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Trial registered on ANZCTR
Registration number
ACTRN12614000004662
Ethics application status
Approved
Date submitted
10/12/2013
Date registered
2/01/2014
Date last updated
9/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
A single-blind randomised controlled trial of topical Kanuka honey for the treatment of Rosacea
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Scientific title
In adult patients with rosacea will topical medical grade Kanuka honey reduce rosacea severity compared with Cetomacrogol control cream.
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Secondary ID [1]
283429
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None
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Universal Trial Number (UTN)
U1111-1146-6857
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Trial acronym
KH06
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rosacea
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Condition category
Condition code
Skin
290739
290739
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Topical medical grade Kanuka honey with 10% glycerin content applied to the affected facial area twice daily for 30-60 minutes per application, for eight weeks. A patient diary will record applications during the treatment period.
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Intervention code [1]
288152
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Treatment: Other
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Comparator / control treatment
The control cream Cetomacrogol applied to the affected facial area twice daily for 30-60 minutes per application, for eight weeks. Kanuka honey will not be used by the control group. Cetomacrogol is a liquid paraffin and white soft paraffin topical emollient, made up of water, petrolatum, Cetearyl Alcohol, mineral oil, Ceteth-20, p-Chloro-m-Cresol.
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Control group
Active
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Outcomes
Primary outcome [1]
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The proportion of subjects who have a 2 or greater improvement in Investigator-rated 7 point Rosacea Severity Score (RSS)
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Assessment method [1]
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Timepoint [1]
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At baseline and Week 8 visits
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Secondary outcome [1]
305137
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Change in subject-rated Rosacea related quality of life (utilising the Dermatology Quality of Life Index [DLQI])
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Assessment method [1]
305137
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Timepoint [1]
305137
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At baseline, Week 2, and Week 8 visits
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Secondary outcome [2]
305138
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Subject-rated global Rosacea improvement using a Visual Analogue Score (VAS)
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Assessment method [2]
305138
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Timepoint [2]
305138
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At Week 2 and Week 8 visits
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Secondary outcome [3]
305139
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Change in subject-related global Rosacea severity using Visual Analogue Score (VAS)
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Assessment method [3]
305139
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Timepoint [3]
305139
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At baseline and Week 2 visits
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Secondary outcome [4]
305140
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Change in Investigator-rated 7 point Rosacea Severity Score (RSS)
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Assessment method [4]
305140
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Timepoint [4]
305140
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At baseline, Week 2 and Week 8 visits
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Secondary outcome [5]
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Daily self-reported use (applications per day)
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Assessment method [5]
305141
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Timepoint [5]
305141
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Daily for 8 weeks
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Secondary outcome [6]
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Weekly self-reported global Rosacea severity (VAS scale)
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Assessment method [6]
305142
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Timepoint [6]
305142
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Weekly for 8 weeks
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Secondary outcome [7]
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Withdrawals due to worsening of rosacea
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Assessment method [7]
310089
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Timepoint [7]
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At the point of withdrawal
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Eligibility
Key inclusion criteria
Aged 16 or over at the time of enrolment
Baseline facial Rosacea Severity Score (RSS) of 2 or greater
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Minimum age
16
Years
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Maximum age
No limit
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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
Requirement for systemic corticosteroids, or systemic corticosteroid treatment in the 4 weeks prior to Visit 1 Current requirement for oral or topical antibiotic therapy for rosacea Current requirement for topical corticosteroid treatment for rosacea Known or suspected allergy to honey, or Cetomacrogol control cream Any other condition which, at the investigator's discretion, it is believed may present a safety risk or impact the feasibility of the study or the study results
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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)
Eligible patients will be randomised into the study. Treatment allocation will be randomised in a 1:1 ratio to receive either application of topical Kanuka honey cream twice daily or application of topical Cetomacrogol control cream twice daily. Randomisation envelopes will contain details of treatment allocation per patient.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Biostatistitian to generate randomisation schedule.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
Subjects and study site staff will not be blinded to the treatment allocation. An independent investigator at each site will remain blinded to the treatment allocation throughout the study and perform the RSS assessment.
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
We anticipate the proportion of participants in the control group who respond will be between 25 and 50%. A total of 124 participants (62 in each group) has 80% power at 5% significance to detect an absolute difference of 25% responders. Recruitment of 138 participants allows for a 10% drop-out rate.
Logistic regression will be used to test for the difference in response rates defined as the proportion of participants who have greater than or equal to two point improvement in the Investigator-rated Rosacea Severity score at week 8 compared to baseline.
The continuous secondary outcome variables will be analysed using ANOVA with baseline readings as a continuous co-variate. Daily self-reported use will be analysed by Poisson regression.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/02/2014
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Actual
4/02/2014
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Date of last participant enrolment
Anticipated
3/02/2015
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Actual
2/05/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
138
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Accrual to date
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Final
138
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Recruitment outside Australia
Country [1]
5529
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New Zealand
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State/province [1]
5529
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Funding & Sponsors
Funding source category [1]
288149
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Commercial sector/Industry
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Name [1]
288149
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Honeylab Ltd
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Address [1]
288149
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Honeylab Ltd
305 Karaka Bay Road
Wellington 6022
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Country [1]
288149
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Honeylab Ltd
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Address
Honeylab Ltd
305 Karaka Bay Road
Wellington 6022
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
286873
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Address [1]
286873
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Country [1]
286873
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Other collaborator category [1]
277662
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Charities/Societies/Foundations
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Name [1]
277662
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Medical Research Institute of New Zealand
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Address [1]
277662
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country [1]
277662
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
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1 The Terrace C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
290067
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New Zealand
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Date submitted for ethics approval [1]
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15/08/2013
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Approval date [1]
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16/10/2013
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Ethics approval number [1]
290067
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13/CEN/118
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Summary
Brief summary
A recent pilot study investigating the use and acceptability of Kanuka honey in Rosacea showed a reduction in severity in 70% of subjects, therefore this study treatment has the potential to be an effective treatment for Rosacea symptoms. In this study 138 adults with Rosacea will apply either Kanuka honey or Cetomacrogol cream to areas of Rosacea on their face for 30-60 minutes twice a day for 8 weeks. At baseline and after 2 weeks and 8 weeks the patient's Rosacea will be assessed to look at changes in severity. Participants will complete a diary for 8 weeks to record their daily treatment applications and weekly severity assessment. Subjects will complete a Dermatology Quality of Life questionnaire at all visits, to note any changes in quality of life. A visual analogue scale will be completed to note any improvement or worsening of a patient's rosacea at Visits 2 and 3. This study will investigate the effectiveness of Kanuka honey in treating rosacea, potentially improving the health outcomes of those with the condition, and will contribute to the knowledge base around the use of honey for the treatment of skin conditions.
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Trial website
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Trial related presentations / publications
Braithwaite I, Hunt A, Riley J, et al. Randomised controlled trial of topical kanuka honey for the treatment of rosacea. BMJ Open 2015;5: e007651. doi:10.1136/ bmjopen-2015-007651
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Public notes
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Contacts
Principal investigator
Name
43774
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Prof Richard Beasley
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Address
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country
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New Zealand
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Phone
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+64 4 8050147
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Fax
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+64 4 3895707
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Email
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[email protected]
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Contact person for public queries
Name
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Anna Hunt
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Address
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country
43775
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New Zealand
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Phone
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+64 4 8050147
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Fax
43775
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+64 4 3895707
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Email
43775
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[email protected]
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Contact person for scientific queries
Name
43776
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Anna Hunt
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Address
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country
43776
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New Zealand
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Phone
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+64 4 8050147
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Fax
43776
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+64 4 3895707
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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
Source
Title
Year of Publication
DOI
Embase
Randomised controlled trial of topical kanuka honey for the treatment of rosacea.
2015
https://dx.doi.org/10.1136/bmjopen-2015-007651
N.B. These documents automatically identified may not have been verified by the study sponsor.
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