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Trial registered on ANZCTR
Registration number
ACTRN12611000547943
Ethics application status
Approved
Date submitted
20/05/2011
Date registered
30/05/2011
Date last updated
5/09/2019
Date data sharing statement initially provided
5/09/2019
Date results provided
5/09/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
PRINCess: The Prediction of Regression in CIN2 - The Conservative Management of Cervical Intraepithelial Neoplasia (CIN) 2 in Young Women
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Scientific title
PRINCess: The Prediction of Regression in CIN2 - A prospective study of young women under the age of 25 with biopsy proven CIN2 undergoing conservative management with assessment of regression, stable disease and progression.
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Secondary ID [1]
284794
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Nil Known
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Universal Trial Number (UTN)
U1111-1116-3209
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Trial acronym
PRINCess
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cervical Intraepithelial Neoplasia (CIN) 2
257833
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Condition category
Condition code
Cancer
258002
258002
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0
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Cervical (cervix)
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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
Conservative Management for Cervical Intraepithelial Neoplasia (CIN) 2 for 24 months i.e. six monthly colposcopy and cervical biopsy for a total of two years
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Intervention code [1]
256895
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Not applicable
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Comparator / control treatment
No treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Progression rates of CIN 2 in women under the age of 25. Progression will be detected at colposcopy in conjunction with smear and biopsy.
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Assessment method [1]
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Timepoint [1]
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24 months
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Primary outcome [2]
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Regression rates of CIN 2 in women under the age of 25.
Regression will be detected at colposcopy in conjunction with smear and biopsy.
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Assessment method [2]
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Timepoint [2]
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24 months
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Primary outcome [3]
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To identify the safety of follow-up, as opposed to surgical management, of CIN 2, in young women under the age of 25.
The outcome is either progression, regression or no change after 2 years - all assessed by colposcopy, smear and biopsy.
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Assessment method [3]
258926
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Timepoint [3]
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24 months
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Secondary outcome [1]
264988
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The correlation of CIN 2 with immunohistochemical parameters: P16, Proex, Ki67, HPV typing will be assessed.
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Assessment method [1]
264988
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Timepoint [1]
264988
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24 months
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Secondary outcome [2]
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Compliance with follow-up will also be assessed as an outcome measure.
Compliance will be assessed by attendance at clinic, routine prompts to clinic will be allowed.
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Assessment method [2]
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Timepoint [2]
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24 months
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Eligibility
Key inclusion criteria
All women up to the age of 25 attending colposcopy clinics with biopsy proven CIN 2 with the entire lesion accessible at colposcopy. Participants in this study must agree to six monthly colposcopy and cervical biopsy for a total of two years.
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Minimum age
15
Years
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Maximum age
25
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria include those women with higher grade cervical intraepithelial neoplasia and findings suspicions for invasion on colposcopic assessment. Adenocarcinoma-in-situ is an exclusion category as is incomplete colposcopy.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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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
30/04/2010
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Actual
14/04/2010
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Date of last participant enrolment
Anticipated
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Actual
19/10/2016
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Date of last data collection
Anticipated
31/10/2018
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Actual
28/03/2019
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Sample size
Target
600
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Accrual to date
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Final
616
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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The Royal Women's Hospital - Parkville
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Recruitment hospital [2]
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The Chris O’Brien Lifehouse - Camperdown
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Recruitment postcode(s) [1]
16659
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3052 - Parkville
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Recruitment postcode(s) [2]
16660
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2050 - Camperdown
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Recruitment outside Australia
Country [1]
2791
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New Zealand
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State/province [1]
2791
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Christchurch
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Funding & Sponsors
Funding source category [1]
257352
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University
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Name [1]
257352
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University of Otago - Christchurch
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Address [1]
257352
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Private Bag 4711
Christchurch 8140
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Country [1]
257352
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New Zealand
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Funding source category [2]
257353
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Hospital
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Name [2]
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Canterbury District Health Board
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Address [2]
257353
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Private Bag 4710
Christchurch 8140
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Country [2]
257353
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New Zealand
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Funding source category [3]
267141
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Charities/Societies/Foundations
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Name [3]
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Cancer Society of New Zealand, Canterbury West Coast Division
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Address [3]
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PO Box 13450
Christchurch
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Country [3]
267141
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New Zealand
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Funding source category [4]
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Government body
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Name [4]
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Health Research Council NZ
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Address [4]
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PO Box 5541
Wellesley Street
Auckland 1141
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Country [4]
289410
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New Zealand
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Primary sponsor type
University
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Name
University of Otago - Christchurch
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Address
Private Bag 4711
Christchurch 8140
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Canterbury District Health Board
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Address [1]
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Private Bag 4710
Christchurch 8140
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Country [1]
256594
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259374
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Multiregion Ethics Committee - New Zealand
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Ethics committee address [1]
259374
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PO Box 5013 Wellington
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Ethics committee country [1]
259374
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New Zealand
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Date submitted for ethics approval [1]
259374
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Approval date [1]
259374
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14/04/2010
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Ethics approval number [1]
259374
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MEC/09/07/079
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Ethics committee name [2]
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Ethics Review Committe (RPAH Zone)
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Ethics committee address [2]
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Research Development office Royal Prince Alfred Hospital Camperdown NSW 2050
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
291171
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Approval date [2]
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14/11/2013
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Ethics approval number [2]
291171
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13/RPAH/352
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Summary
Brief summary
Cervical intraepithelial neoplasia 1, 2 or 3 is the term used to describe a range of cellular changes on the cervix that over time can regress to normal or progress to cervical cancer. Cervical cancers are usually preceded by a long phase of preinvasive disease. Evidence has shown that there is a 43% likelihood of regression of CIN 2, a 35% likelihood of persistence of CIN 2 and a 20% probability of progression to CIN 3. Evidence in adolescents has shown an even higher rate of regression. The current treatment for this abnormality is a LLETZ biopsy of the cervix. This treatment is associated with complications in future pregnancies – premature rupture of membranes and preterm labour. Because of the high regression rate and pregnancy complications, young women, up to age 25, with biopsy proven CIN 2 at Christchurch and Dunedin Hospitals will be offered inclusion in the study. This will involve 6 monthly colposcopy clinic visits where a cervical smear, biopsy and tests for HPV, Proex, P16, Ki67 as opposed to immediate surgical management. If there is progression of this change to CIN 3 throughout follow-up a LLETZ will be offered. Follow-up is for 24 months – if the CIN 2 abnormality persists, LLETZ will be offered.
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Trial website
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Trial related presentations / publications
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Public notes
The trial has recruited women in many New Zealand hospitals.
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Contacts
Principal investigator
Name
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A/Prof Peter H Sykes
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Address
31445
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University of Otago - Christchurch
Department of O & G
Private Bag 4711
Christchurch 8140
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Country
31445
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New Zealand
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Phone
31445
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+64 3 364 4630
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Fax
31445
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+64 3 364 4634
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Email
31445
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[email protected]
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Contact person for public queries
Name
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Ms Dianne Harker
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Address
14692
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Private Bag 4711
Christchurch
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Country
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New Zealand
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Phone
14692
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+64 3 3644624
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Fax
14692
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+64 3 3644634
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Email
14692
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[email protected]
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Contact person for scientific queries
Name
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Associate Professor Peter Sykes
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Address
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Christchurch Women’s Hospital
Private Bag 4710
Christchurch
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Country
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New Zealand
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Phone
5620
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+64 3 3644630
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Fax
5620
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+64 3 3644634
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Email
5620
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[email protected]
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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
IPD sharing not planned.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
3202
Study protocol
[email protected]
3203
Informed consent form
[email protected]
Results publications and other study-related documents
Documents added manually
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Conference abstract
No
Simcock B, Sykes P, Innes C, Harker D, Williman J,...
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More Details
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Conference abstract
No
Sykes P, Innes C, Harker D, Whitehead M, Van der G...
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More Details
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Conference abstract
No
Simcock B, Innes C, van der Griend R, Williman J, ...
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More Details
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Conference abstract
No
Dempster-Rivett K, Innes CRH, Simcock B, Sykes PH ...
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Conference abstract
No
Sykes PH, Innes CRH, van der Griend RA, Fitzgerald...
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Study results article
Yes
Innes CRH, Sykes PH, Harker D, Williman JA, Van de...
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Study results article
Yes
Sykes P, Innes C, Harker D, Whitehead M, van der G...
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Basic results
No
335767-(Uploaded-30-08-2019-09-05-43)-Basic results summary.docx
Plain language summary
No
Background: Women with cervical intraepithelial ne...
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]
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Observational Management of CIN 2 in Young Women: A Prospective Multicenter Trial.
2016
https://dx.doi.org/10.1097/LGT.0000000000000244
Embase
Changes in human papillomavirus genotypes associated with cervical intraepithelial neoplasia grade 2 lesions in a cohort of young women (2013-2016).
2018
https://dx.doi.org/10.1016/j.pvr.2018.10.010
Embase
Blimp-1 is a prognostic indicator for progression of cervical intraepithelial neoplasia grade 2.
2022
https://dx.doi.org/10.1007/s00432-022-03993-4
N.B. These documents automatically identified may not have been verified by the study sponsor.
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