CClinicalTrials.gg
CompletedNCT01777308Updated Jan 25, 2019Results posted

Immunogenicity, Reactogenicity and Safety of GlaxoSmithKline (GSK) Biologicals' MenACWY-TT Vaccine Administered 6 Years Post-MenC Primary Vaccination in Healthy Subjects Who Were 12-18 Months at Primary Vaccination

A Phase 3 interventional study of Meningococcal conjugate vaccine GSK134612 in Infections, Meningococcal, sponsored by GlaxoSmithKline. Completed at 8 sites in Australia. Open to participants aged 84 Months to 95 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-25.

Sponsored by GlaxoSmithKline · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
156
Allocation
Non-randomized
Ages
84 Months to 95 Months
Sex
All
01

Study summary

The purpose of this study is to evaluate the immunogenicity, reactogenicity and safety of a booster dose of GSK Biologicals' MenACWY-TT vaccine administered at 6 years post-primary vaccination with either GSK Biologicals' Hib-MenC-TT vaccine (Menitorix™) or Hiberix™ and Meningitec™, in healthy subjects aged 12-18 months at primary vaccination and to evaluate the long-term antibody persistence at 2 years after MenACWY-TT booster vaccination.

This is an extension study of the Hib-MenC-TT-016 study (NCT number: NCT00326118).

02

Conditions studied

  • Infections, Meningococcal

Keywords

  • Immunogenicity
  • Booster
  • Healthy
  • Vaccine response
  • Safety
  • Neisseria meningiditis
  • Antibody persistence
  • Meningococcal conjugate vaccine
03

In context

Meningococcal Infections

219 studies on the registry are indexed under Meningococcal Infections; 6 are open to participants now.

This study's enrollment of 156 is below the median of 450 across 190 interventional studies indexed under Meningococcal Infections.

Browse Meningococcal Infections studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
84 Months to 95 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Subjects' parent(s)/Legally Acceptable Representative(s) who, in the opinion of the investigator, can and will comply, with the requirements of the protocol.
  • A male or female between, and including, 84 and 95 months of age at the time of the booster vaccination.
  • Written informed consent obtained from the parent(s)/LAR(s) of the subject and written informed assent obtained from the subject in accordance with local laws and regulations.
  • Healthy subjects as established by medical history and history-directed physical examination before entering into the study.
  • Having completed the vaccination in the study [Hib-MenC-TT-016 (106445)] as per protocol.

Exclusion criteria

Exclusion Criteria:

  • Child in care.
  • Use of any investigational or non-registered product (drug or vaccine) other than the study vaccine within 30 days preceding the dose of study vaccine, or planned use during the study period.
  • Chronic administration of immunosuppressants or other immune-modifying drugs within six months prior to the vaccine dose. For corticosteroids, this will mean prednisone ≥ 0.5 mg/kg/day, or equivalent. Inhaled and topical steroids are allowed.
  • Administration of a vaccine not foreseen by the study protocol within the period starting 30 days before and ending 30 days after the study vaccine dose, with the exception of a licensed inactivated influenza vaccine which can be administered at any time during the study according to the local recommendations.
  • Concurrently participating in another clinical study, at any time during the study period, in which the subject has been or will be exposed to an investigational or a non-investigational vaccine/product.
  • Previous vaccination with meningococcal vaccine except the meningococcal vaccination received in the Hib-MenC-TT-016 study.
  • History of meningococcal disease.
  • Any confirmed or suspected immunosuppressive or immunodeficient condition (congenital or secondary), including Human Immunodeficiency Virus (HIV)infection, based on medical history and physical examination (no laboratory testing required).
  • Family history of congenital or hereditary immunodeficiency.
  • History of any reaction or hypersensitivity likely to be exacerbated by any component of the vaccine, and history of serious allergic reaction (anaphylaxis) following the administration of vaccine(s).
  • Major congenital defects or serious chronic illness.
  • History of any neurological disorders or seizures, including GBS. History of a simple, single febrile seizure is permitted.
  • Acute disease and/or fever at the time of enrollment.

    • Fever is defined as temperature ≥ 37.5°C for oral, axillary or tympanic route, or ≥ 38.0°C for rectal route. The preferred route for recording temperature in this study will be oral.
    • Subjects with a minor illness (such as mild diarrhoea, mild upper respiratory infection) without fever may be enrolled at the discretion of the investigator.
  • Administration of immunoglobulins and/or any blood products within the 3 months preceding the study vaccination or planned administration during the booster vaccination phase of the study (i.e. between Visit 1 and Visit 2) and within 3 months preceding the blood sampling at Visit 3.

The following criteria should be checked for the long-term persistence phase at two years after booster vaccination (Visit 3):

In case an exclusion criterion becomes applicable, the subject will not enter the long-term follow-up and the reason will be documented.

  • Previous administration of a meningococcal vaccine with the exception of the meningococcal vaccination given in the primary study and the booster vaccination in this particular study.
  • History of meningococcal disease.
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
156 participants (actual)

Study arms

  • Experimental
    Menitorix Group

    Subjects who were primed with Menitorix™ (Hib-MenC-TT) + Priorix™ (MMR) vaccines in the primary study HIB-MENC-TT-016 (NCT00326118) received one dose of Nimenrix™ (MenACWY-TT) booster vaccine at Month 72 post primary vaccination (booster visit 1). The MenACWY-TT vaccine was administered intramuscularly (IM) in the deltoid region of the non-dominant arm.

    Biological: Meningococcal conjugate vaccine GSK134612

  • Experimental
    Meningitec + Hiberix Group

    Subjects who were primed with Meningitec™ (MCC) + Hiberix™ (Hib) + Priorix™ (MMR) vaccine in the primary study HIB-MENC-TT-016 (NCT00326118) received one dose of Nimenrix™ (MenACWY-TT) booster vaccine at Month 72 post primary vaccination (booster visit 1). The MenACWY-TT vaccine was administered intramuscularly (IM) in the deltoid region of the non-dominant arm.

    Biological: Meningococcal conjugate vaccine GSK134612

Interventions

  • BiologicalMeningococcal conjugate vaccine GSK134612

    Single dose to be administrated intramuscularly in the deltoid of the non-dominant arm

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Vaccine Response for Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroup A, C, W-135 and Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135, rSBA-MenY)

    Vaccine response was defined as: For initially seronegative subjects (pre-vaccination rSBA titer below 1:8), antibody titer greater than or equal to (≥) 1:32 at post-vaccination; for initially seropositive subjects, antibody titer at post-vaccination ≥ 4 fold the pre-vaccination antibody titer.

    Time frame: At Month 73, one month post-booster vaccination

Secondary outcomes

  1. Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values

    The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.

    Time frame: At Month 73, one month post-booster vaccination

  2. Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY

    Antibody titers were presented as geometric mean titers (GMTs).

    Time frame: At Month 73, one month post-booster vaccination

  3. Number of Subjects With Anti-tetanus (Anti-T) Concentrations ≥ the Predefined Cut-off Values

    The cut-off values for anti-T concentrations were greater than or equal to (≥) 0.1 international units per milliliter (IU/mL) and ≥ 1 IU/mL.

    Time frame: At Month 73, one month post-booster vaccination

  4. Antibody Concentrations Against Tetanus (Anti-T) Antigen

    Antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).

    Time frame: At Month 73, one month post-booster vaccination

  5. Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values

    The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.

    Time frame: At Month 96, 24 months post-booster vaccination

  6. Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBa-MenY

    Antibody titers were presented as geometric mean titers (GMTs).

    Time frame: At Month 96, 24 months post-booster vaccination

  7. Number of Subjects With Any Solicited Local Symptoms

    Assessed solicited local symptoms included pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

    Time frame: During the 4-day (Days 0-3) post-booster vaccination period at Month 72

  8. Number of Subjects With Any Solicited General Symptoms

    Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhoea and/or abdominal pain), headache, and fever \[defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade.

    Time frame: During the 4-day (Days 0-3) post-booster vaccination period at Month 72

  9. Number of Subjects Reporting New Onset of Chronic Illnesses (NOCIs)

    NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.

    Time frame: During the 31-day (Days 0-30) post-booster vaccination period at Month 72

  10. Number of Subjects With Any Unsolicited Adverse Events (AEs)

    An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

    Time frame: During the 31-day (Days 0-30) post-booster vaccination period at Month 72

  11. Number of Subjects With Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Time frame: During the 31-day (Days 0-30) post-booster vaccination period at Month 72

  12. Number of Subjects With Serious Adverse Events (SAEs)

    SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

    Time frame: From Month 72 up to study end, at Month 96

07

Results

Posted Jan 25, 2019

Participant flow

Participant flow — Overall Study
MilestoneMenitorix GroupMeningitec + Hiberix Group
Started11937
Completed up to month 7311837
Completed10534
Not completed143
Withdrew: Withdrawal by subject51
Withdrew: Migrated/moved from study area10
Withdrew: Lost to follow-up72
Withdrew: Blood draw refusal at visit 310

Outcome measures

PrimaryNumber of Subjects With Vaccine Response for Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroup A, C, W-135 and Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135, rSBA-MenY)

Vaccine response was defined as: For initially seronegative subjects (pre-vaccination rSBA titer below 1:8), antibody titer greater than or equal to (≥) 1:32 at post-vaccination; for initially seropositive subjects, antibody titer at post-vaccination ≥ 4 fold the pre-vaccination antibody titer.

Time frame:
At Month 73, one month post-booster vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Vaccine Response for Serum Bactericidal Assay Using Rabbit Complement Against Neisseria Meningitides Serogroup A, C, W-135 and Y (rSBA-MenA, rSBA-MenC, rSBA-MenW-135, rSBA-MenY)
ParticipantsMenitorix GroupMeningitec + Hiberix Group
rSBA-MenA10233
rSBA-MenC10133
rSBA-MenW-13510233
rSBA-MenY10133
SecondaryNumber of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values

The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.

Time frame:
At Month 73, one month post-booster vaccination
Reported as:
Count of participants · Participants
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values
ParticipantsMenitorix GroupMeningitec + Hiberix Group
rSBA-MenA, ≥ 1:810235
rSBA-MenA, ≥ 1:12810235
rSBA-MenC, ≥ 1:810235
rSBA-MenC, ≥ 1:12810234
rSBA-MenW-135, ≥ 1:810235
rSBA-MenW-135, ≥ 1:12810235
rSBA-MenY, ≥ 1:810334
rSBA-MenY, ≥ 1:12810334
SecondaryAntibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY

Antibody titers were presented as geometric mean titers (GMTs).

Time frame:
At Month 73, one month post-booster vaccination
Reported as:
Geometric mean · Titer
Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY
TiterMenitorix GroupMeningitec + Hiberix Group
rSBA-MenA3421.4 (2659.3 to 4402)2925.1 (1949.5 to 4389)
rSBA-MenC11819.2 (9026.4 to 15476.1)7419.7 (4543.2 to 12117.3)
rSBA-MenW-13517166.5 (12745.9 to 23120.3)15747.7 (10033 to 24717.7)
rSBA-MenY4871 (3932.7 to 6033.1)3495.9 (2126.6 to 5746.8)
SecondaryNumber of Subjects With Anti-tetanus (Anti-T) Concentrations ≥ the Predefined Cut-off Values

The cut-off values for anti-T concentrations were greater than or equal to (≥) 0.1 international units per milliliter (IU/mL) and ≥ 1 IU/mL.

Time frame:
At Month 73, one month post-booster vaccination
Reported as:
Count of participants · Participants
Number of Subjects With Anti-tetanus (Anti-T) Concentrations ≥ the Predefined Cut-off Values
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Anti-T ≥ 0.1 IU/mL10334
Anti-T ≥ 1 IU/mL10233
SecondaryAntibody Concentrations Against Tetanus (Anti-T) Antigen

Antibody concentrations were presented as geometric mean concentrations (GMCs) and expressed in international units per milliliter (IU/mL).

Time frame:
At Month 73, one month post-booster vaccination
Reported as:
Geometric mean · IU/mL
Antibody Concentrations Against Tetanus (Anti-T) Antigen
IU/mLMenitorix GroupMeningitec + Hiberix Group
Antibody Concentrations Against Tetanus (Anti-T) Antigen15.6 (13.1 to 18.6)12.5 (8.4 to 18.7)
SecondaryNumber of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values

The cut-off values for the rSBA titers were greater than or equal to (≥) 1:8 and 1:128.

Time frame:
At Month 96, 24 months post-booster vaccination
Reported as:
Count of participants · Participants
Number of Subjects With rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBA-MenY Antibody Titers ≥ the Predefined Cut-off Values
ParticipantsMenitorix GroupMeningitec + Hiberix Group
rSBA-MenA, ≥ 1:87221
rSBA-MenA, ≥ 1:1286717
rSBA-MenC, ≥ 1:810031
rSBA-MenC, ≥ 1:1289026
rSBA-MenW-135, ≥ 1:89630
rSBA-MenW-135, ≥ 1:1289630
rSBA-MenY, ≥ 1:89529
rSBA-MenY, ≥ 1:1289529
SecondaryAntibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBa-MenY

Antibody titers were presented as geometric mean titers (GMTs).

Time frame:
At Month 96, 24 months post-booster vaccination
Reported as:
Geometric mean · Titers
Antibody Titers Against rSBA-MenA, rSBA-MenC, rSBA-MenW-135 and rSBa-MenY
TitersMenitorix GroupMeningitec + Hiberix Group
rSBA-MenA174.9 (102.4 to 298.7)79.0 (29.6 to 210.4)
rSBA-MenC333.1 (278.3 to 398.8)175.4 (104.1 to 295.5)
rSBA-MenW-1351002.9 (742.1 to 1355.5)941.5 (448.4 to 1976.9)
rSBA-MenY929.3 (678.0 to 1273.7)512.0 (250.1 to 1048.3)
SecondaryNumber of Subjects With Any Solicited Local Symptoms

Assessed solicited local symptoms included pain, redness and swelling. Any = occurrence of the symptom regardless of intensity grade.

Time frame:
During the 4-day (Days 0-3) post-booster vaccination period at Month 72
Reported as:
Count of participants · Participants
Number of Subjects With Any Solicited Local Symptoms
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Any Pain6915
Any Redness5619
Any Swelling308
SecondaryNumber of Subjects With Any Solicited General Symptoms

Assessed solicited general symptoms were fatigue, gastrointestinal symptoms (nausea, vomiting, diarrhoea and/or abdominal pain), headache, and fever \[defined as oral temperature equal to or above (≥) 37.5 degrees Celsius (°C)\]. Any = occurrence of the symptom regardless of intensity grade.

Time frame:
During the 4-day (Days 0-3) post-booster vaccination period at Month 72
Reported as:
Count of participants · Participants
Number of Subjects With Any Solicited General Symptoms
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Any Fatigue3110
Any Gastrointestinal symptoms295
Any Headache296
Any Fever61
SecondaryNumber of Subjects Reporting New Onset of Chronic Illnesses (NOCIs)

NOCIs include autoimmune disorders, asthma, type I diabetes, allergies.

Time frame:
During the 31-day (Days 0-30) post-booster vaccination period at Month 72
Reported as:
Count of participants · Participants
Number of Subjects Reporting New Onset of Chronic Illnesses (NOCIs)
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Number of Subjects Reporting New Onset of Chronic Illnesses (NOCIs)00
SecondaryNumber of Subjects With Any Unsolicited Adverse Events (AEs)

An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

Time frame:
During the 31-day (Days 0-30) post-booster vaccination period at Month 72
Reported as:
Count of participants · Participants
Number of Subjects With Any Unsolicited Adverse Events (AEs)
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Number of Subjects With Any Unsolicited Adverse Events (AEs)367
SecondaryNumber of Subjects With Serious Adverse Events (SAEs)

SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Time frame:
During the 31-day (Days 0-30) post-booster vaccination period at Month 72
Reported as:
Count of participants · Participants
Number of Subjects With Serious Adverse Events (SAEs)
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Number of Subjects With Serious Adverse Events (SAEs)00
SecondaryNumber of Subjects With Serious Adverse Events (SAEs)

SAEs assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.

Time frame:
From Month 72 up to study end, at Month 96
Reported as:
Count of participants · Participants
Number of Subjects With Serious Adverse Events (SAEs)
ParticipantsMenitorix GroupMeningitec + Hiberix Group
Number of Subjects With Serious Adverse Events (SAEs)00

Adverse events

Collected over Solicited local and general symptoms: during the 4-day (Days 0-3) post-vaccination period; Solicited and unsolicited symptoms: during the 31-day (Days 0-30) post-vaccination period; SAEs: up to study end at Month 96.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Menitorix Group0/119 (0%)0/119 (0%)95/119 (79.8%)
Meningitec + Hiberix Group0/37 (0%)0/37 (0%)28/37 (75.7%)
Most frequent other events
Most frequent other events
EventMenitorix GroupMeningitec + Hiberix Group
PainGeneral disorders69/11915/37
ErythemaSkin and subcutaneous tissue disorders56/11919/37
FatigueGeneral disorders31/11910/37
HeadacheNervous system disorders30/1197/37
SwellingGeneral disorders30/1198/37
Gastrointestinal disorderGastrointestinal disorders29/1195/37
Upper respiratory tract infectionInfections and infestations7/1192/37
PyrexiaGeneral disorders6/1192/37

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Menitorix GroupMeningitec + Hiberix GroupTotal
Mean7.0 ± 0.27.0 ± 0.07.0 ± 0.17
Sex: Female, Male
Sex: Female, Male(Participants)Menitorix GroupMeningitec + Hiberix GroupTotal
Female571471
Male622385
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Menitorix GroupMeningitec + Hiberix GroupTotal
Geographic ancestry — Asian-East Asian Heritage112
Geographic ancestry — Asian-South East Asian Heritage101
Geographic ancestry — White-Caucasian/European Heritage10936145
Geographic ancestry — Asian - Central/South Asian Heritage101
Geographic ancestry — Unspecified707
08

Study locations

8 sites
  • GSK Investigational Site
    Garran, Australian Capital Territory 2606, Australia
  • GSK Investigational Site
    Randwick, New South Wales 2031, Australia
  • GSK Investigational Site
    Westmead, New South Wales 2145, Australia
  • GSK Investigational Site
    Herston, Queensland 4029, Australia
  • GSK Investigational Site
    Sherwood, Queensland 4075, Australia
  • GSK Investigational Site
    North Adelaide, South Australia 5006, Australia
  • GSK Investigational Site
    Carlton, Victoria 3053, Australia
  • GSK Investigational Site
    Subiaco, Western Australia 6008, Australia
09

References and documents

Publications

  • Nolan T, Booy R, Marshall HS, Richmond P, Nissen M, Ziegler JB, Baine Y, Traskine M, Jastorff A, Van der Wielen M. Immunogenicity and Safety of a Quadrivalent Meningococcal ACWY-tetanus Toxoid Conjugate Vaccine 6 Years After MenC Priming as Toddlers. Pediatr Infect Dis J. 2019 Jun;38(6):643-650. doi: 10.1097/INF.0000000000002334. PubMed 31116180 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01777308
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Jan 28, 2013
Start date
May 3, 2013
Primary completion
Jul 3, 2014
Completion
Apr 20, 2016
Results posted
Jan 25, 2019
Last update
Jan 25, 2019

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline
View the source record on ClinicalTrials.gov ↗

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