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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00446680
Registration number
NCT00446680
Ethics application status
Date submitted
12/03/2007
Date registered
13/03/2007
Date last updated
25/06/2010
Titles & IDs
Public title
Long Term Administration of Inhaled Dry Powder Mannitol In Cystic Fibrosis - A Safety and Efficacy Study
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Scientific title
Long Term Administration of Inhaled Dry Powder Mannitol In Cystic Fibrosis - A Safety and Efficacy Study
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Secondary ID [1]
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DPM-CF-301
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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:
Cystic Fibrosis
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Mannitol
Treatment: Drugs - placebo
Experimental: 1 -
Placebo comparator: 2 -
Treatment: Drugs: Mannitol
400mg BD for 6 months followed by a 6 month open label period
Treatment: Drugs: placebo
placebo BD for 6 months
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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To determine the effects of 400 mg twice-daily administration of IDPM on FEV1 in patients with CF compared to control
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Assessment method [1]
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Timepoint [1]
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6 months
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Secondary outcome [1]
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To determine the effects of 400 mg twice-daily administration of IDPM on FEV1 in patients with CF on existing RhDNase treatment compared to control. (key objective)
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Assessment method [1]
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Timepoint [1]
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6 months
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Secondary outcome [2]
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Reduces pulmonary exacerbations in those taking RhDNase as a sub-group and in the total cohort (key objective)
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Assessment method [2]
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Timepoint [2]
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6 months / 12 months
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Secondary outcome [3]
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Improves quality of life (key objective)
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Assessment method [3]
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Timepoint [3]
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6 months
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Secondary outcome [4]
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Reduces days on IV antibiotics, rescue oral or inhaled antibiotics
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Assessment method [4]
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Timepoint [4]
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6 months / 12 months
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Secondary outcome [5]
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Reduces days in hospital due to pulmonary exacerbations
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Assessment method [5]
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Timepoint [5]
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6 months / 12 months
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Secondary outcome [6]
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Improves other measures of lung function
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Assessment method [6]
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Timepoint [6]
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6 months
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Secondary outcome [7]
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Demonstrates an appropriate safety profile (adverse events, haematology, biochemistry, change in bronchodilator response, sputum microbiology, physical examination)
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Assessment method [7]
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Timepoint [7]
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6 months / 12 months
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Secondary outcome [8]
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Reduces hospital and community care costs
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Assessment method [8]
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Timepoint [8]
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6 months / 12 months
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Eligibility
Key inclusion criteria
Main
* Written informed consent
* Confirmed diagnosis of cystic fibrosis
* Aged > 6 years
* FEV1 >30 % and < 90% predicted
* Able to perform all the techniques necessary to measure lung function
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Minimum age
6
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Maximum age
No limit
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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
* "Terminally ill" or listed for lung transplantation
* Had a lung transplant
* Using nebulised hypertonic saline
* Significant episode of haemoptysis (>60 mL) in the three months prior to enrolment
* Recent myocardial infarction or cerebral vascular accident
* Breast feeding or pregnant, or plan to become pregnant while in the study participating in another investigative drug study, parallel to, or within 4 weeks of study entry
* Allergy or intolerance to mannitol
* Using beta blockers
* Have a condition or be in a situation which in the Investigator's opinion may put the subject at significant risk, may confound results or may interfere significantly with the patient's participation in the study
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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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
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/03/2007
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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
1/05/2010
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Sample size
Target
340
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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Childrens Hospital at Westmead - Sydney
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Recruitment hospital [2]
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Sydney Childrens Hospital - Sydney
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Recruitment hospital [3]
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Royal Brisbane Children's Hospital - Brisbane
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Recruitment hospital [4]
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The Prince Charles Hospital - Brisbane
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Recruitment hospital [5]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [6]
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Royal Childrens Hospital - Melbourne
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Recruitment postcode(s) [1]
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2145 - Sydney
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Recruitment postcode(s) [2]
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- Sydney
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Recruitment postcode(s) [3]
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4029 - Brisbane
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Recruitment postcode(s) [4]
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4032 - Brisbane
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Recruitment postcode(s) [5]
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- Adelaide
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Recruitment postcode(s) [6]
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3052 - Melbourne
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Recruitment outside Australia
Country [1]
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Ireland
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State/province [1]
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Dublin
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United Kingdom
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Liverpool
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United Kingdom
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Northern Ireland
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United Kingdom
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Wales
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United Kingdom
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Birmingham
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United Kingdom
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Bristol
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Country [7]
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United Kingdom
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Cambridge
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Country [8]
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United Kingdom
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Leeds
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United Kingdom
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London
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Country [10]
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United Kingdom
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State/province [10]
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Newcastle
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United Kingdom
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State/province [11]
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Norwich
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United Kingdom
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Nottingham
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United Kingdom
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State/province [13]
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Sheffield
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United Kingdom
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State/province [14]
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Southampton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Syntara
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this study is to determine the efficacy and safety of chronic treatment with inhaled dry powder mannitol in subjects with cystic fibrosis. Previous studies have demonstrated an improvement in lung function related to small airways obstruction and a significant improvement in respiratory symptoms and quality of life after a 2 week treatment with mannitol. This current study seeks to support these early findings and to extend the evidence to support its use as a mucoactive therapy in cystic fibrosis. In particular, the hypothesis that enhanced mucus clearance will improve the lung function and clinical presentation in this population, will be investigated. We also hypothesize that enhanced mucociliary clearance will result in a sustained reduction in mucus load, thus providing less opportunity for bacteria to proliferate, affording a reduction in antibiotic use and hospitalizations. The initial 6 month blinded phase will be followed with an additional 6 months of open label treatment.
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Trial website
https://clinicaltrials.gov/study/NCT00446680
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Trial related presentations / publications
Yang C, Montgomery M. Dornase alfa for cystic fibrosis. Cochrane Database Syst Rev. 2021 Mar 18;3(3):CD001127. doi: 10.1002/14651858.CD001127.pub5. Nevitt SJ, Thornton J, Murray CS, Dwyer T. Inhaled mannitol for cystic fibrosis. Cochrane Database Syst Rev. 2020 May 1;5(5):CD008649. doi: 10.1002/14651858.CD008649.pub4. Bilton D, Robinson P, Cooper P, Gallagher CG, Kolbe J, Fox H, Jaques A, Charlton B; CF301 Study Investigators. Inhaled dry powder mannitol in cystic fibrosis: an efficacy and safety study. Eur Respir J. 2011 Nov;38(5):1071-80. doi: 10.1183/09031936.00187510. Epub 2011 Apr 8.
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Public notes
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Contacts
Principal investigator
Name
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Brett Charlton, MBBS
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Address
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Pharmaxis Ltd Australia
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00446680
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