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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04290299
Registration number
NCT04290299
Ethics application status
Date submitted
27/02/2020
Date registered
28/02/2020
Titles & IDs
Public title
Endometrial Cancer Conservative Treatment (E.C.Co). A Multicentre Archive
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Scientific title
Endometrial Cancer Conservative Treatment (E.C.Co). A Multicentre Archive
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Secondary ID [1]
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13/15 oss
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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:
Endometrial Cancer
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Condition category
Condition code
Cancer
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Womb (Uterine or endometrial cancer)
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Intervention/exposure
Study type
Observational [Patient Registry]
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Data collection
Other interventions: Data collection
Cancer (response, relapse) and fertility (pregnancy, delivery) outcomes
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Intervention code [1]
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Other interventions
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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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Proportion of complete regression
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Assessment method [1]
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Timepoint [1]
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10 years
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Primary outcome [2]
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Duration of response
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Assessment method [2]
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0
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Timepoint [2]
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10 years
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Primary outcome [3]
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Frequency of relapse
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Assessment method [3]
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0
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Timepoint [3]
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10 years
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Primary outcome [4]
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Pattern of relapse
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Assessment method [4]
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Timepoint [4]
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10 years
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Primary outcome [5]
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Frequency of metachronous ovarian cancer
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Assessment method [5]
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0
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Timepoint [5]
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10 years
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Primary outcome [6]
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Tumor-related deaths
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Assessment method [6]
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0
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Timepoint [6]
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10 years
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Secondary outcome [1]
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Treatment related morbidity
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Assessment method [1]
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0
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Timepoint [1]
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10 years
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Secondary outcome [2]
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Frequency of spontaneous pregnancies
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Assessment method [2]
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0
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Timepoint [2]
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10 years
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Secondary outcome [3]
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Frequency of pregnancies after ART
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Assessment method [3]
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Timepoint [3]
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10 years
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Secondary outcome [4]
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Frequency of residual disease on definitive surgical specimens
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Assessment method [4]
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Timepoint [4]
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10 years
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Eligibility
Key inclusion criteria
* Informed consent to personal data processing
* Existence of an IRB-approved local protocol that allows conservative treatment to be performed or statement that such treatment is considered as a standard (please note that such protocols should be shared with the database owner National Cancer Institute of Naples).
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
-
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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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
15/09/2015
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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
8/04/2025
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Actual
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Sample size
Target
100
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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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Recruitment hospital [1]
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ANZGOG - Australia and New Zealand Gynecological Oncology Group - Sydney
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Recruitment postcode(s) [1]
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- Sydney
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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Austria
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State/province [2]
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Vienna
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Country [3]
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Belgium
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State/province [3]
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Brussels
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Canada
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State/province [4]
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Ottawa
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Country [5]
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Canada
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State/province [5]
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Toronto
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Country [6]
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China
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State/province [6]
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Shangai
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Country [7]
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Denmark
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State/province [7]
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Copenhagen
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Country [8]
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France
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State/province [8]
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Paris
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Country [9]
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Germany
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State/province [9]
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Berlin
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Country [10]
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Ireland
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State/province [10]
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Dublin
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Country [11]
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Italy
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State/province [11]
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Naples
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Country [12]
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Japan
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State/province [12]
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Kato
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Country [13]
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Japan
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State/province [13]
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Tokyo
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Country [14]
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Korea, Republic of
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State/province [14]
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Seul
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Country [15]
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Netherlands
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State/province [15]
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Amsterdam
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Country [16]
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Spain
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State/province [16]
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Madrid
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Country [17]
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United Kingdom
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State/province [17]
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Edinburgh
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Funding & Sponsors
Primary sponsor type
Other
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Name
National Cancer Institute, Naples
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Approximately one fourth of cases of endometrial cancer (EC) are diagnosed in premenopausal women, of whom approximately 40% wish to preserve their fertility. When arising in young women, EC usually presents with favorable prognostic features, as a focal, well differentiated endometrioid tumor, with minimal or absent myometrial invasion. This profile corresponds to the Type 1 EC, which correlates with the estrogen/progesterone receptor positive (ER+/PR+) pattern. On the other hand, these patients frequently present with clinical signs of a hyperestrogenism (chronic anovulation, infertility, obesity). Primary progestin therapy has been demonstrated to be effective in early well differentiated tumors and in poor operative candidates with response rates ranging from 58-100%.Currently, the therapeutic approach to an early stage EC consists of a staging laparotomy/laparoscopy, including a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH-BSO), peritoneal washings, and lymphadenectomy (pelvic and aortic), depending on the pathological risk profile pre- and intraoperatively determined. Therefore, the current standard of surgical approach is preclusive of fertility. The worldwide experience and data on conservative management of EC are, however, still limited. Most of reports based on cases retrospectively collected, harboring potential methodological bias, using different treatments and drugs, and with insufficient follow-up. Some systematic reviews have been published in the last decade, trying to summarize the literature data. Therapeutic results seem to be promising with a regression rate of approximately 75% and relapse occurring in 25-40% of cases, with anecdotical reports of deaths of disease (DOD). The fertility outcome was, however, not satisfying with about 30% pregnancy rate in patients attempting to conceive, and an overall low rate of assisted reproductive techniques (ART) despite the subfertile clinical profile.Therefore, there is a need for a prospective, multicentre cooperative project able to systematically collect data from consecutive patients treated according to defined (not necessarily identical) protocols, concerning the oncological, as well as, the obstetrical outcomes. Moreover, this project could represent the "template" in which a pretreatment fertility counseling, psychological support, and definitive surgery are routinely included according to shared criteria.
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Trial website
https://clinicaltrials.gov/study/NCT04290299
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Stefano Greggi, MD
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Address
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National Cancer Institute of Naples
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Country
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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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Stefano Greggi, MD
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Address
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Country
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Phone
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+39.081.5903417
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Data generated are property of all investigators and will be object of publication after general agreement.
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When will data be available (start and end dates)?
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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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/NCT04290299