ClinicalTrials.gg
CompletedNCT03315572Updated Jan 28, 2019Results posted

Pediatric Ease of Use ELLIPTA Items

An observational study in Asthma, sponsored by GlaxoSmithKline. Completed at 2 sites in United States. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2019-01-28.

Sponsored by GlaxoSmithKline · Observational

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Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
28
Ages
5 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 261 studies in Asthma by GlaxoSmithKline — 7 open to participants now, 12 under way, 7 of them phase 3. Asthma · GlaxoSmithKline.

Enrollment
21st of 24
28 · median 512
Started
2017
with 15 others
Observational
24 of 261
none open now
Registered
223rd of 261
by date

Among the 261 studies in Asthma by GlaxoSmithKline, this one is the 21st largest by enrollment of the 24 observational ones that give a count, is one of 16 that started in 2017, is one of 24 observational ones, and was the 223rd registered.

Asthma

4,846 studies on the registry are indexed under Asthma; 603 are open to participants now.

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Open to participants now

7 of the 261 studies in Asthma by GlaxoSmithKline are open now, in 12 countries. Recruiting first, the newest first:

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By country, each count listing its studies:

All 7 open studies →

Who these studies take

Of the 417 Asthma studies recruiting now, 140 (34%) set no upper age limit and 205 (49%) stop at 75 or younger; 147 take children under 18; 105 take healthy volunteers.

This study: 5 Years and older · all sexes · no healthy volunteers.

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02

Study summary

A range of devices has been developed to administer inhaled therapy for asthma, including dry powder inhaler (DPI) devices. ELLIPTA is a DPI that is preloaded with a drug therapy to treat asthmatic subjects. The objective of this study is to revise ease of use items developed for adults to be appropriate for completion by pediatric subjects in future clinical trials and to evaluate the newly developed items in subjects with asthma aged 5 to 11 years and their caregivers. This is a cross-sectional, qualitative study that will involve pediatric subjects with asthma who are currently using an asthma maintenance inhaler and their caregivers. Two rounds of repetitive cognitive interviews will be conducted with 16 subjects in each interview set. Each interview will last approximately 45 minutes. Data provided by pediatric subjects and their caregivers during interview will be collected as field notes and audio recordings which will be transcribed.

03

Conditions studied

  • Asthma

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Keywords

  • caregiver
  • ELLIPTA
  • Asthma
  • Dry Powder Inhaler
  • pediatric
04

Who can participate

Ages eligible
5 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

A convenience sample of pediatric subject and caregiver dyads consisting of pediatric asthmatic subjects aged 5 to 11 years currently using a maintenance inhaler and his or her caregiver will be included.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Child inclusion criteria

  • Be 5 to 11 years of age
  • Have asthma
  • Currently use a maintenance inhaler to treat their asthma
  • Be willing and able to provide assent
  • Be willing and able to participate in a 45-minute interview in English Caregiver inclusion criteria
  • Above 18+ years of age
  • Be a caregiver (parent or legal guardian) of a pediatric subject with asthma that meets the criteria above
  • Be willing and able to provide signed and dated and parental permission in English
  • Be willing and able to participate in a 45-minute interview

Exclusion criteria

Exclusion Criteria:

  • Nil
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
28 participants (actual)

Groups and cohorts

  • Pediatric subject/caregiver dyads-first interview set

    The first interview set will consist of eight pediatric subject/caregiver dyads including pediatric subjects with asthma currently using a maintenance inhaler and his or her caregiver. The pediatric subjects and their caregivers will be asked questions regarding ease of use of ELLIPTA inhaler.

    Other: Interviewer administered version of ease of use items · Other: Self-administered version of ease of use items · Other: Caregiver version of ease of use items

  • Pediatric subject/caregiver dyads-second interview set

    The second interview set will consist of eight pediatric subject/caregiver dyads including pediatric subjects with asthma currently using a maintenance inhaler and his or her caregiver. The pediatric subjects and their caregivers will be asked questions regarding ease of use of ELLIPTA inhaler.

    Other: Interviewer administered version of ease of use items · Other: Self-administered version of ease of use items · Other: Caregiver version of ease of use items

Interventions

  • OtherInterviewer administered version of ease of use items

    The adult ease of use items will be modified to incorporate language appropriate for pediatric subjects. The interview will be administered by trained clinic-staff for subjects aged 5 to 7 years and those aged 8 to 11 years having difficulty in reading.

  • OtherSelf-administered version of ease of use items

    The interview will be self-administered by subjects aged 8 to 11 years.

  • OtherCaregiver version of ease of use items

    Caregivers will be asked questions regarding their observations and experiences while their child was using ELLIPTA inhaler.

06

What researchers measure

Primary outcomes

  1. Number of Pediatric Participants With Problems Understanding Item Wording-Round 1 Interviews

    The items for pediatric participants were developed to assess the concepts of overall ease of use of ELLIPTA and ease of evaluating remaining doses in inhaler. Pediatric participants aged 5 to 7 years were required to complete the interviewer-administered version and participants aged 8 to 11 years were administered self-completed version. Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c), 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c) and one item to assess if the pediatric participants could compare different types of inhalers (Item 3). The number of participants who had problems in understanding the item wordings has been presented. No statistical analyses were conducted for this qualitative study.

    Time frame: Up to 45 minutes

  2. Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 1 Interviews

    Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c) and 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c). Three response options were developed for these two concepts: Item 1a/2a-a verbal response scale with four options (Very easy, easy, hard, very hard); Item 1b/2b-the same four verbal response options accompanied by illustrations of faces for each verbal response; and Item 1c/2c-a verbal response scale with two options (Yes, No). The number of participants who had difficulty in providing item responses has been presented.

    Time frame: Up to 45 minutes

  3. Number of Pediatric Participants With Difficulty in Distinguishing Between the Item Responses-Round 1 Interviews

    Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c), 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c) and one item to understand if the participants could compare different types of inhalers. Three response options were developed to assess ease of inhaler use and ease of evaluating remaining doses: Item 1a/2a-a verbal response scale with four options (Very easy, easy, hard, very hard); Item 1b/2b-the same four verbal response options accompanied by illustrations of faces for each verbal response; and Item 1c/2c-a verbal response scale with two options (Yes, No). Item 3 consisted of 3 response options (Yes, No, The same). The number of participants who had difficulty in distinguishing item responses has been presented.

    Time frame: Up to 45 minutes

  4. Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 1 Interviews

    Round 1 of the interviews for caregiver participants evaluated the concepts of ease of evaluating remaining doses (Item 1) and the likelihood of requesting inhaler from their child's physician (Item 2). A response scale with four options was developed for each item: Item 1 (Very easy, Easy, Difficult, Very difficult) and Item 2 (Very likely, Likely, Unlikely, Very unlikely). The number of caregivers who had difficulty in providing responses to caregiver items has been reported.

    Time frame: Up to 45 minutes

  5. Number of Pediatric Participants With Problems Understanding Item Wording-Round 2 Interviews

    Based on the results of Round 1 interviews, the four level verbal response scale (Item 1a and Item 2a) of the pediatric versions were selected for further evaluation of ease of use and ease in evaluating remaining doses in Round 2. The second set of interviews were conducted to test if any further revision is required to optimize the items. The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants with problems understanding item wording has been presented.

    Time frame: Up to 45 minutes

  6. Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 2 Interviews

    The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants with difficulty in providing response to items has been presented.

    Time frame: Up to 45 minutes

  7. Number of Pediatric Participants With Difficulty in Distinguishing Between the Responses to Items-Round 2 Interviews

    The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants who had difficulty in distinguishing between the response to items has been presented.

    Time frame: Up to 45 minutes

  8. Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 2 Interviews

    Based on the results of Round 1 interviews, both the items of caregiver version were retained for further evaluation in Round 2. The number of caregivers who had difficulty in providing responses to caregiver version of items has been presented below.

    Time frame: Up to 45 minutes

  9. Number of Additional Ease of Use Items Identified

    Caregivers were asked if there were any concepts regarding ease of use that were missing from the pediatric or caregiver versions according to them. The number of ease of use items as identified by caregiver participants has been presented.

    Time frame: Up to 45 minutes

Secondary outcomes

  1. Number of Pediatric Participants Who Were Able to Use ELLIPTA Whistle

    At the end of cognitive debriefing of the items, the interviewers demonstrated how to use the ELLIPTA whistle and then the pediatric participants were provided with a whistle and asked to produce an audible sound. The number of pediatric participants who were able to produce an audible sound using the ELLIPTA whistle has been presented.

    Time frame: Up to 45 minutes

  2. Number of Participants With Attempts Required to Produce an Audible Sound

    At the end of cognitive debriefing of the items, the pediatric participants were asked to use the ELLIPTA whistle to produce an audible sound. The number of pediatric participants who required one to two attempts or more than three attempts to produce an audible sound has been presented.

    Time frame: Up to 45 minutes

07

Results

Posted Jan 28, 2019

Participant flow

This was a cross-sectional, qualitative study to develop items to evaluate ease of use of ELLIPTA by pediatric participants with asthma and their caregivers for implementation in clinical trials.

Participant flow — Overall Study
MilestonePediatric ParticipantsCaregivers
Started1414
Completed1414
Not completed00

Outcome measures

PrimaryNumber of Pediatric Participants With Problems Understanding Item Wording-Round 1 Interviews

The items for pediatric participants were developed to assess the concepts of overall ease of use of ELLIPTA and ease of evaluating remaining doses in inhaler. Pediatric participants aged 5 to 7 years were required to complete the interviewer-administered version and participants aged 8 to 11 years were administered self-completed version. Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c), 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c) and one item to assess if the pediatric participants could compare different types of inhalers (Item 3). The number of participants who had problems in understanding the item wordings has been presented. No statistical analyses were conducted for this qualitative study.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Problems Understanding Item Wording-Round 1 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Number of Pediatric Participants With Problems Understanding Item Wording-Round 1 Interviews00
PrimaryNumber of Pediatric Participants With Difficulty Providing Responses to Items-Round 1 Interviews

Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c) and 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c). Three response options were developed for these two concepts: Item 1a/2a-a verbal response scale with four options (Very easy, easy, hard, very hard); Item 1b/2b-the same four verbal response options accompanied by illustrations of faces for each verbal response; and Item 1c/2c-a verbal response scale with two options (Yes, No). The number of participants who had difficulty in providing item responses has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 1 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 1 Interviews00
PrimaryNumber of Pediatric Participants With Difficulty in Distinguishing Between the Item Responses-Round 1 Interviews

Round 1 of the interviews evaluated 3 items to evaluate ease of use of inhaler (Items 1a, 1b and 1c), 3 items to assess the ease in evaluating remaining doses (Items 2a, 2b, 2c) and one item to understand if the participants could compare different types of inhalers. Three response options were developed to assess ease of inhaler use and ease of evaluating remaining doses: Item 1a/2a-a verbal response scale with four options (Very easy, easy, hard, very hard); Item 1b/2b-the same four verbal response options accompanied by illustrations of faces for each verbal response; and Item 1c/2c-a verbal response scale with two options (Yes, No). Item 3 consisted of 3 response options (Yes, No, The same). The number of participants who had difficulty in distinguishing item responses has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Difficulty in Distinguishing Between the Item Responses-Round 1 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Item 1a21
Item 1b00
Item 1c00
Item 2a20
Item 2b00
Item 2c00
Item 300
PrimaryNumber of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 1 Interviews

Round 1 of the interviews for caregiver participants evaluated the concepts of ease of evaluating remaining doses (Item 1) and the likelihood of requesting inhaler from their child's physician (Item 2). A response scale with four options was developed for each item: Item 1 (Very easy, Easy, Difficult, Very difficult) and Item 2 (Very likely, Likely, Unlikely, Very unlikely). The number of caregivers who had difficulty in providing responses to caregiver items has been reported.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 1 Interviews
ParticipantsCaregivers
Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 1 Interviews0
PrimaryNumber of Pediatric Participants With Problems Understanding Item Wording-Round 2 Interviews

Based on the results of Round 1 interviews, the four level verbal response scale (Item 1a and Item 2a) of the pediatric versions were selected for further evaluation of ease of use and ease in evaluating remaining doses in Round 2. The second set of interviews were conducted to test if any further revision is required to optimize the items. The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants with problems understanding item wording has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Problems Understanding Item Wording-Round 2 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Number of Pediatric Participants With Problems Understanding Item Wording-Round 2 Interviews00
PrimaryNumber of Pediatric Participants With Difficulty Providing Responses to Items-Round 2 Interviews

The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants with difficulty in providing response to items has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 2 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Number of Pediatric Participants With Difficulty Providing Responses to Items-Round 2 Interviews00
PrimaryNumber of Pediatric Participants With Difficulty in Distinguishing Between the Responses to Items-Round 2 Interviews

The items for evaluation in Round 2 included: Item 1 and Item 2 for ease of ELLIPTA use and ease of evaluating remaining doses with a verbal scale of four options (Very easy, Easy, Hard, Very hard) and Item 3 for evaluation of the ability of participants to differentiate between inhalers consisting of three options (Yes, No, The same). The number of pediatric participants who had difficulty in distinguishing between the response to items has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants With Difficulty in Distinguishing Between the Responses to Items-Round 2 Interviews
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Item 110
Item 200
Item 300
PrimaryNumber of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 2 Interviews

Based on the results of Round 1 interviews, both the items of caregiver version were retained for further evaluation in Round 2. The number of caregivers who had difficulty in providing responses to caregiver version of items has been presented below.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 2 Interviews
ParticipantsCaregivers
Number of Caregiver Participants Who Had Difficulty Providing Responses to Caregiver Items-Round 2 Interviews0
PrimaryNumber of Additional Ease of Use Items Identified

Caregivers were asked if there were any concepts regarding ease of use that were missing from the pediatric or caregiver versions according to them. The number of ease of use items as identified by caregiver participants has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Items
Number of Additional Ease of Use Items Identified
ItemsCaregivers
Number of Additional Ease of Use Items Identified0
SecondaryNumber of Pediatric Participants Who Were Able to Use ELLIPTA Whistle

At the end of cognitive debriefing of the items, the interviewers demonstrated how to use the ELLIPTA whistle and then the pediatric participants were provided with a whistle and asked to produce an audible sound. The number of pediatric participants who were able to produce an audible sound using the ELLIPTA whistle has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Pediatric Participants Who Were Able to Use ELLIPTA Whistle
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
Number of Pediatric Participants Who Were Able to Use ELLIPTA Whistle68
SecondaryNumber of Participants With Attempts Required to Produce an Audible Sound

At the end of cognitive debriefing of the items, the pediatric participants were asked to use the ELLIPTA whistle to produce an audible sound. The number of pediatric participants who required one to two attempts or more than three attempts to produce an audible sound has been presented.

Time frame:
Up to 45 minutes
Reported as:
Number · Participants
Number of Participants With Attempts Required to Produce an Audible Sound
ParticipantsPediatric Participants (5 to 7 Years)Pediatric Participants (8 to 11 Years)
One to two attempts47
More than three attempts21

Adverse events

Collected over Adverse events (AEs) were not collected as this is a prospective study that utilized primary data collection without a GlaxoSmithKline drug of interest.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Pediatric Participants———
Caregivers———

Baseline characteristics

All Enrolled Population: Includes all pediatric participants and their caregivers who participated in Round 1 and Round 2 of interviews.

Age, Continuous
Age, Continuous(Years)Pediatric ParticipantsCaregiversTotal
Mean8 ± 1.638.1 ± 7.123.05 ± 4.35
Sex: Female, Male
Sex: Female, Male(Participants)Pediatric ParticipantsCaregiversTotal
Female41216
Male10212
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Pediatric ParticipantsCaregiversTotal
Race customized — White5611
Race customized — Black6612
Race customized — Asian or other325
08

Study locations

2 sites
  • GSK Investigational Site
    Southfield, Michigan 48034, United States
  • GSK Investigational Site
    Raleigh, North Carolina 27612, United States
09

References and documents

Publications

  • Halverson P, Liem J, Heyes L, Preece A, Bareille P, Rees J, Jain R, Stanford RH, Lenney W, Collison K, Sharma R. The evaluation of the correct use and ease-of use of the ELLIPTA DPI in children with asthma. Pediatr Pulmonol. 2021 Jan;56(1):57-64. doi: 10.1002/ppul.25149. Epub 2020 Nov 19. PubMed 33124762 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2017 to primary completion in Dec 2017, 1 month.

Results were first posted in Jan 2019, 1 year 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 17, 2017
First posted
Oct 20, 2017
StartActual
Oct 17, 2017
Primary completionActual
Dec 1, 2017
CompletionActual
Dec 1, 2017
Results first posted
Jan 28, 2019
Last update
Jan 28, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 28, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03315572
Lead sponsor
GlaxoSmithKline
Collaborators
RTI Health Solutions(RTI HS)
Responsible party
Sponsor
First posted
Oct 20, 2017
Start date
Oct 17, 2017
Primary completion
Dec 1, 2017
Completion
Dec 1, 2017
Results posted
Jan 28, 2019
Last update
Jan 28, 2019

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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