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Trial registered on ANZCTR
Registration number
ACTRN12609000458235
Ethics application status
Approved
Date submitted
28/01/2009
Date registered
15/06/2009
Date last updated
29/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Study to evaluate if macitentan is efficient and safe enough to be used for treatment of idiopathic pulmonary fibrosis.
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Scientific title
A double-blind, randomized, placebo-controlled, multicenter, parallel group study to evaluate the efficacy, safety, and tolerability of macitentan in patients with idiopathic pulmonary fibrosis.
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Secondary ID [1]
259822
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NCT00903331
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Universal Trial Number (UTN)
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Trial acronym
MUSIC: Macitentan USe in an Idiopathic pulmonary fibrosis Clinical study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Idiopathic Pulmonary Fibrosis
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Condition category
Condition code
Respiratory
4363
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Macitentan 10 mg, tablet. Taken orally, once daily, every morning throughout Period 1 (12 months) and Period 2 (variable, at least a further 12 months), until the last patient has completed 24 months therapy (Period 1 and 2 combined) unless the study medication is prematurely discontinued.
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Intervention code [1]
3872
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Treatment: Drugs
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Comparator / control treatment
Placebo (sugar pill) alone. Tablet taken orally, once daily, every morning throughout Period 1 (12 months) and Period 2 (variable, at least a further 12 months), until the last patient has completed 24 months therapy (Period 1 and 2 combined) unless the study medication is prematurely discontinued.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Primary efficacy endpoint: Change from baseline to End-of-Period 1 in Forced Vital Capacity (FVC) as measured by Pulmonary Function Tests (PFTs).
A mean difference from placebo of at least 0.1 liter is to be detected and is considered clinically meaningful. Patients with an at least stable FVC have a statistically significant survival benefit over those with a decrease in FVC [Noble 2006]. Thus, change in FVC at 1 year provides a reasonable basis for evaluating efficacy of a new treatment.
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Assessment method [1]
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Timepoint [1]
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End-of-Period 1: occurs at 12 months after subject randomisation or earlier in case of premature discontinuation of study medication during Period 1.
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Secondary outcome [1]
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Secondary efficacy endpoint: Time to occurrence of disease worsening or death up to End-of-Study. Disease worsening is defined as worsening of Pulmonary Function Tests (PFTs) or acute respiratory decompensation of Idiopathic Pulmonary Fibrosis (IPF).
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Assessment method [1]
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Timepoint [1]
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At End-of-Study, after the last patient randomised has completed at least 24 months therapy.
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Eligibility
Key inclusion criteria
- Signed informed consent.
- IPF diagnosis within 3 years prior to randomization, proven according to American Thoracic Society/European Respiratory Society (ATS/ERS) consensus conference criteria, with surgical lung biopsy.
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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
- Interstitial lung disease due to conditions other than IPF.
- Presence of extensive honeycombing on baseline high resolution computed tomography (HRCT) scan performed within 3 months prior to randomization.
- Forced Vital Capacity (FVC) < 50% predicted, or FVC < 1.2 liter.
- Diffusing capacity of the lung for carbon monoxide (DLco) < 30% predicted.
- Residual volume at least 120% predicted.
- Forced expiratory volume of the lung in 1 second (FEV1)/FVC <0.70.
- Aspartate aminotransferase (AST) and/or Alanine aminotransferase (ALT) > 1.5 x Upper limit of Normal (ULN).
- Hemoglobin < 75% of the lower limit of the normal range.
- Systolic Blood Pressure (sBP) < 100 mmHg.
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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 done by a central randomisation system.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified allocation (stratification by site). Simple randomisation by using a randomisation table created by a computer software (i.e., 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
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
27/05/2009
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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
156
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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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Recruitment postcode(s) [1]
1352
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4032
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Recruitment postcode(s) [2]
1353
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6000
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Recruitment postcode(s) [3]
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2010
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Recruitment postcode(s) [4]
3866
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3004
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Recruitment outside Australia
Country [1]
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Germany
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State/province [1]
1483
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Country [2]
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France
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State/province [2]
1484
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Country [3]
1485
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Italy
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State/province [3]
1485
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Country [4]
1486
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Israel
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State/province [4]
1486
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Country [5]
1487
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Canada
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State/province [5]
1487
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Country [6]
1488
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United States of America
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State/province [6]
1488
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Country [7]
1489
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Turkey
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State/province [7]
1489
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Country [8]
1490
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South Africa
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State/province [8]
1490
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Country [9]
1491
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Spain
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State/province [9]
1491
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Country [10]
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Slovenia
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State/province [10]
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Country [11]
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Sweden
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State/province [11]
1493
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Actelion Pharmaceuticals Australia Pty Ltd
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Address [1]
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Suite 6, 13 B Narabang Way,
Belrose NSW 2085, Australia
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Actelion Pharmaceuticals Australia Pty Ltd
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Address
Suite 6, 13 B Narabang Way,
Belrose NSW 2085, Australia
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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]
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Address [1]
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Country [1]
3897
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Perth Hospital Ethics Committee
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Ethics committee address [1]
6374
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Room 4112 Level 4, Kirkman House, 10 Murray St, Royal Perth Hospital Perth WA 6000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6374
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04/02/2009
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Approval date [1]
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26/03/2009
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Ethics approval number [1]
6374
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Ethics committee name [2]
6375
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The Prince Charles Hospital Metro North Health Service District
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Ethics committee address [2]
6375
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Rode Road CHERMSIDE QLD 4032
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Ethics committee country [2]
6375
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Australia
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Date submitted for ethics approval [2]
6375
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05/02/2009
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Approval date [2]
6375
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31/03/2009
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Ethics approval number [2]
6375
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HREC/09/QPCH/7
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Ethics committee name [3]
6376
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St Vincents Hospital Human Research Ethics Committee
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Ethics committee address [3]
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Research Office Level 6 de Lacey Building St. Vincent's Hospital 390 Victoria Street DARLINGHURST NSW 2010 Australia
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
6376
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23/02/2009
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Approval date [3]
6376
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21/04/2009
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Ethics approval number [3]
6376
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HREC/09/SVH/20
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Ethics committee name [4]
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Alfred Hospital Ethics Commitee
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Ethics committee address [4]
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Alfred Hospital, Commercial Rd Melbourne VIC 3004
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Ethics committee country [4]
239253
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Australia
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Date submitted for ethics approval [4]
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27/04/2009
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Approval date [4]
239253
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24/06/2009
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Ethics approval number [4]
239253
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148/09
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Summary
Brief summary
Idiopathic pulmonary fibrosis (IPF) is a progressive, fatal lung disease with an unknown cause. Outside of Japan, no drug has been approved so far for the treatment of IPF. The study medication that is tested in this research, macitentan, works by blocking the effect of a substance called endothelin, which has been detected in increased amounts in patients with IPF. By blocking the action of endothelin, macitentan may increase the breathing capacity, improve the quality of life of patients and reduce the progression of the disease. The main purpose of this study is to find out if macitentan is efficient and safe enough to be used for treatment of IPF.
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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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Ms Tanya Robb
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Address
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Regional Monitor
Actelion Pharmaceuticals Australia Pty Ltd
Suite 6, 13 B Narabang Way,
Belrose NSW 2085, Australia
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Country
12406
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Australia
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Phone
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+612 94864600
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Fax
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+612 99861344
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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 Glen Pater
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Address
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Regional Medical Director
Actelion Pharmaceuticals Australia Pty Ltd
Suite 6, 13 B Narabang Way,
Belrose NSW 2085, Australia
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Country
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Australia
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Phone
3334
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+612 94864600
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Fax
3334
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+612 99861344
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Email
3334
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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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