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Trial registered on ANZCTR
Registration number
ACTRN12608000371392
Ethics application status
Approved
Date submitted
4/06/2008
Date registered
31/07/2008
Date last updated
3/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Randomised Controlled Trial of Medical Prophylaxis for the Prevention of Hypertension, Renal Disease and Diabetes in Australian Aborigines
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Scientific title
A Randomised Controlled Trial of Medical Prophylaxis for the Prevention of Hypertension, Renal Disease and Diabetes in Australian Aborigines
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Universal Trial Number (UTN)
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Trial acronym
Tiwi-PPPP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Diabetes
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Hypertension
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Renal Disease
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Condition category
Condition code
Renal and Urogenital
3394
3394
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0
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Kidney disease
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Metabolic and Endocrine
3395
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0
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Diabetes
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Cardiovascular
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0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Oral once daily dosage of Coversyl (Perindopril), a long acting angiotensin converting enzyme inhibitor(ACEi)
Masked participants will be commenced on 5mg of Coversyl (Perindopril) oral daliy for four weeks, then titrated to the full oral daily dose of 10mg Coversyl (Perindopril) where tolerated. Participants are requested to participate in the study for up to 5 years from there date of enrollment.
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Intervention code [1]
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Prevention
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Comparator / control treatment
Oral once daily dosage of a Placebo tablet, which is identical, visually, in taste, in smell, in feel and in touch to Coversyl (Perindopril), but inactive in affect.
Masked participants will be commenced on a placebo tablet identical to 5mg Coversyl (Perindopril) oral which will be taken daliy for four weeks, then titrated to a placebo tablet identical to 10mg of Coversyl (Perindopril) which will shall be taken orally daily dose where tolerated.
Participants are requested to participate in the study for up to 5 years from there date of enrollment.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Urine- Albumin Creatinine Ratio (ACR) greater than 3.4 gm/mol
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Assessment method [1]
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Timepoint [1]
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Six monthly assessment for five years
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Primary outcome [2]
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Diagnosis of Diabetes as per World Health Organizations guidelines- Two Hour Oral Glucose Tolerance
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Assessment method [2]
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Timepoint [2]
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Six monthly assessment for five years
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Primary outcome [3]
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Blood Pressure (BP) greater than 140/90
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Assessment method [3]
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Timepoint [3]
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Six monthly assessment for five years
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Secondary outcome [1]
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Body composition changes-Measured by changes in:
Weight in kilograms
Waist in centimeters (measured to the nearest 0.2 cm)
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Assessment method [1]
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Timepoint [1]
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Six monthly for five years
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Secondary outcome [2]
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Cardiovascular events- measured by attendance at remote area health services or hospitalization data
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Assessment method [2]
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Timepoint [2]
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Monthly data collection on events for Five Years
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Secondary outcome [3]
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Natural deaths- data collected from, remote area health services and office of births, deaths and marriages
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Assessment method [3]
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Timepoint [3]
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Monthly data collection on events for five years
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Eligibility
Key inclusion criteria
Consenting Tiwi Aboriginal adults age 18+ years
BP less then or equal to 140/90
Urine albumin creatinine ratio less then 3.4 gm/mol
Without diabetes
Who are without contraindications to ACEi.
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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?
Yes
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Key exclusion criteria
Contraindications to or history of intolerance to ACEi.
Other diseases which might interfere with, or contraindicate treatment.
Emotional or intellectual issues that might invalidate participants consent and/or limit the ability of the participant to comply with protocol requirements.
Women of childbearing potential who are not on long-term contraception.
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Study design
Purpose of the study
Prevention
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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 concealment by central randomisation service (off site) using a fax and computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified randomization allocation using a computerized software (i.e., sequence generation)
Stratified by gender and location
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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
Phase 4
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Type of endpoint/s
Efficacy
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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
16/06/2008
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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
200
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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]
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Charities/Societies/Foundations
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Name [1]
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Colonial Foundation Limited
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Address [1]
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Level 7
459 Collins Street
MELBOURNE VIC 3000
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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NHMRC- National Health and Medical Research Council
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Address [2]
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NHMRC- National Health and Medical Research Council
Level 5
20 Allara Street
Canberra City ACT 2601
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Country [2]
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
Centre for Chronic Disease
The University of Queensland
Discipline of Medicine
Edith Cavell Building
Royal Brisbane & Women's Hospital
Herston
Queensland
4029
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Country
Australia
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Secondary sponsor category [1]
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Other
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Name [1]
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Menzies School of Health Research
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Address [1]
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Menzies School of Health Research
PO Box 41096
CASUARINA NT 0811
Building 58
Royal Darwin Hospital Campus
Rocklands Drive
CASUARINA NT 0810
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Country [1]
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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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The University of Queensland-Medical Research Ethics Committee
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Ethics committee address [1]
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The University of Queensland Brisbane QLD 4072 Australia
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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25/07/2007
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Ethics approval number [1]
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20060000671
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Ethics committee name [2]
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The Human Research Ethics Committee of NT Department of Health and Community Services and Menzies School of Health Research
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Ethics committee address [2]
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Menzies School of Health Research PO Box 41096 CASUARINA NT 0811 Building 58 Royal Darwin Hospital Campus Rocklands Drive CASUARINA NT 0810
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
5481
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Approval date [2]
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10/04/2007
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Ethics approval number [2]
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06/34
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Summary
Brief summary
Objective: To evaluate whether the development of albuminuria, hypertension or diabetes can be delayed or postponed in high risk Aboriginal people. Design. Double blind, placebo controlled, randomized trial of a long acting angiotensin converting enzyme inhibitor(ACEi), titrated to full dose where tolerated (active arm) vs placebo. Oversight: A steering committee, an independent audit process and a data analysis group. Eligibility criteria: Consenting Aboriginal adults age 18+ years, with BP = 140/90, urine albumin creatinine ratio < 2.2 gm/mol and without diabetes, who are without contraindications to ACEi. Outcomes: The primary outcome is a composite endpoint for BP>140/90 and/or urine ACR>2.2 gm/mol and or diabetes. Weight, waist, lipids and HbA1c levels will also be followed. Cardiovascular events and natural deaths will be documented. Sample size: A total of 150 candidates is proposed: the Tiwi community. These will represent at least 75 in the active arm and 75 in the placebo arm. The sample size is based on factual incidence data in Tiwi. Duration: Five years of active treatment, with an option to discontinue earlier pending significant results Significance: Delay of onset of features of the vascular/metabolic/renal syndrome in populations where annual incidence rates are as high as 15% per year, and prevalence rates by age 50 years are = 80% could save or prevent much morbidity and mortality from definitive disease. Findings will probably be relevant to other high risk population.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Mr Suresh Sharma
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Address
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Menzies School of Health Research
PO Box 41096
CASUARINA NT 0811
Building 58
Royal Darwin Hospital Campus
Rocklands Drive
CASUARINA NT 0810
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Country
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Australia
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Phone
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1800 993 589
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Fax
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08 8927 5197
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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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Dr Wendy Hoy
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Address
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Australia Fellow
Professor of Medicine
Director, Centre for Chronic Disease
The University of Queensland
Discipline of Medicine
Edith Cavell Building
Royal Brisbane & Women's Hospital
Herston Qld 4029
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Country
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Australia
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Phone
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61 7 3346 4809
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Fax
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61 7 3346 4812
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Email
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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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