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出境医 / 临床实验 / Study of Intratumoral Ipilimumab and TLR4 Agonist GLA-SE in Combination With Systemic Nivolumab and Chemotherapy (ISILI)

Study of Intratumoral Ipilimumab and TLR4 Agonist GLA-SE in Combination With Systemic Nivolumab and Chemotherapy (ISILI)

Study Description
Brief Summary:
To determine the maximum tolerated dose (MTD), the recommended phase 2 dose (RP2D) and the toxicity profile (NCI CTCAE v5.0 and immune related adverse events) of i.t. administration of anti-CTLA4 antibody (ipilimumab) and TLR4 agonist (synthetic glucopyranosyl lipid A formulated in a stable emulsion [GLA-SE]) in colorectal LM (CRLM) in combination with intravenous (i.v.) administration of anti-PD-1 antibody (nivolumab) and chemotherapy (FOLFOX regimen).

Condition or disease Intervention/treatment Phase
Colorectal Cancer Metastatic Drug: FOLFOX regimen Drug: Nivolumab Drug: Ipilimumab Drug: GLA-SE Phase 1

Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Intervention Model Description: Multicenter, open-label, dose-escalation combination phase 1 study
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: ISILI (In Situ Immunotherapy of LIver Metastases): An Openlabel, Dose-finding, Phase I Study of Intratumoral Ipilimumab and TLR4 Agonist GLA-SE in Combination With Systemic Nivolumab and Chemotherapy (FOLFOX Regimen) in Patients With Colorectal Liver Metastases.
Actual Study Start Date : June 4, 2019
Actual Primary Completion Date : February 12, 2020
Actual Study Completion Date : February 12, 2020
Arms and Interventions
Arm Intervention/treatment
Experimental: A
FOLFOX IV + NIVOLUMAB IV
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: Nivolumab
Nivolumab 240 mg

Experimental: B
FOLFOX IV + GLA IT
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: GLA-SE
GLA-SE 1 or 2 or 5 or 10 or 20 μg

Experimental: C
FOLFOX IV + IPILIMUMAB IT
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: Ipilimumab
Ipilimumab 5 or 10 or 25 mg

Experimental: D
FOLFOX IV + NIVOLUMAB IV + GLA IT
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: Nivolumab
Nivolumab 240 mg

Drug: GLA-SE
GLA-SE 1 or 2 or 5 or 10 or 20 μg

Experimental: E
FOLFOX IV + NIVOLUMAB IV + IPILIMUMAB IT
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: Nivolumab
Nivolumab 240 mg

Drug: Ipilimumab
Ipilimumab 5 or 10 or 25 mg

Experimental: F
LFOX IV + NIVOLUMAB IV + GLA IT + IPILIMUMAB IT
Drug: FOLFOX regimen
Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²

Drug: Nivolumab
Nivolumab 240 mg

Drug: Ipilimumab
Ipilimumab 5 or 10 or 25 mg

Drug: GLA-SE
GLA-SE 1 or 2 or 5 or 10 or 20 μg

Outcome Measures
Primary Outcome Measures :
  1. Maximum tolerated dose (MTD) [ Time Frame: For all the cohorts, the DLT period to determine the MTD will be 28 days ]
    MTD will be determined based on the DLT definitions and identified as the maximum dose level at which less than 33% of DLT are observed in the evaluable patients.

  2. Recommanded phase 2 dose (RP2D) [ Time Frame: RP2D will be assessed on 8 weeks ]
    RP2D will be determined based on the MTD identified, on analysis of DLT defining events


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Histologically confirmed colorectal adenocarcinoma.
  2. At least one CRLM

    • measurable according to RECIST 1.1,
    • at least >2 cm in maximal diameter,
    • visible on non-contrast enhanced computerized tomography (CT) scan or ultrasonography,
    • amenable to biopsy,
    • and amenable to percutaneous i.t. injection.
  3. At least one other metastasis (controlateral CRLM or a distant visceral or lymph node metastasis)

    • measurable according to RECIST 1.1,
    • and amenable to biopsy.
  4. Tumor lesions located in previously irradiated areas are considered measurable if disease progression has been demonstrated in such lesions.
  5. Tumor liver involvement <50% on baseline CT scan.
  6. Previous failure of active drug classes in mCRC (fluoropyrimidines, oxaliplatin, irinotecan, EGFR inhibitors [if wild-type RAS mCRC] and antiangiogenics).
  7. Representative tumor specimens at the initial diagnosis of CRC (paraffin blocks (preferred) or at least 10 unstained slides), with the corresponding pathology report, if available.
  8. Age >/=18 years.
  9. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  10. Expected life expectancy >3 months (no rapidly progressive disease).
  11. Adequate organ functions:

    • Hemoglobin ≥9 g/dL or ≥5.6 mmol/L (blood cell transfusions are allowed), absolute neutrophil count (ANC) ≥1.5 x 109/L, platelets ≥100 x 109/L
    • Serum creatinine ≤1.5 X upper limit of normal (ULN) or creatinine clearance (measured, or calculated per institutional standard) ≥50 mL/min for subject with creatinine levels >1.5 x institutional ULN (glomerular filtration rate can also be used in place of creatinine or creatinine clearance)
    • Serum total bilirubin ≤1.5 ULN or direct (unconjugated) bilirubin ≤ULN for subjects with total bilirubin levels >1.5 ULN
    • AST (SGOT) and ALT (SGPT) ≤5 ULN
    • Albumin >33 g/L
    • International normalized ratio (INR) or prothrombin time (PT) ≤1.5 ULN unless subject is receiving anticoagulant therapy as long as PT or activated partial thromboplastin time (aPTT) is within therapeutic range of intended use of anticoagulants
  12. Female subjects of childbearing potential should have a negative urine or serum pregnancy test within 24 hours prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  13. Female subjects of childbearing potential should be willing to use two validated methods of birth control or be surgically sterile, or abstain from heterosexual activity for the course of the study through 7 months after the last dose of study medication (Reference Section 5.9.2). Subjects of childbearing potential are those who have not been surgically sterilized or have not been free from menses for > 1 year.
  14. Sexually active male subjects unless surgically sterile, must agree to use condoms as an effective barrier method of contraception or abstain from heterosexual activity for the course of the study through 7 months after the last dose of study medication. It is recommended that their sexual partners use an effective contraceptive during the same period.
  15. Signed informed consent.
  16. Affiliation to or beneficiary of a social security system.

Exclusion Criteria:

  1. Allergy or contraindication to oxaliplatin (including peripheral neuropathy [≥ grade 2]), fluorouracil (including known dihydropyrimidine dehydrogenase (DPD) deficiency) or leucovorin or to any other study drug.
  2. Prior history of intolerance to full-dose FOLFOX regimen.
  3. History of anterior organ transplantation, including allograft stem cell transplantation
  4. History of interstitial lung disease
  5. Patients eligible for curative-intent local therapies (e.g., surgery or thermablation).
  6. Contraindication to percutaneous injection/biopsy (e.g., coagulation disorder, anticoagulant or antiaggregant therapy). Patients treated with low molecular weight heparin (LMWH) are eligible if they can interrupt their treatment for biopsies and i.t. injections.
  7. Concomitant administration of any other anticancer therapy during the trial treatment period.
  8. Prior chemotherapy, targeted therapy or radiation therapy within 2 weeks prior to study Day 1 or adverse events due to a previously administered agent that have not recovered (i.e., ≤ Grade 1) at baseline.
  9. Immunodeficiency or systemic steroid therapy equivalent to prednisolone >10mg/day or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment.
  10. Other malignancy within 2 years prior to enrollment with the exception of curatively treated basal-cell carcinoma of the skin, squamous-cell carcinoma of the skin, and/or curatively resected in situ cervical and/or in situ breast cancers.
  11. Symptomatic active central nervous system metastases and/or carcinomatous meningitis.
  12. Active automimmune disease requiring systemic treatment within the past 3 months or a documented history of clinically severe autoimmune disease, or a syndrome that requires systemic steroids or immunosuppressive agents. Subjects with vitiligo or asymptomatic asthma/atopy under topical/aerosol therapies would be an exception to this rule. Subjects who require intermittent use of bronchodilators or local steroid injections would not be excluded from the study. Subjects with stable hypothyroidism on hormone replacement or Sjogren's syndrome will not be excluded from the study. Patients with controlled type 1diabetes mellitus on a stable insulin regimen may be eligible for this study.
  13. Active infection requiring systemic therapy.
  14. Pregnancy or breastfeeding, or inadequate contraceptive method, or expectation to conceive children within the projected duration of the trial, starting with the pre-screening or screening visit through 7 months after the last dose of trial treatment.
  15. Prior immunotherapy, including anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibodies (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways).
  16. Clinically significant liver disease (i.e., with clinical, biological or morphological signs or symptoms of liver dysfunction, such as jaundice, hepatic encephalopathy, non-malignant ascites, radiological/endoscopic evidence of portal hypertension, biological evidence of liver insufficiency, etc.), including active viral, alcoholic, or other hepatitis, cirrhosis, severe oxaliplatin-induced sinusoidal obstruction syndrome (SOS) and inherited liver disease.
  17. Known active Hepatitis B virus infection (e.g., HBsAg reactive) or Hepatitis C virus infection (e.g., HCV RNA [qualitative] is detected) and positive Hepatitis test results.
  18. Known history of Human Immunodeficiency Virus (HIV) (HIV 1 and 2 antibodies) and positive HIV test results.
  19. Administration of a live vaccine within 30 days prior to the first dose of trial treatment.
  20. Any physical, psychological or social condition/reason that would preclude adequate follow-up or hamper patient's safety according to the investigator's opinion.
  21. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
Contacts and Locations

Locations
Layout table for location information
France
Gustave Roussy
Villejuif, Val De Marne, France, 94805
Sponsors and Collaborators
Gustave Roussy, Cancer Campus, Grand Paris
Tracking Information
First Submitted Date  ICMJE June 7, 2019
First Posted Date  ICMJE June 11, 2019
Last Update Posted Date February 17, 2020
Actual Study Start Date  ICMJE June 4, 2019
Actual Primary Completion Date February 12, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 7, 2019)
  • Maximum tolerated dose (MTD) [ Time Frame: For all the cohorts, the DLT period to determine the MTD will be 28 days ]
    MTD will be determined based on the DLT definitions and identified as the maximum dose level at which less than 33% of DLT are observed in the evaluable patients.
  • Recommanded phase 2 dose (RP2D) [ Time Frame: RP2D will be assessed on 8 weeks ]
    RP2D will be determined based on the MTD identified, on analysis of DLT defining events
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Study of Intratumoral Ipilimumab and TLR4 Agonist GLA-SE in Combination With Systemic Nivolumab and Chemotherapy
Official Title  ICMJE ISILI (In Situ Immunotherapy of LIver Metastases): An Openlabel, Dose-finding, Phase I Study of Intratumoral Ipilimumab and TLR4 Agonist GLA-SE in Combination With Systemic Nivolumab and Chemotherapy (FOLFOX Regimen) in Patients With Colorectal Liver Metastases.
Brief Summary To determine the maximum tolerated dose (MTD), the recommended phase 2 dose (RP2D) and the toxicity profile (NCI CTCAE v5.0 and immune related adverse events) of i.t. administration of anti-CTLA4 antibody (ipilimumab) and TLR4 agonist (synthetic glucopyranosyl lipid A formulated in a stable emulsion [GLA-SE]) in colorectal LM (CRLM) in combination with intravenous (i.v.) administration of anti-PD-1 antibody (nivolumab) and chemotherapy (FOLFOX regimen).
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Intervention Model Description:
Multicenter, open-label, dose-escalation combination phase 1 study
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE Colorectal Cancer Metastatic
Intervention  ICMJE
  • Drug: FOLFOX regimen
    Oxaliplatin 85 mg/m² Leucovorin (LV) levogyre form (LLV) 200 mg/m² or dextro-levogyre (DL-LV) racemic mixture 400 mg/m²) Fluorouracil 2400 mg/m²
  • Drug: Nivolumab
    Nivolumab 240 mg
  • Drug: Ipilimumab
    Ipilimumab 5 or 10 or 25 mg
  • Drug: GLA-SE
    GLA-SE 1 or 2 or 5 or 10 or 20 μg
Study Arms  ICMJE
  • Experimental: A
    FOLFOX IV + NIVOLUMAB IV
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: Nivolumab
  • Experimental: B
    FOLFOX IV + GLA IT
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: GLA-SE
  • Experimental: C
    FOLFOX IV + IPILIMUMAB IT
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: Ipilimumab
  • Experimental: D
    FOLFOX IV + NIVOLUMAB IV + GLA IT
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: Nivolumab
    • Drug: GLA-SE
  • Experimental: E
    FOLFOX IV + NIVOLUMAB IV + IPILIMUMAB IT
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: Nivolumab
    • Drug: Ipilimumab
  • Experimental: F
    LFOX IV + NIVOLUMAB IV + GLA IT + IPILIMUMAB IT
    Interventions:
    • Drug: FOLFOX regimen
    • Drug: Nivolumab
    • Drug: Ipilimumab
    • Drug: GLA-SE
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Withdrawn
Actual Enrollment  ICMJE
 (submitted: February 12, 2020)
0
Original Estimated Enrollment  ICMJE
 (submitted: June 7, 2019)
75
Actual Study Completion Date  ICMJE February 12, 2020
Actual Primary Completion Date February 12, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  1. Histologically confirmed colorectal adenocarcinoma.
  2. At least one CRLM

    • measurable according to RECIST 1.1,
    • at least >2 cm in maximal diameter,
    • visible on non-contrast enhanced computerized tomography (CT) scan or ultrasonography,
    • amenable to biopsy,
    • and amenable to percutaneous i.t. injection.
  3. At least one other metastasis (controlateral CRLM or a distant visceral or lymph node metastasis)

    • measurable according to RECIST 1.1,
    • and amenable to biopsy.
  4. Tumor lesions located in previously irradiated areas are considered measurable if disease progression has been demonstrated in such lesions.
  5. Tumor liver involvement <50% on baseline CT scan.
  6. Previous failure of active drug classes in mCRC (fluoropyrimidines, oxaliplatin, irinotecan, EGFR inhibitors [if wild-type RAS mCRC] and antiangiogenics).
  7. Representative tumor specimens at the initial diagnosis of CRC (paraffin blocks (preferred) or at least 10 unstained slides), with the corresponding pathology report, if available.
  8. Age >/=18 years.
  9. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1
  10. Expected life expectancy >3 months (no rapidly progressive disease).
  11. Adequate organ functions:

    • Hemoglobin ≥9 g/dL or ≥5.6 mmol/L (blood cell transfusions are allowed), absolute neutrophil count (ANC) ≥1.5 x 109/L, platelets ≥100 x 109/L
    • Serum creatinine ≤1.5 X upper limit of normal (ULN) or creatinine clearance (measured, or calculated per institutional standard) ≥50 mL/min for subject with creatinine levels >1.5 x institutional ULN (glomerular filtration rate can also be used in place of creatinine or creatinine clearance)
    • Serum total bilirubin ≤1.5 ULN or direct (unconjugated) bilirubin ≤ULN for subjects with total bilirubin levels >1.5 ULN
    • AST (SGOT) and ALT (SGPT) ≤5 ULN
    • Albumin >33 g/L
    • International normalized ratio (INR) or prothrombin time (PT) ≤1.5 ULN unless subject is receiving anticoagulant therapy as long as PT or activated partial thromboplastin time (aPTT) is within therapeutic range of intended use of anticoagulants
  12. Female subjects of childbearing potential should have a negative urine or serum pregnancy test within 24 hours prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
  13. Female subjects of childbearing potential should be willing to use two validated methods of birth control or be surgically sterile, or abstain from heterosexual activity for the course of the study through 7 months after the last dose of study medication (Reference Section 5.9.2). Subjects of childbearing potential are those who have not been surgically sterilized or have not been free from menses for > 1 year.
  14. Sexually active male subjects unless surgically sterile, must agree to use condoms as an effective barrier method of contraception or abstain from heterosexual activity for the course of the study through 7 months after the last dose of study medication. It is recommended that their sexual partners use an effective contraceptive during the same period.
  15. Signed informed consent.
  16. Affiliation to or beneficiary of a social security system.

Exclusion Criteria:

  1. Allergy or contraindication to oxaliplatin (including peripheral neuropathy [≥ grade 2]), fluorouracil (including known dihydropyrimidine dehydrogenase (DPD) deficiency) or leucovorin or to any other study drug.
  2. Prior history of intolerance to full-dose FOLFOX regimen.
  3. History of anterior organ transplantation, including allograft stem cell transplantation
  4. History of interstitial lung disease
  5. Patients eligible for curative-intent local therapies (e.g., surgery or thermablation).
  6. Contraindication to percutaneous injection/biopsy (e.g., coagulation disorder, anticoagulant or antiaggregant therapy). Patients treated with low molecular weight heparin (LMWH) are eligible if they can interrupt their treatment for biopsies and i.t. injections.
  7. Concomitant administration of any other anticancer therapy during the trial treatment period.
  8. Prior chemotherapy, targeted therapy or radiation therapy within 2 weeks prior to study Day 1 or adverse events due to a previously administered agent that have not recovered (i.e., ≤ Grade 1) at baseline.
  9. Immunodeficiency or systemic steroid therapy equivalent to prednisolone >10mg/day or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment.
  10. Other malignancy within 2 years prior to enrollment with the exception of curatively treated basal-cell carcinoma of the skin, squamous-cell carcinoma of the skin, and/or curatively resected in situ cervical and/or in situ breast cancers.
  11. Symptomatic active central nervous system metastases and/or carcinomatous meningitis.
  12. Active automimmune disease requiring systemic treatment within the past 3 months or a documented history of clinically severe autoimmune disease, or a syndrome that requires systemic steroids or immunosuppressive agents. Subjects with vitiligo or asymptomatic asthma/atopy under topical/aerosol therapies would be an exception to this rule. Subjects who require intermittent use of bronchodilators or local steroid injections would not be excluded from the study. Subjects with stable hypothyroidism on hormone replacement or Sjogren's syndrome will not be excluded from the study. Patients with controlled type 1diabetes mellitus on a stable insulin regimen may be eligible for this study.
  13. Active infection requiring systemic therapy.
  14. Pregnancy or breastfeeding, or inadequate contraceptive method, or expectation to conceive children within the projected duration of the trial, starting with the pre-screening or screening visit through 7 months after the last dose of trial treatment.
  15. Prior immunotherapy, including anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) antibodies (including ipilimumab or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways).
  16. Clinically significant liver disease (i.e., with clinical, biological or morphological signs or symptoms of liver dysfunction, such as jaundice, hepatic encephalopathy, non-malignant ascites, radiological/endoscopic evidence of portal hypertension, biological evidence of liver insufficiency, etc.), including active viral, alcoholic, or other hepatitis, cirrhosis, severe oxaliplatin-induced sinusoidal obstruction syndrome (SOS) and inherited liver disease.
  17. Known active Hepatitis B virus infection (e.g., HBsAg reactive) or Hepatitis C virus infection (e.g., HCV RNA [qualitative] is detected) and positive Hepatitis test results.
  18. Known history of Human Immunodeficiency Virus (HIV) (HIV 1 and 2 antibodies) and positive HIV test results.
  19. Administration of a live vaccine within 30 days prior to the first dose of trial treatment.
  20. Any physical, psychological or social condition/reason that would preclude adequate follow-up or hamper patient's safety according to the investigator's opinion.
  21. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE France
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03982121
Other Study ID Numbers  ICMJE 2017-005020-14
2017/2630 ( Other Identifier: CSET number )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Undecided
Responsible Party Gustave Roussy, Cancer Campus, Grand Paris
Study Sponsor  ICMJE Gustave Roussy, Cancer Campus, Grand Paris
Collaborators  ICMJE Not Provided
Investigators  ICMJE Not Provided
PRS Account Gustave Roussy, Cancer Campus, Grand Paris
Verification Date February 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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