CClinicalTrials.gg
TerminatedNCT03492125Updated Apr 10, 2025Results posted

A Study Of The Selective PKC-β Inhibitor MS- 553

A Phase 1/2 interventional study of MS-553 and MS-553 in Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma and Aggressive Lymphoma, sponsored by MingSight Pharmaceuticals, Inc. Terminated at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-10.

Sponsored by MingSight Pharmaceuticals, Inc · Phase 1/2, Interventional, and Treatment

Why this study was terminated
The study is terminated due to major protocol revisions. A new study in CLL patients is planned.
Phase
Phase 1/2
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A Phase I/II Dose-Escalation and Expansion Study Of The Selective PKC-Β Inhibitor MS-553 In Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

02

Conditions studied

  • Chronic Lymphocytic Leukemia
  • Small Lymphocytic Lymphoma
  • Aggressive Lymphoma
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria:

  1. Age 18 years or older
  2. Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL):

    1. History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and
    2. Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation

Exclusion criteria

Exclusion Criteria:

Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study:

  1. Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort.
  2. Active and uncontrolled autoimmune cytopenia(s)
  3. Any of the following prior therapies within 14 days prior to cycle 1, day 1:

    1. Major surgery
    2. Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia
    3. Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)

    R/R CLL/SLL patients

    Drug: MS-553

  • Experimental
    Phase II Expansion Cohort A2 (MS-553 Monotherapy)

    R/R CLL/SLL patients

    Drug: MS-553

  • Experimental
    Phase II Expansion Cohort A3 (MS-553 Monotherapy)

    patients with aggressive lymphoma

    Drug: MS-553

  • Experimental
    Phase I Combination Dose Escalation Cohort B1

    BTK inhibitor naïve CLL/SLL patients

    Drug: MS-553 · Drug: acalabrutinib

  • Experimental
    Phase II Expansion Cohort B2

    BTK inhibitor naïve CLL/SLL patients

    Drug: MS-553 · Drug: acalabrutinib

  • Experimental
    Phase II Expansion Cohort B3

    BTK inhibitor naïve CLL/SLL patients with certain gene mutations

    Drug: MS-553 · Drug: acalabrutinib

  • Experimental
    Phase I Combination Dose Escalation Cohort C1

    Bcl-2 inhibitor naïve CLL/SLL patients

    Drug: MS-553 · Drug: venetoclax · Drug: Rituximab · Drug: obinutuzumab

  • Experimental
    Experimental: Phase II Expansion Cohort C2

    Bcl-2 inhibitor naïve CLL/SLL patients

    Drug: MS-553 · Drug: venetoclax · Drug: Rituximab · Drug: obinutuzumab

Interventions

  • DrugMS-553

    Oral, multiple dose levels

  • DrugMS-553

    Oral recommended phase 2 dose of MS-553

  • Drugacalabrutinib

    Oral

  • Drugvenetoclax

    Oral

    Also known as: Venclexta, Venclyxto

  • DrugRituximab

    IV

    Also known as: Rituxan, MabThera

  • Drugobinutuzumab

    IV

    Also known as: Gazyva

05

What researchers measure

Primary outcomes

  1. The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation

    DLT are defined as any of the following treatment-emergent events occurring during the DLT evaluation period. 1. Death 2. Hematologic toxicities: • Grade 4 neutropenia for ≥ 7 days • Grade 3 febrile neutropenia: absolute neutrophil count (ANC) 38.3°C (101°F) or a sustained temperature ≥38°C (100.4°F) for \> 1 hour • Grade 4 thrombocytopenia ≥ 14 days (patients with baseline platelet count of ≥ 50 x 109 /L) • Grade 4 thrombocytopenia ≥ 28 days (patients with baseline platelet count \< 50 x 10 9 /L) • ≥ Grade 3 thrombocytopenia associated with ≥ Grade 2 hemorrhage • New ≥ Grade 3 anemia requiring transfusion in a patient previously transfusion independent. 3. Nonhematologic toxicities: • Any other ≥ Grade 3 toxicity not reversed to any one of the following three conditions in 7 days with appropriate intervention: a) baseline; b) \< Grade 1; or c) a status considered to be controlled by the SRC. • Any TEAE requiring \>25% of doses of scheduled study drug to be withheld during the DLT period

    Time frame: Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.

Secondary outcomes

  1. The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy

    This will be assessed according to the 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Response Criteria with modifications for treatment-related lymphocytosis. Any patient who receives at least one cycle of study therapy is evaluable for response.

    Time frame: Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.

06

Results

Posted Apr 10, 2025

Participant flow

Participants enrolled between May 2018 and Oct. 2023

DLT Evaluation Period
Participant flow — DLT Evaluation Period
MilestonePhase I Dose Escalation Cohort A1 (MS-553:100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS: 553: 200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
Started43344003334
Completed33333003333
Not completed10011000001
Dose Expansion Period
Participant flow — Dose Expansion Period
MilestonePhase I Dose Escalation Cohort A1 (MS-553:100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS: 553: 200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
Started000002360000
Completed000002050000
Not completed00000310000

Outcome measures

PrimaryThe Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation

DLT are defined as any of the following treatment-emergent events occurring during the DLT evaluation period. 1. Death 2. Hematologic toxicities: • Grade 4 neutropenia for ≥ 7 days • Grade 3 febrile neutropenia: absolute neutrophil count (ANC) 38.3°C (101°F) or a sustained temperature ≥38°C (100.4°F) for \> 1 hour • Grade 4 thrombocytopenia ≥ 14 days (patients with baseline platelet count of ≥ 50 x 109 /L) • Grade 4 thrombocytopenia ≥ 28 days (patients with baseline platelet count \< 50 x 10 9 /L) • ≥ Grade 3 thrombocytopenia associated with ≥ Grade 2 hemorrhage • New ≥ Grade 3 anemia requiring transfusion in a patient previously transfusion independent. 3. Nonhematologic toxicities: • Any other ≥ Grade 3 toxicity not reversed to any one of the following three conditions in 7 days with appropriate intervention: a) baseline; b) \< Grade 1; or c) a status considered to be controlled by the SRC. • Any TEAE requiring \>25% of doses of scheduled study drug to be withheld during the DLT period

Time frame:
Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.
Reported as:
Count of participants · Participants
The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation
ParticipantsPhase I Dose Escalation Cohort A1 (MS-553: 100mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553-200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
Number of participants with DLT000010001
Number of participants with TEAE000010001
SecondaryThe ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy

This will be assessed according to the 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Response Criteria with modifications for treatment-related lymphocytosis. Any patient who receives at least one cycle of study therapy is evaluable for response.

Time frame:
Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.
Reported as:
Number · percentage of participants
The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy
percentage of participantsCohort A1 (MS-553: 100 mg BID)Cohort A1 (MS-553: 200 mg BID)Cohort A1 (MS-553: 250 mg BID)Cohort A1 (MS-553: 300 mg BID)Cohort A1 (MS-553: 350 mg BID)Cohort A2 (MS-553 Monotherapy)Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553: 200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy033.310066.733.342.102510066.7100100

Adverse events

Collected over For the duration of the study drug treatment (up to 3 years). Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)1/4 (25%)2/4 (50%)4/4 (100%)
Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)2/3 (66.7%)3/3 (100%)3/3 (100%)
Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)1/3 (33.3%)1/3 (33.3%)3/3 (100%)
Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)2/4 (50%)3/4 (75%)4/4 (100%)
Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)2/4 (50%)3/4 (75%)4/4 (100%)
Phase II Expansion Cohort A2 (MS-553 Monotherapy)6/23 (26.1%)15/23 (65.2%)23/23 (100%)
Phase II Expansion Cohort A3 (MS-553 Monotherapy)3/6 (50%)3/6 (50%)6/6 (100%)
Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)0/3 (0%)1/3 (33.3%)3/3 (100%)
Phase I Combination Dose Escalation Cohort B1 (MS-553: 200 mg BID)0/3 (0%)2/3 (66.7%)3/3 (100%)
Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)0/3 (0%)2/3 (66.7%)3/3 (100%)
Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)0/4 (0%)2/4 (50%)4/4 (100%)
Most frequent serious events
Showing 10 of 55
Most frequent serious events
EventPhase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553: 200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
Lung infectionInfections and infestations0/40/30/30/42/41/230/60/31/30/30/4
Acute kidney injuryRenal and urinary disorders2/40/30/31/41/40/230/60/30/31/30/4
ThrombocytopeniaBlood and lymphatic system disorders0/40/31/30/40/40/230/60/30/30/30/4
Cardiac failureCardiac disorders0/41/30/30/40/41/230/60/30/30/30/4
Myocardial infarctionCardiac disorders0/40/31/30/40/40/230/60/30/31/30/4
PyrexiaGeneral disorders0/40/31/31/41/43/230/60/30/30/31/4
Disease progressionGeneral disorders0/40/30/30/40/40/230/60/31/30/30/4
CholecystitisHepatobiliary disorders0/40/30/30/40/40/230/60/30/31/30/4
Cholecystitis acuteHepatobiliary disorders0/40/30/30/40/40/230/60/30/31/30/4
PneumoniaInfections and infestations1/41/31/30/40/42/230/60/30/30/30/4
Most frequent other events
Showing 10 of 184
Most frequent other events
EventPhase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553: 200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)
Anaemias NECBlood and lymphatic system disorders4/43/30/30/43/45/230/60/32/30/31/4
Visual disorders NECEye disorders0/41/30/31/42/45/231/61/33/30/32/4
Diarrhoea (excl infective)Gastrointestinal disorders2/42/33/32/44/411/233/62/31/31/32/4
Nausea and vomiting symptomsGastrointestinal disorders4/42/33/32/43/417/232/62/33/32/34/4
Asthenic conditionsGeneral disorders2/41/33/32/43/411/231/62/32/32/33/4
Platelet analysesInvestigations4/42/32/32/42/44/231/60/31/30/32/4
White blood cell analysesInvestigations4/42/32/31/44/46/231/60/31/30/32/4
Hyperglycaemic conditions NECMetabolism and nutrition disorders4/42/31/30/43/42/230/61/31/30/31/4
Protein metabolism disorders NECMetabolism and nutrition disorders4/41/30/30/42/42/230/60/31/30/30/4
Sodium imbalanceMetabolism and nutrition disorders1/43/30/30/43/41/230/60/31/30/31/4

Baseline characteristics

Treated population included all participants who had received at least one dose of the study drug

Age, Categorical
Age, Categorical(Participants)Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553:200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)Total
<=18 years000000000000
Between 18 and 65 years1111022101212
>=65 years32234214232248
Sex: Female, Male
Sex: Female, Male(Participants)Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553:200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)Total
Female2101381120221
Male22331155213239
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553:200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)Total
Hispanic or Latino000000001113
Not Hispanic or Latino43244236322356
Unknown or Not Reported001000000001
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553:200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)Total
American Indian or Alaska Native000000000000
Asian000000000000
Native Hawaiian or Other Pacific Islander000000000000
Black or African American000100000001
White43234236323457
More than one race000000000000
Unknown or Not Reported001000001002
Region of Enrollment
Region of Enrollment(participants)Phase I Dose Escalation Cohort A1 (MS-553: 100 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 200 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 250 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 300 mg BID)Phase I Dose Escalation Cohort A1 (MS-553: 350 mg BID)Phase II Expansion Cohort A2 (MS-553 Monotherapy)Phase II Expansion Cohort A3 (MS-553 Monotherapy)Phase I Combination Dose Escalation Cohort B1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort B1 (MS-553:200 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 150 mg BID)Phase I Combination Dose Escalation Cohort C1 (MS-553: 200 mg BID)Total
United States43344236333460
07

Study locations

5 sites
  • University Of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109, United States
  • Columbia University, Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • The Ohio State University, James Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • MD Anderson Cancer Center, Department of Leukemia
    Houston, Texas 77030, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84112, United States
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Jun 16, 2023

Documents are hosted by the registry — open the source record to download them.

09

Registry details

Key details

Study ID
NCT03492125
Lead sponsor
MingSight Pharmaceuticals, Inc
Responsible party
Sponsor
First posted
Apr 10, 2018
Start date
May 25, 2018
Primary completion
Nov 28, 2023
Completion
Nov 28, 2023
Results posted
Apr 10, 2025
Last update
Apr 10, 2025

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
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