%
    0
    0%
    6
    17.6%
    Sex: Female, Male (Count of Participants)
    Female
    6
    35.3%
    6
    66.7%
    3
    60%
    3
    100%
    18
    52.9%
    Male
    11
    64.7%
    3
    33.3%
    2
    40%
    0
    0%
    16
    47.1%
    Race and Ethnicity Not Collected (Count of Participants)
    Count of Participants [Participants]
    0
    0%
    Region of Enrollment (participants) [Number]
    United States
    17
    100%
    9
    100%
    5
    100%
    3
    100%
    34
    100%

    Outcome Measures

    1. Primary Outcome
    Title Number of Patients Responding to >75mg Daily as Defined by a Rise in Platelet Count by 20,000/Microliter, With a Total Platelet Count >50,000/Microliter, ON TWO CONSECUTIVE OCCASIONS During the 8 Week Period
    Description To determine if patients with chronic ITP who do not respond to 75 mg of eltrombopag daily given for at least 3 weeks but then do respond to eltrombopag given daily first for 2 weeks at doses of 100, then for 2 weeks at 125 mg and finally for 4 weeks at a dose of 150mg daily. Response will be defined as 2 consecutive platelet counts of > 50,000 with an increase of > 20,000 from the study baseline within the 8 week increased dose window not as a result of rescue treatment.
    Time Frame 8 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo
    Arm/Group Description Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks
    Measure Participants 15 6 4 2
    Count of Participants [Participants]
    10
    58.8%
    3
    33.3%
    1
    20%
    1
    33.3%
    2. Secondary Outcome
    Title Number of Particiapants With Drug Related Adverse Events
    Description Monitoring for AEs, SAEs, abnormalities in liver or kidney function, thrombotic complications, hematologic malignancies, parameters suggesting bone marrow fibrosis (a bone marrow may be done at the discretion of the investigator), cataracts.
    Time Frame 8 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo
    Arm/Group Description Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks
    Measure Participants 15 6 4 2
    Count of Participants [Participants]
    1
    5.9%
    0
    0%
    0
    0%
    0
    0%

    Adverse Events

    Time Frame Data were collected over the 8 week primary study period
    Adverse Event Reporting Description Monitoring for AEs, SAEs, abnormalities in liver or kidney function, thrombotic complications, hematologic malignancies, parameters suggesting bone marrow fibrosis (a bone marrow may be done at the discretion of the investigator), cataracts.
    Arm/Group Title Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo Eltrombopag 100 mg Eltombopag 125 Eltombopag 150 Placebo 100 Placebo 125 Placebo 150 Open Label Phase
    Arm/Group Description Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks Subjects randomized to this group were treated with 100 mg daily eltrombopag for 2 weeks, then escalated to 125 mg daily for 2 weeks and then to 150 mg daily for 4 weeks Subjects randomized to this group were treated with 75 mg eltrombopag plus placebo for 8 weeks This group includes subjects on active drug (splenectomized and no-splenectomized who had adverse events at the 100 mg dose This group includes subjects on active drug (splenectomized and no-splenectomized who had adverse events at the 125 mg dose This group includes subjects on active drug (splenectomized and no-splenectomized who had adverse events at the 150 mg dose This group includes subjects on placebo (splenectomized and no-splenectomized who had adverse events at the 100 mg dose This group includes subjects on placebo (splenectomized and no-splenectomized who had adverse events at the 125 mg dose This group includes subjects on placebo (splenectomized and no-splenectomized who had adverse events at the 150 mg dose Subjects included are those who were on placebo and those who were on eltrombopag, all at 150 mg dose
    All Cause Mortality
    Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo Eltrombopag 100 mg Eltombopag 125 Eltombopag 150 Placebo 100 Placebo 125 Placebo 150 Open Label Phase
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/17 (0%) 0/9 (0%) 0/5 (0%) 0/3 (0%) 0/22 (0%) 0/21 (0%) 0/19 (0%) 0/11 (0%) 0/10 (0%) 0/8 (0%) 0/27 (0%)
    Serious Adverse Events
    Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo Eltrombopag 100 mg Eltombopag 125 Eltombopag 150 Placebo 100 Placebo 125 Placebo 150 Open Label Phase
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 1/17 (5.9%) 1/9 (11.1%) 0/5 (0%) 0/3 (0%) 1/22 (4.5%) 1/21 (4.8%) 1/19 (5.3%) 0/11 (0%) 0/10 (0%) 0/8 (0%) 0/27 (0%)
    Gastrointestinal disorders
    Rectal Prolapse 0/17 (0%) 1/9 (11.1%) 0/5 (0%) 0/3 (0%) 0/22 (0%) 1/21 (4.8%) 1/19 (5.3%) 0/11 (0%) 0/10 (0%) 0/8 (0%) 0/27 (0%)
    Hepatobiliary disorders
    Increased liver enzymes >3 times ULN 1/17 (5.9%) 0/9 (0%) 0/5 (0%) 0/3 (0%) 1/22 (4.5%) 0/21 (0%) 0/19 (0%) 0/11 (0%) 0/10 (0%) 0/8 (0%) 0/27 (0%)
    Other (Not Including Serious) Adverse Events
    Non-Splenectomized Eltrombopag Non-Splenectomized Placebo Splenectomized Eltrombopag Splenectomized Placebo Eltrombopag 100 mg Eltombopag 125 Eltombopag 150 Placebo 100 Placebo 125 Placebo 150 Open Label Phase
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 13/17 (76.5%) 5/9 (55.6%) 1/5 (20%) 1/3 (33.3%) 4/22 (18.2%) 5/21 (23.8%) 12/19 (63.2%) 2/11 (18.2%) 5/10 (50%) 6/8 (75%) 22/27 (81.5%)
    Blood and lymphatic system disorders
    Bleeding 2/17 (11.8%) 3 2/9 (22.2%) 2 1/5 (20%) 2 0/3 (0%) 0 3/22 (13.6%) 5 2/21 (9.5%) 3 6/19 (31.6%) 8 2/11 (18.2%) 4 3/10 (30%) 3 4/8 (50%) 6 16/27 (59.3%) 22
    Hepatobiliary disorders
    Transaminitis 2/17 (11.8%) 2 1/9 (11.1%) 1 1/5 (20%) 1 1/3 (33.3%) 1 0/22 (0%) 0 2/21 (9.5%) 3 3/19 (15.8%) 3 0/11 (0%) 0 1/10 (10%) 1 1/8 (12.5%) 1 2/27 (7.4%) 3
    Infections and infestations
    Respiratory infection 10/17 (58.8%) 15 4/9 (44.4%) 7 1/5 (20%) 2 1/3 (33.3%) 1 1/22 (4.5%) 1 1/21 (4.8%) 1 3/19 (15.8%) 4 0/11 (0%) 0 1/10 (10%) 1 1/8 (12.5%) 1 4/27 (14.8%) 4

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    All Principal Investigators ARE employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Sujit Sheth
    Organization Weill Cornell Medicine
    Phone 2126463400
    Email shethsu@med.cornell.edu
    Responsible Party:
    Weill Medical College of Cornell University
    ClinicalTrials.gov Identifier:
    NCT01880047
    Other Study ID Numbers:
    • 116862
    First Posted:
    Jun 18, 2013
    Last Update Posted:
    Jun 11, 2019
    Last Verified:
    May 1, 2019