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Trial registered on ANZCTR
Registration number
ACTRN12609000956202
Ethics application status
Approved
Date submitted
28/10/2009
Date registered
5/11/2009
Date last updated
2/09/2024
Date data sharing statement initially provided
2/09/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Pharmacokinetics and Pharmacodynamics of Doxorubicin in Children, Adolescents and young adults with Newly Diagnosed Osteosarcoma, Ewing Family of Tumours and Hodgkin Lymphoma A Multi-Institutional Cross-Discipline Non-Therapeutic Study
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Scientific title
Pharmacokinetics and Pharmacodynamics of Doxorubicin in Children, Adolescents and young adults with Newly Diagnosed Osteosarcoma, Ewing Family of Tumours and Hodgkin Lymphoma A Multi-Institutional Cross-Discipline Non-Therapeutic Study
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Secondary ID [1]
1123
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Australasian Sarcoma Study Group Number 3-10 AYA PK (ASSG 03-10 AYA PK)
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Universal Trial Number (UTN)
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Trial acronym
ASSG 03-10 AYAPK
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Osteosarcoma
252073
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Ewing Family of Tumours
252126
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Hodgkin Lymphoma
252127
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Condition category
Condition code
Cancer
252278
252278
0
0
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Children's - Leukaemia & Lymphoma
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Cancer
252279
252279
0
0
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Bone
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Cancer
252280
252280
0
0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental drug treatments are not part of this study. Patients will receive chemotherapy that is standard of care at their hospital. Blood samples for pharmacokinetics will be collected immediately prior to cycle 1 doxorubicin administration and at 0.5, 1, 3, & 6 hours after the end of the infusion, then at 24, 48 and 72 hours. Pharmacodynamics will be assessed using body composition assessments before patients commence chemotherapy. Body composition will be assessed by height and weight; bioelectric impedance analysis; X-ray of the wrist to estimate bone age and dual energy X-ray absorptiometry (DEXA) scan.
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Intervention code [1]
241466
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Other interventions
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To evaluate the effect of gender on the pharmacokinetics of doxorubicin in Adolescent and Young Adult with newly diagnosed Hodgkin lymphoma, osteosarcoma and Ewing family of tumours by comparing doxorubicin concentration-time curve area under the curve (AUC) against gender.
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Assessment method [1]
253148
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Timepoint [1]
253148
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Cycle 1 of first infusion doxorubicin treatment
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Secondary outcome [1]
262047
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To evaluate the effect of gender and pubertal stage on the pharmacokinetics of doxorubicin in children and Adolescent and Young Adult (collectively) with newly diagnosed osteosarcoma and Ewing family of tumours by comparing doxorubicin concentration-time curve area under the curve (AUC) against gender.
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Assessment method [1]
262047
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Timepoint [1]
262047
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Cycle 1 first infusion of doxorubicin treatment
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Secondary outcome [2]
262048
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To explore the relationship between doxorubicin pharmacokinetics and pharmacodynamics where pharmacodynamics is measured by worst toxicity grade and tumour response
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Assessment method [2]
262048
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Timepoint [2]
262048
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Toxicity assessment at end of Cycle 1; response assessment at end of chemotherapy
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Secondary outcome [3]
262049
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To explore the relationship between toxicity and tumour response. Toxicity is measured using the Common Terminology Criteria for Adverse Events (CTCAE) version 3. Tumour response will be assessed using the hospital's standard response assessment measures, which depending on the disease may include post-resection tumour necrosis evaluation or radiological and nuclear imaging.
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Assessment method [3]
262049
0
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Timepoint [3]
262049
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Toxicity assessment at end of Cycle 1; response assessment at end of chemotherapy
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Eligibility
Key inclusion criteria
Newly diagnosed with osteosarcoma, Ewing family of tumours or Hodgkin lymphoma;
aged between 1 year and 40 years of age; planned treatment involves a standard doxorubicin-containing regimen; written informed consent from patient and/or patient’s parent or legal guardian
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Minimum age
1
Years
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Maximum age
40
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
Impaired hepatic function such as known chronic liver disease, evidence of impaired synthetic function or transaminases raised >5 x normal; significant uncontrolled systemic illness as judged by investigator; females who are pregnant or breast feeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All patients diagnosed with Hodgkin lymphoma, osteosarcoma and Ewing family of tumours scheduled to receive chemotherapy including doxorubicin will be considered for the study
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
nonrandomised
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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
Single group
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Other design features
not applicable
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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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
1/07/2010
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Actual
5/09/2012
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Date of last participant enrolment
Anticipated
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Actual
9/04/2015
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Date of last data collection
Anticipated
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Actual
30/10/2016
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Sample size
Target
110
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Accrual to date
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Final
79
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,QLD,WA
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Recruitment postcode(s) [1]
2171
0
3000
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Recruitment postcode(s) [2]
2172
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3002
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Recruitment outside Australia
Country [1]
26534
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New Zealand
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State/province [1]
26534
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Auckland
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Country [2]
26535
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United Kingdom
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State/province [2]
26535
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London
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Funding & Sponsors
Funding source category [1]
243938
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Government body
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Name [1]
243938
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Victorian Cancer Agency
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Address [1]
243938
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12 Victoria Street, Carlton, Victoria 3053
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Country [1]
243938
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Sarcoma Study Group
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Address
Peter MacCallum Cancer Centre
Research Division Level 2
St Andrews Place East Melbourne Vic 3002
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Country
Australia
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Secondary sponsor category [1]
251293
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None
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Name [1]
251293
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Address [1]
251293
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Country [1]
251293
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
244051
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Peter MacCallum Cancer Centre
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Ethics committee address [1]
244051
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St Andrews Place, East Melbourne, Victoria 3002
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Ethics committee country [1]
244051
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Australia
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Date submitted for ethics approval [1]
244051
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23/11/2009
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Approval date [1]
244051
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04/03/2010
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Ethics approval number [1]
244051
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09/73
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Ethics committee name [2]
244052
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Royal Childrens Hospital
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Ethics committee address [2]
244052
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Flemington Road, Parkville, Victoria 3052
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Ethics committee country [2]
244052
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Australia
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Date submitted for ethics approval [2]
244052
0
23/11/2009
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Approval date [2]
244052
0
23/08/2010
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Ethics approval number [2]
244052
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29135 A
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Ethics committee name [3]
259257
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Albury Wodonga Joint Hospitals Ethics Committee (Border Medical Oncology)
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Ethics committee address [3]
259257
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Albury Hospital, Borella Rd, Albury NSW 2640
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Ethics committee country [3]
259257
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Australia
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Date submitted for ethics approval [3]
259257
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Approval date [3]
259257
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17/02/2010
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Ethics approval number [3]
259257
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342/10/2
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Ethics committee name [4]
259258
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Royal Childrens Hospital Brisbane
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Ethics committee address [4]
259258
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Level 3, RCH Foundation Building, Royal Children's Hospital Herston QLD 4029
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Ethics committee country [4]
259258
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Australia
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Date submitted for ethics approval [4]
259258
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Approval date [4]
259258
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03/02/2010
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Ethics approval number [4]
259258
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HREC/10/QRCH/4
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Ethics committee name [5]
259259
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Childrens' Hospital Westmead (lead site NSW) and Sydney Children's Hospital (multi-site approval)
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Ethics committee address [5]
259259
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Cnr Hawkesbury Rd and Hainsworth St, Westmead NSW 2145 (NB HREC approval via Westmead)
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Ethics committee country [5]
259259
0
Australia
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Date submitted for ethics approval [5]
259259
0
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Approval date [5]
259259
0
25/01/2010
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Ethics approval number [5]
259259
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09/CHW/157 (Multicentre approval)
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Summary
Brief summary
Currently the doses of medication given to treat cancer are generally determined by a simple body surface area (BSA) calculation based on weight and height. However, physiological differences between individuals may affect the way cancer drugs are processed by the body, potentially leading to variable dose levels in the body, and differences in toxicity and efficacy between individuals. This study is looking at the way the body processes the drug doxorubicin (this is called pharmacokinetics and pharmacodynamics), to see if gender, stage of puberty, or body composition may impact the effectiveness or toxicity of doxorubicin. The study focuses on osteosarcoma, Ewing family of tumours and Hodgkin lymphoma because there is some evidence that there may be a difference between males and females in the response to chemotherapy for these cancers. These cancers mainly affect young people, many of whom are undergoing the physical changes of puberty, which are different for males and females.
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Trial website
n/a
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Trial related presentations / publications
n/a
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Public notes
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Contacts
Principal investigator
Name
30429
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Jayesh Desai
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Address
30429
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Peter MacCallum Cancer Centre
305 Grattan Street
Melbourne VIC 3000
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Country
30429
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Australia
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Phone
30429
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+61 3 85597902
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Fax
30429
0
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Email
30429
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[email protected]
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Contact person for public queries
Name
13676
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Dr Sally Whyte
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Address
13676
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Peter MacCallum Cancer Centre
Research Division Level 2
St Andrews Place East Melbourne Victoria 3002
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Country
13676
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Australia
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Phone
13676
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+61 3 9656 3605
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Fax
13676
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+61 3 9656 5875
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Email
13676
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[email protected]
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Contact person for scientific queries
Name
4604
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Dr Sally Whyte
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Address
4604
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Peter MacCallum Cancer Centre Research Division Level 3 St Andrews Place East Melbourne Victoria 3002
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Country
4604
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Australia
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Phone
4604
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+61 3 9656 3605
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Fax
4604
0
+61 3 9656 5875
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Email
4604
0
[email protected]
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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?
De-identified IPD data collected throughout the study
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When will data be available (start and end dates)?
Data available 3 months following publication, for an indefinite period
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Available to whom?
Data are potentially available to:
• Researchers from not-for-profit organisations
• Commercial organisations
All data requests will be considered by the primary sponsor on a case by case basis. Requests must include a methodologically sound proposal. Specific conditions of use may apply and will be specified in a data sharing agreement (or similar) that the requester must agree to before access is granted.
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Available for what types of analyses?
Any type of analysis. Assessed on a case-by-case basis.
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How or where can data be obtained?
Access can be requested via the Health Data Australia catalogue (https://researchdata.edu.au/health/). Search for the ACTRN number in the catalogue to find datasets associated with this trial.
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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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