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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT05261399




Registration number
NCT05261399
Ethics application status
Date submitted
15/02/2022
Date registered
2/03/2022
Date last updated
4/06/2024

Titles & IDs
Public title
Savolitinib Plus Osimertinib Versus Platinum-based Doublet Chemotherapy in Participants With Non-Small Cell Lung Cancer Who Have Progressed on Osimertinib Treatment
Scientific title
A Phase III, Randomised, Open-Label Study of Savolitinib in Combination With Osimertinib Versus Platinum-Based Doublet Chemotherapy in Participants With EGFR Mutated, MET-Overexpressed and/or Amplified, Locally Advanced or Metastatic Non-Small Cell Lung Cancer Who Have Progressed on Treatment With Osimertinib (SAFFRON).
Secondary ID [1] 0 0
2024-511169-12-00
Secondary ID [2] 0 0
D5087C00001
Universal Trial Number (UTN)
Trial acronym
SAFFRON
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Carcinoma 0 0
Non-Small-Cell Lung 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Non small cell

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Savolitinib
Treatment: Drugs - Osimertinib
Treatment: Drugs - Pemetrexed
Treatment: Drugs - Cisplatin
Treatment: Drugs - Carboplatin

Active Comparator: Chemotherapy - Pemetrexed (500 mg/m2) with either cisplatin (75 mg/m2) or carboplatin (AUC5) on Day 1 of 21-day cycles (Q3W) for 4 cycles, followed by pemetrexed maintenance (500 mg/m2) Q3W

Experimental: Savolitinib + Osimertinib - 300 mg savolitinib BID plus 80 mg osimertinib QD


Treatment: Drugs: Savolitinib
300 mg savolitinib (3 × 100 mg tablets twice daily) Administrative route : oral

Treatment: Drugs: Osimertinib
80 mg osimertinib
(1 × 80 mg tablet once daily) Administrative route : oral

Treatment: Drugs: Pemetrexed
Pemetrexed (500 mg/m2) Administrative route : IV infusion

Treatment: Drugs: Cisplatin
Cisplatin (75 mg/m2) or Administrative route : IV infusion

Treatment: Drugs: Carboplatin
Carboplatin (AUC5) Administrative route : IV infusion
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Progression-free survival (PFS) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed on osimertinib.
Timepoint [1] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [1] 0 0
Overall Survival (OS) /savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [1] 0 0
Approximately 55 months post first subject randomized.
Secondary outcome [2] 0 0
Progression-free survival (PFS) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed, locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [2] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [3] 0 0
Overall Survival (OS) / savolitinib in combination with osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed by IHC, locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [3] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [4] 0 0
Objective response rate (ORR) savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [4] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [5] 0 0
Participant-reported pulmonary core symptoms / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed on osimertinib.
Timepoint [5] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [6] 0 0
Pharmacokinetics (PK) of savolitinib.
Timepoint [6] 0 0
6 weeks after last patient dosed
Secondary outcome [7] 0 0
Disease control rate (DCR) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [7] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [8] 0 0
Time to discontinuation of treatment (TDT) or death / savolitinib + osimertinib vs platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on osimertinib
Timepoint [8] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [9] 0 0
Tumor shrinkage / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [9] 0 0
Approximately 55 months post first subject randomized
Secondary outcome [10] 0 0
Duration of response (DoR) / savolitinib + osimertinib versus platinum doublet chemotherapy in participants with EGFR mutated, MET-overexpressed and/or amplified locally advanced or metastatic NSCLC who have progressed on treatment with osimertinib.
Timepoint [10] 0 0
Approximately 55 months post first subject randomized

Eligibility
Key inclusion criteria
- Provision of signed and dated written ICF prior to any mandatory and non-mandatory
study-specific procedures, sampling and analyses.

- Participant must be =18 years (= 19 years of age in South Korea) at the time of
signing the informed consent. All genders are permitted.

- Histologically or cytologically confirmed locally advanced or metastatic NSCLC which
is not amenable to curative therapy.

- Must have at least one documented sensitising EGFR mutation: exon19 deletion, L858R
mutation, and/or T790M.

- Documented radiologic progression on first- or second-line treatment with osimertinib
as the most recent anti-cancer therapy.

- Mandatory provision of FFPE tumour tissue.

- MET overexpression and/or amplification in tumour specimen collected following
progression on prior osimertinib treatment.

- Measurable disease as defined by RECIST 1.1.

- Adequate haematological, liver, renal and cardiac functions, and coagulation
parameters.

- ECOG performance status of 0 or 1.
Minimum age
18 Years
Maximum age
130 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Predominant squamous NSCLC, and small cell lung cancer.

- Prior or current treatment with a third-generation EGFR-TKI other than Osimertinib.

- Prior or current treatment with savolitinib or another MET inhibitors.

- Spinal cord compression or brain metastases, unless asymptomatic and are stable.

- History or active leptomeningeal carcinomatosis.

- Unresolved toxicities from any prior therapy greater than CTCAE Grade 1 and prior
platinum-therapy related Grade 2 neuropathies with the exception of alopecia and
haemoglobin = 9.0 g/dL.

- Active/unstable cardiac diseases currently or within the last 6 months, clinically
significant ECG abnormalities, and/or factors/medications that may affect QTc
intervals.

- History of liver cirrhosis of any origin and clinical stage; or history of other
serious liver disease or chronic disease with relevant liver involvement.

- Known serious active infection including, but not limited to, tuberculosis, or HIV,
HBV or HCV or gastrointestinal disease.

- Receipt of live attenuated vaccine (including against COVID-19) within 30 days prior
to the first dose of study intervention.

- Past medical history of ILD, drug-induced ILD, radiation pneumonitis, which required
steroid treatment, or any evidence of clinically active ILD.

- Participants currently receiving medications or herbal supplements known to be strong
inducers of cytochrome P450 (CYP)3A4 or strong inhibitors of CYP1A2.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
3/08/2022
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
17/12/2026
Actual
Sample size
Target
324
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment hospital [1] 0 0
Research Site - Clayton
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Research Site - Fremantle
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Research Site - Geelong
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Research Site - Liverpool
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Research Site - Southport
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Research Site - Waratah NSW
Recruitment hospital [7] 0 0
Research Site - Westmead
Recruitment postcode(s) [1] 0 0
3168 - Clayton
Recruitment postcode(s) [2] 0 0
6160 - Fremantle
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3220 - Geelong
Recruitment postcode(s) [4] 0 0
2170 - Liverpool
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4215 - Southport
Recruitment postcode(s) [6] 0 0
2298 - Waratah NSW
Recruitment postcode(s) [7] 0 0
2145 - Westmead
Recruitment outside Australia
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Illinois
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Graz
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Wien
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Bruxelles
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Edegem
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Gent
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Hasselt
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Mons
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Roeselare
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Poitiers
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Rennes Cedex 9
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Rouen
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Saint-Herblain
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Berlin
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Chemnitz
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Frankfurt A. Main
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Gauting
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Germany
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Homburg
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Immenhausen
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Löwenstein
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Muenster
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München
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Stuttgart
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Wangen
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Athens
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Chaidari
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Heraklion
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Larissa
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Rio
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HKG
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Israel
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Israel
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Ashdod
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Hadera
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Israel
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Aviano
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Catania
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Meldola
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Italy
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Milano
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Milan
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Italy
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Modena
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Monserrato
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Napoli
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Italy
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Italy
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Padova
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Parma
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Perugia
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Italy
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Peschiera Del Garda
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Italy
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Roma
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Italy
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Treviso
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Japan
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Bunkyo-ku
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Japan
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Chuo-ku
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Japan
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Fukuoka-shi
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Japan
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Hirosaki-shi
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Japan
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Hiroshima-shi
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Japan
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Iwakuni-shi
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Japan
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Kanazawa-shi
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Japan
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Kashiwa
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Japan
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Kobe-shi
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Japan
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Kobe
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Japan
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Kumamoto-shi
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Kurume-shi
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Japan
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Matsuyama
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Nagasaki-shi
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Okayama-shi
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Osaka-shi
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Osakasayama-shi
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Sendai-shi
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Sunto-gun
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Utsunomiya-shi
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Wakayama-shi
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Gyeonggi-do
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Incheon
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Jinju-si
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Seoul
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Suwon
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Ulsan
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Malaysia
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Malaysia
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Kuala Lumpur
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Pulau Pinang
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Malaysia
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Sabah
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Netherlands
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Amsterdam
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Philippines
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Bacolod
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Philippines
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Baguio City
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Philippines
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Philippines
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Philippines
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Philippines
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Manila
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Quezon City
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Philippines
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San Juan
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Bialystok
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Krakow
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Olsztyn
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Lódz
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
AstraZeneca
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Clinical study to investigate the efficacy and safety of savolitinib in combination with
osimertinib versus platinum-based doublet chemotherapy in participants with EGFR mutated,
MET-overexpressed and/or amplified, locally advanced or metastatic NSCLC who have progressed
on treatment with Osimertinib.
Trial website
https://clinicaltrials.gov/ct2/show/NCT05261399
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Shun Lu, Prof,MD,PhD,
Address 0 0
Shanghai Chest Hospital, Shanghai JiaoTong University, #241 Huai Hai Road (west), Shanghai, China.
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
AstraZeneca Clinical Study Information Center
Address 0 0
Country 0 0
Phone 0 0
1-877-240-9479
Fax 0 0
Email 0 0
information.center@astrazeneca.com
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT05261399