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Trial registered on ANZCTR
Registration number
ACTRN12622001429741
Ethics application status
Approved
Date submitted
27/10/2022
Date registered
8/11/2022
Date last updated
30/05/2024
Date data sharing statement initially provided
8/11/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
A Study to Evaluate BW-00112 in Adult Subjects
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Scientific title
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Subcutaneously Administered BW-00112 in Adult Subjects
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Secondary ID [1]
308253
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BW-00112-1001
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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:
Elevated Low-density lipoprotein cholesterol
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Condition category
Condition code
Metabolic and Endocrine
325095
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0
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Metabolic disorders
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Diet and Nutrition
325168
325168
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - BW-00112
4 Cohorts: 50mg, 150mg, 300mg and 600mg
The duration of administration: single dose
BW-00112 will be administered via subcutaneous injection by registered nurse
The used and/or partially used vials can be disposed of per local practice. If the used and/or partially used vials cannot be disposed of at site, they will be returned, along with the unused vials, to the sponsor or its agent after receipt of written authorization from Sponsor.
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Intervention code [1]
324714
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Treatment: Drugs
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Comparator / control treatment
Placebo
Sodium chloride injection (0.9% w/v) will be administered via subcutaneous injection
Placebo Comparator: Placebo - Subjects will be administered a single dose of placebo in the double-blind
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcomes are the safety and tolerability of BW-00112 will be assessed by determining the incidence and severity of adverse effects and changes in the laboratory parameters. The adverse events and changes in laboratory will be assessed by triplicate 12-lead ECG (heart rate, PR interval, QRS interval, QT and QTc interval), physical examination (includes, at a minimum skin, cardiovascular, respiratory, gastrointestinal and neurological systems), vital signs assessed by vital signs monitor (vital signs monitor can simultaneously monitor blood pressure, heart rate, respiratory rate and temperature), collection of blood sample for chemistry and hematology, serology ( HIV, HBV and HCV) , coagulation and collection of urine sample for urinalysis. Adverse effects will be coded using the latest version of MedDRA, summaries will be based on treatment emergent adverse events and will be evaluated and documented using Guidance for Industry - Toxicity Grading Scale for Healthy Adult and Adolescent Volunteers Enrolled in Preventive Vaccine Clinical Trials (FDA 2007). The safety laboratory data will be summarized by visit and by treatment group, along with changes from baseline. Those values or changes in values that are identified as being clinically significant will be flagged. Laboratory abnormalities of special interest, such as liver function tests will be summarized.
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Assessment method [1]
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Timepoint [1]
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Day -1, Day1, Day2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day85 post-dose
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Secondary outcome [1]
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Pharmacokinetic parameters analysis:
1. Maximum observed plasma concentration (Cmax): Up to 48 hours post-dose.
2. Time to maximum plasma concentration (Tmax): Up to 48 hours post-dose.
3. Area under the plasma concentration versus time curve from zero to 48 hours (AUC0-48).
4. Area under the plasma concentration versus time curve from zero to infinity (AUC0-inf).
5. Urine concentration up to 24 hours post-dose.
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Assessment method [1]
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Timepoint [1]
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Blood samples collected at 0, 0.5, 1, 2, 4, 8, 12, 24 hrs and day 3 and 8 post-dose.
Urine samples collected at 0, 0-4, 4-12, 12-24 hrs post-dose
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Secondary outcome [2]
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Change from baseline in serum angiopoietin-like protein 3
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Assessment method [2]
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Timepoint [2]
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screening visit, Day -1, Day1, Day2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day85 post-dose
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Secondary outcome [3]
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Change from baseline in serum fasting Triglycerides
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Assessment method [3]
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Timepoint [3]
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screening visit, Day -1, Day1, Day2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day85 post-dose
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Secondary outcome [4]
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Change from baseline in serum fasting high-density lipoprotein cholesterol
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Assessment method [4]
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Timepoint [4]
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screening visit, Day -1, Day1, Day2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day85 post-dose
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Secondary outcome [5]
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The incidence of serum anti-BW-00112 antibodies (ADAs) post-dose.
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Assessment method [5]
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Timepoint [5]
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Day 1( 0 and 4 hrs post-dose), Day 15 and Day 29 post-dose
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Secondary outcome [6]
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Change from baseline in serum fasting Low-density lipoprotein cholesterol
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Assessment method [6]
415503
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Timepoint [6]
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screening visit, Day -1, Day1, Day2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day85 post-dose
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Secondary outcome [7]
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Change from baseline in serum fasting non-Low-density lipoprotein cholesterol
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Assessment method [7]
415504
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Timepoint [7]
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Secondary outcome [8]
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Change from baseline in serum fasting lipoprotein (a)
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Assessment method [8]
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Timepoint [8]
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Secondary outcome [9]
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Change from baseline in serum fasting apolipoprotein B
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Assessment method [9]
415506
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Timepoint [9]
415506
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Secondary outcome [10]
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Change from baseline in serum fasting total cholesterol
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Assessment method [10]
415507
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Timepoint [10]
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Secondary outcome [11]
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Change from baseline in serum fasting very low-density lipoprotein cholesterol
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Assessment method [11]
415508
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Timepoint [11]
415508
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Secondary outcome [12]
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Change from baseline in serum fasting apolipoprotein A1
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Assessment method [12]
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Timepoint [12]
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screening visit, Day -1, Day 1, Day 2, Day 3, Day 8, Day 15, Day 22, Day 29,Day 43, Day 57 and Day 85 post-dose
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Eligibility
Key inclusion criteria
1. All subjects are required to have elevated fasting Low-density lipoprotein cholesterol > = 100 mg/dL [2.69 mmol/L] and 100 mg/dL [1.13 mmol/L] < = Triglycerides (fasting) < 500 mg/dL [5.65 mmol/L] and have not been treated with lipid-lowering medicines in the past 3 month.
2. On a usual diet for at least 4 weeks prior to screening with no plans to significantly alter diet or weight over course of study.
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Minimum age
18
Years
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Maximum age
65
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. Any uncontrolled or serious disease or clinically significant abnormality in laboratory parameters which in the judgment of the Investigator might compromise the safety of the subject or integrity of the study, interfere with the subject participation in the trial or compromise the trial objectives.
2. Any liver function panel analyte value > 1.5 x upper limits of normal reference range which includes Aspartate transaminase, Alanine transaminase, Total Bilirubin (for subjects with Gilbert’s Syndrome, total bilirubin < = 3.0 × upper limits of normal is allowed if direct bilirubin < = 50%), Alkaline Phosphatase, and gamma-glutamyl transferase at Screening.
3. International normalized ratio above 1.2 x upper limits of normal reference range reference range (as per the local laboratory reference range) at screening.
4. Calculated creatinine clearance < = 60 mL/min (Cockcroft-Gault equation).
5. History or presence of cardiovascular disease.
6. History or presence of Type 1 or type 2 diabetes mellitus at screening.
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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
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 1
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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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Date of first participant enrolment
Anticipated
16/01/2023
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Actual
31/01/2023
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Date of last participant enrolment
Anticipated
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Actual
2/06/2023
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Date of last data collection
Anticipated
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Actual
14/11/2023
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Sample size
Target
32
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Accrual to date
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Final
32
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Recruitment in Australia
Recruitment state(s)
QLD,SA,VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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ARGO BIOPHARMA AUSTRALIA PTY LTD
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Address [1]
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Level 5, 63 Pirie Street, Adelaide, SA, 5023
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
ARGO BIOPHARMA AUSTRALIA PTY LTD
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Address
Level 5, 63 Pirie Street, Adelaide, SA, 5023
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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]
314098
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Bellberry Limited
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Ethics committee address [1]
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123 Glen Osmond Road Eastwood Adelaide South Australia 5063
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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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16/11/2022
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Approval date [1]
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19/12/2022
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Ethics approval number [1]
311845
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Summary
Brief summary
This is a randomized, double-blind, placebo-controlled, single ascending dose study of BW-00112 when administered subcutaneously to subjects. Approximately 32 male and female subjects with elevated Low-density lipoprotein cholesterol , aged 18 to 65 years who fulfill the inclusion and exclusion criteria will be enrolled at 2 to 3 sites in Australia. Eligible subjects will be admitted to the clinical research unit on Day -1, dosed on Day 1, discharged on Day 2 (24 hours post-dose) after completing the 24-hour post-dose follow-up assessments, and return for outpatient visits through Day 85. There will be 4 separate and sequential dose cohorts. The population in Cohorts 1 to 4 (50mg, 150mg, 300mg and 600mg) will include subjects with fasting Low-density lipoprotein cholesterol levels > = 100 mg/dL and 100 mg/dL < = Triglycerides (fasting) < 500 mg/dL who are not on a lipid-lowering therapy.
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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 Emir Redzepagic
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Address
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CMAX Clinical Research Pty Ltd, Level 5, 21-24 North Terrace, Adelaide SA 5000
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Country
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Australia
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Phone
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+61 413 231 264
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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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Ty Burton
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Address
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ARGO BIOPHARMA AUSTRALIA PTY LTD, Level 5, 63 Pirie Street,Adelaide SA 5000
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Country
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Australia
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Phone
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+61 08 83727900
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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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Ty Burton
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Address
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ARGO BIOPHARMA AUSTRALIA PTY LTD, Level 5, 63 Pirie Street,Adelaide SA 5000
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Country
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Australia
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Phone
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+61 08 83727900
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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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