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Trial registered on ANZCTR
Registration number
ACTRN12612001103853
Ethics application status
Not yet submitted
Date submitted
15/10/2012
Date registered
16/10/2012
Date last updated
20/11/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of Screen-based Sedentary Activities on Energy Intake (ESSAY)
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Scientific title
Comparative effects of television, computer games, and video games on acute energy intake in boys aged 9-12 years: a randomised crossover trial
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Secondary ID [1]
281392
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Nil known
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Universal Trial Number (UTN)
U111111348139
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Trial acronym
ESSAY
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Overweight and obesity
287628
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Condition category
Condition code
Public Health
287958
287958
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0
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Other public health
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Diet and Nutrition
287972
287972
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will be exposed to three 1-h conditions in random order: watching television, sedentary video game play, and computer game play. Television is considered the exposure condition. During each condition the subject will have access to a variety or food and drink. Each subject will undergo a 1-week washout period between conditions.
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Intervention code [1]
285870
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Lifestyle
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Intervention code [2]
285884
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Behaviour
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Comparator / control treatment
Subjects will be exposed to three 1-h conditions in random order: watching television, sedentary video game play, and computer game play. Sedentary video game play and computer game play are considered the active control conditions. During each condition the subject will have access to a variety or food and drink. Each subject will undergo a 1-week washout period between conditions.
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Control group
Active
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Outcomes
Primary outcome [1]
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Between-group difference in energy intake (kcal consumed) during the 1h exposure (TV versus sedentary video game, and TV versus computer game).
Energy intake will be calculated by multiplying the grams/mLs consumed by the energy density (kcal/g or kcal/mL) for the different food and drink types. Energy densities will be those provided by the food manufacturers (as stated on the labels) or from standardised nutritional values (FOODfiles).
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Assessment method [1]
288172
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Timepoint [1]
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1h (immediately after exposure).
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Secondary outcome [1]
299541
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Amount of food (g) consumed.
Food will be weighed before and after the exposure period, with differences in weights being the number of grams of food consumed.
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Assessment method [1]
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Timepoint [1]
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1h (immediately after exposure).
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Secondary outcome [2]
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Appetite
Appetite will be assessed using a visual analogue scale (VAS).
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Assessment method [2]
299563
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Timepoint [2]
299563
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [3]
299564
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Hunger
Hunger will be assessed using a VAS, which ranges from 0 (I am not hungry at all) to 10 (I have never been hungrier).
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Assessment method [3]
299564
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Timepoint [3]
299564
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [4]
299565
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Satiety
Satiety will be assessed using a VAS, which ranges from 0 (I am completely empty) to 10 (I cannot eat another bite).
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Assessment method [4]
299565
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Timepoint [4]
299565
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [5]
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Fullness.
Fullness will be assessed using a VAS, which ranges from 0 (not at all full) to 10 (totally full).
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Assessment method [5]
299566
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Timepoint [5]
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [6]
299567
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Prospective food consumption (i.e. how much do you think you can eat?)
Prospective food consumption will be assessed using a VAS, which ranges from 0 (nothing at all) to 10 (a lot).
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Assessment method [6]
299567
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Timepoint [6]
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0h (before exposure).
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Secondary outcome [7]
299568
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Desire to eat something sweet (i.e. would you like to eat something sweet?)
This will be assessed using a VAS, which ranges from 0 (yes, very much) to 10 (no, not at all).
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Assessment method [7]
299568
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Timepoint [7]
299568
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [8]
299569
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Desire to eat something salty (i.e. would you like to eat something salty?)
This will be assessed using a VAS, which ranges from 0 (yes, very much) to 10 (no, not at all).
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Assessment method [8]
299569
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Timepoint [8]
299569
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [9]
299570
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Desire to eat something fatty (i.e. would you like to eat something fatty?)
This will be assessed using a VAS, which ranges from 0 (yes, very much) to 10 (no, not at all).
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Assessment method [9]
299570
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Timepoint [9]
299570
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0h (before exposure) and 1h (immediately after exposure).
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Secondary outcome [10]
299571
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Memory for food consumed.
Subjects will be asked to list the food and drinks they remember eating/drinking during the previous hour and whether they ate/drank the whole portion or not.
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Assessment method [10]
299571
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Timepoint [10]
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1h (immediately after exposure).
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Eligibility
Key inclusion criteria
1. Aged 9-12 years
2. Healthy, normal-weight (5th percentile to less than 85th percentile) boys
3. Able to provide informed consent
4. Able to read and understand English
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Minimum age
9
Years
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Maximum age
12
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Unstable body weight during the previous 6 months (defined as a change in body weight of at least 4kg)
2. Inability to understand and/or comply with study protocol
3. Known food allergies
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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)
Potential participants will be identified from the list of ineligible subjects from the SWITCH (Screen time Weightloss
Intervention Targeting Children and Home) trial. The SWITCH trial, which is currently being conducted in our department, requires participants to be overweight or obese. There is a list of boys whose caregivers/parents were interested in taking part in SWITCH but who were ineligible due to their body weight. SWITCH researchers will ask the caregivers of ineligible boys for permission for an ESSAY researcher to
contact them. If they agree, participants will be contacted by phone by trained study personnel and the ESSAY
study will be explained in detail. If they express interest, the child will be screened for eligibility. A baseline
assessment appointment will be arranged with eligible participants. At the baseline
appointment the researcher will go through the information sheets and consent forms and ensure that the
participant and parent/caregiver understand that participation is voluntary, this will also be outlined in the Consent
Form. Subjects will then be randomised using a central computer system. Allocation concealment will be maintained up until the point of randomisation using this method.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Eligible subjects will be randomised by a computerised central randomisation system.
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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
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2012
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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
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4598
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New Zealand
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State/province [1]
4598
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Funding & Sponsors
Funding source category [1]
286146
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University
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Name [1]
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National Institute for Health Innovation, University of Auckland
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Address [1]
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National Institute for Health Innovation
University of Auckland
Private Bag 92019, Auckland Mailing Centre
Auckland, 1142
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Country [1]
286146
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New Zealand
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Primary sponsor type
Individual
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Name
Samantha Marsh
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Address
National Institute for Health Innovation
University of Auckland
Private Bag 92019, Auckland Mailing Centre
Auckland, 1142
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Country
New Zealand
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Secondary sponsor category [1]
284955
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None
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Name [1]
284955
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Address [1]
284955
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Country [1]
284955
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
288202
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Health and Disability Ethics Committee
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Ethics committee address [1]
288202
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Ministry of Health No 1 The Terrace PO Box 5013 Wellington 6011
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Ethics committee country [1]
288202
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New Zealand
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Date submitted for ethics approval [1]
288202
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19/09/2012
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Approval date [1]
288202
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Ethics approval number [1]
288202
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Summary
Brief summary
More than one third of NZ children and young people are overweight or obese. Young people spend an average of 3h 40 min/day engaged in screen-based sedentary activities, such as watching TV, which have been linked to overweight. Proposed mechanisms to explain this relationship include the effects of advertising and displacement of physical activity; however, the adverse effects of screen-based activities on food intake provide the strongest evidence to explain the relationship. Recent research suggests that children may eat more while watching TV and playing video games compared with sitting quietly. However, no studies have compared the effects of different screen-based activities on food intake. This study aims to compare the effects of television viewing, sedentary video game play, and computer game play on food and drink intake in children and adolescents. A better understanding of how food consumption differs between these activities will help inform future programs aimed at decreasing sedentary behaviours and body weight.
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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
34828
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Address
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Country
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Phone
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Fax
34828
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Email
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Contact person for public queries
Name
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Samantha Marsh
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Address
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National Institute for Health Innovation
University of Auckland
Private Bag 92019, Auckland Mailing Centre
Auckland, 1142
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Country
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New Zealand
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Phone
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+64 9 3737 599 ext 88061
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Fax
18075
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Email
18075
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[email protected]
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Contact person for scientific queries
Name
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Ralph Maddison
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Address
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National Institute for Health Innovation
University of Auckland
Private Bag 92019, Auckland Mailing Centre
Auckland, 1142
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Country
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New Zealand
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Phone
9003
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+64 9 3737 599 ext 84767
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Fax
9003
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Email
9003
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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