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Trial registered on ANZCTR
Registration number
ACTRN12611001268932
Ethics application status
Approved
Date submitted
6/12/2011
Date registered
12/12/2011
Date last updated
12/12/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Double Blind, Randomised, Placebo Controlled Trial to Determine the Efficacy of the probiotic VSL#3 in Preventing Relapse in Children with Crohn’s Disease - 3 month crossover study
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Scientific title
For children with quiescent Crohn's disease, will a 3 month period of receiving the probiotic VSL#3, as compared to a period of 3 months receiving a placebo, prevent disease relapse
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Secondary ID [1]
273535
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Nil
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Universal Trial Number (UTN)
Nil
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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:
Crohn?s Disease
279337
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Condition category
Condition code
Oral and Gastrointestinal
279521
279521
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0
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Crohn's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will be randomised into either of the treatment arms
Arm 1
Probiotics (Take one to two sachet(s) mixed with food once daily for 3 months, followed by;
Washout (1 month), followed by;
Placebo (Take one to two sachet(s) mixed with food once daily for 3 months
Arm 2
Placebo (Take one to two sachet(s) mixed with food once daily for 3 months, followed by
Washout (1 month), followed by:
Probiotics (Take one to two sachet(s) mixed with food once daily for 3 months
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Intervention code [1]
283847
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Prevention
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Comparator / control treatment
Maize starch (included as filler in probiotic)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Disease relapse as assessed by a Paediatric Crohn's Disease Activity Index (PCDAI) >15
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Assessment method [1]
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Timepoint [1]
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [1]
295104
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Height will be measured using a calibrated stadiometer, with measurements converted to age appropriate Z scores using the Center for Disease control 2000 as reference.
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Assessment method [1]
295104
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Timepoint [1]
295104
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [2]
295105
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Weight will be measured using a calibrated scales, with measurements converted to age appropriate Z scores using the Center for Disease control 2000 as reference.
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Assessment method [2]
295105
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Timepoint [2]
295105
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [3]
295106
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Body Mass Index
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Assessment method [3]
295106
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Timepoint [3]
295106
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [4]
295107
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Quality of Life questionnaire
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Assessment method [4]
295107
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Timepoint [4]
295107
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [5]
295108
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Physicians Global Assessment
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Assessment method [5]
295108
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Timepoint [5]
295108
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [6]
295109
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Blood Platelets will be measured at the time of routine clinical follow-up. Peripheral blood will be collected with Blood Platelets measured using routine laboratory test at the South Eastern Area Laboratory Service
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Assessment method [6]
295109
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Timepoint [6]
295109
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [7]
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Serum albumin will be measured at the time of routine clinical follow-up. Peripheral blood will be collected with serum albumin measured using routine laboratory test at the South Eastern Area Laboratory Service
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Assessment method [7]
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Timepoint [7]
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [8]
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Serum C-reactive Protein will be measured at the time of routine clinical follow-up. Peripheral blood will be collected with Serum C-reactive Protein measured using routine laboratory test at the South Eastern Area Laboratory Service
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Assessment method [8]
295111
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Timepoint [8]
295111
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [9]
295112
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Blood Erythrocyte Sedimentation Rate will be measured at the time of routine clinical follow-up. Peripheral blood will be collected with Blood Erythrocyte Sedimentation Rate measured using routine laboratory test at the South Eastern Area Laboratory Service
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Assessment method [9]
295112
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Timepoint [9]
295112
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Baseline, month 1, month 2 and month 3 for each study Arm
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Secondary outcome [10]
295113
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Faecal S100A12 will be measured in feaces collected at the time of routine clinical follow-up. Faecal S100A12 will be measured by an in-house validated ELISA
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Assessment method [10]
295113
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Timepoint [10]
295113
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Baseline, month 1, month 2 and month 3 for each study Arm
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Eligibility
Key inclusion criteria
Consenting outpatients
Established Diagnosis of Crohn’s disease
PCDAI <15
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Minimum age
4
Years
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Maximum age
18
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
Established diagnosis of ulcerative colitis
Use of systemic antibiotics, other probiotics or probiotic agents within 2 weeks
Isolated perianal disease
Intend to continue concurrent administration of alternative probiotic therapy
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Study design
Purpose of the study
Prevention
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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)
Children attending the Sydney Children’s hospital IBD clinic who meet the enrolment criteria will be invited to participate in the study
Patients will be allocated to a treatment Arm will by the pharmacist dispensing the probiotics. The pharmacist will use a randomisation list to randomly assign patients to treatment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation undertaken by pharmacist using a computer to generate random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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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
10/11/2003
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Actual
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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
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Actual
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Sample size
Target
14
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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 postcode(s) [1]
4772
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2031
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Recruitment postcode(s) [2]
4773
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4072
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Funding & Sponsors
Funding source category [1]
284324
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Self funded/Unfunded
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Name [1]
284324
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Address [1]
284324
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Country [1]
284324
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Primary sponsor type
Hospital
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Name
Sydney Children's Hospital
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Address
High Street
Randwick
NSW
Australia
2031
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Country
Australia
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Secondary sponsor category [1]
283268
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None
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Name [1]
283268
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Address [1]
283268
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Country [1]
283268
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Other collaborator category [1]
260371
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Individual
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Name [1]
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Dr Daniel Lemberg
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Address [1]
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Department of Peadiatrics
Sydney Children's hospital
Randwick, NSW
2031
[email protected]
Ph: +61 2 9382 0278
Fax: +61 2 9382 1574
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Country [1]
260371
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Australia
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Other collaborator category [2]
260372
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Individual
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Name [2]
260372
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Dr Rebecca Hill
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Address [2]
260372
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The School of Medicine
University of Qld
Brisbane
St Lucia, QLD
4072
Rj.hill@ uq.edu.au
Ph: +61 7 3365 5351
Fax: +61 7 3346 4684
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Country [2]
260372
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286286
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Human Research Ethics Committee South Eastern Sydney Area Health Service
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Ethics committee address [1]
286286
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Room G71, EBB Cnr High& Avoca Strs Randwick NSW 2031
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Ethics committee country [1]
286286
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Australia
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Date submitted for ethics approval [1]
286286
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Approval date [1]
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01/05/2003
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Ethics approval number [1]
286286
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03-206
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Summary
Brief summary
There is experimental human and animal data to support a role for bacteria and / or bacterial products in the cause of inflammatory bowel disease (IBD), especially Crohn’s disease. Furthermore antibiotics have been shown in some cases to provide beneficial effects in IBD. In the last few years there has been increasing interest in probiotic agents in the treatment of various gastrointestinal conditions. The aims of this trial are to 1) determine the efficacy of probiotic therapy upon clinical parameters in children with IBD 2) determine the efficacy of probiotic therapy upon quality of life parameters in children with IBD 3) define the effects of probiotic therapy in children with IBD upon markers of inflammation both standard and novel 4) define the effects of probiotic therapy in children with IBD upon gut bacteria and 5) to document the tolerance and acceptability of probiotic therapy in children with IBD
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
33496
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Address
33496
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Country
33496
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Phone
33496
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Fax
33496
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Email
33496
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Contact person for public queries
Name
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A/Prof Andrew Day
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Address
16743
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Department of Paediatics
University of Otago, Christchurch
PO Box 4345, Christchurch Mail Centre
Christchurch
8140
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Country
16743
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New Zealand
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Phone
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+64 3 364 1644
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Fax
16743
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+64 3 378 6355
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Email
16743
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Andrew Day
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Address
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Department of Paediatics
University of Otago, Christchurch
PO Box 4345, Christchurch Mail Centre
Christchurch
8140
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Country
7671
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New Zealand
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Phone
7671
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+64 3 364 1644
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Fax
7671
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+64 3 378 6355
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Email
7671
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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.
Download to PDF