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Trial registered on ANZCTR
Registration number
ACTRN12616001018404
Ethics application status
Approved
Date submitted
25/07/2016
Date registered
2/08/2016
Date last updated
12/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Targeting Depression in the Lesbian, Gay, and Bisexual Population
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Scientific title
Effect of Compassion Focused Therapy on Depression in the Lesbian, Gay, and Bisexual Youth (aged 18-25) Population
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Secondary ID [1]
289746
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Nil known
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Universal Trial Number (UTN)
U1111-1185-6275
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Trial acronym
CFT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Depression
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Condition category
Condition code
Mental Health
299562
299562
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0
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Depression
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Mental Health
299609
299609
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
CFT (Compassion Focussed Therapy) for Depression study; Participants in the CFT intervention will receive and complete a CFT workbook for targeting depression and have 8 x individual 1-hour Skype sessions, once/ week for 8 weeks with a Provisional Psychologist. The CFT intervention will focus on completion of weekly modules within the provided workbook, providing psychoeducation about the onset of depression and emotion regulation, mindful self-compassion exercises, and adapting thinking and behaviours to become more compassion-oriented. A focus of sessions with therapists will be the practicing of skills in session, problem-solving difficulties in engaging in skills, and providing support and encouragement for participants to complete workbook content. Provisional Psychologists are all enrolled in post-graduate Clinical Psychology degrees. The intervention will occur in the participant’s home and the La Trobe University Psychology Clinic using Skype software. Intervention adherence will be assessed by a Research Assistant; the therapist will tick a checklist each session of required topics and exercises completed (e.g., review of homework between sessions, completion of a mindfulness activity), which the Research Assistant will check weekly. Treatment fidelity will be improved by regular supervision from a Clinical Psychologist informed of any reductions in adherence.
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Intervention code [1]
295384
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Treatment: Other
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Comparator / control treatment
Guided self-help bibliotherapy. The control condition will receive and read selected sections of a self-help for depression book (Feeling Good, Authored by David Burns), while having 1 x 1 hour Skype session with a Provisional Psychologist four weeks into the eight week guided bibliotherapy to assess compliance and troubleshoot any difficulties in completing the tasks.
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Control group
Active
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Outcomes
Primary outcome [1]
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% with Beck depression score equal to or under 13; Beck Depression Inventory-II
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Assessment method [1]
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Timepoint [1]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Primary outcome [2]
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Proportion of participants with a significant difference in mean scores on Beck Depression Inventory-II between time-points and between control and experimental conditions.
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Assessment method [2]
299045
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Timepoint [2]
299045
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [1]
325945
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% with Beck anxiety score equal to or less than 7; Beck Anxiety Inventory
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Assessment method [1]
325945
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Timepoint [1]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [2]
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Proportion of participants with a significant difference in mean scores on Suicidal Behaviours (assessed using the Suicidal Behaviours Questionnaire) between time-points and between control and experimental conditions.
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Assessment method [2]
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Timepoint [2]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [3]
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Proportion of participants with a significant difference in mean scores on internalised homophobia (assessed using the Lesbian, Gay, Bisexual Identity Scale) between time-points and between control and experimental conditions.
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Assessment method [3]
325947
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Timepoint [3]
325947
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [4]
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Proportion of participants with a significant difference in mean scores on self-compassion (assessed using the Self-Compassion Scale-Short form) between time-points and between control and experimental conditions.
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Assessment method [4]
325948
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Timepoint [4]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [5]
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Proportion of participants with a significant difference in mean scores on shame-proneness (assessed using the Guilt and Shame Proneness Scale) between time-points and between control and experimental conditions.
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Assessment method [5]
325949
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Timepoint [5]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Secondary outcome [6]
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Proportion of participants with a significant difference in mean scores on anxiety (assessed using the Beck Anxiety inventory) between time-points and between control and experimental conditions.
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Assessment method [6]
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Timepoint [6]
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Baseline, 1-week post-intervention completion, and 3-months post-intervention completion
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Eligibility
Key inclusion criteria
1) Proficient in English language; 2) A score of 13 or higher on the Beck Depression Inventory-II, indicating mild or greater depressive symptomatology; 3) Identifying as gay, lesbian, bisexual, or non-heterosexual
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Minimum age
18
Years
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Maximum age
25
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
1) Current engagement in individual psychotherapy; 2) Current plan or intent to engage in suicidal and/or para-suicidal behaviours
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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)
Central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a random number generator.
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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
N/A
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Data will be analysed using SPSS analysis software. Data analysis will include ANOVA and follow-up t-tests. To conduct the mixed between (groups) - within (time; pre-post-follow-up) ANOVA's at power = .8, alpha .05, and a small effect, we would need a total sample of at least 42 individuals. Thus, our sample of 50 individuals will be sufficient to analyse the effectiveness of the treatment, accounting for attrition.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
8/08/2016
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Actual
9/08/2016
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Date of last participant enrolment
Anticipated
6/10/2016
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Actual
5/05/2017
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Date of last data collection
Anticipated
30/09/2017
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Actual
13/12/2017
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Sample size
Target
50
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Accrual to date
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Final
58
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Recruitment postcode(s) [1]
13667
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3083 - Bundoora
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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La Trobe University
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Address [1]
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La Trobe University, Bundoora, Victoria, 3083
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr. Chris Pepping
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Address
Room 462, George Singer Building
Department of Psychology and Counselling
La Trobe University
Bundoora
Victoria
3083
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Anthony Lyons
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Address [1]
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Australian Research Centre in Sex, Health, and Society
School of Psychology and Public Health
La Trobe University
Franklin Street Campus
Melbourne
Victoria
3000
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Country [1]
292960
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295534
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La Trobe University Human Research Ethics
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Ethics committee address [1]
295534
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University Human Research Ethics Committee Research Office La Trobe University Bundoora Victoria 3083 Australia
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Ethics committee country [1]
295534
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Australia
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Date submitted for ethics approval [1]
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15/02/2016
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Approval date [1]
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28/04/2016
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Ethics approval number [1]
295534
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HEC16-010
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Summary
Brief summary
The Compassion Focused Therapy (CFT) study aims to develop and evaluate a first-ever mindfulness-based compassion intervention to treat depression in lesbian, gay, and bisexual (LGB) Australians, a high-risk, underserved population. Participants will be 50 LGB adults aged 18-25 with mild-to-moderate depression, who will be randomly assigned to either the eight week compassion-focussed intervention which will be delivered via Skype, or to an active control condition whereby participants will work through a self-help book for depression which has been evaluated in prior research as effective, over an eight week period. Therapists will be Provisionally Registered Psychologists, with training and supervision from Clinical Psychologist, Dr. Chris Pepping. Participants will complete pre-intervention, post-intervention, and 3-month follow-up assessments to evaluate intervention effectiveness. Study outcomes include depression and anxiety symptoms, suicidal behaviours, internalised homophobia, self-compassion, and shame-proneness.
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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
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Dr Chris Pepping
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Address
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Room 462 George Singer Building
School of Psychology and Public Health
La Trobe University
Bundoora
Victoria
3083
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Country
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Australia
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Phone
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+61394791490
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Fax
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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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Chris Pepping
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Address
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Room 462 George Singer Building
School of Psychology and Public Health
La Trobe University
Bundoora
Victoria
3083
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Country
67655
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Australia
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Phone
67655
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+61394791490
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Fax
67655
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Email
67655
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[email protected]
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Contact person for scientific queries
Name
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Chris Pepping
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Address
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Room 462 George Singer Building
School of Psychology and Public Health
La Trobe University
Bundoora
Victoria
3083
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Country
67656
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Australia
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Phone
67656
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+61394791490
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Fax
67656
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Email
67656
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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.
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