ClinicalTrials.gg
RecruitingNCT07391657DURGA-4Updated Sep 29, 2026

A Study Comparing AZD0120, a Dual-targeted CAR-T Against B-cell Maturation Antigen (BCMA) and CD19, Versus Standard Regimens in Participants With Relapsed Refractory Multiple Myeloma (DURGA-4)

A Phase 3 interventional study of AZD0120 and Daratumumab in Relapsed Refractory Multiple Myeloma, sponsored by AstraZeneca. Recruiting at 143 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by AstraZeneca · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Updated Sep 29, 2026Site recruiting status changedGo to Updates ↓

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Phase
Phase 3
Study type
Interventional
Enrollment
508
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 11 studies testing Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F in Multiple Myeloma — 7 open to participants now, 7 under way, 3 of them phase 3. Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F · Multiple Myeloma.

Planned enrollment
3rd of 11
508 · median 40
Started
2026
with 2 others
Phase 3
3 of 11
3 open now
Registered
9th of 11
by date
Lead sponsor
5 of 11
AstraZeneca

Among the 11 studies testing Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F in Multiple Myeloma, this one is the 3rd largest by planned enrollment, is one of 3 that started in 2026, is one of 3 in phase 3, and was the 9th registered.

Multiple Myeloma

3,763 studies on the registry are indexed under Multiple Myeloma; 770 are open to participants now.

Browse Multiple Myeloma studies →

Open to participants now

7 of the 11 studies testing Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F in Multiple Myeloma are open now, in 12 countries. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

About Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 585 Multiple Myeloma studies recruiting now, 430 (74%) set no upper age limit and 106 (18%) stop at 75 or younger; 36 take children under 18; 24 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies testing Autologous Bispecific BCMA/CD19-targeted CAR-T Cells GC012F in Multiple Myeloma, or all of them as a file.
02

Study summary

This is a randomised, multicentre, controlled, open-label, Phase III global study comparing the efficacy and safety of AZD0120 versus standard regimens (DKd [daratumumab, carfilzomib, and dexamethasone], DPd [daratumumab, pomalidomide, and dexamethasone], PVd [pomalidomide, bortezomib and dexamethasone], or Kd [carfilzomib and dexamethasone]) in participants with RRMM.

03

Conditions studied

  • Relapsed Refractory Multiple Myeloma

Browse trials for

Keywords

  • BCMA
  • CAR-T
  • CD19
04

Who can participate

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

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

  • Age ≥ 18 years
  • Documented diagnosis of multiple myeloma according to the IMWG diagnostic criteria
  • Documented evidence of :

    1. Serum M-protein level ≥ 1 g/dL
    2. Urine M-protein level ≥ 200 mg/24h
    3. Serum immunoglobulin free light chain ≥ 10 mg/dL (100 mg/L) and abnormal serum immunoglobulin kappa lambda free light chain ratio
  • Documented evidence of PD by IMWG 2016 criteria based on investigator's determination during or after the most recent . Participants with only 1 prior line of therapy must have progressed within 47 months of a stem cell transplant, or if not transplanted, then within 42 months of starting initial therapy
  • Received 1 to 3 lines of prior therapy including an IMiD and either a PI or a CD38 antibody. Participant must have undergone at least 2 complete cycles of treatment for each line of therapy, unless PD was the best response to the line of therapy
  • Eligible to receive at least one of the standard regimens (DKd, PVd, DPd, or Kd) as determined by the Investigator.
  • performance status score of 0 to 1
  • Adequate hematology and chemistry laboratory values:

    1. ≥ 8.0 g/dL
    2. ≥ 1 × 10\^9/L (1000 per mm3)
    3. count ≥ 75 × 10\^9/L (75000 per mm3) in participants with \< 50% of bone marrow nucleated cells are plasma cells or ≥ 50 × 10\^9/L (50000 per mm3) in participants with ≥ 50% of bone marrow nucleated cells are plasma cells
    4. Absolute lymphocyte count ≥ 300/µL (0.3 × 109/L)
    5. Total ≤ 1.5 × in the absence of Gilbert's syndrome or ≤ 3 × ULN if the participant has Gilbert's syndrome. and ALT≤ 3.0 × ULN. by Cockcroft and Gault method ≥ 30 mL/minute

Exclusion criteria

Exclusion Criteria:

  • Known active, or prior history of CNS involvement or exhibits clinical signs of meningeal involvement of MM.
  • Primary amyloidosis, active plasma cell leukaemia, Waldenstrom macroglobulinemia or Polyneuropathy Organomegaly Endocrinopathy M-protein and Skin (POEMS) syndrome.
  • Participants with primary MM (failed to generate at least a minimal response to any prior therapy)
  • Significant neurological or psychiatric condition
  • Significant medical condition that places the participant at an unacceptable risk for treatment-related complications
  • Previously received any prior BCMA-targeted treatment
  • Previously received CAR-T or CAR-NK therapy directed at any target
  • Previously received T-cell engager therapy directed at any target
  • Previously received stem cell transplantation at any time during prior therapy or received autologous stem cell transplantation within 12 weeks of randomization
Terms in these criteria, in plain language(12)

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
508 participants (estimated)

Study arms

  • Experimental
    Arm A

    AZD0120

    Biological: AZD0120

  • Active comparator
    Arm B

    1 of the following 4 standard regimens per investigator choice; DKd, DPd, PVd, Kd.

    Drug: Daratumumab · Drug: Carfilzomib · Drug: Dexamethasone · Drug: Bortezomib · Drug: Pomalidomide

Interventions

06

What researchers measure

Primary outcomes

  1. To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of PFS in participants with RRMM.

    PFS: defined as time from randomisation until progression according to IMWG 2016 criteria as assessed by BICR, or death due to any cause, whichever occurs first.

    Time frame: 3 years

  2. To demonstrate the superiority of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of MRD negativity rate at 9 months in participants with RRMM.

    MRD negative CR rate at 9 months: defined as the proportion of participants with MRD negative status and have a response of CR or sCR (according to the IMWG 2016 criteria) at 9 months (± 3 months) from randomisation before initiation of subsequent anti-myeloma therapy.

    Time frame: 2 years

Secondary outcomes

  1. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of CRR in participants with RRMM.

    Time frame: 2 years

  2. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of ORR in participants with RRMM.

    Time frame: 2 years

  3. To further demonstrate the effectiveness of AZD0120 relative to standard therapy (DKd, DPd, PVd, or Kd) by assessment of OS in participants with RRMM.

    Time frame: 5 years

07

Study locations

40 of 143 sites recruiting
  • Research Site
    Gilbert, Arizona 85234, United States
    Not yet recruiting
  • Research Site
    Phoenix, Arizona 85054, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Tucson, Arizona 85719, United States
    Not yet recruiting
  • Research Site
    La Jolla, California 92093, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Sacramento, California 95817, United States
    Not yet recruiting
  • Research Site
    Santa Monica, California 90404, United States
    Not yet recruiting
  • Research Site
    Denver, Colorado 80218, United States
    Recruiting
  • Research Site
    New Haven, Connecticut 06510, United States
    Recruiting
  • Research Site
    Washington D.C., District of Columbia 20007, United States
    Not yet recruiting
  • Research Site
    Coral Gables, Florida 33156, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Tampa, Florida 33606, United States
    Not yet recruiting
  • Research Site
    Atlanta, Georgia 30322, United States
    Recruiting
  • Research Site
    Chicago, Illinois 60612, United States
    Not yet recruiting
  • Research Site
    Park Ridge, Illinois 60068, United States
    Not yet recruiting
  • Research Site
    Iowa City, Iowa 52242, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Kansas City, Kansas 66160, United States
    Not yet recruiting
  • Research Site
    Louisville, Kentucky 40207, United States
    Recruiting
  • Research Site
    Boston, Massachusetts 02114, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Not yet recruiting
  • Research Site
    Boston, Massachusetts 02215, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Detroit, Michigan 48201, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Detroit, Michigan 48202, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Rochester, Minnesota 55905, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Albany, New York 12208, United States
    Not yet recruiting
  • Research Site
    New York, New York 10016, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    New York, New York 10029, United States
    Recruiting
  • Research Site
    New York, New York 10065, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    New York, New York 10065, United States
    Recruiting
  • Research Site
    Rochester, New York 14642, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    The Bronx, New York 10467, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Chapel Hill, North Carolina 27514, United States
    Not yet recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Not yet recruiting
  • Research Site
    Charlotte, North Carolina 28204, United States
    Recruiting
  • Research Site
    Winston-Salem, North Carolina 27103, United States
    Recruiting
  • Research Site
    Winston-Salem, North Carolina 27157, United States
    Not yet recruiting
  • Research Site
    Cincinnati, Ohio 45220, United States
    Not yet recruiting
  • Research Site
    Cleveland, Ohio 44195, United States
    Not yet recruiting
  • Research Site
    Portland, Oregon 97239, United States
    Not yet recruiting
  • Research Site
    Charleston, South Carolina 29425, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Nashville, Tennessee 37203, United States
    Recruiting
  • Research Site
    Austin, Texas 78704, United States
    Recruiting
  • Research Site
    Dallas, Texas 75235, United States
    Not yet recruiting
  • Research Site
    Houston, Texas 77030, United States
    Recruiting
  • Research Site
    Salt Lake City, Utah 84112, United States
    Not yet recruiting
  • Research Site
    Charlottesville, Virginia 22908, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Gainesville, Virginia 20155, United States
    Not yet recruiting
  • Research Site
    Richmond, Virginia 23298, United States
    Withdrawn

    Not enrolling at this site — choose another above.

  • Research Site
    Puyallup, Washington 98373, United States
    Not yet recruiting
  • Research Site
    Seattle, Washington 98104, United States
    Recruiting
  • Research Site
    Madison, Wisconsin 53792, United States
    Not yet recruiting
  • Research Site
    Milwaukee, Wisconsin 53226, United States
    Recruiting
  • Research Site
    Camperdown, 2050, Australia
    Recruiting
  • Research Site
    Darlinghurst, 2010, Australia
    Recruiting
  • Research Site
    Fitzroy, VIC3065, Australia
    Recruiting
  • Research Site
    Liverpool, 2170, Australia
    Not yet recruiting
  • Research Site
    Melbourne, 3000, Australia
    Recruiting
  • Research Site
    Melbourne, 3004, Australia
    Recruiting
  • Research Site
    Murdoch, WA6150, Australia
    Not yet recruiting
  • Research Site
    Salvador, 41253-190, Brazil
    Recruiting
  • Research Site
    São Paulo, 01509-900, Brazil
    Recruiting
  • Research Site
    São Paulo, 05652-900, Brazil
    Recruiting
  • Research Site
    Calgary, Alberta T2N 5G2, Canada
    Not yet recruiting
  • Research Site
    Vancouver, British Columbia V5Z 4E6, Canada
    Not yet recruiting
  • Research Site
    Toronto, Ontario M5G 2M9, Canada
    Recruiting
  • Research Site
    Montreal, Quebec H3A 1A1, Canada
    Recruiting
  • Research Site
    Beijing, 100024, China
    Not yet recruiting
  • Research Site
    Beijing, 100044, China
    Not yet recruiting
  • Research Site
    Changchun, 130021, China
    Not yet recruiting
  • Research Site
    Changsha, 410008, China
    Not yet recruiting
  • Research Site
    Changsha, 410013, China
    Not yet recruiting
  • Research Site
    Chongqing, 400030, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510000, China
    Not yet recruiting
  • Research Site
    Guangzhou, 510700, China
    Not yet recruiting
  • Research Site
    Hefei, 230601, China
    Not yet recruiting
  • Research Site
    Nanchang, 330000, China
    Not yet recruiting
  • Research Site
    Nanchang, 330006, China
    Not yet recruiting
  • Research Site
    Nanjing, 210000, China
    Not yet recruiting
  • Research Site
    Ningbo, 315040, China
    Not yet recruiting
  • Research Site
    Shanghai, 200025, China
    Not yet recruiting
  • Research Site
    Shanghai, 200065, China
    Not yet recruiting
  • Research Site
    Shanghai, 201210, China
    Not yet recruiting
  • Research Site
    Shenzhen, 518039, China
    Not yet recruiting
  • Research Site
    Tianjin, 300020, China
    Not yet recruiting
  • Research Site
    Wenzhou, 325000, China
    Not yet recruiting
  • Research Site
    Wuhan, 430030, China
    Not yet recruiting
  • Research Site
    Xi'an, 710004, China
    Not yet recruiting
  • Research Site
    Xi'an, 710061, China
    Not yet recruiting
  • Research Site
    Zhengzhou, 450000, China
    Not yet recruiting
  • Research Site
    Zhengzhou, 450008, China
    Not yet recruiting
  • Research Site
    Lille, 59037, France
    Not yet recruiting
  • Research Site
    Nantes, 44093, France
    Not yet recruiting
  • Research Site
    Paris, 75010, France
    Not yet recruiting
  • Research Site
    Pierre-Bénite, 69495, France
    Not yet recruiting
  • Research Site
    Poitiers, 86021, France
    Not yet recruiting
  • Research Site
    Toulouse, 31059, France
    Not yet recruiting
  • Research Site
    Berlin, 12200, Germany
    Not yet recruiting
  • Research Site
    Dresden, 01307, Germany
    Not yet recruiting
  • Research Site
    Erlangen, 91054, Germany
    Not yet recruiting
  • Research Site
    Essen, 45147, Germany
    Not yet recruiting
  • Research Site
    Freiburg im Breisgau, 79106, Germany
    Not yet recruiting

Showing the first 100 of 143 sites across 15 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: Yes — Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Supporting information: Study protocol, Statistical analysis plan

Time frame: AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA PhRMA Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.

Access criteria: When a request has been approved AstraZeneca will provide access to the anonymized individual patient-level data via secure research environment Vivli.org. Signed Data Usage Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information.

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2026 (actual). Primary completion is estimated for Jun 2028, 27 months after the start.

Of 107 industry-sponsored phase 3 interventional studies under Multiple Myeloma, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 66. This study's planned 27 months is below that.

Counting every sponsor, half of 178 studies reached it within 55 months; a quarter within 34 and three quarters within 95.

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

Registered
Jan 30, 2026
First posted
Feb 6, 2026
StartActual
Feb 23, 2026
Primary completionEst.
Jun 14, 2028
CompletionEst.
Jul 29, 2030
Last update
Sep 29, 2026
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.
Sites
7 sites changed recruiting status (7 now recruiting)
Show 7 sites
  • Research Site · Milwaukee, United StatesNot yet recruiting→Recruiting
  • Research Site · Hamburg, GermanyNot yet recruiting→Recruiting
  • Research Site · Oslo, NorwayNot yet recruiting→Recruiting
  • Research Site · Gliwice, PolandNot yet recruiting→Recruiting
  • Research Site · Madrid, SpainNot yet recruiting→Recruiting
  • Research Site · Santander, SpainNot yet recruiting→Recruiting
  • Research Site · Taipei, TaiwanNot yet recruiting→Recruiting
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    7 sites changed recruiting status (7 now recruiting)
    Show 7 sites
    • Research Site · Milwaukee, United StatesNot yet recruiting→Recruiting
    • Research Site · Hamburg, GermanyNot yet recruiting→Recruiting
    • Research Site · Oslo, NorwayNot yet recruiting→Recruiting
    • Research Site · Gliwice, PolandNot yet recruiting→Recruiting
    • Research Site · Madrid, SpainNot yet recruiting→Recruiting
    • Research Site · Santander, SpainNot yet recruiting→Recruiting
    • Research Site · Taipei, TaiwanNot yet recruiting→Recruiting
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07391657
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Feb 6, 2026
Start date
Feb 23, 2026
Primary completion
Jun 14, 2028 (estimated)
Completion
Jul 29, 2030 (estimated)
Last update
Sep 29, 2026

Study contacts

AstraZeneca Clinical Study Information Center
Contact
information.center@astrazeneca.com
1-877-240-9479

Oversight

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

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