Clinical trial • Phase II • Neurology

TOMINERSEN for Huntington's disease (prodromal and early manifest)

Phase II trial of TOMINERSEN for Huntington's disease (prodromal and early manifest).

Overview

Trial Therapeutic Area
Neurology
Trial Disease
Huntington's disease (prodromal and early manifest)
Trial Stage
Phase II
Drug Modality
Oligonucleotide

Key dates

Initial CTIS Submission Date
08-04-2024
First CTIS Authorization Date
17-05-2024

Trial design

Randomised, placebo; ro7234292 (tominersen) 60 mg intrathecal (i.t.) q16w; ro7234292 (tominersen) 100 mg intrathecal (i.t.) q16w-controlled, adaptive Phase II trial in France, Poland, Germany and others.

Randomised
Yes
Comparator
Placebo; RO7234292 (tominersen) 60 mg intrathecal (I.T.) Q16W; RO7234292 (tominersen) 100 mg intrathecal (I.T.) Q16W
Adaptive
True, an independent data monitoring committee (iDMC) conducted an interim analysis and recommended discontinuation of the 60 mg Q16W dose and continuation/testing only of the 100 mg Q16W dose for the remainder of the study (participants on 60 mg were switched to 100 mg).
Target Sample Size
138
Trial Duration For Participant
658

Eligibility

Recruits 138 Vulnerable population selected (isVulnerablePopulationSelected = true). The protocol requires a Study Companion (inclusion criterion). Separate informed consent forms / subject information sheets are provided for participants and for companions/caregivers (multiple companion/caregiver ICF documents are listed), as well as specific ICFs for pregnant partners and infants. Consent is by the participant; companion/caregiver have separate ICFs documented..

Pregnancy Exclusion
Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 5 months after the final dose of study drug
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). The protocol requires a Study Companion (inclusion criterion). Separate informed consent forms / subject information sheets are provided for participants and for companions/caregivers (multiple companion/caregiver ICF documents are listed), as well as specific ICFs for pregnant partners and infants. Consent is by the participant; companion/caregiver have separate ICFs documented.

Inclusion criteria

  • {"criterion_text":"- Huntington’s disease (HD) gene expansion mutation carrier status with a CAP score of 400-500 inclusive\n- Either: Prodromal HD (defined as DCL 2 to 3, Independence Scale (IS) ⩾70, and ⩾TFC8); or Early manifest HD (defined as DCL 4, Independence Scale (IS) ⩾70, and ⩾TFC8)\n- Estimated glomerular filtration rate ≥ 60 mL/min/1.73 m2 in at least one out of two maximum screening samples\n- Total body weight > 40 kg and a body mass index within the range of 18-32 kg/m2\n- Age 25- 50 years, inclusive, at the time of signing the Informed Consent Form\n- Study Companion"}

Exclusion criteria

  • {"criterion_text":"- History of attempted suicide or suicidal ideation with plan that required hospital visit and/or change in level of care within 12 months prior to screening\n- Current or previous use of an ASO (including small interfering RNA) or any HTT lowering therapy (including tominersen)\n- Anti-platelet or anticoagulant therapy\n- Pregnancy or breastfeeding, or intention of becoming pregnant during the study or within 5 months after the final dose of study drug\n- History of gene therapy, cell transplantation, or brain surgery\n- Hydrocephalus"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Incidence and severity of adverse events, with severity determined according to the Adverse Event Severity Grading Scale (DB Period)","definition_or_measurement_approach":"Incidence and severity assessed per Adverse Event Severity Grading Scale during the double-blind (DB) period"}
  • {"endpoint_text":"- Change from baseline in clinical laboratory results (CSF WBC and protein) (DB Period)","definition_or_measurement_approach":"Change from baseline measured in CSF white blood cell count and protein during DB period"}
  • {"endpoint_text":"- Safety MRI (DB Period)","definition_or_measurement_approach":"Safety assessed by MRI during DB period"}
  • {"endpoint_text":"- Percentage change from baseline in geometric means of CSF mHTT protein levels at Month 9 (DB Period)","definition_or_measurement_approach":"Percent change from baseline in geometric mean CSF mutant huntingtin (mHTT) levels at Month 9"}
  • {"endpoint_text":"- Change from baseline in cUHDRS (non-U.S.) and TFC (U.S.) at 16 months (DB Period)","definition_or_measurement_approach":"Change from baseline in composite Unified Huntington’s Disease Rating Scale (cUHDRS) for non-US and Total Functional Capacity (TFC) for US at 16 months"}
  • {"endpoint_text":"- Incidence and severity of adverse events, with severity determined according to the Adverse Event Severity Grading Scale (OLE Period)","definition_or_measurement_approach":"Incidence and severity assessed per Adverse Event Severity Grading Scale during the open-label extension (OLE) period"}
  • {"endpoint_text":"- Change over time in clinical laboratory results (CSF, WBC, and protein) (OLE period)","definition_or_measurement_approach":"Longitudinal change in CSF white blood cell count and protein over time during OLE"}
  • {"endpoint_text":"- Safety MRI (OLE period)","definition_or_measurement_approach":"Safety assessed by MRI during OLE period"}

Secondary endpoints

  • {"endpoint_text":"- Change from baseline in vital signs (DB period)","definition_or_measurement_approach":"Change in vital signs from baseline measured at visits during DB period"}
  • {"endpoint_text":"- Change from baseline in ECG parameters (DB period)","definition_or_measurement_approach":"Change in ECG parameters from baseline during DB period"}
  • {"endpoint_text":"- Change from baseline in plasma clinical laboratory results (DB period)","definition_or_measurement_approach":"Change from baseline in plasma clinical laboratory values during DB period"}
  • {"endpoint_text":"- Change from baseline in MoCA (DB period)","definition_or_measurement_approach":"Change from baseline in Montreal Cognitive Assessment score during DB period"}
  • {"endpoint_text":"- Proportion of participants with suicidal ideation or behavior as assessed by C-SSRS score at each visit, including detailed focus on any individual cases identified as having severe ideation or behavior during the study conduct (DB period)","definition_or_measurement_approach":"Proportion assessed by Columbia-Suicide Severity Rating Scale (C-SSRS) at each visit (DB period); detailed case focus for severe cases"}
  • {"endpoint_text":"- Change from baseline at 16 months for the assessments of TFC (non-U.S.)/cUHDRS (U.S.), SDMT, TMS, and SWR (DB period)","definition_or_measurement_approach":"Change from baseline at 16 months for functional and cognitive endpoints: TFC/cUHDRS, Symbol Digit Modalities Test (SDMT), Total Motor Score (TMS), Stroop Word Reading (SWR)"}
  • {"endpoint_text":"- Change from baseline in CSF NfL levels at 16 months (DB period)","definition_or_measurement_approach":"Change from baseline in CSF neurofilament light chain (NfL) at 16 months"}
  • {"endpoint_text":"- Incidence of anti-drug antibodies (ADAs) at specified timepoints relative to the prevalence of ADAs at baseline (DB period)","definition_or_measurement_approach":"Incidence of ADAs measured at prespecified timepoints compared to baseline prevalence"}
  • {"endpoint_text":"- Titers will be determined if ADAs are identified (DB period)","definition_or_measurement_approach":"ADA titers to be measured if ADAs are detected"}
  • {"endpoint_text":"- Change over time in cUHDRS, TFC, SDMT, TMS, SWR (OLE period)","definition_or_measurement_approach":"Longitudinal change in clinical and cognitive scales during OLE"}
  • {"endpoint_text":"- Change over time in vital signs (OLE period)","definition_or_measurement_approach":"Longitudinal change in vital signs during OLE"}
  • {"endpoint_text":"- Change over time in ECG parameters (OLE period)","definition_or_measurement_approach":"Longitudinal change in ECG parameters during OLE"}
  • {"endpoint_text":"- Change over time in plasma clinical laboratory results (OLE period)","definition_or_measurement_approach":"Longitudinal change in plasma lab values during OLE"}
  • {"endpoint_text":"- Change over time in MoCA (OLE period)","definition_or_measurement_approach":"Longitudinal change in MoCA during OLE"}
  • {"endpoint_text":"- Proportion of participants with suicidal ideation or behavior as assessed by C-SSRS score at each visit, including detailed focus on any individual cases identified as having severe ideation or behavior during the study conduct (OLE period)","definition_or_measurement_approach":"Proportion assessed by C-SSRS at each visit during OLE; detailed case focus for severe cases"}
  • {"endpoint_text":"- Incidence of ADAs at specified timepoints (OLE period)","definition_or_measurement_approach":"Incidence of anti-drug antibodies assessed at specified timepoints during OLE"}

Recruitment

Digital Remote Recruitment
True, recruitment materials include a lumbar puncture video script and digital brochures/flyers; ePRO and IxRS systems are used for electronic data capture and patient interactions.
Planned Sample Size
138
Recruitment Window Months
49
Consent Approach
Informed consent is taken from the participant. The study requires a Study Companion and separate companion/caregiver informed consent forms are provided (multiple companion/caregiver ICFs listed). There are also ICFs for pregnant partners and infant health information. ICFs and study materials are available in multiple languages as evidenced by protocol/public title translations and country-specific ICF documents (English plus translations including French, German, Spanish, Polish, Portuguese, Italian and country-specific ICFs).

Methods

  • Patient recruitment and advertising/promotion services provided by Publicis Healthcare Communications Group (patient-facing materials and advertising).
  • Study flyers and clinical trial brochures (K2 recruitment material / study flyers listed among documents).
  • Lumbar puncture patient video script / educational video materials used in recruitment materials.
  • Patient reimbursement managed by Greenphire LLC.
  • Electronic data capture/ePRO and IXRS services (ePRO provider Ersearchtechnology Inc./Clario; Signant Health listed as IxRS provider) used in study operations (supporting remote data collection).

Geography

Total Number Of Sites
33
Total Number Of Participants
162

France

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
24-05-2024
Processing Time Days
30
Number Of Sites
9
Number Of Participants
27

Sites

Site Name
Les Hopitaux Universitaires De Strasbourg
Department Name
Neurologie
Principal Investigator Name
Christine Tranchant
Principal Investigator Email
Christine.Tranchant@chru-strasbourg.fr
Contact Person Name
Christine Tranchant
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
Neurologie
Principal Investigator Name
Clémence Simonin
Principal Investigator Email
clemence.simonin@chu-lille.fr
Contact Person Name
Clémence Simonin
Contact Person Email
clemence.simonin@chu-lille.fr
Site Name
Centre Hospitalier Universitaire De Toulouse
Department Name
Neurologie
Principal Investigator Name
Jérémie Pariente
Principal Investigator Email
jeremie.pariente@inserm.fr
Contact Person Name
Jérémie Pariente
Contact Person Email
jeremie.pariente@inserm.fr
Site Name
Assistance Publique Hopitaux De Marseille
Department Name
Neurologie
Principal Investigator Name
Jean-Philippe Azulay
Principal Investigator Email
Jean-philippe.AZULAY@ap-hm.fr
Contact Person Name
Jean-Philippe Azulay
Contact Person Email
Jean-philippe.AZULAY@ap-hm.fr
Site Name
Centre Hospitalier Universitaire D'Angers
Department Name
Neurologie
Principal Investigator Name
Christophe Verny
Principal Investigator Email
chverny@chu-angers.fr
Contact Person Name
Christophe Verny
Contact Person Email
chverny@chu-angers.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Neurologie
Principal Investigator Name
Katia Youssov
Principal Investigator Email
katia.youssov@aphp.fr
Contact Person Name
Katia Youssov
Contact Person Email
katia.youssov@aphp.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
Service de Génétique Médicale
Principal Investigator Name
Cyril Goizet
Principal Investigator Email
cyril.goizet@chu-bordeaux.fr
Contact Person Name
Cyril Goizet
Contact Person Email
cyril.goizet@chu-bordeaux.fr
Site Name
Centre Hospitalier Universitaire De Montpellier
Department Name
Neurologie
Principal Investigator Name
Cecilia Marelli
Principal Investigator Email
c-marelli@chu-montpellier.fr
Contact Person Name
Cecilia Marelli
Contact Person Email
c-marelli@chu-montpellier.fr
Site Name
Centre Hospitalier Universitaire De Strasbourg (duplicate entry if present)
Department Name
Neurologie

Poland

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
27-05-2024
Processing Time Days
33
Number Of Sites
3
Number Of Participants
20

Sites

Site Name
Wojskowy Instytut Medycyny Lotniczej
Department Name
Klinika Neurologii
Principal Investigator Name
Grzegorz Witkowski
Principal Investigator Email
gwitkowski@wiml.waw.pl
Contact Person Name
Grzegorz Witkowski
Contact Person Email
gwitkowski@wiml.waw.pl
Site Name
Krakowska Akademia Neurologii Sp. z o.o.
Department Name
Centrum Neurologii Klinicznej
Principal Investigator Name
Monika Rudzińska-Bar
Principal Investigator Email
mrudzinska@afm.edu.pl
Contact Person Name
Monika Rudzińska-Bar
Contact Person Email
mrudzinska@afm.edu.pl
Site Name
Copernicus Podmiot Leczniczy Sp. z o.o.
Department Name
Szpital Św. Wojciecha, Oddział Neurologiczny
Principal Investigator Name
Jarosław Sławek
Principal Investigator Email
jaroslawek@gumed.edu.pl
Contact Person Name
Jarosław Sławek
Contact Person Email
jaroslawek@gumed.edu.pl

Germany

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
22-05-2024
Processing Time Days
28
Number Of Sites
8
Number Of Participants
40

Sites

Site Name
Universitaetsklinikum Ulm AöR
Department Name
Department of Neurology
Principal Investigator Name
Bernhard Landwehrmeyer
Principal Investigator Email
bernhard.landwehrmeyer@uni-ulm.de
Contact Person Name
Bernhard Landwehrmeyer
Site Name
Deutsches Zentrum Fuer Neurodegenerative Erkrankungen e.V.
Department Name
Klinik für Neurodegenerative Erkrankungen
Principal Investigator Name
Patrick Weydt
Principal Investigator Email
Patrick.Weydt@ukbonn.de
Contact Person Name
Patrick Weydt
Contact Person Email
Patrick.Weydt@ukbonn.de
Site Name
Katholisches Klinikum Bochum gGmbH
Department Name
Neurologische Klinik der Ruhr-Universitaet Bochum
Principal Investigator Name
Carsten Saft
Principal Investigator Email
Carsten.Saft@ruhr-uni-bochum.de
Contact Person Name
Carsten Saft
Site Name
Universitaetsklinikum Erlangen AöR
Department Name
Molekulare Neurologie
Principal Investigator Name
Martin Regensburger
Principal Investigator Email
martin.regensburger@uk-erlangen.de
Contact Person Name
Martin Regensburger
Site Name
Kbo Isar-Amper-Klinikum Taufkirchen (Vils)
Department Name
Huntington-Zentrum-Sued
Principal Investigator Name
Alzbeta Muehlbaeck
Principal Investigator Email
alzbeta.muehlbaeck@kbo.de
Contact Person Name
Alzbeta Muehlbaeck
Contact Person Email
alzbeta.muehlbaeck@kbo.de
Site Name
Universitaetsklinikum Schleswig-Holstein AöR
Department Name
Zentrum für Seltene Erkrankungen
Principal Investigator Name
Alexander Münchau
Principal Investigator Email
alexander.muenchau@uni-luebeck.de
Contact Person Name
Alexander Münchau
Site Name
Charite Universitaetsmedizin Berlin KöR
Department Name
Klinik für Psychiatrie und Psychotherapie, CCM
Principal Investigator Name
Josef Priller
Principal Investigator Email
Josef.Priller@charite.de
Contact Person Name
Josef Priller
Contact Person Email
Josef.Priller@charite.de
Site Name
Universitaetsklinikum Aachen AöR
Department Name
Klinik für Neurologie
Principal Investigator Name
Kathrin Reetz
Principal Investigator Email
kreetz@ukaachen.de
Contact Person Name
Kathrin Reetz
Contact Person Email
kreetz@ukaachen.de

Italy

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
22-05-2024
Processing Time Days
28
Number Of Sites
2
Number Of Participants
14

Sites

Site Name
IRCCS Foundation Istituto Neurologico Carlo Besta
Department Name
UOC Genetica Medica - Neurogenetica
Principal Investigator Name
Caterina Mariotti
Principal Investigator Email
caterina.mariotti@istituto-besta.it
Contact Person Name
Caterina Mariotti
Site Name
Azienda Unita Sanitaria Locale Di Bologna
Department Name
UOC Clinica Neurologica Metropolitana (NeuroMet)
Principal Investigator Name
Cesa Lorella Maria Scaglione
Principal Investigator Email
cesa.scaglione@isnb.it
Contact Person Name
Cesa Lorella Maria Scaglione
Contact Person Email
cesa.scaglione@isnb.it

Denmark

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
20-05-2024
Processing Time Days
26
Number Of Sites
1
Number Of Participants
3

Sites

Site Name
Rigshospitalet
Department Name
Hukommelsesklinikken
Principal Investigator Name
Lena Hjermind
Principal Investigator Email
lena.elisabeth.hjermind.01@regionh.dk
Contact Person Name
Lena Hjermind

Portugal

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
17-05-2024
Processing Time Days
23
Number Of Sites
2
Number Of Participants
10

Sites

Site Name
Hospital De Santa Maria E.P.E.
Department Name
Neurociências e Saúde Mental
Principal Investigator Name
Leonor Guedes
Principal Investigator Email
leonor.guedes@ulssm.min-saude.pt
Contact Person Name
Leonor Guedes
Site Name
CNS Saude Lda.
Department Name
Clínica Médica
Principal Investigator Name
Joaquim Ferreira
Principal Investigator Email
science@cnscampus.com
Contact Person Name
Joaquim Ferreira
Contact Person Email
science@cnscampus.com

Austria

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
22-05-2024
Processing Time Days
28
Number Of Sites
1
Number Of Participants
5

Sites

Site Name
Medizinische Universitaet Innsbruck
Department Name
University clinic for neurology
Principal Investigator Name
Klaus Seppi
Principal Investigator Email
lki.ne.parkinson@tirol-kliniken.at
Contact Person Name
Klaus Seppi

Spain

Earliest CTIS Part Ii Submission Date
24-04-2024
Latest Decision Or Authorization Date
22-05-2024
Processing Time Days
28
Number Of Sites
7
Number Of Participants
43

Sites

Site Name
Hospital Universitario De Burgos
Department Name
Neurología
Principal Investigator Name
Esther Cubo Delgado
Principal Investigator Email
mcubo@saludcastillayleon.es
Contact Person Name
Esther Cubo Delgado
Contact Person Email
mcubo@saludcastillayleon.es
Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Neurología
Principal Investigator Name
Rafael Perez Noguera
Principal Investigator Email
rafapereznoguera@gmail.com
Contact Person Name
Rafael Perez Noguera
Contact Person Email
rafapereznoguera@gmail.com
Site Name
Hospital Universitario De Badajoz
Department Name
Neurología
Principal Investigator Name
David Jesus Ceberino Muñoz
Principal Investigator Email
david.ceberino@salud-juntaex.es
Contact Person Name
David Jesus Ceberino Muñoz
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Neurología
Principal Investigator Name
Jose Luis López-Sendón Moreno
Principal Investigator Email
jlsendonmoreno@salud.madrid.org
Contact Person Name
Jose Luis López-Sendón Moreno
Site Name
Hospital Universitario De Cruces
Department Name
Neurología
Principal Investigator Name
Tamara Fernández Valle
Principal Investigator Email
Tamara.fernandezvalle@osakidetza.eus
Contact Person Name
Tamara Fernández Valle
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
Neurología
Principal Investigator Name
Carmen Peiró Vilaplana
Principal Investigator Email
peiro_marvil@gva.es
Contact Person Name
Carmen Peiró Vilaplana
Contact Person Email
peiro_marvil@gva.es
Site Name
Hospital De La Santa Creu I Sant Pau
Department Name
Neurología
Principal Investigator Name
Jaime Kulisevsky Bojarski
Principal Investigator Email
jkulisevsky@santpau.cat
Contact Person Name
Jaime Kulisevsky Bojarski
Contact Person Email
jkulisevsky@santpau.cat

Sponsor

Primary sponsor

Full Name
F. Hoffmann-La Roche AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Pharmaceutical Research Associates Group B.V.
Responsibilities
Legacy Specialty Laboratory; laboratory services
Name
PPD Development LP
Responsibilities
Bioanalytical QA Management / laboratory duties
Name
Iqvia Laboratories Limited
Responsibilities
Legacy Specialty Laboratory; laboratory services
Name
Labcorp Central Laboratory Services SARL
Responsibilities
Central laboratory services
Name
Charles River Laboratories International
Responsibilities
Legacy Specialty Laboratory; laboratory services

Third parties

  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient reimbursement","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"ePRO","organisation_type":"Pharmaceutical company"}
  • {"country":"Germany","full_name":"MicroCoat Biotechnologie GmbH","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Pharmaceutical Research Associates Group B.V.","duties_or_roles":"Legacy Specialty Laboratory; other laboratory duties","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Charles River Laboratories International","duties_or_roles":"Legacy Specialty Laboratory; other laboratory duties","organisation_type":"Health care"}
  • {"country":"United Kingdom","full_name":"Iqvia Laboratories Limited","duties_or_roles":"Legacy Specialty Laboratory; other laboratory duties","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q2q Communications Limited","duties_or_roles":"Meeting Organization","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Publicis Healthcare Communications Group Limited","duties_or_roles":"Patient Recruitment and Advertising / Promotion Services","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"IxRS Provider","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Ixico Technologies Limited","duties_or_roles":"Imaging","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"PPD Development LP","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Clinical laboratory services (listed duties)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
RO7234292
Active Substance
TOMINERSEN
Modality
Oligonucleotide
Routes Of Administration
I.T. BOLUS INJECTION TO THE INTRATHECAL SPACE
Route
Intrathecal (I.T.) bolus injection to the intrathecal space
Starting Dose
60 mg
Dose Levels
60 mg; 100 mg
Frequency
Q16W for 16 months
Maximum Dose
100 mg
Dose Escalation Increase
60 mg -> 100 mg (per iDMC recommendation participants on 60 mg were switched to 100 mg)
Investigational Product Name
RO7234292 Placebo
Modality
Other

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