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Trial Title: A Clinical Study of V940 Treatment and Pembrolizumab in People With Bladder Cancer (V940-005/INTerpath-005)

NCT ID: NCT06305767

Condition: Bladder Cancer

Conditions: Official terms:
Urinary Bladder Neoplasms
Pembrolizumab

Conditions: Keywords:
Programmed Cell Death-1 (PD1, PD-1)
Programmed Cell Death 1 Ligand 1 (PDL1, PD-L1)
Programmed Cell Death 1 Ligand 2 (PDL2, PD-L2)

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: The Phase 2 Adjuvant Cohort is a placebo- and active-controlled, parallel-group, multicenter, double-blind safety and efficacy study of adjuvant V940 plus pembrolizumab versus adjuvant placebo plus pembrolizumab in participants with pathologic high-risk MIUC after radical resection. Eligible participants will be randomly assigned in a 1:1 ratio to receive treatment with either V940 plus pembrolizumab or placebo plus pembrolizumab. The Phase 1 Perioperative Cohort of this study has a single arm into which eligible participants are allocated. It will evaluate safety and preliminary efficacy of perioperative (neoadjuvant and adjuvant) V940 in combination with pembrolizumab plus EV for participants with muscle-invasive bladder cancer (MIBC).

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Masking description: The Phase 2 Adjuvant Cohort of study will be conducted as a double-blind study under in-house blinding procedures. V940 and placebo will be prepared and dispensed by unblinded pharmacists and administered in a blinded fashion by blinded personnel. The participants and the investigators who are involved in the study intervention administration will be unaware of the intervention assignments. The Phase 1 Perioperative Cohort will be conducted as an open-label study. Participants and investigators will be aware of the intervention assignments.

Intervention:

Intervention type: Biological
Intervention name: Pembrolizumab
Description: Administered via IV infusion at a dose of 400 mg on Day 1 of every 6-week cycle for up to 9 adjuvant cycles for Adjuvant Cohort participants, or at a dose of 200 mg on Day 1 of every 3-week cycle for up to 4 neoadjuvant cycles, and up to 13 adjuvant cycles for Perioperative Cohort participants.
Arm group label: Adjuvant Cohort: Pembrolizumab + Placebo
Arm group label: Adjuvant Cohort: Pembrolizumab + V940
Arm group label: Perioperative Cohort: Pembrolizumab + V940 + Enfortumab Vedotin (EV) and Surgery

Other name: MK-3475

Other name: Keytruda®

Intervention type: Biological
Intervention name: V940
Description: Administered via IM injection at a dose of 1 mg every 3 weeks for a total of up to 9 adjuvant doses for Adjuvant Cohort participants, or at a dose of 1 mg every 3 weeks for a total of up to 9 doses in the neoadjuvant and adjuvant periods for Perioperative Cohort participants.
Arm group label: Adjuvant Cohort: Pembrolizumab + V940
Arm group label: Perioperative Cohort: Pembrolizumab + V940 + Enfortumab Vedotin (EV) and Surgery

Intervention type: Other
Intervention name: Placebo
Description: V940 diluent only (saline and/or dextrose) administered via IM injection Q3W for up to 9 doses.
Arm group label: Adjuvant Cohort: Pembrolizumab + Placebo

Intervention type: Biological
Intervention name: Enfortumab Vedotin
Description: Administered via IV infusion at a dose of 1.25 mg/kg on Day 1 and Day 8 of every 3-week cycle for up to 4 neoadjuvant cycles, and up to 5 adjuvant cycles for Perioperative Cohort participants.
Arm group label: Perioperative Cohort: Pembrolizumab + V940 + Enfortumab Vedotin (EV) and Surgery

Other name: PADCEV®

Intervention type: Procedure
Intervention name: Surgery (RC plus PLND)
Description: Curative intent surgery (RC plus PLND) will be administered to all participants in the Perioperative Cohort and will be done in accordance with the American Urological Association/American Society for Radiation Oncology/American Society of Clinical Oncology/Society of Urologic Oncology guidelines.
Arm group label: Perioperative Cohort: Pembrolizumab + V940 + Enfortumab Vedotin (EV) and Surgery

Summary: Researchers are looking for new ways to treat people with high-risk muscle-invasive urothelial carcinoma (MIUC). Urothelial carcinoma is a type of bladder cancer that begins in cells that line the inside of the bladder and other parts of the urinary tract, such as part of the kidneys, ureters, and urethra. People with MIUC usually have chemotherapy before surgery, then surgery to remove the cancer. Chemotherapy is a type of medicine to destroy cancer cells or stop them from growing. After surgery, some people receive more treatment to prevent cancer from returning. Pembrolizumab is an immunotherapy, which is a treatment that helps the immune system fight cancer. Enfortumab vedotin (EV) is an antibody drug conjugate (ADC). An ADC attaches to a protein on cancer cells and delivers treatment to destroy those cells. Researchers want to learn if giving V940 (the study treatment) with pembrolizumab can prevent MIUC from returning after surgery. V940 (also called mRNA-4157) is designed to treat each person's cancer by helping the person's immune system identify and kill cancer cells based on certain proteins found on those cancer cells. The goals of this study are to learn if people who receive V940 and pembrolizumab are alive and cancer free longer than those who receive placebo and pembrolizumab, and to learn about the safety of V940, pembrolizumab, and EV, and if people tolerate them.

Detailed description: Enrollment of participants into the Phase 1 Perioperative Cohort of this study is planned to start in approximately February of 2025.

Criteria for eligibility:
Criteria:
Inclusion Criteria: The main inclusion criteria include but are not limited to the following: - Must provide blood samples per protocol, to enable V940 production, and circulating tumor deoxyribonucleic acid testing - Has an Eastern Cooperative Oncology Group performance status of 0 to 2 assessed within 7 days before randomization - Must provide a formalin-fixed paraffin-embedded tumor tissue sample for next generation sequencing Adjuvant Cohort: - Has MIUC - Has dominant histology of urothelial carcinoma (UC) - Has high-risk pathologic disease after radical resection - For participants who have not received cisplatin-based neoadjuvant chemotherapy, are ineligible to receive cisplatin according to protocol pre-defined criteria Perioperative Cohort: - Has MIBC - Has a histological diagnosis of UC - Is deemed eligible for RC and PLND and agrees to undergo curative intent standard RC and PLND and neoadjuvant and adjuvant treatment per protocol - Is ineligible to receive cisplatin according to protocol pre-defined criteria Exclusion Criteria: The main exclusion criteria include but are not limited to the following: - Has received a live or live-attenuated vaccine within 30 days before the first dose of study intervention - Has known additional malignancy that is progressing or has required active treatment ≤3 years prior to study randomization - Has current pneumonitis/interstitial lung disease - Has active infection requiring systemic therapy - Has active hepatitis B and hepatitis C virus infection Adjuvant Cohort: - Has received prior systemic anticancer therapy - Has received prior neoadjuvant therapy, with the exception of neoadjuvant cisplatin-based chemotherapy for MIUC - Has severe hypersensitivity to either V940 or pembrolizumab (MK-3475) and/or any of their excipients Perioperative Cohort: - Has received any prior systemic treatment, cancer vaccine treatment, chemoradiation, and/or radiation therapy treatment for MIBC - Has severe hypersensitivity to either V940, pembrolizumab, or EV and/or any of their excipients - Has ongoing sensory or motor neuropathy - Has active keratitis or corneal ulcerations

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: AdventHealth Orlando-AdventHealth Medical Group Hematology & Oncology at Orlandoc ( Site 0102)

Address:
City: Orlando
Zip: 32804
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 205-520-6512

Facility:
Name: University of Chicago Medical Center ( Site 0109)

Address:
City: Chicago
Zip: 60637
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 773-702-4400

Facility:
Name: University of Iowa ( Site 0110)

Address:
City: Iowa City
Zip: 52242
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 319-230-8823

Facility:
Name: Icahn School of Medicine at Mount Sinai ( Site 0101)

Address:
City: New York
Zip: 10029
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 212-824-8583

Facility:
Name: Duke Cancer Institute ( Site 0107)

Address:
City: Durham
Zip: 27710
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 919-681-8602

Facility:
Name: Cleveland Clinic Main ( Site 0100)

Address:
City: Cleveland
Zip: 44195
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 216-296-5457

Facility:
Name: Fox Chase Cancer Center ( Site 0106)

Address:
City: Philadelphia
Zip: 19111
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 215-728-3889

Facility:
Name: Houston Methodist Hospital-Department of Urology ( Site 0111)

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 346-266-6777

Facility:
Name: Macquarie University-MQ Health Clinical Trials Unit ( Site 1803)

Address:
City: Macquarie University
Zip: 2109
Country: Australia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +61 2 9812 2956

Facility:
Name: Westmead Hospital-Department of Medical Oncology ( Site 1802)

Address:
City: Westmead
Zip: 2145
Country: Australia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +61 2 8890 8383

Facility:
Name: One Clinical Research ( Site 1807)

Address:
City: Nedlands
Zip: 6009
Country: Australia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +61862799466

Facility:
Name: BC Cancer Vancouver ( Site 0004)

Address:
City: Vancouver
Zip: V5Z 4E6
Country: Canada

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 6048776000

Facility:
Name: Centre Hospitalier de l'Université de Montréal ( Site 0005)

Address:
City: Montréal
Zip: H2X 3E4
Country: Canada

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 5148908000

Facility:
Name: Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0

Address:
City: Quebec City
Zip: G1J 1Z4
Country: Canada

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 4185254444

Facility:
Name: Centre intégré universitaire de santé et de services sociaux de l'Estrie - Centre Hospitalier Univer

Address:
City: Sherbrooke
Zip: J1H 5H4
Country: Canada

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 819-346-1110 ext. 13446

Facility:
Name: FALP ( Site 1500)

Address:
City: Santiago
Zip: 7500921
Country: Chile

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 56956075934

Facility:
Name: Pontificia Universidad Catolica de Chile-Centro del Cáncer ( Site 1503)

Address:
City: Santiago
Zip: 8330032
Country: Chile

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 56942477513

Facility:
Name: Bradfordhill-Clinical Area ( Site 1501)

Address:
City: Santiago
Zip: 8420383
Country: Chile

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 56998744662

Facility:
Name: ONCOCENTRO APYS-ACEREY ( Site 1506)

Address:
City: Viña del Mar
Zip: 2520598
Country: Chile

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +56992369820

Facility:
Name: Sociedad De Oncologia Y Hematologia Del Cesar-Oncology ( Site 1605)

Address:
City: Valledupar
Zip: 200001
Country: Colombia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +57 312 8385292

Facility:
Name: Clínica Universitaria Colombia ( Site 1600)

Address:
City: Bogotá
Zip: 111321
Country: Colombia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 573103469453

Facility:
Name: Fundacion Valle del Lili- CIC-Oncology CIC ( Site 1608)

Address:
City: Cali
Zip: 760032
Country: Colombia

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 57 3162801914

Facility:
Name: Oncopole Claudius Regaud ( Site 0302)

Address:
City: Toulouse
Zip: 31059
Country: France

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 33531155151

Facility:
Name: Gustave Roussy ( Site 0303)

Address:
City: Villejuif
Zip: 94800
Country: France

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 33142115348

Facility:
Name: Institut de Cancérologie de l'Ouest ( Site 0300)

Address:
City: ANGERS cedex 02
Zip: 49055
Country: France

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 33241352734

Facility:
Name: Hopital Claude Huriez - CHU de Lille ( Site 0301)

Address:
City: Lille
Zip: 59037
Country: France

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 0320444398

Facility:
Name: Hôpital Saint-Louis ( Site 0304)

Address:
City: Paris
Zip: 75475
Country: France

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +33633211534

Facility:
Name: klinikum rechts der isar der technischen universität münchen-Urologische Klinik und Poliklinik ( Sit

Address:
City: Munich
Zip: 81675
Country: Germany

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 498941402522

Facility:
Name: Caritas-Krankenhaus St. Josef-Klinik fuer Urologie ( Site 0404)

Address:
City: Regensburg
Zip: 93053
Country: Germany

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 09417823505

Facility:
Name: Universitätsklinikum Halle-Universitätsklinik und Poliklinik für Urologie ( Site 0402)

Address:
City: Halle
Zip: 06120
Country: Germany

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +493455575810

Facility:
Name: Universitaetsklinikum Carl Gustav Carus Dresden-Klinik und Poliklinik für Urologie ( Site 0405)

Address:
City: Dresden
Zip: 01307
Country: Germany

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +49 351 458 4425

Facility:
Name: Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0400)

Address:
City: Berlin
Zip: 10117
Country: Germany

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +4930450615092

Facility:
Name: Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 0504)

Address:
City: Roma
Zip: 00168
Country: Italy

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 390458128116

Facility:
Name: Ospedale San Martino-U.O. Oncologia Medica 1 ( Site 0500)

Address:
City: Genova
Zip: 16132
Country: Italy

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 390105553303

Facility:
Name: Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 0502)

Address:
City: Milan
Zip: 20133
Country: Italy

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 0390372405242

Facility:
Name: Azienda Ospedaliera Di Rilievo Nazionale A. Cardarelli-UOSC Oncologia ( Site 0503)

Address:
City: Naples
Zip: 80131
Country: Italy

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 0817472223

Facility:
Name: Ospedale San Raffaele-Oncologia Medica ( Site 0501)

Address:
City: Milano
Zip: 20132
Country: Italy

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 390226435789

Facility:
Name: Korea University Anam Hospital ( Site 2002)

Address:
City: Seoul
Zip: 02841
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +8229206610

Facility:
Name: Seoul National University Hospital-Urology ( Site 2000)

Address:
City: Seoul
Zip: 03080
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +82220720361

Facility:
Name: Samsung Medical Center-Urology ( Site 2001)

Address:
City: Seoul
Zip: 06351
Country: Korea, Republic of

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 82234103557

Facility:
Name: Auckland City Hospital ( Site 1901)

Address:
City: Auckland
Zip: 1023
Country: New Zealand

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 6493074949

Facility:
Name: IPOR Instituto Peruano de Oncología & Radioterapia ( Site 1702)

Address:
City: Lima
Zip: 15036
Country: Peru

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +51956754968

Facility:
Name: Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 0801)

Address:
City: Bydgoszcz
Zip: 85-796
Country: Poland

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 48501446778

Facility:
Name: Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Klinika Nowotworów Układu Moczowego ( S

Address:
City: Warszawa
Zip: 02-781
Country: Poland

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 48225462331

Facility:
Name: Swietokrzyskie Centrum Onkologii, Samodzielny Publiczny Zaklad Opieki Zdrowotnej ( Site 0806)

Address:
City: Kielce
Zip: SWK 25-734
Country: Poland

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +48885997850

Facility:
Name: Clinical Research Center Spółka z ograniczoną odpowiedzialnością MEDIC-R Sp.k ( Site 0805)

Address:
City: Poznan
Zip: WLK 61-731
Country: Poland

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 607075929

Facility:
Name: Szpital Wojewódzki im. Mikoaja Kopernika w Koszalinie-Oddzial Dzienny Chemioterapii ( Site 0802)

Address:
City: Koszalin
Zip: 75-581
Country: Poland

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 943488930

Facility:
Name: Hospital Germans Trias i Pujol-Instituto Catalán de Oncología de Badalona ( Site 1006)

Address:
City: Badalona
Zip: 08916
Country: Spain

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 34934978925

Facility:
Name: Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 1005)

Address:
City: Madrid
Zip: 28034
Country: Spain

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +34913368263

Facility:
Name: HOSPITAL UNIVERSITARIO QUIRONSALUD MADRID-ONCOLOGIA MEDICA ( Site 1003)

Address:
City: Pozuelo de Alarcon
Zip: 28223
Country: Spain

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +34914521987

Facility:
Name: Hospital Universitari Vall d'Hebron-Oncology ( Site 1002)

Address:
City: Barcelona
Zip: 08035
Country: Spain

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +34934894350

Facility:
Name: HOSPITAL UNIVERSITARIO VIRGEN DEL ROCIO-Medical Oncology ( Site 1001)

Address:
City: Sevilla
Zip: 41013
Country: Spain

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +34955012000

Facility:
Name: Karolinska Universitetssjukhuset Solna ( Site 1101)

Address:
City: Stockholm
Zip: 171 64
Country: Sweden

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 46851770000

Facility:
Name: Akademiska sjukhuset-Blod- och tumörsjukdomar ( Site 1102)

Address:
City: Uppsala
Zip: 751 85
Country: Sweden

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +46736869248

Facility:
Name: Hacettepe Universite Hastaneleri-oncology hospital ( Site 1200)

Address:
City: Ankara
Zip: 06230
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +905334318506

Facility:
Name: Memorial Ankara Hastanesi-Medical Oncology ( Site 1204)

Address:
City: Ankara
Zip: 06520
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 905067521275

Facility:
Name: Ankara Bilkent Şehir Hastanesi-Medical Oncology ( Site 1201)

Address:
City: Ankara
Zip: 06800
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 905555306271

Facility:
Name: T.C. Saglik Bakanligi Turkiye Kamu Hastaneleri Kurumu - Baki-Istanbul Bakirkoy Sadi Konuk Training (

Address:
City: Istanbul
Zip: 34147
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 905069764412

Facility:
Name: TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1202)

Address:
City: Istanbul
Zip: 34722
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 00905063509061

Facility:
Name: Ege Universitesi Hastanesi-Medical Oncology ( Site 1203)

Address:
City: Izmir
Zip: 35100
Country: Turkey

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +905337360674

Facility:
Name: Torbay Hospital ( Site 1303)

Address:
City: Torquay
Zip: TQ2 7AA
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 4401803655376

Facility:
Name: Royal Free Hospital ( Site 1300)

Address:
City: London
Zip: NW3 2QG
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 442077940500

Facility:
Name: Gartnavel General Hospital-Clinical Trials Unit ( Site 1301)

Address:
City: Glasgow
Zip: G12 0YN
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: +447780777067

Facility:
Name: St Bartholomew's Hospital-Centre for Experimental Cancer Medicine ( Site 1302)

Address:
City: London
Zip: EC1A 7BE
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 020 7822 8498

Facility:
Name: The Christie NHS Foundation Trust ( Site 1306)

Address:
City: Manchester
Zip: M20 4BX
Country: United Kingdom

Status: Recruiting

Contact:
Last name: Study Coordinator

Phone: 441614468409

Start date: March 28, 2024

Completion date: April 8, 2031

Lead sponsor:
Agency: Merck Sharp & Dohme LLC
Agency class: Industry

Collaborator:
Agency: ModernaTX, Inc.
Agency class: Industry

Source: Merck Sharp & Dohme LLC

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06305767
https://www.merckclinicaltrials.com/
https://msd.trialsummaries.com/Study/StudyDetails?id=26155&tenant=MT_MSD_9011

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