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Trial registered on ANZCTR
Registration number
ACTRN12620001147976
Ethics application status
Approved
Date submitted
1/09/2020
Date registered
2/11/2020
Date last updated
2/11/2020
Date data sharing statement initially provided
2/11/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
PREDICT Fluorouracil (5-FU): A Study to Describe the Feasibility of Therapeutic Drug Monitoring of 5-FU in Cancer Treatment
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Scientific title
PREDICT 5-FU: A Study to Describe the Feasibility of Therapeutic Drug Monitoring of 5-FU in Cancer Treatment
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Secondary ID [1]
302124
0
NIL
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Universal Trial Number (UTN)
U1111-1257-3856
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Trial acronym
PREDICT 5-FU
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gastrointestinal cancer
318791
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Breast Cancer
319229
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Head and Neck Cancer
319230
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Condition category
Condition code
Cancer
316805
316805
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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Cancer
316806
316806
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0
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Breast
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Cancer
316807
316807
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0
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Head and neck
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients prescribed 5-FU/Capecitabine as part of their standard of care treatment will provide an additional 2 blood samples and a single dried blood spot for therapeutic drug monitoring.
Samples will be collected by either doctor, research nurse or pathology collector. The first sample is collected at the patient's screening visit with other routine blood samples. The second sample will be collected additionally during the patient's treatment and will require 10 minutes for collection.
Levels of drug will be provided back to clinician and dose of 5-FU/Capecitabine may change based on individual clinicians clinical judgement.
The level of drug in blood sample will be correlated with level of drug in dried blood spot for feasibility of using dried blood spot and/or whole blood samples for ongoing therapeutic drug monitoring of 5-FU/Capecitabine.
The change (is applicable) and outcome will be collected.
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Intervention code [1]
318708
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Treatment: Other
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The feasibility of pK testing will be determined by the amount of samples analysed for 5-FU.
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Assessment method [1]
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Timepoint [1]
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Patients will be assessed at day 1, cycle 1 post registration chemotherapy.
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Primary outcome [2]
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Determination of AUC.
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Assessment method [2]
325270
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Timepoint [2]
325270
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Blood sample during treatment - 18 hours after the start of 5fu infusion.
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Secondary outcome [1]
386208
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Toxicities will be assessed using the CTCAE v5.0.
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Assessment method [1]
386208
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Timepoint [1]
386208
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Day 1, cycle 2.
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Secondary outcome [2]
387369
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Turn around time for 5-FU results
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Assessment method [2]
387369
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Timepoint [2]
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within one week of blood test
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Eligibility
Key inclusion criteria
Any patient scheduled for infusional 5-FU greater than 24 hours, or capecitabine treatment, along or in combination.
Available and willing to have blood tests inthe period after initiation of treatment
Can provide signed, written informed consent.
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Minimum age
18
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
None
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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)
NA
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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
Single group
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Other design features
Study to determine the feasibility of a TDM Service by determining turn-around time between sampling and receiving dosing advice.
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
This is a non-interventional non-comparative clinical study. Demographic and clinical data will require simple statistical comparison of the 5-FU pk parameters (AUC) and toxicity. Univariate and multivariate analysis using logistic regression to identify potential predictive factors for toxicity (age, gender, ECOG PS, creatinine, other standard blood parameters, 5-FU dose, and 5-FU pk, uracil and DPD parameters) will be undertaken
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
16/11/2020
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Actual
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Date of last participant enrolment
Anticipated
30/11/2021
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Actual
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Date of last data collection
Anticipated
31/12/2021
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
17329
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [2]
17330
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Liverpool Hospital - Liverpool
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Recruitment hospital [3]
17331
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Lake Macquarie Private Hospital - Gateshead
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Recruitment hospital [4]
17332
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Bankstown-Lidcombe Hospital - Bankstown
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Recruitment hospital [5]
17333
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Dubbo Base Hospital - Dubbo
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Recruitment hospital [6]
17334
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Wollongong Hospital - Wollongong
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Recruitment hospital [7]
17335
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Wyong Public Hospital - Hamlyn Terrace
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Recruitment hospital [8]
17336
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Gosford Hospital - Gosford
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Recruitment postcode(s) [1]
31057
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3000 - Melbourne
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Recruitment postcode(s) [2]
31058
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2170 - Liverpool
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Recruitment postcode(s) [3]
31059
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2290 - Gateshead
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Recruitment postcode(s) [4]
31060
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2200 - Bankstown
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Recruitment postcode(s) [5]
31061
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2830 - Dubbo
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Recruitment postcode(s) [6]
31062
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2500 - Wollongong
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Recruitment postcode(s) [7]
31063
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2259 - Hamlyn Terrace
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Recruitment postcode(s) [8]
31064
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2250 - Gosford
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Funding & Sponsors
Funding source category [1]
306550
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Charities/Societies/Foundations
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Name [1]
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Cancer Council NSW
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Address [1]
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153 Dowling Street
Woolloomooloo NSW 2011
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Country [1]
306550
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Australia
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Primary sponsor type
University
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Name
University of Newcastle
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Address
University Drive
Callaghan NSW 2308
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Country
Australia
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Secondary sponsor category [1]
307152
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None
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Name [1]
307152
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Address [1]
307152
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Country [1]
307152
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306740
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Peter MacCallum Cancer Centre
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Ethics committee address [1]
306740
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305 Grattan Street Melbourne VIC 3000
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Ethics committee country [1]
306740
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Australia
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Date submitted for ethics approval [1]
306740
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26/11/2019
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Approval date [1]
306740
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18/03/2020
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Ethics approval number [1]
306740
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HREC/58470/PMCC-2019
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Summary
Brief summary
The purpose of this study is to investigate whether it is possible for blood samples to be used to monitor whether the correct dose of cancer medicines are being provided to patients. Who is it for? You may be eligible for this study if you are an adult who is receiving Fluorouracil (5-FU) or Capecitabine for the treatment of cancer. Study details All participants in this study will need to provide two blood samples and one dried blood spot sample at two visits with a pathologist. Any results from these samples will then be provided to your oncologist. It is hoped that this research will help determine if it is possible to monitor the dose of medication needed per individual using blood samples.
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Trial website
https://www.newcastle.edu.au/research/centre/clinical-pharmacology/research/predict
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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 Jennifer Martin
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Address
104858
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The University of Newcastle
University Drive
Callaghan NSW 2308
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Country
104858
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Australia
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Phone
104858
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+61240420851
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Fax
104858
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Email
104858
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[email protected]
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Contact person for public queries
Name
104859
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Jennifer Martin
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Address
104859
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The University of Newcastle
University Drive
Callaghan NSW 2308
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Country
104859
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Australia
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Phone
104859
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+61 2 404 20908
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Fax
104859
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Email
104859
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[email protected]
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Contact person for scientific queries
Name
104860
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Jennifer Martin
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Address
104860
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The University of Newcastle
University Drive
Callaghan NSW 2308
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Country
104860
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Australia
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Phone
104860
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+61240420851
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Fax
104860
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Email
104860
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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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