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Trial registered on ANZCTR
Registration number
ACTRN12617000841370
Ethics application status
Approved
Date submitted
1/06/2017
Date registered
7/06/2017
Date last updated
11/05/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Clinical trial to evaluate magnetically enhanced ibuprofen delivery in people with knee osteoarthitis
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Scientific title
Double-blind, randomized pilot study to evaluate the effect of diamagnetically enhanced transdermal ibuprofen in comparison to placebo on pain and function in individuals with knee osteoarthritis
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Secondary ID [1]
292085
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RC56221
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Universal Trial Number (UTN)
U1111-1197-0970
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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:
osteoarthritis
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Condition category
Condition code
Musculoskeletal
302938
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0
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Osteoarthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The kneeguard patch is a transdermal patch containing ibuprofen 5% (125 mg) in a silicon gel. The patch has a magnetic backing layer made from strontium ferrite crystals encapsulated in a PVC matrix. The patch will be applied 3 times per day for a period of 6 hours. The duration of the trial will be 48 hours. The patch will be applied by the study participant. They will receive reminders from an iPad application when the patch is due to be changed and they will need to indicate in that app when the have re-applied the patch (as a means to monitor adherence).
There will be a minimum washout period of 5 days between test sessions.
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Intervention code [1]
298252
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Treatment: Drugs
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Intervention code [2]
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Treatment: Devices
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Comparator / control treatment
The comparator will be a placebo patch containing no ibuprofen and with a non-magnetised backing but otherwise similar in appearance.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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VAS rating of pain on movement
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Assessment method [1]
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Timepoint [1]
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48 hours
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Primary outcome [2]
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WOMAC pain score
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Assessment method [2]
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Timepoint [2]
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48 hours
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Primary outcome [3]
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WOMAC function score
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Assessment method [3]
302337
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Timepoint [3]
302337
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48 hours
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Secondary outcome [1]
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VAS resting pain rating
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Assessment method [1]
335555
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Timepoint [1]
335555
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48 hours
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Secondary outcome [2]
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Aggregated locomotor function (ALF) test completion time
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Assessment method [2]
335556
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Timepoint [2]
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48 hours
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Secondary outcome [3]
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Pressure Pain Threshold asessed using a digital algometer
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Assessment method [3]
335557
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Timepoint [3]
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48 hours
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Secondary outcome [4]
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Skin irritation ratings categorized on a 4 point scale according to severity, with 3 indicating skin breakdown (e.g., blistering, raw, breakdown of the skin etc.), 2 indicating minor changes in the skin condition (e.g., dry, flaky, red or rash), 1 indicating symptoms of altered sensation (e.g., itchy, heat, tingling) and 0 indicating no reaction at all.
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Assessment method [4]
335605
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Timepoint [4]
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Assessed at 24 hours (by telephone) and 48 hours
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Eligibility
Key inclusion criteria
Medically diagnosed painful knee osteoarthritis (Pain rating greater than or equal to 4 of 10) based on ACR guidelines
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Minimum age
60
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
history of neurological disorders affecting sensory, motor or cognitive function; recent lower limb injury or surgery; history of other chronic pain disorders; history of Gastric ulcers or renal disease; known or suspected allergy/sensitivity to ibuprofen; known or suspected allergy/sensitivity to adhesive or tape; history of any serious adverse events related to previous NSAID use.
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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)
Allocation concealed. Allocation determined by central holder of randomisation schedule.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Analysis of variance.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/07/2017
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Actual
30/08/2017
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Date of last participant enrolment
Anticipated
5/03/2018
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Actual
19/02/2018
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Date of last data collection
Anticipated
7/03/2018
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Actual
28/02/2018
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Sample size
Target
24
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment postcode(s) [1]
16297
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6845 - Perth
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Department of Industry, Innovation and Science
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Address [1]
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Department of Industry, Innovation and Science
GPO Box 2013
Canberra, ACT, 2601
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Country [1]
296616
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Australia
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Funding source category [2]
296644
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Commercial sector/Industry
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Name [2]
296644
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OBJ Ltd
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Address [2]
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284 Oxford St
Leederville
Western Australia 6007
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Country [2]
296644
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
GPO Box U1987
Perth, WA 6845
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Country
Australia
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Secondary sponsor category [1]
295601
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Individual
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Name [1]
295601
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Prof Tony Wright
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Address [1]
295601
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School of Physiotherapy and Exercise Science
Curtin University
GPO Box U1987
Perth, WA 6845
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Country [1]
295601
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297848
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Curtin University Human Research Ethics Committee
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Ethics committee address [1]
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Curtin University GPO Box U1987 Perth, WA 6845
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/06/2017
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Approval date [1]
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14/08/2017
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Ethics approval number [1]
297848
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HRE2017-0528
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Summary
Brief summary
Osteoarthritis is a long term degenerative disease process that affects the major joints. Osteoarthritis pain and inflammation is often treated using non-steroidal anti-inflammatory drugs (NSAIDs). In some cases these drugs can be applied through the skin to treat the affected joint below. The skin however provides a significant barrier to drug penetration. Various methods can be used to enhance drug penetration through the skin. In this case the method of enhancement will be by using a low level magnetic field (similar to a fridge magnet). The aim of this study is to evaluate changes in pain and function following short term (48 hours) use of ibuprofen (5%), a topical NSAID, administered in a patch with a magnetic backing strip. The magnetic backing is designed to enhance the absorption of ibuprofen. The ibuprofen patch will be compared to a placebo patch containing no drug and no magnetic backing. The main objective is to determine if the magnetically enhanced ibuprofen patch achieves superior outcomes to placebo in reducing pain and improving function over 48 hours. The primary hypothesis is that the transdermal ibuprofen magnetic patch will result in significantly lower ratings of pain on movement compared to placebo. The pilot study will recruit a group of 24 participants with knee osteoarthritis. Each participant will complete 2, 48 hour study periods. At the start of each study period they will have their current pain and function assessed in a University laboratory. Participants will then have a patch containing either ibuprofen or placebo applied to their knee(s). When this testing has been completed they will be given an iPad which they will use to complete further testing over a 48 hour period as they go about their normal activities while wearing the knee patch. The iPad will prompt them to complete a rating of their pain at rest and pain on movement approximately every 2.5 hours and it will remind them to change the patch approximately every five hours. After 48 hours they will return to the research laboratory and complete the other pain and function tests. After an interval of 1 week all participants will return to the laboratory and complete the full 48 hour testing process while wearing the alternative patch (placebo or ibuprofen). Neither the participants nor the researchers will know on which occasion they received the ibuprofen treatment. It is envisaged that the participants pain levels will be less and their function will be better during the period in which they are wearing the ibuprofen patch. This is a pilot study gathering preliminary data from a relatively small number of participants. The data from the study will be used by the company that has commissioned the research to inform a future large randomised, controlled clinical trial.
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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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Prof Tony Wright
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Address
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School of Physiotherapy and Exercise Science
Curtin University
GPO Box U1987
Perth, WA 6845
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Country
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Australia
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Phone
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+61 8 9266 3675
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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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Tony Wright
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Address
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School of Physiotherapy and Exercise Science
Curtin University
GPO Box U1987
Perth, WA 6845
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Country
75255
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Australia
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Phone
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+61 8 9266 3675
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Fax
75255
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Email
75255
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[email protected]
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Contact person for scientific queries
Name
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Tony Wright
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Address
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School of Physiotherapy and Exercise Science
Curtin University
GPO Box U1987
Perth, WA 6845
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Country
75256
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Australia
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Phone
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+61 8 9266 3675
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Fax
75256
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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
Monitoring the clinical response to an innovative transdermal delivery system for ibuprofen.
2019
https://dx.doi.org/10.3390/pharmaceutics11120664
N.B. These documents automatically identified may not have been verified by the study sponsor.
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