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Trial registered on ANZCTR
Registration number
ACTRN12624000606583
Ethics application status
Approved
Date submitted
12/04/2024
Date registered
9/05/2024
Date last updated
9/05/2024
Date data sharing statement initially provided
9/05/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
Informing extreme heat policy development in long distance running
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Scientific title
Informing extreme heat policy development in long distance running in healthy males and females
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Secondary ID [1]
311932
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Nil known
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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:
Heat illness
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Condition category
Condition code
Injuries and Accidents
330204
330204
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Materials and procedures:
-Once enrolled into the study, participants will complete one familiarisation session and three experimental trials in an environmental chamber. Every session will involve only an individual participant completing the trials.
-Each experimental session will take approximately 2 hours and are undertaken 4-7 days apart.
-The familiarisation session will occur 4-7 days prior to the first experimental session take approximately 3 hours and requires participants to complete an incremental test to exhaustion and a 10 km time trial on the treadmill. The incremental test to exhaustion will be conducted in temperate conditions (22°C and 50% RH) on a calibrated motorised treadmill at 1% incline with a metabolic cart to measure gas exchange. The test will consist of initial four minute submaximal steady state exercise intensities, followed by the speed of the treadmill increasing by 1 km/h every minute until volitional exhaustion.
- The three experimental sessions require the participant to complete a 10 km running self-paced time trial on a treadmill in three environmental risk ratings (one per session);
- RISKmoderate (30°C and 45% RH)
- RISKhigh (28.5°C and 76% RH)
- RISKextreme (32.5°C and 68% RH)
The minimum period of days that the intervention can be completed over is 18 days. A study calendar will be used to manage adherence to the study sessions.
The risk ratings are categorised according to publicly available extreme heat policies.
Who will deliver:
A sport science graduate will lead data collection, and the remainder of the team are experienced researchers with 10-30 years of academic experience.
Mode:
In-person testing of individual participants
Location:
Environmental chamber at the University of South Australia
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Intervention code [1]
328393
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Prevention
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Comparator / control treatment
Participants act as their own control in this crossover observational study (active control group).
(Note: There is no designated 'reference' trial since each of the outcomes for all trials will be compared to each other trial)
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Control group
Active
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Outcomes
Primary outcome [1]
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Core temperature
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Assessment method [1]
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1) Ingestible radiotelemetry sensor for gastrointestinal temperature (actual core temperature).
2) CALERAresearch by greenTEG device that is placed over the top of the chest (estimated core temperature).
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Timepoint [1]
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Monitored continuously during the entire duration of the 10 km time trial for each experimental session. Core temperature will be measured via two sensors:
1) An ingestible sensor that is consumed 6-8 prior to each session (actual core temperature).
2) CALERAresearch by greenTEG device that is placed over the top of the chest (estimated core temperature). Placed on the participant within 15 minutes prior to the time trial in each session.
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Secondary outcome [1]
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Heart rate
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Assessment method [1]
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Chest strap
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Timepoint [1]
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Fitted within 15 minutes prior to the time-trial or incremental test to exhaustion, and then monitored continuously during the entire duration of each activity (10 km time trial and incremental test to exhaustion).
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Secondary outcome [2]
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Thermal sensation
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Assessment method [2]
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Modified ASHRAE 200 mm VAS scale
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Timepoint [2]
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Baseline (start of the 10 km time trial) and every subsequent 2.5 km during the time trial in all sessions.
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Secondary outcome [3]
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Thermal discomfort
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Assessment method [3]
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120 mm VAS scale.
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Timepoint [3]
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Baseline (start of the 10 km time trial) and every subsequent 2.5 km during the time trial in all sessions.
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Secondary outcome [4]
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Rating of perceived exertion
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Assessment method [4]
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6-20 Borg scale
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Timepoint [4]
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Baseline (start of the 10 km time trial and incremental test to exhaustion) and either every subsequent 2.5 km during the time trial or every 1 minute during the incremental test to exhaustion.
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Secondary outcome [5]
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Skin temperature
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Assessment method [5]
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Wireless iButton sensors
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Timepoint [5]
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Fitted within 30 minutes prior to the time-trial and then monitored continuously during the entire duration of the 10 km time trial for all sessions.
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Secondary outcome [6]
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Whole body sweat loss
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Assessment method [6]
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Body mass scales
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Timepoint [6]
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Before and after the 10 km time trial during each session
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Secondary outcome [7]
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Hydration status
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Assessment method [7]
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Urine specific gravity and urine colour
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Timepoint [7]
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30 minutes prior to the the 10 km time trial for the three experimental sessions
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Secondary outcome [8]
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10 km time trial performance
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Assessment method [8]
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Time (according to the timer on the treadmill)
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Timepoint [8]
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End of the 10 km time trial for all sessions
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Eligibility
Key inclusion criteria
Trained long-distance runners who are: males and females aged between 18-55 and are training at least three times per week with local level representation
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Minimum age
18
Years
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Maximum age
55
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
Not passing Stage 1 of the ESSA pre-exercise screening tool.
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Study design
Purpose of the study
Prevention
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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)
Since the study is a crossover design, participants were not randomly allocated to groups, but were randomly allocated the trial order via blocked randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Blocked randomisation (without blinding) by the lead data collector
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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
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
1) Null hypothesis testing to compare the participant responses to the three environmental conditions using common statistical approaches to the Sport Science literature.
2) Comparison of physiological outcomes during each environmental risk condition against known thresholds that represent biological risk and intensity.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
10/08/2023
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Date of last participant enrolment
Anticipated
5/08/2024
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Actual
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Date of last data collection
Anticipated
30/08/2024
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Actual
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Sample size
Target
14
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Accrual to date
9
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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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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University of South Australia
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
316278
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Charities/Societies/Foundations
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Name [2]
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Sports Medicine Australia Research Foundation
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Address [2]
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Country [2]
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Australia
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Primary sponsor type
University
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Name
University of South Australia
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Address
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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]
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Other collaborator category [1]
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University
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Name [1]
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University of Canberra
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Address [1]
283004
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Country [1]
283004
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Australia
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Other collaborator category [2]
283005
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University
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Name [2]
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The University of Sydney
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Address [2]
283005
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Country [2]
283005
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of South Australia Human Research Ethics Committee
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Ethics committee address [1]
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https://i.unisa.edu.au/staff/research/research-ethics/human-research-ethics/
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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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04/05/2023
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Approval date [1]
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23/05/2023
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Ethics approval number [1]
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205513
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Summary
Brief summary
A lack of validation data exists that compares the response of exercising individuals in different heat illness risk rating categories proposed by publicly available extreme heat policies for sport and exercise. The project aims to validate and inform publicly available extreme heat policies for long distance running by observing the heat strain of runners exercising in environmental conditions that are graded as moderate, high, and extreme environmental risk ratings according to the policies. We hypothesise that a progressively graded and higher response in thermoregulatory (core temperature), cardiovascular (heart rate), and perceptual measures (thermal discomfort) will be observed when moving from moderate to high to extreme risk environments. We also hypothesise that the extreme risk rating category will be associated with the participants approaching a core temperature response that is typically deemed as a 'cut-off' for exercise.
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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 Samuel Chalmers
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Address
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University of South Australia, GPO Box 2471, Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61 08 8302 1307
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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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Chelsea Blackman
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Address
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University of South Australia, GPO Box 2471, Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61 08 8302 1307
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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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Samuel Chalmers
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Address
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University of South Australia, GPO Box 2471, Adelaide, SA, 5001
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Country
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Australia
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Phone
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+61 08 8302 1307
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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)?
Yes
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What data in particular will be shared?
Deidentified data may be provided for all relevant outcomes that are requested.
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When will data be available (start and end dates)?
For at least 5 years following the publication in a peer-review scientific journal
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Available to whom?
Other researchers can request deidentified data be made available upon request to the principle investigator.
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Available for what types of analyses?
Not specific
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How or where can data be obtained?
Email the primary contact of the study.
Dr Samuel Chalmers
E:
[email protected]
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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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