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注册号: Registration number: |
ChiCTR2500107045 |
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最近更新日期: Date of Last Refreshed on: |
2025-08-01 17:59:49 |
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注册时间: Date of Registration: |
2025-08-01 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
一项在携带TP53 Y220C突变的局部晚期或转移性实体瘤患者中评估GenSci128片安全性、耐受性、药代动力学特征和有效性的国际多中心、开放标签、首次人体I期研究 |
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Public title: |
A Phase I, Multicenter, Multinational, Open-label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of GenSci128 Tablet in Patients with Locally Advanced or Metastatic Solid Tumors Harboring a TP53 Y220C Mutation |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
一项在携带TP53 Y220C突变的局部晚期或转移性实体瘤患者中评估GenSci128片安全性、耐受性、药代动力学特征和有效性的国际多中心、开放标签、首次人体I期研究 |
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Scientific title: |
A Phase I, Multicenter, Multinational, Open-label, First-in-Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Efficacy of GenSci128 Tablet in Patients with Locally Advanced or Metastatic Solid Tumors Harboring a TP53 Y220C Mutation |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
刘天舒 |
研究负责人: |
刘天舒 |
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Applicant: |
Liu Tianshu |
Study leader: |
Liu Tianshu |
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申请注册联系人电话: Applicant telephone: |
+86 21 64041990 |
研究负责人电话:
Study leader's |
+86 21 64041990 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
liu.tianshu@zs-hospital.sh.cn |
研究负责人电子邮件: Study leader's E-mail: |
liu.tianshu@zs-hospital.sh.cn |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
上海市徐汇区枫林路180号 |
研究负责人通讯地址: |
上海市徐汇区枫林路180号 |
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Applicant address: |
No.180 Fenglin Road, Xuhui District, Shanghai |
Study leader's address: |
No.180 Fenglin Road, Xuhui District, Shanghai |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
复旦大学附属中山医院 |
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Applicant's institution: |
Zhongshan Hospital Affiliated to Fudan University |
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研究负责人所在单位: |
复旦大学附属中山医院 |
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Affiliation of the Leader: |
Zhongshan Hospital, Fudan University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
2025-020R |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
复旦大学附属中山医院医学伦理委员会 |
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Name of the ethic committee: |
Ethics Committee of Zhongshan Hospital Fudan University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2025-02-12 00:00:00 | ||
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伦理委员会联系人: |
杨梦婕 |
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Contact Name of the ethic committee: |
Yang Mengjie |
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伦理委员会联系地址: |
上海市徐汇区枫林路180号 |
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Contact Address of the ethic committee: |
No.180 Fenglin Road, Xuhui District, Shanghai |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 21 31587871 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
yang.mengjie@zs-hospital.sh.cn |
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研究实施负责(组长)单位: |
复旦大学附属中山医院 |
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Primary sponsor: |
Zhongshan Hospital, Fudan University |
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研究实施负责(组长)单位地址: |
上海市徐汇区枫林路180号 |
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Primary sponsor's address: |
No.180 Fenglin Road, Xuhui District, Shanghai |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
长春金赛药业有限责任公司 |
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Source(s) of funding: |
Changchun GeneScience Pharmaceutical Co., Ltd. |
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研究疾病: |
携带TP53 Y220C突变的局部晚期或转移性实体瘤 |
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Target disease: |
Locally advanced or metastatic solid tumors carrying the TP53 Y220C mutation |
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研究疾病代码: |
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Target disease code: |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
I期临床试验 | ||||||||||||||||||||||
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Study phase: |
1 |
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研究设计: |
单臂 |
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Study design: |
Single arm |
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研究目的: |
Part1 主要目的: 评估 GenSci128 在携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者中的安全性和耐受性;确定 GenSci128 在携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者中的MTD(如有)和 RDE; 次要目的: 评估 GenSci128 在携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者中的单次给药和多次给药的 PK 特征;评估 GenSci128 在携带 TP53Y220C 突变的局部晚期或转移性实体瘤受试者的有效性; 探索性目的: 评估血浆游离 ctDNA 作为对 GenSci128 治疗缓解的 PD 生物标志物;探索其他基因突变状态(如 KRAS)与GenSci128 疗效的相关性;探索 TP53 Y220C 突变在肿瘤组织与血液样本的一致性及临床价值;评估血液中 MIC-1 作为 GenSci128 治疗的PD 生物标志物; Part2 主要目的: 确定 RP2D; 次要目的: 比较 GenSci128 在两个剂量水平下治疗携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者的有效性;比较 GenSci128 在两个剂量水平下治疗携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者的安全性;比较 GenSci128 在两个剂量水平下治疗携带 TP53 Y220C 突变的局部晚期或转移性实体瘤受试者的 PK 特征; 探索性目的: 评估血浆游离 ctDNA 作为对 GenSci128 治疗缓解的 PD 生物标志物;探索其他基因突变状态(如 KRAS)与GenSci128 疗效的相关性;探索 TP53 Y220C 突变在肿瘤组织与血液样本的一致性及临床价值;评估血液中 MIC-1 作为 GenSci128 治疗的PD 生物标志物; |
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Objectives of Study: |
Part 1 Primary objectives: To assess the safety and tolerability of GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation;To determine the MTD, if any, and RDE of GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation; Secondary objectives: To assess the single- and multiple-dose PK of GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation;To assess the efficacy of GenSci128 in participants with locally advanced or metastatic solid tumors harboring a TP53 Y220C mutation Exploratory objectives: To evaluate ctDNA as a PD biomarker of response to the GenSci128 treatment;To explore the correlation between other gene mutation status (e.g., KRAS) and the efficacy of GenSci128;To explore the consistency and clinical value of TP53 Y220C mutation between tumor tissues and blood samples;To evaluate blood MIC-1 as a PD biomarker for GenSci128 treatment Part 2 Primary objectives: RP2D Secondary objectives: ORR/DOR/DCR/CBR/PFS/TTR Incidence and severity of AEs ; Exploratory objectives: To evaluate ctDNA as a PD biomarker of response to the GenSci128 treatment;To explore the correlation between other gene mutation status (e.g., KRAS) and the efficacy of GenSci128;To explore the consistency and clinical value of TP53 Y220C mutation between tumor tissues and blood samples;To evaluate blood MIC-1 as a PD biomarker for GenSci128 treatment |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
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Inclusion criteria |
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排除标准: |
1.在GenSci128首次给药前<=2年内患有任何活动性恶性肿瘤,除外本研究中正在研究的 癌症和任何已治愈的局部复发性癌症(例如:切除的基底细胞或鳞状细胞皮肤癌,浅表性膀胱癌,宫颈原位癌或乳腺原位癌); 2.被诊断为患有原发性CNS肿瘤; 3.患有CNS转移,除外在GenSci128首次给药前至少2周内无症状、神经系统稳定且无需 类固醇治疗; 4.有软脑膜疾病或脊髓压迫病史; 5.在GenSci128首次给药前6个月内有中风或短暂性脑缺血发作; 6.患有活动性感染,需要静脉注射抗生素或其他需要住院治疗的不受控制的间发疾病, 轻微感染,例如可使用短期口服抗生素治疗的牙周感染或UTI可允许入组; 7.患有无法控制的高血压(定义为:接受了最佳的医疗干预,血压仍≥150/90 mmHg); 8.患有与心脏相关的以下任何疾病: a) 在GenSci128首次给药前6个月内,有心肌梗死或不稳定型心绞痛病史; b) 在GenSci128首次给药前4周内, NYHA评估为 III级或以上(详见附件 6); c) 在GenSci128首次给药前4周内,通过ECHO或MUGA扫描评估LVEF< 50%; d) 基于筛选期收集的3张连续静息心电图, QTcF> 470 msec; e) 伴有导致尖端扭转型室速风险增加的任何因素(如尽管接受了标准治疗仍存在的 低钾血症,长QT综合征家族史); f) 任何临床显著的心脏节律,传导或静息心电图形态异常(例如完全性左束支传导 阻滞,2/3级房室传导阻滞); 9.既往有器官移植史或者同种异体干细胞移植史; 10.既往接受过p53 Y220突变选择性激活剂治疗; 11.已知对GenSci128和/或其任何辅料严重过敏; 12.在GenSci128首次给药前4周内接受过大手术者; 13.在GenSci128首次给药前接受过以下抗肿瘤治疗者: a) 2周内接受过具有抗肿瘤活性的草药或中成药治疗; b) 4周内接受过放疗; c) 3周内接受过化疗或内分泌治疗; d) 5个半衰期或4周内(以较短者为准)接受过生物制品(比如:细胞因子或抗体) 或小分子靶向药物治疗; 14.在GenSci128首次给药前5个半衰期或14天内(以较长者为准)接受过CYP3A4酶或Pgp的强效诱导剂或抑制剂,或质子泵抑制剂,或已知有延长QT/QTc间期风险的药物; 15.有无法控制的需要经常引流的胸腔积液、心包积液或腹水(干预后≤14天复发); 16.在不能咀嚼、打破、压碎、打开或以其他方式改变产品形态的情况下,无法吞咽口服 药物(如片剂、胶囊); 17.患有研究者认为会妨碍口服药物GenSci128的吸收的胃肠道疾病; 18.已知HIV感染(HIV 1/2抗体阳性),或已知慢性乙型肝炎或丙型肝炎(若受试者 HBsAg或HBcAb阳性,HBV-DNA阴性,则允许入组;若受试者HCV IgG阳性,HCVRNA阴性,则允许入组); 19.既往抗肿瘤治疗导致的NCI CTCAE v5.0分级>1级的持续毒性; 20.哺乳期或计划在研究期间或GenSci128末次给药后30天内进行哺乳的女性; 21.患有其他严重的急性或慢性医学或精神疾病或实验室异常情况,可能增加参与研究或 GenSci128给药相关的风险,或可能干扰研究结果的解释,经研究者的判断受试者不 适合参加本研究; 22.同时参与另外一项治疗性临床研究。 |
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Exclusion criteria: |
1.Any active malignancy <= 2 years before initiation dose of GenSci128 except for the cancer under investigation in this study and any locally recurring cancer that has been treated curatively (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast). 2.Has diagnosed as primary CNS tumor. 3.Has CNS metastases, unless asymptomatic, neurologically stable and not requiring steroids treatment for at least 2 weeks prior to initiation dose of GenSci128; 4.Has a history of leptomeningeal disease or spinal cord compression. 5.Has stroke or transient ischemic attack within 6 months prior to initiation dose of GenSci128. 6.Has active infection requiring IV antibiotics or other uncontrolled inter-current illness requiring hospitalization. Minor infections, e.g., periodontal infection or UTI, which may be treated with short term oral antibiotics are allowed. 7.Uncontrolled hypertension (Blood pressure ≥ 150/90 mmHg despite optimal medical management); 8.Has any of the following cardiac-related issues or findings: a) Has a history of myocardial infarction or unstable angina within the previous 6 months prior to initiation dose of GenSci128. b) NYHA Class III or higher within 4 weeks prior to initiation dose of GenSci128 (see Appendix 6). c) Has a history of LVEF < 50% assessed by ECHO or MUGA scan, within 4 weeks prior to initiation dose of GenSci128. d) Mean resting QTcF> 470 msec obtained from 3 consecutive ECGs during screening period. e) With any factors that increase the risk of torsade de pointes (e.g., hypokalemia despite standard medical management, family history of long QT syndrome). f) Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG (e.g., complete left bundle branch block, second /third degree heart block). 9.Has a history of prior organ transplant or allogeneic stem cell transplant. 10.Has received a selective reactivator of p53 Y220C mutation. 11.Known severe hypersensitivity to GenSci128 and/or any of its excipients; 12.Has undergone major surgery within 4 weeks prior to initiation dose of GenSci128. 13.Has received treatment with any of the following anti-cancer therapies prior to initiation dose of GenSci128. a) Any herbal medicine or Chinese patent medicines treatment which have anti-cancer activity within 2 weeks. b) Radiotherapy within 4 weeks. c) Chemotherapy or hormonal therapy within 3 weeks. d) Biological therapy (e.g., cytokines or antibodies) or small molecule targeting drugs within 5 half-lives or 4 weeks (whichever is shorter). 14.Has received strong inducers or inhibitors of CYP3A4 or P-gp, or proton pump inhibitors, or medications with a known risk of QT/QTc prolongation within 5 half-lives or 14 days (whichever is longer) prior to initiation dose of GenSci128; 15.Has uncontrollable pleural effusion, pericardial effusion, or ascites requiring frequent drainage (recurrence ≤ 14 days after intervention). 16.Has inability to swallow oral medications (i.e., tablets, capsules) without chewing, breaking, crushing, opening or otherwise altering the product formulation. 17.Has gastrointestinal illness that in the opinion of the investigator, would preclude the absorption of GenSci128, which is an oral agent; 18.Has known HIV infection (positive HIV 1/2 antibodies) or known chronic hepatitis B or C [participants positive for HBsAg or HBcAb will be eligible if they are negative for HBVDNA; participants positive for HCV IgG will be eligible if they are negative for HCV-RNA]. 19.Is persisting toxicity related to prior anticancer therapy (NCI CTCAE V5.0 Grade>1). However, alopecia and sensory neuropathy Grade ≤2,or other Grade ≤2 adverse events not constituting a safety risk, based on the investigator’s judgment are acceptable. 20.Women who are breastfeeding or planning to breast feed during the study or within 30 days after last dose of GenSci128. 21.Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or GenSci128 administration or may interfere with the interpretation of study results, in the judgment of the investigator, would make the participant inappropriate for entry into this study. 22.Concurrent participation in another therapeutic clinical study. |
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研究实施时间: Study execute time: |
从 From 2025-03-25 00:00:00至 To 2028-02-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2025-08-01 00:00:00 至 To 2027-03-25 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男女均可 |
Gender: |
Both |
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随机方法(请说明由何人用什么方法产生随机序列): |
无 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
None |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
不公开/Private |
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盲法: |
无 |
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Blinding: |
None |
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
无 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
None |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
本临床试验采用电子数据采集(EDC)系统收集临床试验数据。 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
This clinical trial adopts an electronic data capture (EDC) system to collect clinical trial data. |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
有/Yes |