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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06215716
Registration number
NCT06215716
Ethics application status
Date submitted
6/12/2023
Date registered
22/01/2024
Titles & IDs
Public title
A Study Evaluating Efruxifermin in Subjects With Non-Cirrhotic Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis
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Scientific title
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety and Efficacy of Efruxifermin in Subjects With Non-Cirrhotic Nonalcoholic Steatohepatitis (NASH)/Metabolic Dysfunction-Associated Steatohepatitis (MASH) and Fibrosis
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Secondary ID [1]
0
0
AK-US-001-0105
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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:
NASH With Fibrosis
0
0
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MASH With Fibrosis
0
0
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Condition category
Condition code
Oral and Gastrointestinal
0
0
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Metabolic and Endocrine
0
0
0
0
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Metabolic disorders
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Diet and Nutrition
0
0
0
0
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Obesity
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Inflammatory and Immune System
0
0
0
0
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Connective tissue diseases
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Inflammatory and Immune System
0
0
0
0
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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 - Efruxifermin
Treatment: Drugs - Placebo
Experimental: EFX 28 mg -
Experimental: EFX 50 mg -
Placebo comparator: Placebo -
Treatment: Drugs: Efruxifermin
Administered by subcutaneous injection
Treatment: Drugs: Placebo
Administered by subcutaneous injection
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Intervention code [1]
0
0
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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Resolution of NASH/MASH and a = 1 stage improvement in fibrosis
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Assessment method [1]
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Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [1]
0
0
52 Weeks
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Secondary outcome [1]
0
0
Resolution of NASH/MASH and no worsening of fibrosis
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Assessment method [1]
0
0
Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [1]
0
0
52 Weeks
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Secondary outcome [2]
0
0
Change from baseline in liver fibrosis and no worsening of steatohepatitis
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Assessment method [2]
0
0
Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [2]
0
0
52 Weeks
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Secondary outcome [3]
0
0
Resolution of NASH/MASH and a = 1 stage improvement in fibrosis
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Assessment method [3]
0
0
Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [3]
0
0
96 Weeks
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Secondary outcome [4]
0
0
Resolution of NASH/MASH and no worsening of fibrosis
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Assessment method [4]
0
0
Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [4]
0
0
96 Weeks
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Secondary outcome [5]
0
0
Change from baseline in liver fibrosis and no worsening of steatohepatitis
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Assessment method [5]
0
0
Based on NAS (scored by 0-1 for steatosis, 0-3 for inflammation, and 0-2 for ballooning) and NASH CRN fibrosis score (scored by a fibrosis score of 0-4, where 0 = no fibrosis, 1 = centrilobular pericellular fibrosis, 2 = centrilobular and periportal fibrosis, 3 = bridging fibrosis, 4 = cirrhosis)
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Timepoint [5]
0
0
96 Weeks
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Secondary outcome [6]
0
0
Change from baseline of non-invasive markers of liver fibrosis
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Assessment method [6]
0
0
ELF (scale of 6.7 to 9.8 when higher scores indicative of increased fibrosis)
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Timepoint [6]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [7]
0
0
Change from baseline of non-invasive markers of liver fibrosis
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Assessment method [7]
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0
Pro-C3 (ug/L)
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Timepoint [7]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [8]
0
0
Change from baseline of non-invasive markers of liver fibrosis
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Assessment method [8]
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0
Liver stiffness assessed by transient elastography (FibroScan®) (kPa, CAP)
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Timepoint [8]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [9]
0
0
Change from baseline of non-invasive markers of liver fibrosis
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Assessment method [9]
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0
FAST score (varied on a scale from 0 to 1, with the patients being classified as having low (\<0.35), intermediate (0.35-0.67), or higher (\>0.67) probability of having significant inflammatory activity and fibrosis)
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Timepoint [9]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [10]
0
0
Change from baseline of markers of liver injury
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Assessment method [10]
0
0
ALT (U/L), AST (U/L), GGT (U/L)
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Timepoint [10]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [11]
0
0
Change from baseline of markers of liver injury
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Assessment method [11]
0
0
Uric acid (mg/dL)
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Timepoint [11]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [12]
0
0
Change from baseline of lipoproteins
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Assessment method [12]
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0
Total cholesterol (mg/dL), TG (mg/dL), Non-HDL-C (mg/dL), HDL-C (mg/dL), and LDL-C (mg/dL)
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Timepoint [12]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [13]
0
0
Change from baseline of markers of insulin sensitivity and glycemic control
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Assessment method [13]
0
0
HbA1c (%)
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Timepoint [13]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [14]
0
0
Change from baseline of markers of insulin sensitivity and glycemic control
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Assessment method [14]
0
0
Adiponectin (mg/L)
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Timepoint [14]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [15]
0
0
Change from baseline of body weight (kg)
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Assessment method [15]
0
0
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Timepoint [15]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [16]
0
0
To assess the safety and tolerability of EFX through the reporting of extent of exposure (weeks)
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Assessment method [16]
0
0
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Timepoint [16]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [17]
0
0
To assess the safety and tolerability of EFX through the reporting of adverse events (severity of events)
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Assessment method [17]
0
0
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Timepoint [17]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [18]
0
0
To assess the safety and tolerability of EFX through the reporting of adverse events (frequency of events)
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Assessment method [18]
0
0
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Timepoint [18]
0
0
52 Weeks, 96 Weeks
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Secondary outcome [19]
0
0
To assess the safety and tolerability of EFX through the reporting of abnormal clinical laboratory tests, ECGs, ultrasounds, vital sign assessments (number of patients)
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Assessment method [19]
0
0
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Timepoint [19]
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52 Weeks, 96 Weeks
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Eligibility
Key inclusion criteria
* Males and non-pregnant, non-lactating females between 18 - 80 years of age inclusive, based on the date of the screening visit.
* Previous history or presence of 2 out of 4 components of metabolic syndrome (obesity, dyslipidemia, elevated blood pressure, elevated fasting glucose) or type 2 diabetes
* FibroScan® measurement > 7.5 kPa
* ELF score = 7.7
* Biopsy-proven NASH. Must have had a liver biopsy obtained = 180 days prior to screening with fibrosis stage 2 or 3 and a non-alcoholic fatty liver disease (NAFLD) activity score (NAS) of = 4 with at least a score of 1 in each of the following NAS components:
* Steatosis (scored 0 to 3),
* Ballooning degeneration (scored 0 to 2), and
* Lobular inflammation (scored 0 to 3).
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Minimum age
18
Years
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Maximum age
80
Years
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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
* Other causes of liver disease based on medical history and/or liver histology and/or central laboratory results
* Presence of cirrhosis on liver biopsy (stage 4 fibrosis)
* Type 1 or uncontrolled Type 2 diabetes
Other inclusion and exclusion criteria may apply.
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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
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
1/12/2023
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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
1/03/2027
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Actual
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Sample size
Target
1000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC,WA
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Recruitment hospital [1]
0
0
Akero Clinical Study Site - Broadmeadow
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Recruitment hospital [2]
0
0
Akero Clinical Study Site - Westmead
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Recruitment hospital [3]
0
0
Akero Clinical Study Site - Adelaide
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Recruitment hospital [4]
0
0
Akero Clinical Study Site - Caulfield South
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Recruitment hospital [5]
0
0
Akero Clinical Study Site - Heidelberg
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Recruitment hospital [6]
0
0
Akero Clinical Study Site - Melbourne
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Recruitment hospital [7]
0
0
Akero Clinical Study Site - Murdoch
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Recruitment hospital [8]
0
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Akero Clinical Study Site - Perth
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Recruitment postcode(s) [1]
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0
2292 - Broadmeadow
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Recruitment postcode(s) [2]
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2145 - Westmead
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Recruitment postcode(s) [3]
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0
5000 - Adelaide
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Recruitment postcode(s) [4]
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3162 - Caulfield South
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Recruitment postcode(s) [5]
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0
3084 - Heidelberg
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Recruitment postcode(s) [6]
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0
3004 - Melbourne
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Recruitment postcode(s) [7]
0
0
6150 - Murdoch
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Recruitment postcode(s) [8]
0
0
6000 - Perth
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Alabama
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Arizona
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Country [3]
0
0
United States of America
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State/province [3]
0
0
Arkansas
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Country [4]
0
0
United States of America
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State/province [4]
0
0
California
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Colorado
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Florida
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Georgia
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Country [8]
0
0
United States of America
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State/province [8]
0
0
Indiana
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Country [9]
0
0
United States of America
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State/province [9]
0
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Iowa
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Country [10]
0
0
United States of America
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State/province [10]
0
0
Kansas
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Country [11]
0
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United States of America
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State/province [11]
0
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Louisiana
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0
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United States of America
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State/province [12]
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Maryland
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Country [13]
0
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United States of America
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State/province [13]
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Massachusetts
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United States of America
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State/province [14]
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Michigan
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Country [15]
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United States of America
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State/province [15]
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Missouri
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United States of America
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Nevada
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New Jersey
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New Mexico
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United States of America
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New York
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United States of America
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North Carolina
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United States of America
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Ohio
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United States of America
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Oregon
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Pennsylvania
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South Carolina
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Tennessee
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Texas
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Utah
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Virginia
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Washington
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Argentina
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Buenos Aires
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Canada
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Alberta
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Canada
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Ontario
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Canada
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Quebec
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France
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Alpes-Maritimes
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France
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Bas-Rhin
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France
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Haute-Vienne
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France
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Hauts-de-Seine
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France
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Ile-de-France
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France
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Lorraine
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France
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Maine-et-Loire
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France
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Occitanie
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France
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Provence Alpes Cote d'Azur
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France
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Provence-Alpes-Côte d'Azur
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France
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Rhone-Alpes
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Germany
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Bayern
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Germany
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Hessen
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Germany
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Rheinland-Pfalz
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Germany
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Sachsen
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Germany
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Saxony
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Germany
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Berlin
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India
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Delhi
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India
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Gujarat
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India
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Kerala
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India
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Maharashtra
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India
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Rajasthan
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India
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Tamil Nadu
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India
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Telangana
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0
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India
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Uttar Pradesh
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0
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India
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West Bengal
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0
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Israel
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Central District
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0
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Israel
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Haifa District
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Israel
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Northern District
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0
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Israel
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Jerusalem
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Israel
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Tel Aviv
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Country [65]
0
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Italy
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State/province [65]
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Foggia
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Italy
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Bologna
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Italy
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Messina
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0
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Italy
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Milan
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0
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Italy
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State/province [69]
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Napoli
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0
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Italy
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Novara
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Korea, Republic of
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Daegu Gwang'yeogsi [Taegu-Kwangyokshi]
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Korea, Republic of
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Gyeonggi-Do
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Korea, Republic of
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Gyeonggi-do
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Korea, Republic of
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Gyeongsangbugdo [Kyongsangbuk-do]
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Korea, Republic of
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Seoul Teugbyeolsi [Seoul-T'ukpyolshi]
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Poland
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Dolnoslaskie
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Poland
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Malopolskie
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Poland
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Mazowieckie
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Poland
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Pomorskie
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Poland
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Slaskie
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Poland
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State/province [81]
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Wielkopolskie
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Poland
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Lódzkie
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0
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Puerto Rico
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0
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Manati
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Puerto Rico
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0
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San Juan
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0
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Spain
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State/province [85]
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Barcelona
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Country [86]
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Spain
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State/province [86]
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Cantabria
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Country [87]
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Spain
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State/province [87]
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Madrid
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Country [88]
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Spain
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State/province [88]
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València
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Country [89]
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Spain
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State/province [89]
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Sevilla
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Country [90]
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Switzerland
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State/province [90]
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Solothurn
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Country [91]
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Switzerland
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State/province [91]
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Bern
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Country [92]
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Switzerland
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State/province [92]
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Sankt Gallen
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Country [93]
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Taiwan
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State/province [93]
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Taichung
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Country [94]
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United Kingdom
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State/province [94]
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England
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Akero Therapeutics, Inc
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a multi-center evaluation of efruxifermin (EFX) in a randomized, double-blind, placebo-controlled study in subjects with non-cirrhotic NASH/MASH and fibrosis stage 2 or 3.
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Trial website
https://clinicaltrials.gov/study/NCT06215716
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Contact person for public queries
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Akero Study Director
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Address
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Phone
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650-487-6488
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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
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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/NCT06215716