A Phase 3 interventional study of Vardenafil ODT (STAXYN, BAY38-9456) and Placebo in Erectile Dysfunction, sponsored by Bayer. Completed at 47 sites in 6 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-12-30.
Sponsored by Bayer · Phase 3, Interventional, and Treatment
This study investigates the safety and efficacy of a new dosage form of Vardenafil, an orodispersible tablet (ODT), and compares it to the safety and efficacy of a placebo (inactive) tablet in the treatment of erectile dysfunction. After a 4-week unmedicated phase, patients will receive Vardenafil ODT or matching placebo for 12 weeks. Safety will be determined by laboratory and other evaluations. Efficacy will be determined by the results of different questionnaires and the patient diary that will be used.
683 studies on the registry are indexed under Erectile Dysfunction; 117 are open to participants now.
This study's enrollment of 362 is above the median of 72 across 542 interventional studies indexed under Erectile Dysfunction.
Browse Erectile Dysfunction studies →Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.
Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.
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Exclusion Criteria:
Vardenafil 10 mg orodispersible tablet (ODT) taken on demand (PRN), approximately one hour before start of sexual activity, no more than one dose per day.
Drug: Vardenafil ODT (STAXYN, BAY38-9456)
Matching placebo tablet taken on demand (PRN), approximately one hour before start of sexual activity, no more than one dose per day.
Drug: Placebo
Subjects will receive 12 weeks of PRN (on demand) treatment with Vardenafil 10mg orodispersible tablet (ODT)
Subjects will receive 12 weeks of PRN (on demand) treatment with matching placebo tablet
Change From Baseline in International Index of Erectile Function (IIEF-EF Sub-Score) at 12 Weeks or LOCF
The primary variable was the treatment group difference from baseline to Week 12 or Last observation carried forward (LOCF) of the least square mean difference in the IIEF-EF domain score (1-30 ordinal points, specifying the severity of erectile dysfunction: \<=10 'severe'; 11-16 'moderate'; 17-21 'mild to moderate'; 22-25 'mild'; \>25 'no ED').
Time frame: from baseline up to 12 weeks
Change in Percentage From Baseline in Success of Penetration at 12 Weeks
Sexual encounter profile (SEP) items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to penetrate the partner.
Time frame: from baseline up to 12 weeks of treatment
Change From Baseline in Success of Erection Maintenance at 12 Weeks
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to maintain an erection after penetration.
Time frame: from baseline up to 12 weeks of treatment
Percentage of Subjects Achieving "Back to Normal" Erectile Function
Responders: percentage of subjects achieving an IIEF-EF score \> 25. The primary variable was the treatment group difference from baseline to Week 12 or Last observation carried forward (LOCF) of the least square mean difference in the IIEF-EF domain score (1-30 ordinal points, specifying the severity of erectile dysfunction: \<=10 'severe'; 11-16 'moderate'; 17-21 'mild to moderate'; 22-25 'mild'; \>25 'no ED').
Time frame: up to 12 weeks of treatment
Change in Percentage From Baseline in Ability to Obtain an Erection at 12 Weeks
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to obtain successful erections.
Time frame: from baseline up to 12 weeks of treatment
Change in Percentage From Baseline in Satisfaction With the Hardness of Erection at 12 Weeks
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to get satisfactory hardness of erections.
Time frame: from baseline up to 12 weeks of treatment
Change in Percentage From Baseline in Overall Satisfaction at 12 Weeks
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to overall satisfactory attempts.
Time frame: from baseline up to 12 weeks of treatment
Change in Percentage From Baseline in Ability to Ejaculate at 12 Weeks
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to have successful ejaculations.
Time frame: from baseline up to 12 weeks of treatment
Number of Sexual Attempts Till First Successful Attempt
Time frame: up to 12 weeks of treatment
Change From Baseline in Ease With Erection at 12 Weeks or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Ease with Erection" from baseline to Week 12 or LOCF expressed as the least square mean difference.
Time frame: from baseline up to 12 weeks
Change From Baseline in Erectile Function Satisfaction at 12 Weeks or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain " Erectile function satisfaction" from baseline to Week 12 or LOCF expressed as the least square mean difference.
Time frame: from baseline up to 12 weeks
Change From Baseline in Pleasure of Sexual Activity at 12 Weeks or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain " Pleasure of sexual activity" from baseline to Week 12 or LOCF expressed as the least square mean difference.
Time frame: from baseline up to 12 weeks
Change From Baseline in Satisfaction With Orgasm at 12 Weeks or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Satisfaction with orgasm" from baseline to Week 12 or LOCF expressed as the least square mean difference.
Time frame: from baseline up to 12 weeks
Change From Baseline in Confidence for Completion at 12 Weeks or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Confidence for completion" from baseline to Week 12 or LOCF expressed as the least square mean difference.
Time frame: from baseline up to 12 weeks
Satisfaction With Medication at Week 12 or LOCF
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Satisfaction with medication" at LOCF expressed as the least square mean difference.
Time frame: up to 12 weeks
Patient Self Reported Improvement of Erectile Function Under Treatment Using a Categorical Rating Scale
Categorical Rating Scale is a binary rating scale with 2 response options which is 'yes/no'; percentage of participants with positive answers to the Global Assessment Question. Global Assessment Question (GAQ): 'Has the treatment you have been taking over the past for weeks improved your erection?' (yes/no)
Time frame: up to 12 weeks of treatment
Pharmacokinetics Measured as Area Under Curve (AUC) of Vardenafil in Plasma
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
Time frame: Visit 5 after 12 weeks of treatment
Pharmacokinetics Measured as Maximum Concentration (Cmax) of Vardenafil in Plasma
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
Time frame: Visit 5 after 12 weeks of treatment
Pharmacokinetics Measured as Area Under Curve (AUC) of Metabolite M-1 (BAY44-5576) in Plasma
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
Time frame: Visit 5 after 12 weeks of treatment
Pharmacokinetics Measured as Maximum Concentration (Cmax) of Metabolite M-1 (BAY44-5576) in Plasma
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
Time frame: Visit 5 after 12 weeks of treatment
Subjects recruited to 40 investigational centers in Belgium (4), France (8), Germany (9), Spain (3), Netherlands (5), and South Africa (11). First patient first visit on 25 April 2008, last patient last visit on 19 January 2009.
| Milestone | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| Started | 186 | 176 |
| Received treatment | 184 | 174 |
| Completed | 171 | 155 |
| Not completed | 15 | 21 |
| Withdrew: Adverse event | 3 | 1 |
| Withdrew: Lack of efficacy | 2 | 8 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Protocol violation | 1 | 1 |
| Withdrew: Consent withdrawn | 5 | 7 |
| Withdrew: Noncompliant with study medication | 0 | 1 |
| Withdrew: No drug exposure | 2 | 2 |
The primary variable was the treatment group difference from baseline to Week 12 or Last observation carried forward (LOCF) of the least square mean difference in the IIEF-EF domain score (1-30 ordinal points, specifying the severity of erectile dysfunction: \<=10 'severe'; 11-16 'moderate'; 17-21 'mild to moderate'; 22-25 'mild'; \>25 'no ED').
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 9.6 ± 6.28 | 2.1 ± 7.33 |
| ≥65 years | 7.7 ± 8.19 | 0.9 ± 6.42 |
| Total | 8.6 ± 7.40 | 1.4 ± 6.86 |
Sexual encounter profile (SEP) items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to penetrate the partner.
| percentage of successful penetrations | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 35.8 ± 33.63 | 5.5 ± 42.82 |
| ≥65 years | 35.2 ± 38.06 | 8.7 ± 28.41 |
| Total | 35.5 ± 35.93 | 7.2 ± 35.79 |
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to maintain an erection after penetration.
| percentage of success in maintenance | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 54.5 ± 32.72 | 15.2 ± 31.30 |
| ≥65 years | 49.2 ± 37.28 | 7.7 ± 25.72 |
| Total | 51.7 ± 35.18 | 11.3 ± 28.67 |
Responders: percentage of subjects achieving an IIEF-EF score \> 25. The primary variable was the treatment group difference from baseline to Week 12 or Last observation carried forward (LOCF) of the least square mean difference in the IIEF-EF domain score (1-30 ordinal points, specifying the severity of erectile dysfunction: \<=10 'severe'; 11-16 'moderate'; 17-21 'mild to moderate'; 22-25 'mild'; \>25 'no ED').
| percentage of participants | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 46 | 13 |
| ≥65 years | 34 | 11 |
| Total | 40 | 12 |
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to obtain successful erections.
| percentage of successful erections | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 18.8 ± 29.6 | -1.8 ± 37.86 |
| ≥65 years | 14.6 ± 33.21 | 1.2 ± 37.43 |
| Total | 16.6 ± 31.54 | -0.2 ± 37.55 |
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to get satisfactory hardness of erections.
| percentage of satisfactory erections | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 51.7 ± 36.10 | 11.2 ± 27.69 |
| ≥65 years | 45.3 ± 43.09 | 7.5 ± 27.70 |
| Total | 48.4 ± 39.95 | 9.2 ± 27.67 |
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to overall satisfactory attempts.
| percentage of satisfactory attempts | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 55.7 ± 36.83 | 14.4 ± 30.26 |
| ≥65 years | 45.8 ± 38.43 | 5.6 ± 25.74 |
| Total | 50.5 ± 37.90 | 9.8 ± 28.24 |
SEP items success rates are the percentage of all valid and successful intercourse attempts (items answered 'yes') in relation to all valid attempts. Here the SEP item refers to the ability to have successful ejaculations.
| percentage of ejaculation successes | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 34.5 ± 36.19 | 5.4 ± 36.86 |
| ≥65 years | 32.7 ± 35.23 | 10.1 ± 29.96 |
| Total | 33.5 ± 35.60 | 7.9 ± 33.38 |
| Sexual Attempts | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 1.0 ± 2.6 | 2.7 ± 4.4 |
| ≥65 years | 1.4 ± 3.1 | 4.4 ± 7.4 |
| Total | 1.2 ± 2.9 | 3.6 ± 6.2 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Ease with Erection" from baseline to Week 12 or LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 28.6 ± 28.02 | 4.2 ± 27.92 |
| ≥65 years | 25.0 ± 31.20 | 0.8 ± 28.98 |
| Total | 26.7 ± 29.73 | 2.4 ± 28.46 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain " Erectile function satisfaction" from baseline to Week 12 or LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 1.3 ± 1.28 | 0.1 ± 1.35 |
| ≥65 years | 1.2 ± 1.18 | -0.1 ± 1.28 |
| Total | 1.3 ± 1.23 | 0.0 ± 1.31 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain " Pleasure of sexual activity" from baseline to Week 12 or LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 28.6 ± 29.34 | 3.2 ± 29.06 |
| ≥65 years | 25.3 ± 30.24 | -3.6 ± 29.48 |
| Total | 26.8 ± 29.78 | -0.4 ± 29.40 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Satisfaction with orgasm" from baseline to Week 12 or LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 31.0 ± 29.46 | 7.1 ± 32.66 |
| ≥65 years | 26.8 ± 32.29 | 5.5 ± 31.80 |
| Total | 28.8 ± 30.98 | 6.3 ± 32.11 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Confidence for completion" from baseline to Week 12 or LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 28.7 ± 27.56 | 5.0 ± 27.53 |
| ≥65 years | 25.8 ± 30.18 | 3.6 ± 26.57 |
| Total | 27.7 ± 28.94 | 4.2 ± 26.94 |
Treatment group difference in points on the Treatment Satisfaction Scale (TSS, 0-100 normalized ordinal scores, higher scores indicate greater levels of 'ease with erection', 'erectile functioning satisfaction', 'pleasure of sexual activity', 'satisfaction with orgasm', 'confidence for completion', and 'satisfaction with medication') domain "Satisfaction with medication" at LOCF expressed as the least square mean difference.
| scores on a scale | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 57.2 ± 28.09 | 22.1 ± 25.58 |
| ≥65 years | 52.3 ± 29.54 | 20.4 ± 24.55 |
| Total | 54.6 ± 28.90 | 21.2 ± 24.96 |
Categorical Rating Scale is a binary rating scale with 2 response options which is 'yes/no'; percentage of participants with positive answers to the Global Assessment Question. Global Assessment Question (GAQ): 'Has the treatment you have been taking over the past for weeks improved your erection?' (yes/no)
| percentage of participants | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo |
|---|---|---|
| <65 years | 76 | 30 |
| ≥65 years | 69 | 22 |
| Total | 72 | 26 |
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
| μg*h/L | ED Patients Aged < 65 Years | ED Patients Aged ≥ 65 Years |
|---|---|---|
| Pharmacokinetics Measured as Area Under Curve (AUC) of Vardenafil in Plasma | 47.16 (18.97 to 112.8) | 55.37 (21.23 to 104.4) |
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
| μg/L | ED Patients Aged < 65 Years | ED Patients Aged ≥ 65 Years |
|---|---|---|
| Pharmacokinetics Measured as Maximum Concentration (Cmax) of Vardenafil in Plasma | 10.09 (3.134 to 19.04) | 13.43 (2.913 to 27.91) |
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
| µg*h/L | ED Patients Aged < 65 Years | ED Patients Aged ≥ 65 Years |
|---|---|---|
| Pharmacokinetics Measured as Area Under Curve (AUC) of Metabolite M-1 (BAY44-5576) in Plasma | 33.36 (10.94 to 68.46) | 41.80 (16.56 to 148.5) |
Plasma concentrations after single dose administration of 10 mg Vardenafil ODT followed for up to 24 hours post-dose.
| µg/L | ED Patients Aged < 65 Years | ED Patients Aged ≥ 65 Years |
|---|---|---|
| Pharmacokinetics Measured as Maximum Concentration (Cmax) of Metabolite M-1 (BAY44-5576) in Plasma | 9.260 (3.756 to 23.32) | 11.47 (5.563 to 41.17) |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Vardenafil ODT (STAXYN, BAY 38-9456) | — | 4/184 (2.2%) | 70/184 (38%) |
| Placebo | — | 1/174 (0.6%) | 36/174 (20.7%) |
| Event | Vardenafil ODT (STAXYN, BAY 38-9456) | Placebo |
|---|---|---|
| Deafness neurosensoryEar and labyrinth disorders | 0/184 | 1/174 |
| Acute coronary syndromeCardiac disorders | 1/184 | 0/174 |
| Gastrointestinal haemorrhageGastrointestinal disorders | 1/184 | 0/174 |
| SyncopeNervous system disorders | 1/184 | 0/174 |
| PneumothoraxRespiratory, thoracic and mediastinal disorders | 1/184 | 0/174 |
| Femoral arterial stenosisVascular disorders | 1/184 | 0/174 |
| Event | Vardenafil ODT (STAXYN, BAY 38-9456) | Placebo |
|---|---|---|
| HeadacheNervous system disorders | 30/184 | 2/174 |
| FlushingVascular disorders | 14/184 | 0/174 |
| DyspepsiaGastrointestinal disorders | 7/184 | 0/174 |
| DysgeusiaNervous system disorders | 4/184 | 4/174 |
| Bundle branch block rightCardiac disorders | 0/184 | 3/174 |
| Pharmaceutical product complaintSocial circumstances | 0/184 | 3/174 |
| Supraventricular extrasystolesCardiac disorders | 3/184 | 2/174 |
| DiarrhoeaGastrointestinal disorders | 3/184 | 2/174 |
| Back painMusculoskeletal and connective tissue disorders | 3/184 | 0/174 |
| DizzinessNervous system disorders | 3/184 | 0/174 |
| Age, Customized(Participants) | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo | Total |
|---|---|---|---|
| <65 years | 87 | 81 | 168 |
| >=65 years | 97 | 93 | 190 |
| Sex: Female, Male(Participants) | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo | Total |
|---|---|---|---|
| Female | 0 | 0 | 0 |
| Male | 184 | 174 | 358 |
| Body Mass Index (BMI)(Kilograms per square meter (kg/m^2)) | Vardenafil ODT (STAXYN, BAY38-9456) | Placebo | Total |
|---|---|---|---|
| All age groups | 27.2 ± 3.4 | 27.5 ± 4.0 | 27.3 ± 3.7 |
| < 65 years | 27.5 ± 3.5 | 27.9 ± 4.3 | 27.7 ± 3.9 |
| >= 65 years | 26.9 ± 3.2 | 27.1 ± 3.6 | 27.0 ± 3.4 |
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