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Trial registered on ANZCTR
Registration number
ACTRN12610000494033
Ethics application status
Approved
Date submitted
24/05/2010
Date registered
16/06/2010
Date last updated
16/06/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Retraining following hemianopia in acquired brain injury following stroke
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Scientific title
The effects of static scanning training and mobility training on the functional mobility of people with hemianopia and/or unilateral visual neglect resulting from acquired brain injury resulting from a stroke
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Secondary ID [1]
251865
0
Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
3037
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acquired brain injury
257501
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hemianopia
257502
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Condition category
Condition code
Neurological
3189
3189
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0
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Other neurological disorders
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Eye
257656
257656
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0
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Diseases / disorders of the eye
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Stroke
257657
257657
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
One treatment arms.
Arm 1: Scanning training- 3x per week for 3 weeks, Mobility training- 3 x per week for 4 weeks. All approximately 60 minutes in duration. Scanning training uses a standardised approach to teach a pattern of systematic visual search strategies, using a Neuro Vision Tech (NVT) device. Scanning skills are graded, in mobility training, from an environment that is structured and familiar to the patient, into more dynamic busy environemnts including shopping centres. This will be performed by mobility instructors from a non-governement organisation.
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Intervention code [1]
2782
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Rehabilitation
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Comparator / control treatment
Participants in the control group will receive the standard therapy intervention currently available which includes mobility training and occupational therapy intervention that promotes visual scanning and scanning training. The dosage will be recorded. This group will be wait listed for the visual scanning intervention to be offered at the completion of the six month follow up.
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Control group
Active
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Outcomes
Primary outcome [1]
4076
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Mobility Assessment Course (MAC)
The MAC measures the extent to which a person visually scans and identifies hazards when walking. The MAC assesses performance on a mobility course with targets positioned on the walls along the course. Participants are scored on the number of targets they identify and the time taken to complete the course.
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Assessment method [1]
4076
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Timepoint [1]
4076
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Baseline, 2, 12, 24 following randomisation.
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Secondary outcome [1]
6867
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Visual Scanning Analyser (VSA)
The VSA provides a standardized measure of the extent to which a person scans or neglects their visual fields.
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Assessment method [1]
6867
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Timepoint [1]
6867
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Baseline, 2, 12, 24 weeks following randomisation.
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Secondary outcome [2]
6868
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Rivermead Behavioral Inattention Test
Rivermead Behavioral Inattention Test, is a short screening battery of tests to assess the presence and the extent of visual neglect on a sample of everyday problems faced by patients with visual inattention
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Assessment method [2]
6868
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Timepoint [2]
6868
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Baseline, 2, 12, 24 weeks following randomisation
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Secondary outcome [3]
6869
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Veteran Low Vision Visual Functional Questionnaire
Mayo-Portland Adaptability Inventory
National Eye Institute Visual Functioning Questionnaire
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Assessment method [3]
6869
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Timepoint [3]
6869
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Baseline, 2, 12, 24 weeks following randomisation
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Secondary outcome [4]
6870
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Peppers Visual Skills for Reading Test
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Assessment method [4]
6870
0
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Timepoint [4]
6870
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Baseline, 2, 12, 24 weeks following randomisation
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Eligibility
Key inclusion criteria
Diagnois of aquired brain injury occurring a minimum of 2 weeks and not exceeding 6 months
Left or right homonymous hemianopia
Have corrected vision of at least 6/18
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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
Score of less than 24 on the Mini Mental State Examination
Evidence of aphasia or poor english skills that significantly impact on understanding instructions
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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)
Following consent and baseline measures particpants will be randomized.
Randomization is managed by the pharmacy department at the Repatriation General Hospital.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization is managed by the pharmacy department at the Repatriation General Hospital. A statistician external to the study will generate the random sequence using the random number generator in Microsoft Excel and created sequentially numbered, sealed envelopes containing group allocation for participants.
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Masking / blinding
Blinded (masking 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
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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
1/10/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
257036
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Government body
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Name [1]
257036
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Australian Goverment National Eye Demonstration Grants Program
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Address [1]
257036
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GPO Box 9848,
Canberra ACT 2601, Australia
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Country [1]
257036
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
National Stroke Foundation
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Address
Level 7, 461 Bourke Street
Melbourne VIC 3000
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Country
Australia
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Secondary sponsor category [1]
256295
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Charities/Societies/Foundations
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Name [1]
256295
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Daw Park Foundation
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Address [1]
256295
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Daws Road
Daw Park
Adelaide SA 5041
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Country [1]
256295
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Australia
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Other collaborator category [1]
1295
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University
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Name [1]
1295
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Flinders University
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Address [1]
1295
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Flinders University
GPO Box 210
Adelaide SA 5001
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Country [1]
1295
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259049
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Royal Adelaide Hospital Research Ethics Committee
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Ethics committee address [1]
259049
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Royal Adelaide Hospital North Terrace Adelaide, SA, 5000
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Ethics committee country [1]
259049
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Australia
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Date submitted for ethics approval [1]
259049
0
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Approval date [1]
259049
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28/05/2008
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Ethics approval number [1]
259049
0
080427
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Ethics committee name [2]
259077
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Repatriation General Hospital Research Ethics Committee
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Ethics committee address [2]
259077
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Repatriation General Hospital Daws Road Daw Park SA 5041
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Ethics committee country [2]
259077
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Australia
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Date submitted for ethics approval [2]
259077
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Approval date [2]
259077
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08/09/2008
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Ethics approval number [2]
259077
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2008071
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Ethics committee name [3]
259078
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Flinders Clinical Research Ethics Committee
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Ethics committee address [3]
259078
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Flinders Medical Centre Bedford Park SA 5042
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Ethics committee country [3]
259078
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Australia
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Date submitted for ethics approval [3]
259078
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Approval date [3]
259078
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31/10/2007
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Ethics approval number [3]
259078
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97/200
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Summary
Brief summary
Visual loss following stroke impacts significantly on activities of daily living and is an independent risk factor for becoming dependent. Routinely, allied health clinicians provide training for visual field loss, mainly with eye movement based therapy. The effectiveness of the compensatory approach to rehabilitation remains inconclusive largely due to difficulty in validating functional outcome with the varied type and dosage of therapy received by an individual patient. This study aims to determine which treatment is more effective, a standardized dosage approach or individualized therapy in patients with homonymous hemianopia post stroke.
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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
28520
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Address
28520
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Country
28520
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Phone
28520
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Fax
28520
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Email
28520
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Contact person for public queries
Name
11677
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Stacey George
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Address
11677
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Repatriation General Hospital
Department of Rehabilitation & Aged Care
Daws Road, Daw Park, SA, 5043
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Country
11677
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Australia
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Phone
11677
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+61 8 8275 1103
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Fax
11677
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Email
11677
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[email protected]
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Contact person for scientific queries
Name
2605
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Stacey George
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Address
2605
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Repatriation General Hospital
Department of Rehabilitation & Aged Care
Daws Road, Daw Park, SA, 5043
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Country
2605
0
Australia
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Phone
2605
0
+61 8 8275 1103
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Fax
2605
0
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Email
2605
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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
Source
Title
Year of Publication
DOI
Embase
The effect of static scanning and mobility training on mobility in people with hemianopia after stroke: A randomized controlled trial comparing standardized versus non-standardized treatment protocols.
2011
https://dx.doi.org/10.1186/1471-2377-11-87
N.B. These documents automatically identified may not have been verified by the study sponsor.
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