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Trial registered on ANZCTR
Registration number
ACTRN12623000074695
Ethics application status
Approved
Date submitted
23/12/2022
Date registered
23/01/2023
Date last updated
10/12/2023
Date data sharing statement initially provided
23/01/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
A Study of AB-161 Following Oral Administration in Healthy Subjects
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Scientific title
A Double-Blind, Randomized, Placebo-Controlled, Single Dose Study to Investigate the Safety, Tolerability, and Pharmacokinetics of AB-161 Following Oral Administration in Healthy Subjects
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Secondary ID [1]
308635
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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:
Hepatitis B
328542
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Condition category
Condition code
Infection
325558
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Investigational Product: AB-161
Dosage Formulation: Tablet
Route of Administration: Oral
Cohort 1: Participants will receive a single dose of 2.5 mg of AB-161 or placebo on Day 1
Cohort 2: Participants will receive a single dose of less than or equal to 7.5 mg of AB-161 or placebo on Day 1
Cohort 3: Participants will receive a single dose of less than or equal to 15 mg of AB-161 or placebo on Day 1
Cohort 4: Participants will receive a single dose of less than or equal to 25 mg of AB-161 or placebo on Day 1
Cohort 5: Participants will receive a single dose of less than or equal to 35 mg of AB-161 or placebo on Day 1
Cohort 6: The dose level will be based on safety and PK assessments of previous cohorts.
Cohort 7: The dose level will be based on safety and PK assessments of previous cohorts.
Cohort 8: The dose level will be based on safety and PK assessments of previous cohorts.
For each dosing cohort, 10 subjects will be randomized with 8 receiving AB-161 and 2 receiving placebo.
Subjects will receive a single morning dose of study treatment following an overnight fast of at least 10 hours. Dosing will be supervised in the clinic and compliance will be confirmed via mouth checks. Subjects will continue to fast for at least 4 hours after the dose.
Additionally, a single Food Effect assessment is to be conducted at a dose considered safe and well-tolerated. 10 subjects (8 active, 2 placebo) will receive a single dose of study treatment (AB-161 or placebo) on Day 1 following a high fat breakfast (approximately 1000 calories with 50%, 30%, and 20% of the calories derived from fat, carbohydrates, and protein, respectively). Subjects will have 30 minutes to complete the meal and the dose of AB-161 should be administered 30 minutes after the start of the meal. No food will be allowed for at least 4 hours post-dose.
Sentinel dosing of 2 subjects (1 active, 1 placebo) will occur at each dose level (except for the Food Effect panel). Dose escalation may occur after all available subjects have completed the treatment period and the Safety Review Committee (SRC) reviews all accumulated blinded safety and available PK data.
Each cohort will enrol a distinct group of subjects
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Intervention code [1]
325097
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Treatment: Drugs
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Comparator / control treatment
Placebo tablets contain the same excipients used for the active drug product, but without addition of the spray dried intermediate containing drug substance.
Following an overnight fast of at least 10 hours, subjects participating in the food effect evaluation will receive a single dose of study treatment (AB-161 or placebo) on Day 1 following a high fat breakfast. Subjects will have 30 minutes to complete the meal and the dose of AB-161 should be administered 30 minutes after the start of the meal. No food will be allowed for at least 4 hours post-dose, after which subjects will be provided with a standard lunch.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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To evaluate the safety and tolerability of AB-161 following oral administration of single doses to healthy subjects
To be assessed by monitoring
- The frequency and severity of treatment-emergent adverse events (TEAEs) will be coded to the Medical Dictionary for Regulatory Activities (MedDRA)
- Discontinuations due to adverse events (AEs) will be coded to the Medical Dictionary for Regulatory Activities (MedDRA)
- Laboratory (Clinical Chemistry, Hematology, Coagulation and Urinalysis): blood sample collection and analysis by pathology lab
- 12-lead Electrocardiogram (ECG)
- Vital sign abnormalities (systolic/diastolic BP - sphygmomanometer/blood pressure monitor; heart rate - stethoscope; respiratory rate - pulse oximeter; body temperature - thermometer)
The Investigator will assess intensity for each AE and SAE reported during the study using the Division of AIDS (DAIDS) Table for Grading the Severity of Adult and Pediatric Adverse Events (DAIDS Table)
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Assessment method [1]
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Timepoint [1]
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- Adverse events monitored continuously from the time of dosing to 7 days post-dose, and then at 10 and 14 days post-dose
- Laboratory (Clinical Chemistry, Hematology, Coagulation and Urinalysis): Blood and urine samples collected on Day 1 pre-dose and 2 hours post dose, and at 2, 4, 6, 10 days post-dose.
- 12-lead Electrocardiogram (ECG) will be conducted at Baseline, Day 1, 2, 4, 6, 7 and 10.
- Vital sign monitored continuously from the time of dosing to 7 days post-dose, and then at 10 and 14 days post-dose
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Secondary outcome [1]
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To characterize the single dose Pharmacokinetic (PK) of AB-161 in healthy subjects
Plasma and urine samples will be collected for PK analysis
Urine pharmacokinetics will only be assessed in Cohort 3.
PK parameters
- Maximum observed plasma concentration
- Time of maximum observed plasma concentration
- Area under the concentration time curve from the time of dosing to the last measurable concentration
- Area under the concentration time curve from the time of dosing extrapolated to infinity
- Plasma half life
- Apparent volume of distribution during terminal phase
- Apparent oral clearance
- Amount eliminated in the urine
- Renal clearance of unchanged drug in a specific interval (CLR[interval]) or cumulatively over all collection intervals, calculated as CLR = Ae/AUC where both Ae and AUC are determined over co-incident time ranges after dosing
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Assessment method [1]
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Timepoint [1]
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Plasma PK sampling: Pre-dose (within 15 minutes prior to dosing), 1 hour post-dose, 2 hours post-dose, 3 hours post-dose, 4 hours post-dose, 6 hours post-dose, 8 hours post-dose, 10 hours post-dose, 12 hours post-dose, 16 hours post-dose, 24 hours post-dose, 48 hours post-dose, 72 hours post-dose
Urine PK sampling for Cohort 3: 0 – 6 hours post-dose, 6 – 12 hours post-dose, 12 – 24 hours post-dose, 24 – 48 hours post-dose, 48 – 72 hours post-dose
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Eligibility
Key inclusion criteria
1. Subject must be 18 (or other appropriate age of consent) to 50 years of age, inclusive, at the time of signing the informed consent. Healthy subjects are defined as individuals free from clinically significant illness or disease as determined by their medical history, physical examination, vital signs, and clinical laboratory test results.
2. Body mass index (BMI) more than 18 kg per meter square and less than 35 kg per meter square.
3. A male subject is eligible to participate if he does not have a female partner who is pregnant or who intends to become pregnant during the study. Male subjects must agree to use contraception as outlined in the protocol.
4. A female subject is eligible to participate only if she is a NOT a women of childbearing potential (WOCBP).
5. Ability to review and capable of giving signed informed consent which includes compliance with all protocol-specified visit schedules and requirements
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. A history of clinically significant endocrine, gastrointestinal, hematologic, renal, hepatic, bronchopulmonary, cardiovascular, psychiatric or neurologic disorders.
2. Clinically significant ECG abnormalities, blood pressure or laboratory abnormalities, confirmed by repeat.
3. Positive serology for hepatitis B virus (HBV), hepatitis C virus (HCV), or HIV confirmed by polymerase chain reaction (PCR). Evidence of prior HBV vaccination (positive HbsAb) is not exclusionary, and subjects with documented resolved HBV infection (HBsAg and HBV DNA negative) may participate.
4. Subjects who smoke or meet the protocol criteria for substance abuse.
5. Subjects who are unwilling to comply with protocol contraception requirements, and female subjects who are WOCBP, pregnant or breastfeeding.
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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)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation).
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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
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
No data analysis planned
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
Study was discontinued due to a preclinical toxicology finding not related to peripheral neuropathy.
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Date of first participant enrolment
Anticipated
16/03/2023
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Actual
16/03/2023
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Date of last participant enrolment
Anticipated
9/08/2023
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Actual
19/04/2023
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Date of last data collection
Anticipated
23/08/2023
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Actual
10/05/2023
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Sample size
Target
90
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
25186
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Auckland
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Funding & Sponsors
Funding source category [1]
312872
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Commercial sector/Industry
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Name [1]
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Arbutus Biopharma Corporation
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Address [1]
312872
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701 Veterans Circle,
Warminster, Pennsylvania,
United States, 18974
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Country [1]
312872
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Arbutus Biopharma Corporation
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Address
701 Veterans Circle,
Warminster, Pennsylvania,
United States, 18974
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Country
United States of America
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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]
314645
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Country [1]
314645
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Other collaborator category [1]
282523
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Commercial sector/Industry
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Name [1]
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Novotech (Australia) Pty Limited
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Address [1]
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Level 3, 235 Pyrmont Street Sydney, NSW Australia - 2009
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Country [1]
282523
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
312150
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
312150
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Ministry of Health, 133 Molesworth Street, PO Box 5013, Wellington, 6011
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Ethics committee country [1]
312150
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New Zealand
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Date submitted for ethics approval [1]
312150
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09/01/2023
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Approval date [1]
312150
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31/01/2023
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Ethics approval number [1]
312150
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2023 FULL 15063
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Summary
Brief summary
The study drug AB-161 is being developed as a potential new treatment for chronic hepatitis B (CHB) infection. This is the first clinical study where AB-161 will be given to humans. The main goal is to determine whether AB-161 is safe and well tolerated when given at different doses. The levels of the study drug will also be measured at different times. The study may have up to 9 cohorts with 10 healthy volunteers per cohort. The first cohort will start with a conservative dose and dose escalation for each cohort will only occur after review of safety, tolerability, and pharmacokinetics data. The first two subjects in each cohort (except for the food effect panel) will be dosed in a 1:1 ratio of AB-161 to placebo. If the safety profile of the first two subjects is acceptable, the remainder of the subjects will be dosed in a 7:1 ratio of AB-161 to placebo. A separate dosing panel (food effect panel) will evaluate the effect food has on how AB-161 behaves in the body. Subjects will be dosed in a 8:2 ratio of AB-161 to placebo in the food effect panel. The food effect panel will be conducted after cohort 5 at a dose level considered safe and well tolerated.
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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 Edward John Gane
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Address
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New Zealand Clinical Research, Ground Floor, 3 Ferncroft Street, Grafton, Auckland 1010 New Zealand
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Country
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New Zealand
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Phone
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+64021548371
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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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Michael Child
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Address
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Arbutus Biopharma Corporation,
701 Veterans Circle, Warminster,
Pennsylvania, United States, 18974
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Country
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United States of America
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Phone
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+12674690914
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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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Michael Child
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Address
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Arbutus Biopharma Corporation,
701 Veterans Circle, Warminster,
Pennsylvania, United States, 18974
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Country
123660
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United States of America
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Phone
123660
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+12674690914
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Fax
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Email
123660
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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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