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Trial registered on ANZCTR
Registration number
ACTRN12607000084482
Ethics application status
Approved
Date submitted
19/12/2006
Date registered
24/01/2007
Date last updated
4/04/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Evaluation of the usefulness of a decision aid in patients with advanced colorectal or breast cancer
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Scientific title
When the treatment goal is not cure: A randomised controlled trial of enhanced patient achievement of information and involvement preferences and more active involvement in treatment decision-making following the use of decision aids in patients with advanced colorectal or breast cancer
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients newly diagnosed with advanced breast cancer
1576
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Patients newly diagnosed with advanced colorectal cancer
1577
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Condition category
Condition code
Cancer
1678
1678
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Cancer
1679
1679
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Use of a decision aid during the consultation by the medical oncologist and provision of the decision aid and audiotape for patient to take home. The decision aid contains information on potential managment decisions, risks and benefits of treatment options, side effects, treatment regimes, survival statistics, pros and cons of choices. The duration of use of the DA in the consultation is not set, it may be used as long as is required. The audiotapes is a recording of the content of the booklet. Participants may listen or read the decision aid as often as they wish and the DA and audiotape are theirs to keep.
Consultation length is as long as required.
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Intervention code [1]
1016
0
Other interventions
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Comparator / control treatment
Controls receive standard consultation discussing treatment options.
Consultation length is as long as required.
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Control group
Active
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Outcomes
Primary outcome [1]
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Enhanced patient achievement of information and involvement preferences and more active involvement in treatment decision-making following use of the decision aid.
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Assessment method [1]
2324
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Timepoint [1]
2324
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Measured immediately post consultation and 2 weeks post decision.
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Secondary outcome [1]
4056
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Understanding of prognosis, treatment goals and side effects
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Assessment method [1]
4056
0
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Timepoint [1]
4056
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measured immedicatley post consultation, 2 weeks post decision and one month post decision
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Secondary outcome [2]
4057
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patient anxiety levels
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Assessment method [2]
4057
0
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Timepoint [2]
4057
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measured immedicatley post consultation, 2 weeks post decision and one month post decision
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Secondary outcome [3]
4058
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patient satisfaction with consultation and decision-making
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Assessment method [3]
4058
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Timepoint [3]
4058
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measured immedicatley post consultation, 2 weeks post decision and one month post decision
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Secondary outcome [4]
4059
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doctor satisfaction with treatment decision-making
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Assessment method [4]
4059
0
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Timepoint [4]
4059
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measured immedicatley post consultation, 2 weeks post decision and one month post decision
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Eligibility
Key inclusion criteria
Inclusion: patients newly diagnosed with metastatic colorectal or breast cancer.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion: insufficient English, spoken and comprehension, current psychiatric diagnosis
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Using sequentially numbered opaque sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random permuted blocks were constructed using a random number table. Randomisation was stratified by oncologist.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
18/03/2003
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
210
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1824
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Charities/Societies/Foundations
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Name [1]
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Cancer Council NSW
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Address [1]
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The Cancer Council NSW
153 Dowling Street
Woolloomooloo, NSW 2011
PO Box 572
Kings Cross NSW 1340
Australia
Ph (+61 2) 9334 1900
Fax (+61 2) 9358 1452
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Country [1]
1824
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Australia
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Primary sponsor type
University
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Name
Medical Psychology Research Unit, University of Sydney
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Address
Kings Cross NSW 1340
Australia
Ph (+61 2) 9334 1900
Fax (+61 2) 9358 1452
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Country
Australia
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Secondary sponsor category [1]
1644
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None
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Name [1]
1644
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Nil
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Address [1]
1644
0
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Country [1]
1644
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3411
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Royal Prince Alfred Hospital
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Ethics committee address [1]
3411
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Ethics committee country [1]
3411
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Australia
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Date submitted for ethics approval [1]
3411
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Approval date [1]
3411
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01/08/2005
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Ethics approval number [1]
3411
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X00-292 then X05-0147
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Ethics committee name [2]
3412
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Concord Hospital
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Ethics committee address [2]
3412
0
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Ethics committee country [2]
3412
0
Australia
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Date submitted for ethics approval [2]
3412
0
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Approval date [2]
3412
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18/06/2001
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Ethics approval number [2]
3412
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CH62/6/2001-036
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Ethics committee name [3]
3413
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Prince of Wales Hospital
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Ethics committee address [3]
3413
0
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Ethics committee country [3]
3413
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Australia
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Date submitted for ethics approval [3]
3413
0
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Approval date [3]
3413
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14/01/2004
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Ethics approval number [3]
3413
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03/279
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Ethics committee name [4]
3414
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Westmead Hospital
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Ethics committee address [4]
3414
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Ethics committee country [4]
3414
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Australia
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Date submitted for ethics approval [4]
3414
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Approval date [4]
3414
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26/03/2003
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Ethics approval number [4]
3414
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2003/2/4.15 (1594)
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Ethics committee name [5]
3415
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Peter MacCallum Hospital
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Ethics committee address [5]
3415
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Ethics committee country [5]
3415
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Australia
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Date submitted for ethics approval [5]
3415
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Approval date [5]
3415
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22/07/2004
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Ethics approval number [5]
3415
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04/13
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Summary
Brief summary
We have developed two user-friendly decision aids (DAs) for patients with incurable breast or bowel cancer. These include an instrument used by doctor and patient in the consultation, and a take-home booklet and audiotape for patients. The DAs outline treatment options, benefits and likely side effects. Information is presented in different visual formats. This should help patients participate in their cancer treatment decisions. Patients and doctors have reviewed the DAs, and their usefulness will now be tested in a randomised trial. Hypotheses being examined in this study (in the randomised trial): Patients receiving DAs at the time of making a treatment decision about management of advanced cancer compared to patients not receiving DAs at this time will have enhanced achievement of their involvement preference, participate in decision-making more actively and have improved understanding of their prognosis, treatment goals and side effects, as well as be more satisfied with their care. Doctors using the DAs in consultations will have enhanced satisfaction with treatment decision-making. This project is also being run in Toronto, Canada. The recruitment target of 210 includes 105 from Canada. Recruitment is complete in all sites and analysis is underway.
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Trial website
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Trial related presentations / publications
Publications Chiew, K. S., Shepherd, H., Vardy, J., Tattersall, M. H. N., Butow, P. N. and Leighl, N. B. (2008) Health Expectations, 11, 35-45. Conference Presentations July 2007 When the goal of treatment is not cure: a randomized trial of a patient decision aid in advanced colorectal cancer American Society of Clinical Oncology (ASCO) Chicago USA. Oral Presentation Jan 2007 Randomized trial of a decision aid for patients with metastatic colon cancer considering first-line systemic therapy. Gastrointestinal Cancer Symposium, Orlando, USA. Poster presentation.
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Public notes
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Contacts
Principal investigator
Name
36302
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Address
36302
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Country
36302
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Phone
36302
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Fax
36302
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Email
36302
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Contact person for public queries
Name
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Heather Shepherd
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Address
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Medical Psychology Research Unit (MPRU)
University of Sydney
Blackburn Building (D06)
NSW 2006
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Country
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Australia
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Phone
10205
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+61 2 90365419
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Fax
10205
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+61 2 90365420
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Email
10205
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[email protected]
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Contact person for scientific queries
Name
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Professor Phyllis Butow
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Address
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Medical Psychology Research Unit (MPRU)University of Sydney
Blackburn Building (D06)
NSW 2006
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Country
1133
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Australia
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Phone
1133
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+61 2 93512859
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Fax
1133
0
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Email
1133
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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