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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05870540
Registration number
NCT05870540
Ethics application status
Date submitted
12/05/2023
Date registered
23/05/2023
Titles & IDs
Public title
BPL-003 Efficacy and Safety in Treatment Resistant Depression
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Scientific title
A Quadruple Masked, Dose-Finding Study to Evaluate the Efficacy and Safety of Intranasal BPL-003 in Patients With Treatment Resistant Depression
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Secondary ID [1]
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BPL-003-201
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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:
Treatment Resistant Depression
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Condition category
Condition code
Mental Health
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BPL-003
Experimental: Low dose - Active placebo comparator
Experimental: Medium dose -
Experimental: High dose -
Treatment: Drugs: BPL-003
A single dose administered intranasally
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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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Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS)
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Assessment method [1]
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High compared to low dose of BPL-003. The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0-6.
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Timepoint [1]
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4 weeks
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Secondary outcome [1]
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Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS)
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Assessment method [1]
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High compared to low dose of BPL-003. The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0-6.
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Timepoint [1]
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1 week
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Secondary outcome [2]
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Change from baseline in Montgomery-Asberg Depression Rating Scale (MADRS)
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Assessment method [2]
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Medium compared to low dose of BPL-003. The MADRS is a 10-item diagnostic questionnaire used to measure the severity of depressive episodes in participants with mood disorders. A higher MADRS score indicates more severe depression, and each item yields a score of 0-6.
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Timepoint [2]
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4 weeks and 1 week
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Secondary outcome [3]
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Safety of BPL-003 given with psychological support as assessed by number and percentage of participants with adverse events
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Assessment method [3]
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Timepoint [3]
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8 weeks
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Secondary outcome [4]
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Safety of BPL-003 given with psychological support as assessed by percentage of participants with clinically significant abnormal laboratory tests
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Assessment method [4]
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Timepoint [4]
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8 weeks
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Secondary outcome [5]
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Safety of BPL-003 given with psychological support as assessed by percentage of participants with clinically significant abnormal vital sign measurements
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Assessment method [5]
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Timepoint [5]
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8 weeks
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Secondary outcome [6]
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Safety of BPL-003 given with psychological support as assessed by percentage of participants with clinically significant ECG parameters compared
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Assessment method [6]
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Timepoint [6]
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8 weeks
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Secondary outcome [7]
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Safety of BPL-003 given with psychological support as assessed by incidence of suicidal ideation or behavior
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Assessment method [7]
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Timepoint [7]
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8 weeks
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Secondary outcome [8]
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Plasma levels of 5-MeO-DMT and its metabolites
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Assessment method [8]
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Timepoint [8]
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1 day
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Eligibility
Key inclusion criteria
1. At least moderate major depressive disorder.
2. Diagnosed with TRD defined as failure to respond to an adequate dose and duration of at least 2 pharmacological treatments based on the MGH ATRQ assessment.
3. Hamilton Depression Rating Scale score =19 at Screening and Baseline.
4. CGI-S =4 at Screening and Baseline.
5. If currently taking antidepressant medications, willing and able to discontinue current antidepressants.
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Minimum age
18
Years
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Maximum age
75
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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
1. Current or past history of schizophrenia, psychotic disorder including psychotic depression, bipolar disorder, delusional disorder, schizoaffective disorder, or any other severe psychiatric disorder.
2. Current personality disorders.
3. First-degree family history of schizophrenia, bipolar disorder, delusional disorder, or schizoaffective disorder.
4. Current alcohol or substance use disorder (other than caffeine or nicotine).
5. A participant who at any time has been unresponsive to ketamine, esketamine, an adequate course of treatment with electroconvulsive therapy, or has received vagal nerve stimulation or deep brain stimulation.
6. Suicidal ideation or behavior within the 12 months prior to the start of Screening or on Day 1 prior to dosing.
7. Suicide attempt and/or self-injurious behavior within the last 12 months prior to Screening.
8. Uncontrolled medical conditions e.g. hypo/hyperthyroidism, diabetes, renal failure.
9. History or current uncontrolled hypertension.
10. Seizure disorder or any seizure in the 2 years prior to Screening.
11. Has clinically significant results on ECG during the Screening.
12. Any nasal obstruction, blockage, or symptoms of congestion at the time of dosing that in the investigator's opinion may interfere with the administration of the study medication.
13. Female participants who are pregnant, lactating, or of childbearing potential and not willing to use adequate forms of contraception during the study.
14. Male participants who are sexually active and not willing to use adequate forms of contraception during 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 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 2
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Type of endpoint/s
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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
14/09/2023
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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
1/12/2024
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Actual
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Sample size
Target
225
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [2]
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Dept. of Psychiatry and School Psychological Sciences, Monash University - Clayton
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Recruitment hospital [3]
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NeuroCentrix Research - Melbourne
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Recruitment hospital [4]
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Royal Melbourne Hospital, University of Melbourne - Parkville
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Recruitment postcode(s) [1]
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2050 - Sydney
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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3050 - Parkville
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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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Alabama
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Arkansas
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Colorado
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Florida
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Georgia
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Maryland
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New Jersey
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New York
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Oregon
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Wisconsin
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Germany
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Berlin
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Germany
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Frankfurt am Main
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Germany
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Mannheim
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Germany
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Tubingen
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Poland
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Gdansk
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Poland
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Tuszyn
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Poland
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Warsaw
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Oviedo
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Spain
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Salamanca
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United Kingdom
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London
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Beckley Psytech Limited
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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
This is a Phase 2 study randomized, quadruple masked, multi-center study designed to investigate the efficacy and safety of a single dose of BPL-003 combined with psychological support in patients with treatment resistant depression (TRD).
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Trial website
https://clinicaltrials.gov/study/NCT05870540
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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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VP & Head of Clinical Development
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Address
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Beckley Psytech Ltd
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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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Beckley Psytech Ltd
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Address
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Phone
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+44 (0)1865 987633
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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)?
No
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No/undecided IPD sharing reason/comment
Due to the GDPR, individual participant data will not be shared publicly. Group data will be presented in publication after study completion
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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/NCT05870540