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Trial registered on ANZCTR
Registration number
ACTRN12606000518561
Ethics application status
Approved
Date submitted
26/08/2003
Date registered
26/08/2003
Date last updated
25/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Transfer of preterm infants from incubator to open cot at a lower body weight (1600g) versus a higher body weight (1800g)
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Scientific title
A randomised controlled trial of transferring preterm infants born less than 1600g, from incubator to open cot at lower (1600g) versus higher (1800g) body weight to determine the effects on weight gain, temperature stability and length of hospital stay
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Secondary ID [1]
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Perinatal Trials Registry: PTR427
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Universal Trial Number (UTN)
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Trial acronym
TIC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Premature infants
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Condition category
Condition code
Reproductive Health and Childbirth
40
40
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0
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Childbirth and postnatal care
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Reproductive Health and Childbirth
41
41
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
intervention group- will remain in the incubator until the weight reaches greater than or equal to 1600 grams at which time they will be transferred to and nursed in an open cot until discharge
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Intervention code [1]
1110
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Other interventions
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Comparator / control treatment
control group- will remain in the incubator until the weight reaches greater than or equal to 1800 grams at which time they will be transferred to and nursed in an open cot until discharge
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Control group
Active
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Outcomes
Primary outcome [1]
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Infants temperature stability
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Assessment method [1]
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Timepoint [1]
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Measured at one hour post transfer to an open cot and then third hourly for the first 72 hours and then eighth hourly until discharge
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Primary outcome [2]
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Average daily weight gain over the first 14 days following transfer to an open cot.
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Assessment method [2]
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Timepoint [2]
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Over the first 14 days following transfer to an open cot
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Secondary outcome [1]
125
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Proportion of infants requiring an overhead heater for temperature maintenance.
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Assessment method [1]
125
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Timepoint [1]
125
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Measured at one hour post transfer to an open cot then third hourly for the first 72 hours and then eighth hourly until discharge.
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Secondary outcome [2]
126
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Proportion of infants requiring to be returned to an incubator for temperature maintenance.
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Assessment method [2]
126
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Timepoint [2]
126
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Measured at one hour post transfer to an open cot then third hourly for the first 72 hours and then eighth hourly until discharge.
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Secondary outcome [3]
127
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Time to discharge from Royal Brisbane & Women’s Hospital and referral hospital (from time of group allocation)
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Assessment method [3]
127
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Timepoint [3]
127
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Measured as date of discharge from the Royal Brisbane & Women's Hospital
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Secondary outcome [4]
128
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Age at discharge home
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Assessment method [4]
128
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Timepoint [4]
128
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Measured as gestational age in weeks and days at the time of discharge from a hospital
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Secondary outcome [5]
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Weight at discharge home
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Assessment method [5]
129
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Timepoint [5]
129
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Measured as weight in grams at the time of discharge home from a hospital
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Eligibility
Key inclusion criteria
Preterm infants, both male and female, with a birthweight of less than 1600 grams - weight <1600 grams at enrolment- >=48 hours age,- >= 48 hours without requiring assisted ventilation or Continuous Positive Airway Pressure (CPAP)- medically stable- receiving enteral calorie intake of at least 60 mls/kg/day, and- at least one parent who can understand written or spoken English.
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Minimum age
2
Days
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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
Requiring assisted ventilation or CPAP,- medically unstable,- oxygen via cot or sub nasal prongs,- major congenital abnormality.
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
An independent statistician managed sequence generation, using a computer generated random number sequence. Stratified allocation by birth weight (BW) (<1000g or >=1000g) and gestational age (GA) at birth (<34 weeks or >=34 weeks) have been used. Therefore each preterm infant will belong to one of the four following strata: <1000g and <34 weeks; >=1000g and <34 weeks; <1000g and >=34 weeks; >=1000g and <34 weeks and will be randomly allocated to the control vs intervention group within each stratum.
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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
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
23/06/2003
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Actual
7/07/2003
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Date of last participant enrolment
Anticipated
30/06/2005
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Actual
13/02/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
180
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Accrual to date
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Final
182
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Division of neonatology, Royal Brisbane & Women's Hospital
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Address [1]
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Butterfield Street
Herston Q 4029
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Division of neonatology, Royal Brisbane & Women's Hospital
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Address
Butterfield Street
Herston Q 4029
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
42
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Country [1]
42
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
366
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Royal Brisbane & Women's Hospital
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Ethics committee address [1]
366
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Ethics committee country [1]
366
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Australia
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Date submitted for ethics approval [1]
366
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Approval date [1]
366
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10/04/2003
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Ethics approval number [1]
366
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2003/001
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Ethics committee name [2]
367
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Redcliffe & Caboolture Hospitals
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Ethics committee address [2]
367
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Ethics committee country [2]
367
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Australia
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Date submitted for ethics approval [2]
367
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Approval date [2]
367
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10/11/2004
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Ethics approval number [2]
367
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04/Dec/05
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Ethics committee name [3]
368
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Toowoomba Hospital
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Ethics committee address [3]
368
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Ethics committee country [3]
368
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Australia
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Date submitted for ethics approval [3]
368
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Approval date [3]
368
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30/05/2004
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Ethics approval number [3]
368
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042/2004
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Summary
Brief summary
One of the key criteria for discharging preterm infants from nurseries is their ability to maintain their temperature once transferred from an incubator to an open cot. This practice varies widely between neonatal units; however it seems that a weight mark of 1800g is preferred, which appears to be based on tradition or the personal experience of clinicians, as the scientific evidence of when and at what weight this should occur is limited. By delaying transition to an open cot on the basis that the infant has not reached a certain weight may result in longer hospitalisation than necessary, thus increasing cost of care and prolonging parental separation resulting in parental anxiety. However, transferring infants too soon may also result in extended hospitalisation and again add to cost of care. This study will determine the effects of transferring preterm infants from incubators to open cots at a lower weight of 1600 grams on the outcomes of temperature stability, weight gain and length of hospital stay.
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Trial website
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Trial related presentations / publications
New K, Flenady V, Davies MW. Transfer of preterm infants from incubator to open cot at lower versus higher body weight. Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD004214. DOI: 10.1002/14651858.CD004214.pub2. New K, Flint A, Bogossian F, East C, Davies MW (2012). Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 97, F88-92. New K, Bogossian F, East C, Flint A, Davies M (2010). Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial. 7th International Neonatal Nurses Conference, Durban, South Africa, 26 October. New K, Bogossian, East C, Davies MW (2012). Does early transfer from isolette to open cot decrease length of stay for premature neonates? 21st Annual RBWH Healthcare Symposium, Brisbane, QLD, 11 October. New K, Bogossian F, East C, Davies MW (2010). The effect of nursing premature infants in open cots on weight gain and rate of growth. Australian College of Neonatal Nurses Annual National Conference, Canberra, ACT, 21 May.
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Public notes
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Contacts
Principal investigator
Name
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Dr Karen New
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Address
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UQ School of Nursing, Midwifery and Social Work
Room 337, Level 3, Chamberlain Building, The University of Queensland QLD 4072
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Country
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Australia
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Phone
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+61733467041
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Karen New
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Address
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UQ School of Nursing, Midwifery and Social Work
Room 337, Level 3, Chamberlain Building, The University of Queensland QLD 4072
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Country
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Australia
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Phone
10299
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+61733467041
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Fax
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+61 7 36365259
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Email
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[email protected]
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Contact person for scientific queries
Name
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Karen New
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Address
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UQ School of Nursing, Midwifery and Social Work
Room 337, Level 3, Chamberlain Building, The University of Queensland QLD 4072
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Country
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Australia
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Phone
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+61733467041
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Fax
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+61 7 36365259
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Email
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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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