A Phase 1 interventional study of AX-158 in Autoimmune Diseases, sponsored by Artax Biopharma Inc. Completed at 1 site in United Kingdom. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-23.
Sponsored by Artax Biopharma Inc · Phase 1, Interventional, and Treatment
This is a Phase I Healthy volunteer study with the primary objective to evaluate the safety and pharmacokinetics profile of AX-158. The first part will evaluate single ascending dose administrations. A substudy will be performed as well to evaluate possible impact of food on drug exposure if administered under fasted or fed state. The second part will evaluate multiple ascending dose over 10 days of dosing in fed or fast state depending on the results of the substudy food effect on AX-158.
This is a phase I, randomised, double-blind , placebo controlled study to investigate the safety, tolerability, and PK of AX-158 in healthy male participants following single (Part A) and multiple (Part C) ascending doses including food effect (Part B).The study will be conducted in three parts (Part A, Part B and Part C). Part A will enrol 8 participants per cohort randomised (3 :1) to receive AX-158 (6 participants) or placebo (2 participants). Part A will follow a single ascending dose (SAD) design with all participants receiving one dose of AX-158 (or placebo) in the fasted state. Part B (Food Effect) will be conducted in 8 participants in a cross-over manner; each participant will receive AX-158 in the fed and fasted state. Part C will enrol 8 participants per cohort randomised to (3 :1) to receive AX-158 (6 participants) or placebo (2 participants). Part C will follow a multiple ascending dose (MAD) design with participants receiving AX-158 (or placebo) once daily for 10 consecutive days, in a fed or fasted state (depending on the outcome of the Part B (Food Effect).
655 studies on the registry are indexed under Autoimmune Diseases; 275 are open to participants now.
This study's enrollment of 64 is above the median of 40 across 427 interventional studies indexed under Autoimmune Diseases.
Browse Autoimmune Diseases studies →Artax Biopharma Inc is the lead sponsor of 4 studies on the registry; none are open to participants now.
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Exclusion Criteria:
AX-158 oral Single (Single Ascending Dose)
Drug: AX-158
AX-158 oral Single (Single Ascending Dose)
Drug: AX-158
AX-158 oral Single (Single Ascending Dose)
Drug: AX-158
AX-158 oral Single (Single Ascending Dose)
Drug: AX-158
AX-158 oral Single (Single Ascending Dose)
Drug: AX-158
AX-158 oral single dose with food
Drug: AX-158
AX-158 oral single dose without food
Drug: AX-158
AX-158 oral daily dose for 10 days (Multiple Ascending Dose)
Drug: AX-158
AX-158 oral daily dose for 10 days (Multiple Ascending Dose)
Drug: AX-158
AX-158 oral daily dose for 10 days (Multiple Ascending Dose)
Drug: AX-158
Placebo oral Single (Single Ascending Dose)
Drug: AX-158
Placebo oral daily dose for 10 days (Multiple Ascending Dose)
Drug: AX-158
Oral administrations of AX-158
Also known as: Placebo
Number of Participants With Treatment-Emergent Adverse Events
The number of participants with recorded treatment emergent adverse events following single and multiple doses of AX-158.
Time frame: Up to 10 days of treatment
Maximal Plasma Concentration (Cmax)
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
Time frame: Up to 13 days following dose administration
Total Plasma Drug Exposure (AUC0-t)
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
Time frame: Up to 13 days following dose administration
Terminal Half Life (t1/2)
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
Time frame: Up to 13 days following dose administration
Study recruitment for this study was undertaken in South Wales in the United Kingdom. A sufficient number of participants were screened in order to successfully recruit 64 eligible participants.
| Milestone | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part A - Placebo Participants | Part B - 15 mg AX-158 Fed/Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 | Part C - Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Started | 6 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 5 | 6 | 5 |
| Completed | 6 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 5 | 6 | 5 |
| Not completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
The number of participants with recorded treatment emergent adverse events following single and multiple doses of AX-158.
| participants | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part B - 15 mg AX-158 Fed State | Part B - 15 mg AX-158 Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 | Part A - Placebo | Part C - Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of Participants With Treatment-Emergent Adverse Events | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 3 | 1 | 0 | 1 | 4 |
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
| µg/mL | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part B - 15 mg AX-158 Fed | Part B - 15 mg AX-158 Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 |
|---|---|---|---|---|---|---|---|---|---|---|
| Maximal Plasma Concentration (Cmax) | 0.0831 ± 16.3 | 0.174 ± 9.7 | 0.29 ± 10 | 0.487 ± 15.8 | 0.86 ± 18.9 | 0.237 ± 20.7 | 0.273 ± 26.3 | 0.108 ± 7.1 | 0.194 ± 15.4 | 0.298 ± 17.5 |
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
| h*µg/mL | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part B - 15 mg AX-158 Fed | Part B - 15 mg AX-158 Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 |
|---|---|---|---|---|---|---|---|---|---|---|
| Total Plasma Drug Exposure (AUC0-t) | 1.07 ± 35.6 | 2.06 ± 20.8 | 3.87 ± 25.2 | 6.88 ± 34 | 11.9 ± 24.6 | 3.3 ± 36.3 | 3.43 ± 34 | 1.67 ± 22.5 | 2.65 ± 38.6 | 4.97 ± 28.5 |
Values calculated for derived PK parameters following samples obtained at the following timepoints: Part A \& B: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr, Day 2: 24 hr, 36 hr, Day 3: 48 hr \& Day 4: 72 hr post-Day 1 dose Part C: Day 1: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 1 dose Day 2: 24 hr, 36 hr post-Day 1 dose Day 3: 48 hr post-Day 1 dose Day 4: 72 hr post-Day 1 dose Day 5: prior to dose Day 10: pre-dose, 30 mins, 45 mins, 1 hr, 2 hr, 3 hr, 4 hr, 6 hr, 8 hr, 12 hr post-Day 10 dose Day 11: 24 hr, 36 hr post-Day 10 dose Day 12: 48 hr post-Day 10 dose Day 13: 72 hr post-Day 10 dose
| h | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part B - 15 mg AX-158 Fed | Part B - 15 mg AX-158 Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 |
|---|---|---|---|---|---|---|---|---|---|---|
| Terminal Half Life (t1/2) | 8.94 ± 18.4 | 8.48 ± 13.1 | 8.56 ± 22.1 | 10.6 ± 25.4 | 9.58 ± 10.5 | 8.19 ± 25.6 | 8.44 ± 18.8 | 9.7 ± 4.7 | 8.41 ± 21.4 | 9.84 ± 20.9 |
Collected over Adverse Event reporting and data collection occurred over the following time frames for each study part: Part A - informed consent to follow up - up to 6 weeks Part B - informed consent to follow up - up to 8 weeks Part C - informed consent to follow up - up to 8 weeks. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Part A - 5 mg AX-158 | 0/6 (0%) | — | 0/6 (0%) |
| Part A - 10 mg AX-158 | 0/5 (0%) | 0/5 (0%) | 0/5 (0%) |
| Part A - 15 mg AX-158 | 0/4 (0%) | 0/4 (0%) | 0/4 (0%) |
| Part A - 25 mg AX-158 | 0/4 (0%) | 0/4 (0%) | 0/4 (0%) |
| Part A - 50 mg AX-158 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part A - Placebo | 0/9 (0%) | 0/9 (0%) | 1/9 (11.1%) |
| Part B - 15 mg AX-158 Fed | 0/8 (0%) | 0/8 (0%) | 1/8 (12.5%) |
| Part B - 15 mg AX-158 Fasted | 0/8 (0%) | 0/8 (0%) | 1/8 (12.5%) |
| Part C - 5 mg AX-158 | 0/6 (0%) | 0/6 (0%) | 1/6 (16.7%) |
| Part C - 10 mg AX-158 | 0/5 (0%) | 0/5 (0%) | 1/5 (20%) |
| Part C - 15 mg AX-158 | 0/6 (0%) | 0/6 (0%) | 0/6 (0%) |
| Part C - Placebo | 0/5 (0%) | 0/5 (0%) | 2/5 (40%) |
| Event | Part A - 5 mg AX-158 | Part A - 10 mg AX-158 | Part A - 15 mg AX-158 | Part A - 25 mg AX-158 | Part A - 50 mg AX-158 | Part A - Placebo | Part B - 15 mg AX-158 Fed | Part B - 15 mg AX-158 Fasted | Part C - 5 mg AX-158 | Part C - 10 mg AX-158 | Part C - 15 mg AX-158 | Part C - Placebo |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EpistaxisRespiratory, thoracic and mediastinal disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 1/9 | 0/8 | 0/8 | 0/6 | 0/5 | 0/6 | 1/5 |
| HeadacheNervous system disorders | 0/6 | 0/5 | 0/4 | 0/4 | 1/6 | 0/9 | 1/8 | 0/8 | 1/6 | 1/5 | 0/6 | 0/5 |
| Nasal CongestionRespiratory, thoracic and mediastinal disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 0/9 | 0/8 | 0/8 | 0/6 | 0/5 | 0/6 | 1/5 |
| CoughRespiratory, thoracic and mediastinal disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 0/9 | 0/8 | 0/8 | 0/6 | 0/5 | 0/6 | 1/5 |
| AnxietyPsychiatric disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 0/9 | 0/8 | 0/8 | 1/6 | 0/5 | 0/6 | 0/5 |
| Abdominal DistensionGastrointestinal disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 0/9 | 0/8 | 0/8 | 1/6 | 0/5 | 0/6 | 0/5 |
| Seasonal AllergyImmune system disorders | 0/6 | 0/5 | 0/4 | 0/4 | 0/6 | 0/9 | 0/8 | 1/8 | 0/6 | 0/5 | 0/6 | 0/5 |
| Age, Categorical(Participants) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| <=18 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 6 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 5 | 6 | 5 | 64 |
| >=65 years | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Sex: Female, Male(Participants) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Male | 6 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 5 | 6 | 5 | 64 |
| Ethnicity (NIH/OMB)(Participants) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Hispanic or Latino | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 |
| Not Hispanic or Latino | 6 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 5 | 6 | 4 | 63 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Asian | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| White | 5 | 5 | 4 | 4 | 6 | 9 | 8 | 6 | 4 | 6 | 5 | 62 |
| More than one race | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 2 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Height(Metres) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 1.800 ± 0.0620 | 1.788 ± 0.0370 | 1.780 ± 0.0594 | 1.783 ± 0.0699 | 1.762 ± 0.0436 | 1.783 ± 0.0532 | 1.771 ± 0.0617 | 1.747 ± 0.0592 | 1.772 ± 0.0694 | 1.805 ± 0.0485 | 1.734 ± 0.0488 | 1.783 ± 0.0513 |
| Weight(Kg) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 83.2 ± 12.019 | 82.62 ± 5.034 | 74.60 ± 8.636 | 81.53 ± 12.829 | 75.55 ± 6.486 | 81.24 ± 10.989 | 84.34 ± 11.244 | 73.25 ± 9.194 | 76.74 ± 11.959 | 79.88 ± 12.015 | 67.78 ± 2.842 | 80.01 ± 9.638 |
| BMI(kg/m2) | Part A - 5mg AX-158 | Part A - 10mg AX-158 | Part A - 15mg AX-158 | Part A - 25mg AX-158 | Part A - 50mg AX-158 | Part A - Placebo | Part B - 15mg AX-158 Fed/Fasted | Part C - 5mg AX-158 | Part C - 10mg AX-158 | Part C - 15mg AX-158 | Part C - Placebo | Total |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mean | 25.508 ± 2.1783 | 25.880 ± 2.0092 | 23.580 ± 2.8956 | 25.548 ± 2.5745 | 24.313 ± 1.3690 | 25.557 ± 3.3519 | 26.850 ± 3.0544 | 24.053 ± 3.2247 | 24.392 ± 3.0302 | 24.672 ± 4.5817 | 22.584 ± 1.5257 | 25.143 ± 2.4850 |
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Artax Biopharma Inc