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Trial registered on ANZCTR
Registration number
ACTRN12624000884505
Ethics application status
Approved
Date submitted
6/06/2024
Date registered
19/07/2024
Date last updated
19/07/2024
Date data sharing statement initially provided
19/07/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
BrainPOP Precision: Implementation of precision medicine into the care of patients with brain cancers
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Scientific title
BrainPOP Precision: Evaluating the feasibility and impact of the implementation of precision medicine into the care of patients with brain cancers
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Secondary ID [1]
312133
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None
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Universal Trial Number (UTN)
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Trial acronym
BrainPOP Precision
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Brain cancer
333776
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Central nervous system cancer
333778
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Glioblastoma
333782
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Condition category
Condition code
Cancer
330451
330451
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0
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Brain
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Cancer
330777
330777
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0
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Other cancer types
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Molecular profiling will be completed on participant's tumour tissue samples taken during routine operations. CSF will be taken during the same operations where safe and feasible. Participants may opt-in to an additional consent of lumbar puncture for collection of CSF where deemed appropriate by the treating clinician, however this is not required and is optional. Blood samples will be taken longitudinally at enrolment, throughout treatment and during follow up.
BrainPOP Precision aims to deliver prospective real time molecular characterisation of CNS tumours. Biospecimens including tumour tissue, blood and cerebrospinal fluid (CSF) will be collected longitudinally from participants during routine care procedures and/or by accessing stored material. Clinical data will be collected from the ethically-approved registry BRAIN (Brain tumour Registry Australia INnovation and translation registry).
Biospecimens collected will be molecularly profiled. Molecular profiling analysis will include targeted panel sequencing, whole genome transcriptome sequencing and methylation array using tumour tissue samples. Results will be returned to the treating clinicians, accompanied by interpretation and recommendations from the molecular tumour board. Molecular profiling may be repeated if a participant recurs/progresses while on trial and has available associated biospecimens.
Participant involvement that is additional to standard of care for this study includes blood sample collections during routine clinical appointments (anticipated to take less than 10 minutes, but do require participants to be at the site) and potential discussion with the treating clinician to discuss the results of molecular profiling analyses (at clinician discretion). Additionally, if a participant consents to lumbar puncture for CSF collection, this would involve additional involvement determined by the treating clinician.
The observation period for this study spans from the time of enrolment until the participant's death or end of study.
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Intervention code [1]
328728
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Diagnosis / Prognosis
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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]
338402
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Establish feasibility of collection of fresh tissue(s), CSF, and plasma for molecular analyses at critical clinical junctures including diagnosis, treatment response, progression, and relapse. This will be assessed as a composite outcome.
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Assessment method [1]
338402
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a. The number of patient's samples prospectively collected at
diagnosis and successfully sequenced.
b. The number of patient’s tissues samples prospectively collected at
progression and successfully sequenced.
c. The percentage of patients with paired pre and post progression
samples sequenced.
d. The percentage of tissue samples collected with paired biofluid.
e. The percentage of tissue and biofluid samples of sufficient quality
to provide satisfactory analysis.
f. Establish the time required for reporting clinically relevant findings.
g. Identification of barriers to patient access to molecular testing.
h. Demonstrate the feasibility and required logistics of expansion.
Data will be sourced from the study database.
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Timepoint [1]
338402
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Following result of molecular profiling analyses, following treatment and, if applicable, following progression.
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Primary outcome [2]
338403
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Understand the impact of in-depth molecular analysis of CNS tumours on clinical decision-making and patient outcomes.
This will be assessed as a composite outcome.
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Assessment method [2]
338403
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a. The number of patients presented at a molecular tumour board
over 12 months.
b. The percentage of patient tumours where targeted therapeutic
strategies are identified.
c. Percentage of patients who receive targeted therapeutics via
clinical trial or compassionate access because of recommendations
made at a molecular tumour board or after sequencing.
d. Demonstration of acceleration of access to targeted or novel
therapeutics.
e. Percentage of patients who received a revised or refined diagnosis
improving prognostication.
f. Percentage of patients who received a revised or refined diagnosis
allowing improved tailoring of treatment, such as downgrading of
treatment and expected reduced toxicity.
Data will be sourced from the study database.
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Timepoint [2]
338403
0
Following result of molecular profiling analyses, following treatment and, if applicable, following progression or death.
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Primary outcome [3]
338404
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Change in clinical management through improved diagnostic and prognostic tools by integrating molecular knowledge, histopathology, and radiomics.
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Assessment method [3]
338404
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Description of long-term clinical outcomes of brain cancer patients, including treatment response, progress and survival with respect to histopathological, molecular, and radiological
characteristics at diagnosis, following treatment and at recurrence. This will be assessed as a composite outcome. Clinical outcomes data will be sourced from the BRAIN (Brain tumour Registry Australia INnovation and translation) Registry.
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Timepoint [3]
338404
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Following result of molecular profiling analyses, following treatment and, if applicable, following progression or death.
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Secondary outcome [1]
435804
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Evaluate the feasibility of expediting the clinical testing of rational therapeutic hypotheses in patients with CNS cancers.
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Assessment method [1]
435804
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a. Number of potential novel therapeutic targets and strategies identified from molecular profiling results, including combination therapies and improved treatment sequencing, including proportion of molecular profiling results reported within a clinically actionable timeframe. Clinical outcomes data will be sourced from the BRAIN (Brain tumour Registry Australia INnovation and translation) Registry in addition to the study database.
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Timepoint [1]
435804
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Following result of molecular profiling analyses, following treatment and, if applicable, following progression or death.
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Secondary outcome [2]
435805
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Identify potential biomarkers of treatment response and resistance (this will be assessed as a composite measure).
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Assessment method [2]
435805
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a. Description potential novel biomarkers with clinical, histopathological, and radiological outcomes.
b. Describe mechanisms of treatment response and resistance by analysing patient paired tumour tissue and biofluid at baseline and following response, progression, or relapse.
Data will be sourced from the study database.
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Timepoint [2]
435805
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Following result of molecular profiling analyses, following treatment and, if applicable, following progression or death.
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Eligibility
Key inclusion criteria
1. Patients with known, or strong clinical suspicion, of primary CNS cancer.
2. The patient, or patient’s parent/guardian, has given written informed
consent (and assent, as applicable)
3. Suitable for systemic treatment.
4. ECOG (Eastern Cooperative Oncology Group) performance status less than or equal to 2
5. Estimate life expectancy greater than 6 months.
6. Access to appropriate sample(s) for molecular testing.
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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
1. Unable to provide informed consent.
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Study design
Purpose of the study
Diagnosis
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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)
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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
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
8/07/2024
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Date of last participant enrolment
Anticipated
25/06/2027
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Actual
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Date of last data collection
Anticipated
25/06/2027
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Actual
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Sample size
Target
300
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
26632
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment postcode(s) [1]
42672
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3000 - Melbourne
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Funding & Sponsors
Funding source category [1]
316493
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Government body
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Name [1]
316493
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VicGov (The Brain Cancer Centre Brain Perioperative Clinical Trial Program (BrainPOP))
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Address [1]
316493
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Country [1]
316493
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Walter and Eliza Hall Institute of Medical Research
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Address
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Country
Australia
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Secondary sponsor category [1]
318666
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None
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Name [1]
318666
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Address [1]
318666
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Country [1]
318666
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315287
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Peter MacCallum Cancer Centre Human Research Ethics Committee
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Ethics committee address [1]
315287
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https://www.petermac.org/research/doing-research-us/ethics-governance
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Ethics committee country [1]
315287
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Australia
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Date submitted for ethics approval [1]
315287
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04/12/2023
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Approval date [1]
315287
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10/04/2024
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Ethics approval number [1]
315287
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23.243
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Summary
Brief summary
This study involves real-time molecular profiling of brain or other CNS tumours by analysing tumour tissue, cerebrospinal fluid (CSF), and blood plasma at critical points throughout cancer diagnosis, treatment, and recurrence. Molecular profiling is like taking a detailed snapshot of a tumour's genetic makeup, helping doctors identify specific changes or mutations to guide effective treatment choices. Who is it for? You may be eligible for this study if you are a male or female age 18 or older with a known or strong suspicion of primary CNS cancer, suitable for systematic treatment. Study details Biospecimens including tumour tissue, blood and cerebrospinal fluid (CSF) will be collected longitudinally from participants during routine care procedures and/or by accessing stored material. Clinical data will be collected throughout the study. Biospecimens collected will be molecularly profiled. Molecular profiling analysis will include targeted panel sequencing, whole genome transcriptome sequencing and methylation array using tumour tissue samples. Results will be returned to the treating clinicians, accompanied by interpretation and recommendations from the molecular tumour board. By integrating clinical, molecular, histopathological, and radiological data, the project seeks to improve patient outcomes and establish feasibility of molecular profiling in CNS tumours.
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Trial website
https://www.thebraincancercentre.org.au/
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
134230
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Dr Jim Whittle
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Address
134230
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne VIC 3000 Australia
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Country
134230
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Australia
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Phone
134230
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+61 3 8559 7456
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Fax
134230
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Email
134230
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[email protected]
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Contact person for public queries
Name
134231
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Richelle Linklater, Parkville Cancer Clinical Trials Unit
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Address
134231
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne VIC 3000 Australia
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Country
134231
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Australia
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Phone
134231
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+61 3 8559 7456
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Fax
134231
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Email
134231
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[email protected]
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Contact person for scientific queries
Name
134232
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Jim Whittle
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Address
134232
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Peter MacCallum Cancer Centre, 305 Grattan Street, Melbourne VIC 3000 Australia
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Country
134232
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Australia
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Phone
134232
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+61 3 8559 5000
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Fax
134232
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Email
134232
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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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