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Trial registered on ANZCTR
Registration number
ACTRN12609000666224
Ethics application status
Approved
Date submitted
3/08/2009
Date registered
5/08/2009
Date last updated
6/10/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Yoga for Stroke
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Scientific title
A yoga and meditation program to improve physical function, mood and quality of life in individuals with chronic stroke hemiparesis
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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:
stroke
243446
0
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Condition category
Condition code
Alternative and Complementary Medicine
239745
239745
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0
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Other alternative and complementary medicine
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Stroke
239764
239764
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0
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Ischaemic
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Stroke
239765
239765
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ten-week yoga based program involving weekly 90 minute group classes instructed by a yoga instructor and daily 30 minute home practice which is based on recorded audio instructions.
Intervention includes all of the following modalities:
1) Yoga based exercises involving low intensity, low-weight bearing restorative movements and gentle stretching. Moderate rest periods between rounds and exercises. Practiced for 30-35 minutes in weekly group classes and 5-8 minutes in daily home practice.
2) Gentle breathing exercises involving breath awareness, diaphragmatic breathing, thoracic breathing, and increasing tidal volume. No breath retentions are performed. Practiced for 10 minutes in weekly group classes and 5 minutes in daily home practice.
3) Guided meditation while supine or sitting in chair. Meditation involves body and breath awareness while the body is kept still. Practiced for 20-30 minutes in weekly group classes and 20 minutes in daily home practice.
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Intervention code [1]
237064
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Behaviour
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Intervention code [2]
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Rehabilitation
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Comparator / control treatment
Participants are randomised to participate in either the ten-week yoga based intervention program or no treatment (wait listed) control group. The control group will be offered the intervention approximately 3 months after the 10 week intervention period.
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Control group
Active
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Outcomes
Primary outcome [1]
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Assessment of fine motor coordination by the 9 hole peg test
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Assessment method [1]
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Timepoint [1]
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Post-intervention. Completion of the 10-week period.
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Primary outcome [2]
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Assessment of functional capacity will be assessed with the 2 minute walk test.
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Assessment method [2]
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Timepoint [2]
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Post-intervention. Completion of the 10-week period.
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Primary outcome [3]
240500
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Static and dynamic postural balance will be assessed with the Berg Balance Scale.
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Assessment method [3]
240500
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Timepoint [3]
240500
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Post-intervention. Completion of the 10-week period.
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Primary outcome [4]
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Everyday motor function will be assessed with the Motor Assessment Scale.
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Assessment method [4]
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Timepoint [4]
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Post-intervention. Completion of the 10-week period.
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Secondary outcome [1]
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State-Trait Anxiety Inventory for Adults
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Assessment method [1]
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Timepoint [1]
257049
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Mid-intervention. Week 5 of the 10-week period.
3. Post-intervention. Completion of the 10-week period.
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Secondary outcome [2]
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Geriatric depression scale
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Assessment method [2]
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Timepoint [2]
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Mid-intervention. Week 5 of the 10-week period.
3. Post-intervention. Completion of the 10-week period.
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Secondary outcome [3]
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Stroke Impact Scale
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Assessment method [3]
257051
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Timepoint [3]
257051
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1. Pre-intervention. Prior to 10-week period (yoga intervention program or no treatment).
2. Mid-intervention. Week 5 of the 10-week period.
3. Post-intervention. Completion of the 10-week period.
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Eligibility
Key inclusion criteria
minimum of 6 months elapsed time since stroke resulting in weakness on one side of the body (i.e., hemiparesis)
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Minimum age
18
Years
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Maximum age
95
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
1. Unable to ambulate independently or with supervision, with or without an assistive device.
2. Incomplete post-stroke rehabilitation.
3. Presence of a medical condition that would be contraindicated for participation in low intensity exercise activity.
4. Receptive aphasia that interferes with the ability to follow 2-step commands.
5. Currently participating in a regular yoga practice, structured exercise or physical activity program.
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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)
Concealed allocation:
allocation by person independent to study in opaque concealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/06/2009
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Actual
17/06/2009
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Date of last participant enrolment
Anticipated
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Actual
31/07/2009
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Date of last data collection
Anticipated
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Actual
30/10/2009
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Sample size
Target
30
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Accrual to date
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Final
22
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1995
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5001
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Recruitment postcode(s) [2]
1996
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5000
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Funding & Sponsors
Funding source category [1]
237439
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Charities/Societies/Foundations
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Name [1]
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National Stroke Foundation
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Address [1]
237439
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Level 7, 461 Bourke Street
Melbourne VIC 3000
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Country [1]
237439
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Australia
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Primary sponsor type
University
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Name
University of South Australia
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Address
School of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
Australia
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Secondary sponsor category [1]
236928
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Other Collaborative groups
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Name [1]
236928
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Satyananda Yoga Academy
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Address [1]
236928
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300 Mangrove Creek Road
Mangrove Creek NSW 2250
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Country [1]
236928
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Australia
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Other collaborator category [1]
804
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Individual
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Name [1]
804
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Susan Hillier
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Address [1]
804
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School of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country [1]
804
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239566
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UniSA Human Research Ethics Committee
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Ethics committee address [1]
239566
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Ms Vicki Allen Ethics and Compliance Officer Research and Innovation Services University of South Australia Mawson Lakes Campus Mawson Lakes Boulevard Mawson Lakes SA 5095
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Ethics committee country [1]
239566
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Australia
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Date submitted for ethics approval [1]
239566
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12/02/2009
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Approval date [1]
239566
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15/04/2009
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Ethics approval number [1]
239566
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P069/09
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Summary
Brief summary
There are two previous studies (Lynton, Kligler and Shiflett, 2007; Bastille and Gill-Body, 2004), which suggest yoga-based activity programs may be of benefit for stroke survivors but these studies have had quite small sample sizes and have not involved randomized control procedures, which prevent any firm conclusions. A sub study of the North East Melbourne Stroke Incidence Study (NEMESIS) has indicated that interventions which target physical impairment and mood have the potential to improve health-related quality of life in stroke survivors (Sturm et al, 2008). A yoga-based intervention may be able to provide benefits in terms of functional recovery and mood improvement due to its unique combination of exercise-like movements and meditation practices. Participation in yoga programs may be a cost effective, low side effect risk, option for addressing both physical and emotional disabilities in stroke survivors.
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Trial website
http://www.unisa.edu.au/news/2009/090609A.asp
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Trial related presentations / publications
Immink, M.A., Hillier, S.L. (2011). Yoga for chronic post-stroke hemiparesis: a pilot randomised controlled trial. International Journal of Stroke, 6(Suppl. 1), 17. Garrett, R., Immink, M.A., Hillier, S.L. (2011). Becoming connected: The lived experience of yoga participation after stroke. Disability and Rehabilitation, 33(25-26), 2404-2415. Immink, M.A., Hillier, S., Petkov J. (2014). A randomized controlled trial of yoga for chronic post-stroke hemiparesis: Motor function, mental health and quality of life outcomes. Topics in Stroke Rehabilitation, 21(3), 256-271.
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Public notes
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Contacts
Principal investigator
Name
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Address
30004
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Country
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Phone
30004
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Fax
30004
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Email
30004
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Contact person for public queries
Name
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Maarten Immink
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Address
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School of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
13251
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Australia
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Phone
13251
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+61 8 8302 2675
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Fax
13251
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Email
13251
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[email protected]
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Contact person for scientific queries
Name
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Maarten Immink
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Address
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School of Health Sciences
University of South Australia
GPO Box 2471
Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 8302 2675
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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