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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/ct2/show/NCT01724021
Registration number
NCT01724021
Ethics application status
Date submitted
5/11/2012
Date registered
9/11/2012
Date last updated
23/01/2018
Titles & IDs
Public title
A Study of Participant Preference With Subcutaneous Versus Intravenous MabThera/Rituxan in Participants With CD20+ Diffuse Large B-Cell Lymphoma or CD20+ Follicular Non-Hodgkin's Lymphoma Grades 1, 2 or 3a
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Scientific title
A Randomized, Open-label, Mutli-centre Study to Evaluate Patient Preference With Subcutaneous Administration of Rituximab Versus Intravenous Rituximab in Previously Untreated Patients With CD20+ Diffuse Large B-cell Lymphoma or CD20+ Follicular Non-Hodgkin's Lymphoma Grades 1, 2, OR 3A
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Secondary ID [1]
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2012-003230-17
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Secondary ID [2]
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MO28457
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Universal Trial Number (UTN)
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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:
Diffuse Large B-Cell Lymphoma, Non-Hodgkin's Lymphoma
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Cyclophosphamide, Hydroxydaunorubicin, Oncovin, Prednisone/Prednisolone (CHOP)
Treatment: Drugs - Cyclophosphamide, Vincristine, Prednisone/Prednisolone (CVP)
Treatment: Drugs - Bendamustine
Treatment: Drugs - Rituximab
Treatment: Drugs - Rituximab
Treatment: Drugs - Rituximab
Treatment: Drugs - Rituximab
Experimental: Arm A - Participants in Arm A received one cycle of rituximab 375 mg/m^2 intravenously (IV), then three cycles of rituximab 1400mg subcutaneously (SC), followed by four cycles of rituximab 375 mg/m^2 IV in combination with a standard chemotherapy of cyclophosphamide, hydroxydaunorubicin, Oncovin, prednisone/prednisolone (CHOP), cyclophosphamide, vincristine, prednisone/prednisolone (CVP), or bendamustine. Rituximab was administered on Day 1 of each treatment cycle followed by administration of the preselected chemotherapy. Cycles were repeated every 14, 21, or 28 days, depending on the combination chemotherapy regimen selected by the investigator.
Experimental: Arm B - Participants in Arm B received four cycles of rituximab 375 mg/m^2 IV followed by four cycles of rituximab 1400mg SC in combination with a standard chemotherapy of CHOP, CVP, or bendamustine. Rituximab was administered on Day 1 of each treatment cycle followed by administration of the preselected chemotherapy. Cycles were repeated every 14, 21, or 28 days, depending on the combination chemotherapy regimen selected by the investigator.
Treatment: Drugs: Cyclophosphamide, Hydroxydaunorubicin, Oncovin, Prednisone/Prednisolone (CHOP)
Standard chemotherapy
Treatment: Drugs: Cyclophosphamide, Vincristine, Prednisone/Prednisolone (CVP)
Standard chemotherapy
Treatment: Drugs: Bendamustine
Standard chemotherapy
Treatment: Drugs: Rituximab
1400 mg subcutaneously (SC), Day 1 Cycles 2-4
Treatment: Drugs: Rituximab
375 mg/m2 IV, Day 1 Cycles 1-4
Treatment: Drugs: Rituximab
375 mg/m2 intravenously (IV), Day 1 Cycles 1 and 4-8
Treatment: Drugs: Rituximab
1400 mg SC, Day 1 Cycles 5-8
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of Participants Indicating a Preference for Rituximab Subcutaneous (SC) Over Rituximab Intravenously (IV) at Cycle 6
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Assessment method [1]
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Participants who preferred rituximab SC over rituximab IV, along with the corresponding 95% confidence interval (CI), were estimated using the patient preference questionnaire (PPQ) after completing cycle 6.
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Timepoint [1]
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Cycle 6 (Up to 24 weeks)
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Primary outcome [2]
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Percentage of Participants Indicating a Preference for Rituximab Subcutaneous (SC) Over Rituximab Intravenously (IV) at Cycle 8
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Assessment method [2]
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Participants who preferred rituximab SC over rituximab IV, along with the corresponding 95% confidence interval (CI), were estimated using the patient preference questionnaire (PPQ) after completing Cycle 8.
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Timepoint [2]
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Cycle 8 (Up to 32 weeks)
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Secondary outcome [1]
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Number of Participants With Treatment Emergent Adverse Events (AEs)
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Assessment method [1]
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An AE was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
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Timepoint [1]
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Randomization of first participant to clinical cutoff date (Up to 4 years)
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Secondary outcome [2]
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Time Required for Rituximab Administration (Subcutaneous [SC] or Intravenous [IV])
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Assessment method [2]
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Administration time was defined as the time from start to end of the SC injection or from start to end of the IV infusion
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Timepoint [2]
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Cycle 1-4, Cycle 5-8 for both SC and IV (Up to 32 weeks)
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Secondary outcome [3]
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Cancer Therapy Satisfaction Questionnaire (CTSQ) Score
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Assessment method [3]
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CTSQ is a validated 16-item questionnaire that measures three domains related to participants' satisfaction with cancer therapy. These include expectations of therapy, feelings about side effects, and satisfaction with therapy. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants.
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Timepoint [3]
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During Cycle 4, 8 of treatment (Up to 32 weeks)
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Secondary outcome [4]
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Rituximab Administration Satisfaction Questionnaire (RASQ) Score
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Assessment method [4]
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The RASQ is a 20-item questionnaire that measures five domains related to the impact of treatment administration. These include physical impact, psychological impact, impact on activities of daily living (ADLs), convenience, and satisfaction. Each domain is scored on a scale of 0 to 100, with higher scores indicative of more positive feelings toward therapy. The score for each domain was averaged among all participants.
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Timepoint [4]
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During Cycle 4, 8 of treatment (Up to 32 weeks)
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Secondary outcome [5]
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Complete Response (CR) Rate
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Assessment method [5]
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CR rate was assessed according to the International Working Group (IWG) Response Criteria (CHESON ET AL. 1999) and included CR and CR unconfirmed (CRu). CR was defined as complete disappearance of all clinical and radiographic evidence of disease and disease-related symptoms, regression of lymph nodes to normal size, absence of splenomegaly, and absence of bone marrow involvement. CRu was defined as disappearance of clinical and radiographic evidence of disease and absence of splenomegaly, with regression of lymph nodes by > 75 % but still >1.5 cm in size, and indeterminate bone marrow assessment. Tumor assessments were based on computed tomography (CT) scans with contrast of the neck, chest, and abdomen (if detectable by these techniques) or other diagnostic means, if applicable. Other methods (e.g., MRI) were acceptable for participants in whom contrast CT scans were contraindicated. Due to the limited availability of FDG-PET scanners, an FDG-PET scan was not mandated in the study.
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Timepoint [5]
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28 days (± 3 days) after Day 1 of the last dose of induction treatment
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Secondary outcome [6]
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Event-free Survival (EFS)
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Assessment method [6]
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EFS was defined as the time from randomization to first occurrence of progression or relapse according to IWG response criteria. IWG criteria is defined using the following response categories: CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy; partial response (PR): At least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses; stable disease (SD): participants fails to attain the criteria needed for a CR or PR, but does not fulfill those for progressive disease (PD); PD: Lymph nodes considered abnormal if the long axis is more than 1.5 centimeter (cm) regardless of the short axis. Lymph node has a long axis of 1.1 to 1.5 cm, it is considered abnormal if its short axis is more than 1.0. Lymph nodes less than or equal to (<=) 1.0 × <= 1.0 cm would not be considered as abnormal for PD.
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Timepoint [6]
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From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
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Secondary outcome [7]
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Disease-free Survival (DFS)
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Assessment method [7]
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DFS was defined as the period from the data of the initial CR/CRu until the date of relapse or death from any cause, whichever occurred first.
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Timepoint [7]
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From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
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Secondary outcome [8]
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Progression-free Survival (PFS)
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Assessment method [8]
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PFS was defined as the time from randomization to the first occurrence of progression or relapse, according to the IWG response criteria. IWG criteria is defined criteria using the following response categories: CR: Complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy; PR: At least a 50% decrease in SPD of up to six of the largest dominant nodes or nodal masses; SD: participants fails to attain the criteria needed for a CR or PR, but does not fulfill those for PD; PD: Lymph nodes considered abnormal if the long axis is more than 1.5 cm regardless of the short axis. Lymph node has a long axis of 1.1 to 1.5 cm, it is considered abnormal if its short axis is more than 1.0. Lymph nodes <= 1.0 × <= 1.0 cm would not be considered as abnormal for PD.
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Timepoint [8]
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From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
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Secondary outcome [9]
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Overall Survival (OS)
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Assessment method [9]
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OS was defined as the time from randomization to death from any cause.
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Timepoint [9]
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From the time of randomization until disease progression or 24 months post treatment follow up or which ever occur first (Up to 4 years)
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Secondary outcome [10]
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Percentage of Participants With Anti-Rituximab Antibodies Over Time
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Assessment method [10]
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Timepoint [10]
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Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
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Secondary outcome [11]
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Percentage of Participants With Anti-Recombinant Human Hyaluronidase (rHuPH20) Antibodies Over Time
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Assessment method [11]
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Timepoint [11]
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Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
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Secondary outcome [12]
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Summary of Observed Serum Rituximab Concentration
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Assessment method [12]
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Timepoint [12]
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Pre-dose Cycle 1 to 8, interim staging, final staging, 6, 12 months follow-up, end of study (Up to 4 years)
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Eligibility
Key inclusion criteria
- Adult participants , >/= 18 and </= 80 years of age
- Histologically confirmed, previously untreated CD20+ diffuse large B-cell lymphoma
(DLBCL) or CD20+ follicular non-Hodgkin's lymphoma (NHL) Grade 1, 2, or 3a, according
to World Health Organization (WHO) classification
- An International Prognostic Index (IPI) score of 1-4 or IPI score of 0 with bulky
disease, defined as one lesion >/= 7.5 cm, or Follicular Lymphoma International
Prognostic Index (FLIPI; low, intermediate or high risk)
- At least one bi-dimensionally measurable lesion defined as >/=1.5 cm in its largest
dimension on CT scan
- Eastern Cooperative Oncology Group (ECOG) performance status </= 3
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Minimum age
18
Years
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Maximum age
80
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
- Transformed lymphoma or follicular lymphoma IIIB
- Primary central nervous system (CNS) lymphoma, histologic evidence of transformation
to Burkitt lymphoma, primary mediastinal DLBCL, primary effusion lymphoma, primary
cutaneous DLBCL, or primary DLBCL of the testis
- History of other malignancy that could affect compliance with the protocol or
interpretation of the results; this includes a malignancy that has been treated but
not with curative intent, unless the malignancy has been in remission for >/= 5 years
prior to enrolment; participants with a history of curatively treated basal or
squamous cell carcinoma or melanoma of the skin or in situ carcinoma of the cervix are
eligible
- Prior therapy for DLBCL or NHL, with the exception of nodal biopsy or local
irradiation
- Prior treatment with cytotoxic drugs (with the exclusion of intrathecal methotrexate
for CNS prophylaxis in DLBCL) or rituximab for another condition, or prior use of an
anti-CD20 drug
- Prior use of monoclonal antibody within 3 months prior to randomization
- Chemotherapy or other investigational therapy within 28 days prior to randomization
- Ongoing corticosteroid use > 30 mg/day prednisolone or equivalent
- Inadequate renal. hematologic or hepatic function
- Active and/or severe infection or any major episode of infection within 4 weeks prior
to randomization
- Active hepatitis B virus or active hepatitis C virus infection
- History of human immunodeficiency (HIV) seropositive status
- A positive pregnancy test in women of childbearing potential
- Life expectancy of less than 6 months
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/12/2012
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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
1/01/2015
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Sample size
Target
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Accrual to date
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Final
743
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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- Canberra
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- Camperdown
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- Liverpool
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- Randwick
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Recruitment hospital [12]
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- Nedlands
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- Perth
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Recruitment postcode(s) [1]
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2605 - Canberra
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2050 - Camperdown
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2170 - Liverpool
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2031 - Randwick
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Recruitment postcode(s) [5]
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4101 - Brisbane
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Recruitment postcode(s) [6]
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5000 - Adelaide
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Recruitment postcode(s) [7]
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7000 - Hobart
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Recruitment postcode(s) [8]
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3220 - Geelong
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Recruitment postcode(s) [9]
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3144 - Malvern
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Recruitment postcode(s) [10]
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3084 - Melbourne
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Recruitment postcode(s) [11]
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3690 - Wodonga
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Recruitment postcode(s) [12]
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6009 - Nedlands
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Recruitment postcode(s) [13]
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6000 - Perth
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Recruitment outside Australia
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Argentina
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Buenos Aires
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Argentina
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Steyr
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Brazil
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Fürth
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Jena
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Köln
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Leer
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Leipzig
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Limburg
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Lübeck
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Mainz
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Mannheim
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Germany
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Marburg
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Germany
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Mayen
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Germany
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Moers
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Germany
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Mutlangen
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Germany
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Mönchengladbach
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Germany
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Mülheim
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Germany
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München
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Germany
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Münster
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Germany
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Neunkirchen/Saar
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Germany
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Nürnberg
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Germany
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Oldenburg
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Germany
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Osnabrueck
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Germany
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Paderborn
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Germany
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Pforzheim
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Germany
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Pinneberg
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Germany
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Pirna
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Germany
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Porta Westfalica
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Country [87]
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Germany
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Pößneck
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Germany
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Ravensburg
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Germany
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Recklinghausen
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Germany
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Regensburg
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Germany
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Rostock
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Germany
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State/province [92]
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Rötha
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Germany
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Schweinfurt
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Germany
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Schwäbisch-Hall
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Germany
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Siegburg
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Germany
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Stade
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Germany
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Stendal
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Germany
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Stuttgart
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Germany
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Traunstein
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Germany
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Trier
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Country [101]
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Germany
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Velbert
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Germany
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Villingen-Schwenningen
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Germany
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Weilheim
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Germany
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State/province [104]
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Wiesbaden
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Germany
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State/province [105]
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Wilhelmshaven
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Country [106]
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Germany
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State/province [106]
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Witten
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Germany
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State/province [107]
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Wuerselen
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Country [108]
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Germany
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State/province [108]
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Zittau
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Germany
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State/province [109]
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Zwickau
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Country [110]
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Guatemala
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State/province [110]
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Guatemala
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Country [111]
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Hong Kong
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State/province [111]
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Hong Kong
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Country [112]
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Hungary
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State/province [112]
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Budapest
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Country [113]
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Hungary
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State/province [113]
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Gyor
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Country [114]
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Hungary
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Gyula
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Country [115]
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Hungary
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State/province [115]
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Kaposvar
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Country [116]
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Hungary
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State/province [116]
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Nyíregyháza
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Country [117]
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Hungary
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State/province [117]
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Szeged
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Hungary
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State/province [118]
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Szolnok
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Indonesia
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State/province [119]
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Bandung
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Indonesia
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Jakarta
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Indonesia
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Jogjakarta
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Indonesia
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Surabaya
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Country [123]
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Italy
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Calabria
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Italy
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Emilia-Romagna
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Italy
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Lazio
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Country [126]
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Italy
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Piemonte
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Italy
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Puglia
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Italy
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Sicilia
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Italy
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Toscana
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Korea, Republic of
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Busan
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Korea, Republic of
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Daegu
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Korea, Republic of
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Seoul
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Malaysia
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State/province [133]
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Ampang
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Malaysia
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Kuala Lumpur
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Malaysia
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Kuching
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Malaysia
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State/province [136]
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Sabah
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Netherlands
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Amstelveen
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Netherlands
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Amsterdam
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Netherlands
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Apeldoorn
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Netherlands
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Beverwijk
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Netherlands
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Capelle Aan De Yssel
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Netherlands
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Delftzijl
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Netherlands
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Den Haag
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Netherlands
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Eindhoven
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Netherlands
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Goes
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Netherlands
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Leidschendam
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Netherlands
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Rotterdam
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Netherlands
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Tilburg
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Netherlands
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Utrecht
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New Zealand
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Auckland
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Panama
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Panama
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Panama
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Peru
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Arequipa
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Peru
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Cusco
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Peru
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La Victoria, Lima
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Philippines
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Cebu City
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Philippines
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Manila
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Philippines
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Quezon City
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Country [159]
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Portugal
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State/province [159]
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Lisboa
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Country [160]
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Portugal
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State/province [160]
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Matosinhos
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Portugal
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Ponta Delgada
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Portugal
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Setubal
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Portugal
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Viseu
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Country [164]
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Romania
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Baia Mare
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Country [165]
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Romania
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Brasov
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Romania
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Bucharest
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Romania
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Bucuresti
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Romania
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Cluj-Napoca
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Romania
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Craiova
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Romania
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Iasi
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Romania
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Sibiu
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Romania
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Timisoara
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Sweden
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Falun
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Sweden
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Göteborg
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Sweden
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Jönköping
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Sweden
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Karlstad
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Country [177]
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Sweden
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Sundsvall
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Sweden
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Västerås
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Taiwan
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Kaohsung
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Taiwan
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Taichung
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Taiwan
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Taipei
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Thailand
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Bangkok
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Country [183]
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Thailand
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Chiang Mai
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Country [184]
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Thailand
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Khon Kaen
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Country [185]
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Turkey
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Ankara
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Country [186]
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Turkey
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Denizli
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Turkey
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Erzurum
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Turkey
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Malatya
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Country [189]
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Vietnam
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Ha Noi
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Country [190]
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Vietnam
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State/province [190]
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Hochiminh city
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
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Name
Hoffmann-La Roche
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This multi-center, open-label, randomized study will evaluate the participant preference with
subcutaneous versus intravenous administration of MabThera/Rituxan (rituximab) in
participants with CD20+ diffuse large B-cell lymphoma or CD20+ follicular non-Hodgkin's
lymphoma. In Arm A, participants will receive MabThera/Rituxan 375 mg/m2 intravenously (IV)
on Day 1 of Cycle 1 and MabThera/Rituxan 1400 mg subcutaneously (SC) on Day 1 of Cycles 2-4,
followed by MabThera/Rituxan IV in Cycles 5-8. Participants in Arm B will receive
MabThera/Rituxan IV in Cycles 1-4 and SC in Cycles 5-8. All participants will receive 6-8
cycles of standard chemotherapy (according to local country practice) with 8 cycles of
MabThera/Rituxan. Anticipated time on study treatment is up to 24 weeks.
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Trial website
https://clinicaltrials.gov/ct2/show/NCT01724021
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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0
Clinical Trials
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Address
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Hoffmann-La Roche
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0
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Contact person for scientific queries
Summary Results
For IPD and results data, please see
https://clinicaltrials.gov/ct2/show/NCT01724021
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