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Trial registered on ANZCTR
Registration number
ACTRN12618001579280
Ethics application status
Approved
Date submitted
18/09/2018
Date registered
24/09/2018
Date last updated
1/12/2023
Date data sharing statement initially provided
23/09/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of LGT-371 as a treatment for obstructive sleep apnoea: A pilot study
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Scientific title
The effects of LGT-371 on obstructive sleep apnoea (OSA) severity in men and women with moderate-to-severe OSA
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Secondary ID [1]
296003
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None
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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:
Obstructive sleep apnoea
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Condition category
Condition code
Respiratory
308352
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
LGT-371 (single evening dose [one night], mono therapy [400mg], oral capsule, 1-week washout between conditions)
To ensure 100% adherence, all drugs to be administered by research staff during the treatment and placebo in-laboratory sleep studies (polysomnography) performed at the Monash University Sleep Research Facility
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Intervention code [1]
312332
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Treatment: Drugs
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Comparator / control treatment
Placebo (lactose) - (single evening dose [one night], mono therapy [400mg], oral capsule, 1-week washout between conditions)
Participants will act as their own controls in a cross-over design
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Sleep apnoea severity using the apnoea/hypopnoea index from the overnight polysomnogram
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Assessment method [1]
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Timepoint [1]
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Single acute overnight sleep studies (placebo vs. drug)
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Primary outcome [2]
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Loop Gain (LG) determined during sleep from the overnight polysomnogram [measured using the method described by Terrill et al (2015)].
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Assessment method [2]
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Timepoint [2]
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Single acute overnight sleep studies (placebo vs. drug)
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Secondary outcome [1]
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Subjective sleepiness measured with the Stanford Sleepiness Scale
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Assessment method [1]
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Timepoint [1]
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Single acute overnight sleep studies (placebo vs. drug). 30 mins post-awakening from overnight sleep study
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Secondary outcome [2]
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Subjective sleep quality will be assessed by asking participants to assign a rating score indicating how they felt they slept during the night of the overnight polysomnogram study (worst:0, best:10)
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Assessment method [2]
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Timepoint [2]
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Single acute overnight sleep studies (placebo vs. drug). 30 mins post-awakening from overnight sleep study
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Secondary outcome [3]
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Blood pressure (diastolic and systolic) measured with an automatic sphygmomanometer
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Assessment method [3]
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Timepoint [3]
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Single acute overnight sleep studies (placebo vs. drug). Measured 10 minutes before 'lights out' of each overnight sleep study period; and then again at 10 minutes post-awakening in the morning after each night study
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Secondary outcome [4]
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Heart rate measured with an automatic sphygmomanometer
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Assessment method [4]
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Timepoint [4]
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Single acute overnight sleep studies (placebo vs. drug). Measured 10 minutes before 'lights out' of each overnight sleep study period; and then again at 10 minutes post-awakening in the morning after each night study.
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Secondary outcome [5]
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Sleep efficiency from the overnight polysomnogram
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Assessment method [5]
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Timepoint [5]
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Single acute overnight sleep studies (placebo vs. drug)
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Secondary outcome [6]
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Hypoxemia from the overnight polysomnogram measured using oximetry
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Assessment method [6]
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Timepoint [6]
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Single acute overnight sleep studies (placebo vs. drug)
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Secondary outcome [7]
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Arousal index from the overnight polysomnogram
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Assessment method [7]
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Timepoint [7]
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Single acute overnight sleep studies (placebo vs. drug)
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Secondary outcome [8]
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Awake chemoreceptor sensitivity as measured by a chemoreflex test using hypoxic and hypercapnic gas mixtures.
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Assessment method [8]
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Timepoint [8]
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Performed in the evening after placebo/active drug administration (placebo vs. drug)
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Eligibility
Key inclusion criteria
Otherwise healthy men and women with moderate-to-severe obstructive sleep apnoea
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Minimum age
18
Years
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Maximum age
70
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
•Medical and concurrent medication exclusions in accordance with the most recently published Summary of Product Characteristics (SPC) for LGT-371
•Concurrent or recent (within the past month) use of any medication known to influence sleep, arousal, circadian rhythm, breathing or muscle function
•For women: Pregnancy or breast feeding.
•Occupation or life situation that may be put at risk by participation in the study
•History of shift work or rotating shifts in the month prior
•Involvement as a driver in a motor vehicle accident during the past 2 years where the cause of the accident was attributed to driver sleepiness
•Inability to sleep supine
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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 randomisation table created by 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
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/01/2022
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Actual
6/06/2022
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Date of last participant enrolment
Anticipated
1/12/2022
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Actual
11/05/2023
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Date of last data collection
Anticipated
30/12/2022
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Actual
17/05/2023
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Sample size
Target
15
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
VIC
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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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Monash University
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Address [1]
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Wellington Road & Blackburn Road,
Monash University
Clayton, Victoria, 3800
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
Sleep and Circadian Medicine Laboratory
Ground Floor, BASE Facility
264 Ferntree Gully Road
Notting Hill, Victoria, 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
300099
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Monash University Human Research Ethics Committee
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Ethics committee address [1]
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Monash University Human Research Ethics Committee (MUHREC) Room 111, Chancellery Building D, 26 Sports Walk, Clayton Campus Research Office Monash University VIC 3800
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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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18/09/2018
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Approval date [1]
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27/11/2019
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Ethics approval number [1]
301382
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16780
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Ethics committee name [2]
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Monash Health HREC
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Ethics committee address [2]
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Monash Health Level 2, I Block Monash Medical Centre 246 Clayton Road Clayton Victoria 3168
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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28/02/2019
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Approval date [2]
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27/11/2019
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Ethics approval number [2]
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RES-19-0000-092A
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Summary
Brief summary
Recent studies show that the incidence and severity of obstructive sleep apnoea (OSA) are influenced by the gain or sensitivity of the negative feedback loop controlling breathing (i.e. the loop gain), and that this influence is independent of the contributions made by anatomical and neuromuscular factors such as abnormalities of the soft palate or dysfunction of the oropharyngeal musculature. Accordingly, it follows that if we were to administer a drug that lowers an individuals loop gain, we would reduce the propensity for OSA and thereby ameliorate some, if not all, of the symptoms of sleep disordered breathing. We have evidence that administration of an orally-available drug, LGT-371, does indeed reduce the sensitivity of the peripheral and/or central chemoreceptors (and thereby overall loop gain) in an animal model of sleep disordered breathing and that it reduces the severity of sleep apnoea in the model. We now plan to test whether LGT-371 has a similar action in human subjects with OSA. The primary aim of this study is to assess the effect that LGT-371 has on sleep apnoea severity, loop gain and chemoreceptor sensitivity compared to placebo. Additional measures of sleep apnoea severity, cardiovascular markers (blood pressure & heart rate) and subjective sleepiness will also be assessed as secondary outcomes.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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/AnzctrAttachments/375942-Terrill PI, et al. Eur. Respir. J. 2015 (45, 408-418).pdf
(Publication)
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Contacts
Principal investigator
Name
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Dr Bradley Edwards
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Address
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Department of Physiology and School of Psychological Sciences
Faculty of Medicine, Nursing and Health Sciences, Monash University
264 Ferntree Gully Road, Notting Hill,
VIC 3168
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Country
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Australia
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Phone
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+613 9905 0187
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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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Bradley Edwards
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Address
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Department of Physiology and School of Psychological Sciences
Faculty of Medicine, Nursing and Health Sciences, Monash University
264 Ferntree Gully Road, Notting Hill,
VIC 3168
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Country
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Australia
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Phone
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+613 9905 0187
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Bradley Edwards
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Address
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Department of Physiology and School of Psychological Sciences
Faculty of Medicine, Nursing and Health Sciences, Monash University
264 Ferntree Gully Road, Notting Hill,
VIC 3168
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Country
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Australia
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Phone
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+613 9905 0187
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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