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Trial registered on ANZCTR
Registration number
ACTRN12606000252516
Ethics application status
Approved
Date submitted
6/03/2001
Date registered
6/03/2001
Date last updated
10/01/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Australasian Collaborative Trial of Magnesium Sulphate for the Prevention of Mortality and Cerebral Palsy in Infants Born Very Preterm.
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Scientific title
Australasian Collaborative Trial of Magnesium Sulphate for the Prevention of Mortality and Cerebral Palsy in Infants Born Very Preterm.
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Secondary ID [1]
25
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Perinatal Trials Registry: PTR354
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Universal Trial Number (UTN)
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Trial acronym
ACTOMgSO4
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Infants born very preterm (<30 weeks)
25
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Condition category
Condition code
Reproductive Health and Childbirth
28
28
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0
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Fetal medicine and complications of pregnancy
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Reproductive Health and Childbirth
29
29
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment group: Magnesium sulphate (2mmol/mL).
Dosing regimen for both groups: Loading infusion: 8 mLs over 20mins via infusion pump. Maintenance: 2mLs/hr until delivery or 24 hrs whichever is longer
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Intervention code [1]
1086
0
Treatment: Drugs
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Comparator / control treatment
Placebo group: Normal saline
Dosing regimen for both groups: Loading infusion: 8 mLs over 20mins via infusion pump. Maintenance: 2mLs/hr until delivery or 24 hrs whichever is longer
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Cerebral palsy
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Assessment method [1]
55
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Timepoint [1]
55
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2 years corrected age
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Primary outcome [2]
56
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Neonatal infant survival
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Assessment method [2]
56
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Timepoint [2]
56
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Up to 2 years of age
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Primary outcome [3]
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Death or Cerebral Palsy
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Assessment method [3]
300711
0
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Timepoint [3]
300711
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Early School Age
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Secondary outcome [1]
80
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Cerebroventricular haemmorhage
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Assessment method [1]
80
0
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Timepoint [1]
80
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Up to time of primary hospital discharge.
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Secondary outcome [2]
81
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Periventricular leukomalacia
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Assessment method [2]
81
0
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Timepoint [2]
81
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Up to time of primary hospital discharge.
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Secondary outcome [3]
82
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Maternal morbidity
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Assessment method [3]
82
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Timepoint [3]
82
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Up to 6 weeks postnatal.
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Eligibility
Key inclusion criteria
Pregnant women <30 weeks where delivery is planned or definately expected within 24 hours.
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Minimum age
16
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Contraindications to magnesium sulphate; in second stage of labour; previous magnesium sulphate therapy in the pregnancy and magnesium sulphate therapy considered essential
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Study design
Purpose of the study
Treatment
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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)
Numbered Containers: packs identical in appearance, labelled with unique study number by independent third party
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified Allocation: stratified by centre and plurality (singleton. twin, higher-order multiple). Computer generated sequence with variable block sizes.
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Masking / blinding
Blinded (masking 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
Phase 3
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Type of endpoint/s
Safety/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
29/02/1996
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Actual
29/02/1996
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Date of last participant enrolment
Anticipated
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Actual
15/09/2000
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Date of last data collection
Anticipated
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Actual
30/12/2011
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Sample size
Target
1178
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Accrual to date
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Final
1178
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA
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Recruitment outside Australia
Country [1]
8563
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New Zealand
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State/province [1]
8563
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Funding & Sponsors
Funding source category [1]
35
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Government body
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Name [1]
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National Health & Medical Research Council 5 yr Epidemiology Grant
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Address [1]
35
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
35
0
Australia
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Funding source category [2]
36
0
Charities/Societies/Foundations
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Name [2]
36
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Channel 7 Research Foundation of South Australia Inc
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Address [2]
36
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171 Days Rd
Regency Park SA 5010
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Country [2]
36
0
Australia
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Funding source category [3]
37
0
Charities/Societies/Foundations
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Name [3]
37
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Queen Victoria Hospital Research Foundation
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Address [3]
37
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Queen Victoria Hospital
Fullarton Rd
Rose Park SA 5067
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Country [3]
37
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Australia
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Primary sponsor type
Individual
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Name
Prof Caroline Crowther
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Address
Women's & Children's Hospital
72 King William Rd
North Adelaide SA 5006
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Country
Australia
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Secondary sponsor category [1]
32
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Individual
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Name [1]
32
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Prof Janet Hiller
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Address [1]
32
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University of Adelaide
North Tce, Adelaide SA 5005
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Country [1]
32
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Australia
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Secondary sponsor category [2]
33
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Individual
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Name [2]
33
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Prof Lex Doyle
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Address [2]
33
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The Royal Women's Hospital
cnr Grattan St & Flemington Rd
Parkville Vic 3052
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Country [2]
33
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Australia
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Secondary sponsor category [3]
34
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Individual
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Name [3]
34
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A/Prof Ross Haslam
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Address [3]
34
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Women's & Children's Hospital
72 King William Rd
North Adelaide SA 5006
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Country [3]
34
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308
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Women's & Children's Hospital, Maternal Perinatal Clinical Trials Unit Adelaide University
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Ethics committee address [1]
308
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Ethics committee country [1]
308
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Australia
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Date submitted for ethics approval [1]
308
0
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Approval date [1]
308
0
01/12/1995
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Ethics approval number [1]
308
0
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Summary
Brief summary
Infants born preterm have an increased risk of mortality and cerebral palsy. Evidence from recent case controlled studies support animal research that suggests maternal administration of magnesium sulphate may reduce the risk of cerebral palsy and mortality in infants born very preterm. It is important that these findings are tested in large randomised controlled trials as soon as possible to assess whether prophylactic treatment should be recommedned for clinical practice in the case of women who are at risk of preterm delivery. Trial participants, trial research staff and all involved in clinical care of participants were blinded. Trial treatment packs of identical appearance, labelled only with unique study number.
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Trial website
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Trial related presentations / publications
Effect of magnesium sulfate given for neuroprotection before preterm birth: a randomized controlled trial. Crowther CA, Hiller JE, Doyle LW, Haslam RR; Australasian Collaborative Trial of Magnesium Sulphate (ACTOMg SO4) Collaborative Group.. JAMA. 2003 Nov 26;290(20):2669-76 School-age outcomes of very preterm infants after antenatal treatment with magnesium sulfate vs placebo. Doyle LW, Anderson PJ, Haslam R, Lee KJ, Crowther C; Australasian Collaborative Trial of Magnesium Sulphate (ACTOMgSO4) Study Group.. JAMA. 2014 Sep 17;312(11):1105-13. doi: 10.1001/jama.2014.11189.
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Public notes
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Attachments [1]
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/AnzctrAttachments/1335-Crowther et al. JAMA 2003 ACTOMgSO4 Trial.pdf
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Attachments [2]
1352
1352
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/AnzctrAttachments/1335-Doyle et al JAMA 2014.pdf
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Contacts
Principal investigator
Name
35173
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Prof Caroline Crowther
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Address
35173
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Women's & Children's Hospital
72 King William Rd
North Ade.laide SA 5006
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Country
35173
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Australia
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Phone
35173
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+61 8 8161 7619
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Fax
35173
0
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Email
35173
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[email protected]
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Contact person for public queries
Name
10275
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Caroline Crowther
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Address
10275
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University Obstetrics & Gynaecology
Women's & Children's Hospital
Queen Victoria Building
Level 1
72 King William Road
North Adelaide SA 5006
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Country
10275
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Australia
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Phone
10275
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+61 8 8161 7619
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Fax
10275
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+61 8 81617652
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Email
10275
0
[email protected]
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Contact person for scientific queries
Name
1203
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Caroline Crowther
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Address
1203
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University Obstetrics & Gynaecology
Women's & Children's Hospital
Queen Victoria Building
Level 1
72 King William Road
North Adelaide SA 5006
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Country
1203
0
Australia
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Phone
1203
0
+61 8 8161 7619
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Fax
1203
0
+61 8 81617652
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Email
1203
0
[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
Source
Title
Year of Publication
DOI
Embase
The role of social risk in an early preventative care programme for infants born very preterm: a randomized controlled trial.
2018
https://dx.doi.org/10.1111/dmcn.13594
N.B. These documents automatically identified may not have been verified by the study sponsor.
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