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Trial registered on ANZCTR
Registration number
ACTRN12606000400561
Ethics application status
Approved
Date submitted
8/09/2006
Date registered
12/09/2006
Date last updated
9/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Improving childhood asthma management through a telemedicine monitoring network
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Scientific title
Improving childhood asthma management through a telemedicine monitoring network
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Secondary ID [1]
287834
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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:
Asthma
1366
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Condition category
Condition code
Respiratory
1459
1459
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A pilot, formal randomised controlled trial (RCT) to examine the benefits of chronic disease monitoring
1. Interactive Voice Response (IVR) Monitoring Patients will be assigned to a category of asthma based on symptoms over the previous 12 months according to National Asthma Campaign guidelines: Episodic asthma - 60,Persistent asthma - 60. Patients will be randomised into three groups:(a) Regular care(control) group: GP/Paediatrician, hospital emergency services (b) Telemedicine (intervention) group: twice a week automated telephone calls to the family (c) Nurse support group: Telephone call by an asthma nurse every two weeks.
2. Short Message Service (SMS) Monitoring
40 adolescents with asthma will be randomised to monitoring via mobile phone using SMS (20 patients) and control group with regular care from primary physician or specialist (20 patients).
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Intervention code [1]
1355
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Other interventions
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Comparator / control treatment
Control group with regular care from primary physician or specialist (20 patients).
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Control group
Active
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Outcomes
Primary outcome [1]
2011
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Health resource utilisation over a 6 month period
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Assessment method [1]
2011
0
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Timepoint [1]
2011
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6 months
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Primary outcome [2]
2012
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Health economic assessment over a 6 month period
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Assessment method [2]
2012
0
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Timepoint [2]
2012
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6 months
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Secondary outcome [1]
3484
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1. School days missed (children) and days off work (parents)
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Assessment method [1]
3484
0
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Timepoint [1]
3484
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Over a six-month period.
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Secondary outcome [2]
3485
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2. Use of medications
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Assessment method [2]
3485
0
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Timepoint [2]
3485
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Over a six-month period.
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Secondary outcome [3]
3486
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3. Health related Quality of Life (QOL)
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Assessment method [3]
3486
0
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Timepoint [3]
3486
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Over a six-month period.
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Eligibility
Key inclusion criteria
120 children and young people with established doctor diagnosis of episodic or persistent asthma who have had at least one admission to hospital or one episode of acute care in an emergency department or paediatric clinic or general practitioner for asthma requiring steroid rescue within the previous 12 months. Suitable SMS patients will be required to have a mobile phone. Potential participants will be identified from the separation reports provided by participating hospitals.
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Minimum age
3
Years
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Maximum age
16
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. Patients with other significant respiratory or medical disorders. 2. Patients who are currently participating in other studies or drug trials.3. Families where informed consent cannot be obtained.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Participant identification number lists will be created prior to the study. Randomisation lists will be prepared that link these ID numbers to an allocation to a study group by using a random number generator in the statistical software package Stata. This is done by Biostatistical Unit at Monash University.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomisation will be stratified by centre, gender, age group and asthma category for the IVR, and gender and centre for the SMS. When enrolling participants, study staff will use the next ID number in sequence on the pre-prepared ID list and will then ascertain from the separate randomisation list the group to which this ID number (participant) is randomised. Recruitment and randomisation are separated i.e. the person who assigns a study ID to participants has no access to the randomisation list.
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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
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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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
11/09/2006
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Actual
1/09/2006
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Date of last participant enrolment
Anticipated
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Actual
30/09/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
160
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Accrual to date
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Final
160
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1596
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Charities/Societies/Foundations
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Name [1]
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Asthma Foundations of Australia
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Address [1]
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491- 495 King Street
WEST MELBOURNE VIC 3003
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Country [1]
1596
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Australia
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Funding source category [2]
1597
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Charities/Societies/Foundations
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Name [2]
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Royal Children's Hospital Foundation
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Address [2]
1597
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Herston Rd
Herston 4029
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Country [2]
1597
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Australia
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Primary sponsor type
Hospital
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Name
Royal Children's Hospital, Brisbane
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Address
Herston Rd
Herston 4029
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Country
Australia
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Secondary sponsor category [1]
1402
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University
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Name [1]
1402
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The University of Queensland Centre for Online Health
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Address [1]
1402
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St Lucia 4071
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Country [1]
1402
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3044
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RCH Brisbane
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Ethics committee address [1]
3044
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Ethics committee country [1]
3044
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Australia
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Date submitted for ethics approval [1]
3044
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Approval date [1]
3044
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06/06/2005
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Ethics approval number [1]
3044
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2005/036
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Ethics committee name [2]
3045
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Redcliffe and Caboolture Hospitals
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Ethics committee address [2]
3045
0
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Ethics committee country [2]
3045
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Australia
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Date submitted for ethics approval [2]
3045
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Approval date [2]
3045
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05/10/1945
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Ethics approval number [2]
3045
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12/10/2005
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Ethics committee name [3]
3046
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Ipswich Hospital
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Ethics committee address [3]
3046
0
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Ethics committee country [3]
3046
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Australia
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Date submitted for ethics approval [3]
3046
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Approval date [3]
3046
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10/08/2006
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Ethics approval number [3]
3046
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7/05N
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Ethics committee name [4]
3047
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Gold Coast Hospital
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Ethics committee address [4]
3047
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Ethics committee country [4]
3047
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Australia
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Date submitted for ethics approval [4]
3047
0
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Approval date [4]
3047
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22/02/2006
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Ethics approval number [4]
3047
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200610
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Summary
Brief summary
This project will assess and optimise the use of telemedicine for asthma management in children and young people across the severity range of asthma to regularly provide asthma education, provide appropriate strategies for asthma management based on the asthma management plan and reminders to take regular medication if prescribed. The use of telephone/SMS technology is highly acceptable to young people and families generally and is readily available across most patient groups.
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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
27962
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Prof Claire Wainwright
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Address
27962
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5a Dept. of Respiratory & Sleep Medicine
Lady Cilento Children's Hospital
Brisbane
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Country
27962
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Australia
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Phone
27962
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+617 3068 1111
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Fax
27962
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+61 7 3068 2309
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Email
27962
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[email protected]
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Contact person for public queries
Name
10544
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Joyce Cheney
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Address
10544
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5a Dept. of Respiratory & Sleep Medicine
Lady Cilento Children's Hospital
Brisbane
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Country
10544
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Australia
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Phone
10544
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+617 3069 7195
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Fax
10544
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+617 3068 2309
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Email
10544
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[email protected]
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Contact person for scientific queries
Name
1472
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Claire Wainwright
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Address
1472
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5a Dept. of Respiratory & Sleep Medicine
Lady Cilento Children's Hospital
Brisbane
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Country
1472
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Australia
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Phone
1472
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+617 3068 1111
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Fax
1472
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+617 3068 2309
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Email
1472
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[email protected]
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No information has been provided regarding IPD availability
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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