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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05257473
Registration number
NCT05257473
Ethics application status
Date submitted
25/01/2022
Date registered
25/02/2022
Titles & IDs
Public title
Defining Endpoints in Becker Muscular Dystrophy
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Scientific title
Defining Endpoints in Becker Muscular Dystrophy
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Secondary ID [1]
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GRASP-BMD
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Secondary ID [2]
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HM20023412
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Universal Trial Number (UTN)
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Trial acronym
GRASP-01-002
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Becker Muscular Dystrophy
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Muscular Dystrophies
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Muscular Dystrophy in Children
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Muscular Dystrophy, Becker
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Neurological
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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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
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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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To assess the natural history of measures of muscle function in BMD
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Assessment method [1]
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North Star Assessment for LGMD (NSAD: The NSAD is a functional scale specifically designed to measure motor performance in individuals with LGMD and is being evaluated in BMD due to the similar limb-girdle pattern of weakness. It consists of 29 items that are considered clinically relevant items from the adapted North Star Ambulatory Assessment and the Motor Function Measure 20 with a maximum score of 54 and higher scores indicate higher functional abilities.
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Timepoint [1]
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Through study completion, an average of 2 years
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Primary outcome [2]
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4-Stair Climb
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Assessment method [2]
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Participants will perform the 4-stair climb with instructions to ascend 4 steps as quickly and as safely possible, using handrails if needed.
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Timepoint [2]
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Through study completion, an average of 2 years
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Primary outcome [3]
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100-Meter Timed Test
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Assessment method [3]
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The participant will be asked to complete 4 laps around 2 cones set 25 meters apart as quickly as safely possible, running if able and the time in seconds is recorded.
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Timepoint [3]
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Through study completion, an average of 2 years
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Primary outcome [4]
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PERFORMANCE OF UPPER LIMB 2.0 (PUL)
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Assessment method [4]
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The PUL is a tool designed for assessing upper limb function in persons with neuromuscular disorders.
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Timepoint [4]
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Through study completion, an average of 2 years
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Primary outcome [5]
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HAND HELD DYNAMOMETRY (HHD) AND GRIP
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Assessment method [5]
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Hand held dynamometry using the MicroFET2 myometer will be utilized to capture isometric strength in target muscle groups. Maximum strength in kilograms will be reported for each muscle group provided a continuous scale variable for analysis. CITEC myometer will be used to measure the and Grip of the subject. These pinch and grip techniques will also capture the maximum strength in newtons for the muscle groups involved.
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Timepoint [5]
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Through study completion, an average of 2 years
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Primary outcome [6]
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TIMED UP-AND-GO (TUG)
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Assessment method [6]
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The TUG will be administered using the appropriate stable seating surface (i.e., cube chair or straight back chair) to achieve 90 degree of both hip and knee flexion when participant is seated with both feet flat on the floor to start. The test should be performed barefoot. The fastest time to stand from the chair, walk 3 meters, and return to seated, will be recorded.
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Timepoint [6]
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Through study completion, an average of 2 years
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Primary outcome [7]
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Measures of Pulmonary Function (Seated and supine FVC)
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Assessment method [7]
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Spirometry will be performed in a sitting and supine position using standardized equipment. Forced vital capacity (FVC) sitting and supine.
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Timepoint [7]
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Through study completion, an average of 2 years
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Primary outcome [8]
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Measures of Pulmonary Function (MEP and MIP)
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Assessment method [8]
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Sitting maximal expiratory and inspiratory pressures (MEP and MIP) will be assessed.
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Timepoint [8]
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Through study completion, an average of 2 years
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Primary outcome [9]
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Measures of Pulmonary Function (other)
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Assessment method [9]
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Use of nocturnal or daytime positive pressure ventilation (PPV) (e.g., BiPAP or CPAP) will be recorded.
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Timepoint [9]
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Through study completion, an average of 2 years
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Primary outcome [10]
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Measure of ejection fraction (ECHO)
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Assessment method [10]
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A transthoracic echocardiogram (ECHO) will be performed. Measures of ejection fraction will be recorded.
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Timepoint [10]
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Through study completion, an average of 2 years
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Primary outcome [11]
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Measure of systolic and diastolic function (ECHO)
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Assessment method [11]
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A transthoracic echocardiogram (ECHO) will be performed. Measures of presence of systolic and diastolic function will be recorded.
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Timepoint [11]
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Through study completion, an average of 2 years
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Eligibility
Key inclusion criteria
For ages 6-12
1. Clinically affected (defined as weakness on bedside evaluation in a pattern consistent with BMD)
2. Genetic confirmation of an in-frame dystrophin mutation
3. Ambulatory
4. Willing and able to give informed consent and follow all procedures and requirements
For ages 13 and older
1. Clinically affected (defined as weakness on bedside evaluation in a pattern consistent with BMD)
2. Genetic confirmation of a dystrophin mutation
3. Willing and able to give informed consent and follow all procedures and requirements
For participants in the MRI substudy:
1. Ambulatory, defined as able to walk 10 meters without assistive devices (orthotics allowed)
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Minimum age
6
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
For ages 6-12
1. Out of frame dystrophin mutation
2. Use of chronic corticosteroids at baseline, defined as greater than 6 months of chronic use, will be limited to 20% of the overall population
3. Non-ambulatory, defined as the inability to walk 10 meters without assistive device (excluding orthotics)
4. >16 hours of ventilatory support
5. Any other illness that would interfere with the ability to undergo safe testing or would interfere with interpretation of the results in the opinion of the site investigator.
6. Under the age of 6 at time of enrollment
7. For MR Cohort: Have contraindications to MRI or MRS (e.g., non-MR compatible implanted medical devices or severe claustrophobia)
For ages 13 and older
1. Loss of ambulation prior to age 16
2. Use of chronic corticosteroids, defined as greater than 6 months of chronic use, will be limited to 20% of the overall population
3. Less than 30% of the overall population will be non-ambulatory, defined as the inability to walk 10 meters without assistive device (excluding orthotics)
4. >16 hours of ventilatory support
5. Subjects aged 13-16 only: time to rise >10 seconds
6. For MR Cohort: Have contraindications to MRI or MRS (e.g., non-MR compatible implanted medical devices or severe claustrophobia)
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Study design
Purpose
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Duration
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Selection
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Timing
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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
13/04/2022
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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
1/05/2026
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Actual
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Sample size
Target
80
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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 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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United States of America
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Colorado
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United States of America
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Iowa
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United States of America
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Kansas
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United States of America
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Maryland
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United States of America
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Minnesota
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United States of America
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Missouri
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Ohio
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United States of America
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Virginia
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New Zealand
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State/province [10]
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Auckland
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Country [11]
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United Kingdom
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State/province [11]
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Newcastle Upon Tyne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Virginia Commonwealth 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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Edgewise Therapeutics, Inc.
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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 is a 24-month, observational study of 50 participants with Becker muscular dystrophy (BMD)
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Trial website
https://clinicaltrials.gov/study/NCT05257473
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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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Nicholas E. Johnson, MD
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Address
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Virginia Commonwealth 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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Ruby Langeslay
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Address
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Country
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Phone
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804-828-8481
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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
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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/NCT05257473