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Trial registered on ANZCTR
Registration number
ACTRN12607000398404
Ethics application status
Approved
Date submitted
31/07/2007
Date registered
2/08/2007
Date last updated
26/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Falls prevention for stroke patients following discharge home: A randomised trial intervention
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Scientific title
Falls prevention for stroke patients following discharge home: A randomised trial evaluating a multifactorial falls prevention program
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Secondary ID [1]
288006
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nil known
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Universal Trial Number (UTN)
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Trial acronym
FLASSH
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke, falls
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Condition category
Condition code
Stroke
2298
2298
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0
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Ischaemic
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Stroke
3025
3025
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Multifactorial individualised falls prevention program based on falls risk factors including a home exercise program, falls education, referral to address factors identified in falls risk assessment. Home exercise program will continue for 12 months, education session will be undertaken within two weeks of randomisation to the intervention group (one session only). The intervention will be additional to usual care, that is the therapy prescribed by the discharging facility.
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Intervention code [1]
1918
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Other interventions
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Comparator / control treatment
Usual care which includes treatment as determined by the discharging facility. This may include outpatient therapy, exercise. Duration of usual care will vary according to the primary treating therapist, but generally will occur for approximately 3 months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Falls - time to first fall, fall rate. Falls data will be collected prospectively via fall calendars which are filled out by the participants and returned to the researchers after the end of each month. Data will be analysed at the end of 12 months.
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Assessment method [1]
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Timepoint [1]
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At one year after randomisation
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Secondary outcome [1]
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Falls efficacy
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Assessment method [1]
5317
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Timepoint [1]
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Measured at baseline, 4, 8 & 12 months after randomisation
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Secondary outcome [2]
5318
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Gait velocity
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Assessment method [2]
5318
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Timepoint [2]
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Measured at baseline and 12 months after randomisation
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Secondary outcome [3]
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Balance - step test
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Assessment method [3]
5319
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Timepoint [3]
5319
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Measured at baseline and 12 months after randomisation
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Secondary outcome [4]
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Functional status
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Assessment method [4]
5320
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Timepoint [4]
5320
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Measured at baseline and 12 months after randomisation
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Eligibility
Key inclusion criteria
Stroke patients discharged home from sub-acute, at risk of falls due to previous fall or balance impairment.
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Minimum age
50
Years
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Maximum age
Not stated
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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
Patients discharged to residential care facilities, patients and carers without basic English.
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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)
Subjects are enrolled if they meet inclusion criteria and provide consent. Following baseline assessment, subjects are randomised to receive control or intervention. Allocation occurs using sealed envelopes which contain group
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
The outcome assessor is blind
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Phase
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Type of endpoint/s
Safety/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
1/06/2006
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Actual
1/09/2006
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Date of last participant enrolment
Anticipated
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Actual
11/11/2008
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
214
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Accrual to date
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Final
156
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra aCT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Keith Hill
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Address
34-54 Poplar Rd
Parkville VIC 3052
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Catherine Said
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Address [1]
2234
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Austin Health
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Country [1]
2234
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Dr Shylie Mackintosh
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Address [2]
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University of South Australia
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Country [2]
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Australia
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Secondary sponsor category [3]
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Individual
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Name [3]
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Dr Craig Whitehead
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Address [3]
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Repatriation General Hospital, Adelaide
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Country [3]
2236
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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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Royal Melbourne Hospital
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Ethics committee address [1]
4326
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Ethics committee country [1]
4326
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Date submitted for ethics approval [1]
4326
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Approval date [1]
4326
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Ethics approval number [1]
4326
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Ethics committee name [2]
4327
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Western Health
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Ethics committee address [2]
4327
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Ethics committee country [2]
4327
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Date submitted for ethics approval [2]
4327
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Approval date [2]
4327
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Ethics approval number [2]
4327
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Ethics committee name [3]
4328
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Repatriation General Hospital, Adelaide
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Ethics committee address [3]
4328
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Ethics committee country [3]
4328
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Date submitted for ethics approval [3]
4328
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Approval date [3]
4328
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Ethics approval number [3]
4328
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Ethics committee name [4]
4329
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St Margaret's Hospital, Adelaide
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Ethics committee address [4]
4329
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Ethics committee country [4]
4329
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Date submitted for ethics approval [4]
4329
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Approval date [4]
4329
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Ethics approval number [4]
4329
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Ethics committee name [5]
4330
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Austin Health
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Ethics committee address [5]
4330
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Ethics committee country [5]
4330
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Date submitted for ethics approval [5]
4330
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Approval date [5]
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26/04/2006
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Ethics approval number [5]
4330
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Summary
Brief summary
This study aims to evaluate two approaches to reducing falls in people who have had a stroke, have a high risk of falls and are returning home.
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Trial website
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Trial related presentations / publications
Batchelor, F. A., Hill, K. D., Mackintosh, S. F., Said, C. M., & Whitehead, C. (2009). The FLASSH study: protocol for a randomised controlled trial evaluating falls prevention after stroke and two sub-studies. BMC Neurology, 9, 14. Batchelor, F. A., Hill, K. D., Mackintosh, S. F., Said, C. M., & Whitehead, C. H. (2012). Effects of a multi-factorial falls prevention program in people with stroke returning home after rehabilitation: a randomized controlled trial. Archives of Physical Medicine & Rehabilitation., 93, 1648-1655. Fryer, C. E., Mackintosh, S. F., Batchelor, F. A., Hill, K. D., & Said, C. M. (2012). The effect of limited English proficiency on falls risk and falls prevention after stroke. Age and Ageing, 41, 104-107.
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Public notes
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Contacts
Principal investigator
Name
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Dr Frances Batchelor
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Address
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National Ageing Research Institute
PO Box 2127 The Royal Melbourne Hospital
Parkville VIC 3052
Australia
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Country
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Australia
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Phone
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+61383872383
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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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Frances Batchelor
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Address
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National Ageing Research Institute
34-54 Poplar Rd
Parkville VIC 3052
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Country
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Australia
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Phone
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03 8387 2383
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Fax
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03 8387 2153
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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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Frances Batchelor
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Address
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National Ageing Research Institute
34-54 Poplar Rd
Parkville VIC 3052
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Country
2035
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Australia
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Phone
2035
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+61383872383
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Fax
2035
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03 8387 2153
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Email
2035
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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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