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Trial registered on ANZCTR
Registration number
ACTRN12624001215516p
Ethics application status
Not yet submitted
Date submitted
18/09/2024
Date registered
3/10/2024
Date last updated
3/10/2024
Date data sharing statement initially provided
3/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of evening egg protein consumption on sleep during perimenopause
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Scientific title
Effect of evening egg protein consumption on sleep latency during perimenopause
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Secondary ID [1]
312940
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
EggPro-Sleep PM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Perimenopause
335108
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Condition category
Condition code
Reproductive Health and Childbirth
331609
331609
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0
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Menstruation and menopause
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Diet and Nutrition
331610
331610
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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
A counterbalanced crossover design has been selected for this study. Through a crossover design, each participant will receive a sleep hygiene training session on the first week of the study, consisting of a single 1-hour online webinar over Zoom with a sleep educator. During this session, the following topics will be discussed (i.e., arranging a good sleep environment and habits, reducing emotional stress, controlling diet, alcohol consumption and tobacco use and regular exercise) and a sleep hygiene strategy developed. This sleep hygiene strategy will be maintained throughout the duration of the study, and self-reported and monitored using an EEG headband device (SomFit Compumedics) (~19 days at different stages of the study) and by completing the Pittsburgh Sleep Quality Index (PSQI) questionnaire (6 times during the study) and a daily sleep diary.
This will be followed by two 3-week intervention periods, one in which they consume eggs two hours after dinner/evening meal (intervention) or in their morning two hours after breakfast (comparator) while continuing their usual diet. The eggs will be consumed as two units per day from the participant’s home, in the form of whole eggs and/or simple preparations with them (e.g., poached, microwaved, fried) with a wash-out period of minimum 7 days between both arms of the study (intervention or comparator).
The dietary intervention won’t be personalised but standardised for all participants, with their usual diet being followed throughout the study period.
Participants will get some recipes and ideas to prepare these eggs to improve study adherence. Study adherence will be tracked daily using a self-completed tally and monitored through weekly food records, which will be assessed by a nutritionist/dietitian.
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Intervention code [1]
329526
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Treatment: Other
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Comparator / control treatment
A comparison between eggs consumption as a morning (comparator) OR evening (intervention) snack will be conducted as part of this study.
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Control group
Active
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Outcomes
Primary outcome [1]
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Sleep Latency
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Assessment method [1]
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SOMFit Band and self-reported
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Timepoint [1]
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Days 1-3, 8-11, 25-28, 36-39 and 53-56 post-commencement of intervention
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Primary outcome [2]
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Sleep duration
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Assessment method [2]
339529
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SOMFit Band and self-reported
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Timepoint [2]
339529
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Days 1-3, 8-11, 25-28, 36-39 and 53-56 post-commencement of intervention
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Secondary outcome [1]
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Perimenopausal Symptoms
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Assessment method [1]
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“Symptom Score” (Modified Greene Scale)
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Timepoint [1]
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Baseline, days 1, 8, 28, 36 and 56 post-commencement of intervention
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Secondary outcome [2]
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Eggs Acceptability
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Assessment method [2]
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Eggs consumption acceptability questionnaire. This is a modified version of the Food Acceptability Questionnaire (1) previously used in similar projects from this research group (2).
1- Daly RM, Gianoudis J, De Ross B, O’Connell SL, Kruger M, Schollum L, Gunn C. Effects of a multinutrient-fortified milk drink combined with exercise on functional performance, muscle strength, body composition, inflammation, and oxidative stress in middle-aged women: a 4-month, double-blind, placebo-controlled, randomized trial. Am J Clin Nutr 2020;112(2):427–46.
2- Daly, R. M., De Ross, B., Gianoudis, J., & Tan, S. Y. (2022). Dose–Response Effect of Consuming Commercially Available Eggs on Wintertime Serum 25-Hydroxyvitamin D Concentrations in Young Australian Adults: a 12-Week Randomized Controlled Trial. The Journal of Nutrition, 152(7), 1702-1710.
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Timepoint [2]
439761
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Days 29 and 57 post-commencement of intervention
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Secondary outcome [3]
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Melatonin bioavailability
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Assessment method [3]
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Urinary melatonin metabolite (ELISA Kit)
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Timepoint [3]
439762
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Days 1, 9, 29, 37 and 57 post-commencement of intervention
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Secondary outcome [4]
439763
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Appetite
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Assessment method [4]
439763
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Appetite visual annalog scale
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Timepoint [4]
439763
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Days 1, 8, 18. 24, 28, 36, 46 and 56 post-commencement of intervention
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Secondary outcome [5]
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Body Composition
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Assessment method [5]
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DXA whole body composition scan
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Timepoint [5]
439764
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Baseline (week 0) and end of intervention (week 9)
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Eligibility
Key inclusion criteria
Participants must be female healthy perimenopausal adults (greater than or equal to 40-55 years of age), naturally menstruating and/or stable users of hormonal replacement therapy (HRT) for more than 3 months, with current perimenopause symptoms and/or menstrual cycle disturbances (greater than 1 year). Further, participants will be screened using the Pittsburgh Sleep Quality Index (PSQI), and those with a global PSQI score above 5 will be eligible. These scores coincide with mild or above sleep difficulty and poor-quality sleep, which are the targeted participants for this study. Participants must live in Melbourne, Australia, and be willing to travel to Deakin Burwood Campus on 3 separate occasions.
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Minimum age
40
Years
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Maximum age
55
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants will be excluded if diagnosed with primary ovarian failure, pregnant or lactating; with fluctuating bedtimes or diagnosed with any existing sleeping disorders such as insomnia or consuming any antidepressant, sleep medication or nutraceutical or herbal sleeping aids such as melatonin gummies, chamomile or any other herbs influencing exogenous melatonin. Participants must not be current smokers, with excessive alcohol consumption (>17 standard drinks per week), be high caffeine users (e.g., >5 mg/kg/day, equivalent to >2x 100 mL espressos per day for a 70Kg average person), with allergy to eggs, or consuming regularly more than 3 whole eggs per week (average over the past 3 months). The exclusion criteria relate to confounding influences on the circadian rhythm, sleep and/or sensibility to eggs consumption.
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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)
Allocation is not concealed
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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
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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
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/01/2025
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Actual
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Date of last participant enrolment
Anticipated
1/07/2025
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Actual
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Date of last data collection
Anticipated
29/08/2025
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Actual
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Sample size
Target
22
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
317375
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Commercial sector/Industry
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Name [1]
317375
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Australian Eggs Limited
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Address [1]
317375
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Country [1]
317375
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Australia
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Primary sponsor type
University
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Name
Deakin University
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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]
319720
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Address [1]
319720
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Country [1]
319720
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
316104
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Deakin University Human Research Ethics Committee (DUHREC)
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Ethics committee address [1]
316104
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https://www.deakin.edu.au/research/support-for-researchers/research-integrity?a=438168
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Ethics committee country [1]
316104
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Australia
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Date submitted for ethics approval [1]
316104
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21/10/2024
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Approval date [1]
316104
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Ethics approval number [1]
316104
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Summary
Brief summary
This study aims to explore whether consuming eggs in the evening can improve sleep and overall health for perimenopausal women. Perimenopause often leads to sleep disturbances due to hormonal changes, which can impact anxiety, appetite regulation, and overall well-being. Eggs contain nutrients like protein and melatonin that may promote better sleep. The study's primary goal is to determine if evening egg consumption, along with sleep hygiene education, can enhance sleep duration. Secondary aims include reducing perimenopausal symptoms, assessing the acceptability of evening egg consumption, evaluating changes in urinary melatonin, appetite responses and body composition.
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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 David Lee Hamilton
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Address
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Geelong Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds, Victoria 3216
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Country
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Australia
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Phone
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+61 3 924 45207
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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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David Lee Hamilton
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Address
136795
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Geelong Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds, Victoria 3216
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Country
136795
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Australia
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Phone
136795
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+61 3 924 45207
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Fax
136795
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Email
136795
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[email protected]
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Contact person for scientific queries
Name
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David Lee Hamilton
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Address
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Geelong Waurn Ponds Campus, 75 Pigdons Road, Waurn Ponds, Victoria 3216
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Country
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Australia
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Phone
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+61 3 924 45207
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Fax
136796
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Email
136796
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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
Due to the Industry Partnership in place and to guarantee confidentiality of the participants, individual participant's data for this trial won't be available.
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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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