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Trial registered on ANZCTR
Registration number
ACTRN12607000024448
Ethics application status
Approved
Date submitted
12/05/1999
Date registered
12/05/1999
Date last updated
11/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
IBCSG 10-93 - Surgical therapy with or without axillary node clearance for breast cancer in the elderly who receive adjuvant therapy with Tamoxifen
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Scientific title
Surgical therapy with or without axillary node clearance for breast cancer in the elderly who receive adjuvant therapy with Tamoxifen
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Secondary ID [1]
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National Clinical Trials Registry: NCTR304
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Secondary ID [2]
287872
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NCT00002528
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Universal Trial Number (UTN)
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Trial acronym
IBCSG-10-93
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast Cancer
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Condition category
Condition code
Cancer
18
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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
Arm A: Either a total mastectomy with axillary clearance (removal of the axillary lymph nodes), or a lesser procedure (quadrantectomy or lumpectomy with radiotherapy to the conserved breast) with axillary lymph node dissection followed by Tamoxifen (20mg orally daily) for the duration of 5 years or until relapse.
Arm B: either a total mastectomy without axillary clearance, or a lesser procedure (quadrantectomy or lumpectomy with radiotherapy to the conserved breast) without axillary lymph node dissection followed by Tamoxifen (20mg orally daily) for the duration of 5 years or until relapse.
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Intervention code [1]
1294
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Treatment: Surgery
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Comparator / control treatment
See above "Description of interventions".
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Control group
Active
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Outcomes
Primary outcome [1]
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Risk of recurrence in the axilla
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Assessment method [1]
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Timepoint [1]
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Patients will be assessed by the clinician for the primary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
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Primary outcome [2]
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Disease free survival
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Assessment method [2]
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Timepoint [2]
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Patients will be assessed by the clinician for the primary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
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Secondary outcome [1]
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Overall survival
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Assessment method [1]
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Timepoint [1]
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Patients will be assessed by the clinician for the secondary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
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Secondary outcome [2]
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Sites of Relapse
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Assessment method [2]
56
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Timepoint [2]
56
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Patients will be assessed by the clinician for the secondary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
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Secondary outcome [3]
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Treatment-related side effects.
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Assessment method [3]
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Timepoint [3]
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Patients will be assessed by the clinician for the secondary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
Patients will be assessed by the clinician for the secondary endpoints every 3 months for the first year on study, every 6 months while receiving tamoxifen and annually thereafter for life.
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Secondary outcome [4]
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Quality of Life
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Assessment method [4]
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Timepoint [4]
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Will also be measured every 3 months during the first year on study, every 6 months until year 5 and then once again at year 6.
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Eligibility
Key inclusion criteria
Postmenopausal • Clinically operable breast cancer, clinically N0, diagnosed either by cytology or histology, and are before axillary clearance. • No definitive surgery and no axillary clearance performed.• Complete excisional biopsy without axillary clearance• Tumour confined to the breast with no detected or suspected metastases • Informed consent• Geographically accessible for follow-up• Completion of baseline quality of life assessment.
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Minimum age
60
Years
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Maximum age
Not stated
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Already undergone definitive surgery with axillary clearance or an axillary biopsy only.• Patients who have malignant breast tumours other than carcinoma• Patients with clinically N1 or N2 lymph nodes• Patients who have T4 inflammatory carcinoma with ulceration or infiltration of skin, with peau d’orange, or clinical appearance of axillary involvement.• Bilateral malignancy, except patients with squamous or basal cell carcinoma of the skin or adequately treated in situ carcinoma of the cervix• Have receive prior therapy for breast cancer including irradiation, surgery, chemotherapy and /or hormonal therapy.• Non-malignant systemic disease which prevent them from being subject to any of the treatment options or prolonged follow up• Psychiatric or addictive disorders• Have bone scintigrams showing hot spots or skeletal pain which cannot be confirmed as benign disease.
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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)
Central randomisation by phone
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated stratified blocks
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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
1/05/1993
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Actual
23/11/1993
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Date of last participant enrolment
Anticipated
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Actual
1/12/2002
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1020
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Accrual to date
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Final
473
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Australia and New Zealand Breast Cancer Trials Group
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Address [1]
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PO BOX 155
HRMC NSW 2310
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
International Breast Cancer Study Group
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Address
Effingerstrasse 40, 3008 Bern
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Country
Switzerland
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Australia and New Zealand Breast Cancer Trials Group
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Address [1]
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PO BOX 155
HRMC NSW 2310
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Country [1]
22
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Newcastle Mater Misericordiae Hospital
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Ethics committee address [1]
254
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Ethics committee country [1]
254
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Australia
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Date submitted for ethics approval [1]
254
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Approval date [1]
254
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Ethics approval number [1]
254
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Ethics committee name [2]
255
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Caboolture Hospital
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Ethics committee address [2]
255
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Ethics committee country [2]
255
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Australia
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Date submitted for ethics approval [2]
255
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Approval date [2]
255
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Ethics approval number [2]
255
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Ethics committee name [3]
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Alfred Hospital
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Ethics committee address [3]
256
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Ethics committee country [3]
256
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Australia
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Date submitted for ethics approval [3]
256
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Approval date [3]
256
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Ethics approval number [3]
256
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Ethics committee name [4]
257
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Royal Melbourne Hospital
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Ethics committee address [4]
257
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Ethics committee country [4]
257
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Australia
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Date submitted for ethics approval [4]
257
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Approval date [4]
257
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Ethics approval number [4]
257
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Ethics committee name [5]
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St Vincent's Hospital, Melbourne
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Ethics committee address [5]
258
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Ethics committee country [5]
258
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Australia
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Date submitted for ethics approval [5]
258
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Approval date [5]
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01/05/1993
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Ethics approval number [5]
258
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Ethics committee name [6]
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Western Hospital
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Ethics committee address [6]
259
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Ethics committee country [6]
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Australia
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Date submitted for ethics approval [6]
259
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Approval date [6]
259
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Ethics approval number [6]
259
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Ethics committee name [7]
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St John of God Hospital, Subiaco
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Ethics committee address [7]
260
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Ethics committee country [7]
260
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Australia
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Date submitted for ethics approval [7]
260
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Approval date [7]
260
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Ethics approval number [7]
260
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Ethics committee name [8]
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Waikato Hospital
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Ethics committee address [8]
261
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Ethics committee country [8]
261
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New Zealand
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Date submitted for ethics approval [8]
261
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Approval date [8]
261
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Ethics approval number [8]
261
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Summary
Brief summary
It is unclear whether patients who do not undergo an axillary dissection and receive further systemic treatment, have a similar prognosis to those with axillary clearance who receive the same therapy. The focus of this international trial is to determine the importance of an axillary node dissection for breast cancer patients 60 years or older who receive Tamoxifen as an ongoing treatment. Particular attention will also be given to the quality of life of the patients over the first six years of the study.
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Trial website
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Trial related presentations / publications
N/A
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Public notes
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Contacts
Principal investigator
Name
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Prof John F Forbes
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Address
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ANZBCTG
PO Box 283
The Junction NSW 2291
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Country
36210
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Australia
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Phone
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+ 61 2 4985 0113
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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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Corinna Beckmore
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Address
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ANZBCTG
PO Box 283
The Junction NSW 2291
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Country
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Australia
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Phone
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+61 2 4925 3068
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Fax
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+61 2 4985 0141
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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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John F Forbes
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Address
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ANZBCTG
PO Box 283
The Junction NSW 2291
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Country
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Australia
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Phone
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+ 61 2 4985 0113
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Fax
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+ 61 2 4960 1539
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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.
Download to PDF