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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05527457
Registration number
NCT05527457
Ethics application status
Date submitted
29/08/2022
Date registered
2/09/2022
Titles & IDs
Public title
BAY2586116 Nasal Spray and OSA Severity
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Scientific title
Effects of BAY2586116 on Obstructive Sleep Apnoea (OSA) Severity Informed by Upper Airway Physiology and the Role of Route of Breathing
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Secondary ID [1]
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5468
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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:
Sleep Apnea, Obstructive
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Condition category
Condition code
Respiratory
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BAY2586116
Treatment: Drugs - Placebo
Placebo comparator: Placebo - Placebo (saline) nasal spray, taken before bedtime. Dosage is taken on one instance for one night only.
Experimental: BAY2586116 (oro-nasal breathing night) - BAY2586116 nasal spray, taken before bedtime. Dosage is taken on one instance for one night only for the oro-nasal breathing night.
Experimental: BAY2586116 (nasal breathing only night) - BAY2586116 nasal spray, taken before bedtime. Dosage is taken on one instance for one night only for the nasal only breathing night.
Treatment: Drugs: BAY2586116
160 µg BAY2586116 nasal spray application
Treatment: Drugs: Placebo
Placebo (saline) nasal spray application
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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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Individual comparison between physiology changes in Pcrit during KOALA part A (NCT04236440) between BAY2586116 vs. placebo and change in AHI with BAY2586116 vs. placebo (nasal breathing) during current study
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Assessment method [1]
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Individual changes in the critical closing pressure of the upper airway during sleep (Pcrit- measured in cmH2O) in KOALA part A (NCT04236440) will be compared to changes in the apnoea/hypopnoea index (AHI- measured as # of apnoeas and hypopneas per hour of sleep) between BAY2586116 (nasal breathing night) vs. placebo night
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Timepoint [1]
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Two non-consecutive single night sleep studies (BAY2586116 nasal only breathing night vs. placebo night) conducted approximately 1 week apart
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Secondary outcome [1]
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Change in OSA severity (BAY2586116 nasal only breathing night vs. placebo night)
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Assessment method [1]
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OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.
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Timepoint [1]
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Two non-consecutive single night sleep studies (BAY2586116 nasal only breathing night vs. placebo night) conducted approximately 1 week apart
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Secondary outcome [2]
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Change in OSA severity (BAY2586116 oro-nasal breathing night vs. placebo night)
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Assessment method [2]
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OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.
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Timepoint [2]
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Two non-consecutive single night sleep studies (BAY2586116 oro-nasal breathing night vs. placebo night) conducted approximately 1 week apart
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Secondary outcome [3]
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Change in OSA severity (BAY2586116 oro-nasal breathing night vs. BAY2586116 nasal only breathing night)
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Assessment method [3]
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OSA severity as measured by the AHI (apnoea hypopnea index measured as # events/h sleep) during overnight in-laboratory polysomnography.
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Timepoint [3]
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Two non-consecutive single night sleep studies (BAY2586116 oro-nasal breathing night vs. BAY2586116 nasal only breathing night) conducted approximately 1 week apart
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Secondary outcome [4]
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Change in nadir overnight hypoxemia (BAY2586116 nights vs. placebo night)
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Assessment method [4]
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Nadir overnight oxygen saturation during sleep (%) measured via pulse oximetry during overnight in-laboratory polysomnography.
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Timepoint [4]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [5]
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Change in sleep efficiency (BAY2586116 nights vs. placebo night)
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Assessment method [5]
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Percent time spent asleep divided by the recording time from lights out to lights on during overnight in-laboratory polysomnography.
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Timepoint [5]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [6]
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Change in arousal index (BAY2586116 nights vs. placebo night)
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Assessment method [6]
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Number of cortical arousals per hour of sleep during overnight in-laboratory polysomnography.
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Timepoint [6]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [7]
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Change in sleep architecture (BAY2586116 nights vs. placebo night)
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Assessment method [7]
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Proportion of sleep stages (% total sleep time) during overnight in-laboratory polysomnography.
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Timepoint [7]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [8]
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Change in respiratory control (BAY2586116 nights vs. placebo night)
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Assessment method [8]
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Loop gain and the ventilatory response to arousal (% eupnea) during overnight in-laboratory polysomnography.
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Timepoint [8]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [9]
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Change in the respiratory arousal threshold (BAY2586116 nights vs. placebo night)
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Assessment method [9]
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Threshold to arousal (% eupnea) during overnight in-laboratory polysomnography.
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Timepoint [9]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [10]
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Change in airway collapsibility (BAY2586116 nights vs. placebo night)
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Assessment method [10]
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Vpassive (% eupnea) during overnight in-laboratory polysomnography.
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Timepoint [10]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [11]
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Placebo OSA endotypes (outcomes 8-11) and whether they are associated with changes in OSA severity (BAY2586116 nights vs. placebo night)
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Assessment method [11]
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Exploratory analysis to determine if OSA endotypes (outcomes 8-11) are associated with changes in OSA severity (BAY2586116 nights vs. placebo night)
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Timepoint [11]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Secondary outcome [12]
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Change in hypoxic burden (BAY2586116 nights vs. placebo night)
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Assessment method [12]
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Hypoxic burden during sleep (%min/h) measured via pulse oximetry during overnight in-laboratory polysomnography.
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Timepoint [12]
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Three non-consecutive single night sleep studies (BAY2586116 nasal only breathing night, BAY2586116 oro-nasal breathing night and placebo night) conducted approximately 1 week apart
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Eligibility
Key inclusion criteria
* Male or female participants aged 18 years or older at screening
* Must have completed Part A of the KOALA study (NCT04236440)
* Must be willing to sleep three nights in the sleep lab without OSA therapy (This includes continuous positive airway pressure therapy (CPAP) and/or a mandibular advancement device (MAD))
* Must be willing to refrain from drinking alcohol on the study days.
* Must be willing to limit consumption of tobacco to four cigarettes or one cigar a day and not smoke while at the sleep laboratory. This might be up to 12 hours.
* Must be willing to limit caffeinated beverage intake (coffee, tea, cola, and other soft drinks) to 400 mg / day or less of caffeine and not to be used within 4 hours of bedtime on study days.
* Contraceptive use required by men or women according to the methods of contraception for those participating in clinical studies
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Minimum age
18
Years
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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?
Yes
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Key exclusion criteria
* Any medications or herbal supplements that may interfere or be contraindicated with the study drug as determined by the investigator
* Severely impaired breathing within two days prior to randomization (e.g., acute nasal congestion during upper airway infection).
* known allergies or hypersensitivities to the study drugs (active substances or excipients of the preparations).
* Any other condition which at the discretion of the investigator would make the participant unsuitable for participation in the study and will not allow participation for the full planned study period (e.g., active malignancy or other condition limiting life expectancy to less than 12 months)
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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 assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1
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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
31/08/2022
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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
20/12/2022
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Sample size
Target
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Flinders University - Bedford Park
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Recruitment postcode(s) [1]
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5042 - Bedford Park
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Funding & Sponsors
Primary sponsor type
Other
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Name
Flinders University
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Address
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Country
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Other collaborator category [1]
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Commercial sector/industry
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Name [1]
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Bayer
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
This investigator-initiated study aims to determine the effects of BAY2586116 (a novel TASK channel blocker nasal spray) on sleep apnoea severity and the potential influence of route of breathing.
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Trial website
https://clinicaltrials.gov/study/NCT05527457
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Trial related presentations / publications
Gaisl T, Turnbull CD, Weimann G, Unger S, Finger R, Xing C, Cistulli PA, West S, Chiang AKI, Eckert DJ, Stradling JR, Kohler M. BAY 2253651 for the treatment of obstructive sleep apnoea: a multicentre, double-blind, randomised controlled trial (SANDMAN). Eur Respir J. 2021 Nov 18;58(5):2101937. doi: 10.1183/13993003.01937-2021. Print 2021 Nov.
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Public notes
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Contacts
Principal investigator
Name
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Danny J. Eckert, PhD
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Address
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Flinders University
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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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Address
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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 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?
Individual data will be included in the study publication.
Supporting document/s available: Study protocol
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When will data be available (start and end dates)?
Upon publication
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Available to whom?
Available in the publication.
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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/NCT05527457