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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05052801
Registration number
NCT05052801
Ethics application status
Date submitted
13/09/2021
Date registered
22/09/2021
Titles & IDs
Public title
Bemarituzumab or Placebo Plus Chemotherapy in Gastric Cancers With Fibroblast Growth Factor Receptor 2b (FGFR2b) Overexpression
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Scientific title
A Randomized, Multi-center, Double-blind, Placebo-controlled Phase 3 Study of Bemarituzumab Plus Chemotherapy Versus Placebo Plus Chemotherapy in Subjects With Previously Untreated Advanced Gastric or Gastroesophageal Junction Cancer With FGFR2b Overexpression
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Secondary ID [1]
0
0
2023-505457-40
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Secondary ID [2]
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0
20210096
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Universal Trial Number (UTN)
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Trial acronym
FORTITUDE-101
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gastric Cancer
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0
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Gastroesophageal Junction Adenocarcinoma
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0
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Condition category
Condition code
Cancer
0
0
0
0
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Stomach
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Cancer
0
0
0
0
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Oesophageal (gullet)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Bemarituzumab
Treatment: Drugs - mFOLFOX6
Treatment: Drugs - Placebo
Experimental: Bemarituzumab with mFOLFOX6 -
Active comparator: Placebo with mFOLFOX6 -
Treatment: Drugs: Bemarituzumab
Intravenous (IV) infusion
Treatment: Drugs: mFOLFOX6
mFOLFOX6 administered as a combination of oxaliplatin and leucovorin as IV infusions. 5-FU administered as bolus followed by additional administration as IV infusion.
Treatment: Drugs: Placebo
IV infusion
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall Survival
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Assessment method [1]
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Overall survival in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [1]
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Up to approximately 3.5 years
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Secondary outcome [1]
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Progression-free Survival (PFS)
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Assessment method [1]
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PFS in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [1]
0
0
Up to approximately 3.5 years
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Secondary outcome [2]
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Objective Response Rate (ORR)
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Assessment method [2]
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0
ORR in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [2]
0
0
Up to approximately 3.5 years
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Secondary outcome [3]
0
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Number of Participants who Experience a Treatment-emergent Adverse Event (TEAE)
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Assessment method [3]
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0
Any clinically significant changes in vital signs, visual acuity, and clinical laboratory tests after first dose will be recorded as TEAEs.
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Timepoint [3]
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Up to approximately 3.5 years
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Secondary outcome [4]
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Overall Survival
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Assessment method [4]
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Overall survival in all randomized participants
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Timepoint [4]
0
0
Up to approximately 3.5 years
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Secondary outcome [5]
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0
Progression-free Survival (PFS)
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Assessment method [5]
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PFS in all randomized participants
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Timepoint [5]
0
0
Up to approximately 3.5 years
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Secondary outcome [6]
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Objective Response Rate (ORR)
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Assessment method [6]
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ORR in all randomized participants
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Timepoint [6]
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0
Up to approximately 3.5 years
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Secondary outcome [7]
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Duration of Response (DOR)
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Assessment method [7]
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DOR in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [7]
0
0
Up to approximately 3.5 years
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Secondary outcome [8]
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Disease Control Rate
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Assessment method [8]
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Disease Control Rate in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [8]
0
0
Up to approximately 3.5 years
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Secondary outcome [9]
0
0
Mean Subjective Score in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30)
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Assessment method [9]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [9]
0
0
Up to approximately 3.5 years
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Secondary outcome [10]
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0
Change from Baseline Score in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30)
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Assessment method [10]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [10]
0
0
Baseline up to approximately 3.5 years
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Secondary outcome [11]
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Stomach Cancer Related Symptom Mean Subjective Score as Measured by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Stomach (EORTC-QLQ-STO22)
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Assessment method [11]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [11]
0
0
Up to approximately 3.5 years
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Secondary outcome [12]
0
0
Change from Baseline in Stomach Cancer Related Symptom Score as Measured by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Stomach (EORTC-QLQ-STO22)
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Assessment method [12]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [12]
0
0
Baseline up to approximately 3.5 years
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Secondary outcome [13]
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Mean Subjective Score in Visual Analogue Scale (VAS) as Measured by the EuroQol 5-dimensional 5-levels (EQ-5D-5L)
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Assessment method [13]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [13]
0
0
Up to approximately 3.5 years
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Secondary outcome [14]
0
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Change from Baseline of Visual Analogue Scale (VAS) as Measured by the EuroQol 5-dimensional 5-levels (EQ-5D-5L)
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Assessment method [14]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [14]
0
0
Baseline up to approximately 3.5 years
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Secondary outcome [15]
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Time to Deterioration in Stomach Cancer Related Symptom Score as Measured by European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Stomach (EORTC-QLQ-STO22)
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Assessment method [15]
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0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [15]
0
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Up to approximately 3.5 years
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Secondary outcome [16]
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Time to Deterioration in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30) Score
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Assessment method [16]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [16]
0
0
Up to approximately 3.5 years
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Secondary outcome [17]
0
0
Time to Deterioration in Visual Analogue Scale (VAS) as Measured by the EuroQol 5-dimensional 5-levels (EQ-5D-5L) Score
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Assessment method [17]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [17]
0
0
Up to approximately 3.5 years
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Secondary outcome [18]
0
0
Time to Deterioration in Physical Function Score as Measured by a Subscale of European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (QLQ-C30)
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Assessment method [18]
0
0
Measured in FGFR2b = 10% 2+/3+ tumor cell staining participants
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Timepoint [18]
0
0
Day 1 up to approximately 3.5 years
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Secondary outcome [19]
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Maximum Observed Concentration (Cmax) of Bemarituzumab in Combination with mFOLFOX6 in Plasma
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Assessment method [19]
0
0
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Timepoint [19]
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0
Day 1 up to approximately 3.5 years
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Secondary outcome [20]
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Observed Concentration at the End of a Dose Interval (Ctrough) of Bemarituzumab in Combination with mFOLFOX6 in Plasma
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Assessment method [20]
0
0
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Timepoint [20]
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Day 1 up to approximately 3.5 years
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Secondary outcome [21]
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Number of Participants with an Anti-bemarituzumab Antibody Formation
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Assessment method [21]
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0
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Timepoint [21]
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Day 1 up to approximately 3.5 years
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Eligibility
Key inclusion criteria
* Adults with histologically documented unresectable, locally advanced or metastatic gastric or gastroesophageal junction cancer not amenable to curative therapy
* Fibroblast growth factor receptor 2b (FGFR2b) =10% 2+/3+ tumor cell staining as determined by centrally performed immunohistochemistry (IHC) testing, based on tumor sample either archival (obtained within 6 months/180 days prior to signing pre-screening informed consent) or a fresh biopsy
* Eastern Cooperative Oncology Group (ECOG) less than or equal to 1
* Measurable disease or non-measurable, but evaluable disease, according to Response Evaluation Criteria in Solid Tumors (RECIST) V 1.1
* Participant has no contraindications to mFOLFOX6 chemotherapy
* Adequate organ and bone marrow function:
* absolute neutrophil count greater than or equal to 1.5 times 10^9/L
* platelet count greater than or equal to 100 times 10^9/L
* hemoglobin = 9 g/dL without red blood cell (RBC) transfusion within 7 days prior to the first dose of study treatment
* aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than 3 times the upper limit of normal (ULN) (or less than 5 times ULN if liver involvement). Total bilirubin less than 1.5 times ULN (or less than 2 times ULN if liver involvement); with the exception of participants with Gilbert's disease)
* calculated or measured creatinine clearance (CrCl) of = 30 mL/minute calculated using the formula of Cockcroft and Gault ([140 - Age]) × Mass [kg]/[72 × Creatinine mg/dL]) (x 0.85 if female)
* international normalized ratio (INR) or prothrombin time (PT) less than 1.5 times ULN except for participants receiving anticoagulation, who must be on a stable dose of anticoagulant therapy for 6 weeks prior to enrollment
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Minimum age
18
Years
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Maximum age
100
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
* Prior treatment for metastatic or unresectable disease (Note: prior adjuvant, neo-adjuvant, and peri-operative therapy is allowed if completed more than 6 months prior to first dose of study treatment)
* Prior treatment with any selective inhibitor of fibroblast growth factor - fibroblast growth factor receptor (FGF-FGFR) pathway
* Known human epidermal growth factor receptor 2 (HER2) positive
* Untreated or symptomatic central nervous system (CNS) disease or brain metastases
* Peripheral sensory neuropathy greater than or equal to Grade 2
* Clinically significant cardiac disease
* Other malignancy within the last 2 years (exceptions for definitively treated disease)
* Chronic or systemic ophthalmological disorders
* Major surgery or other investigational study within 28 days prior to first dose of study treatment
* Palliative radiotherapy within 14 days prior to the first dose of study treatment
* Evidence of or recent history (within 6 months) of corneal defects, corneal ulcerations, keratitis, or keratoconus, history of corneal transplant, or other known abnormalities of the cornea that may pose an increased risk of developing a corneal ulcer.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
7/03/2022
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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
18/08/2025
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Actual
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Sample size
Target
516
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,WA
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Recruitment hospital [1]
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0
Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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0
St John of God Murdoch Hospital - Murdoch
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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6150 - Murdoch
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Recruitment outside Australia
Country [1]
0
0
United States of America
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State/province [1]
0
0
Alaska
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Country [2]
0
0
United States of America
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State/province [2]
0
0
Arizona
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Country [3]
0
0
United States of America
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State/province [3]
0
0
California
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Country [4]
0
0
United States of America
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State/province [4]
0
0
Florida
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Country [5]
0
0
United States of America
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State/province [5]
0
0
Indiana
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Country [6]
0
0
United States of America
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State/province [6]
0
0
Michigan
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Country [7]
0
0
United States of America
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State/province [7]
0
0
Minnesota
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Country [8]
0
0
United States of America
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State/province [8]
0
0
New York
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Country [9]
0
0
United States of America
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State/province [9]
0
0
North Carolina
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Country [10]
0
0
United States of America
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State/province [10]
0
0
South Dakota
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Country [11]
0
0
United States of America
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State/province [11]
0
0
Tennessee
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Country [12]
0
0
United States of America
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State/province [12]
0
0
Virginia
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Country [13]
0
0
United States of America
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State/province [13]
0
0
Washington
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Country [14]
0
0
Argentina
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State/province [14]
0
0
Buenos Aires
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Country [15]
0
0
Argentina
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State/province [15]
0
0
Córdoba
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Country [16]
0
0
Argentina
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State/province [16]
0
0
Santa Fe
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0
0
Argentina
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State/province [17]
0
0
Tucuman
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Country [18]
0
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Belgium
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State/province [18]
0
0
Edegem
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0
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Belgium
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Gent
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Belgium
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Leuven
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Country [21]
0
0
Belgium
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0
Liege
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Country [22]
0
0
Brazil
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State/province [22]
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Bahia
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Country [23]
0
0
Brazil
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State/province [23]
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Paraná
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Country [24]
0
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Brazil
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State/province [24]
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Rio Grande Do Sul
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Country [25]
0
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Brazil
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State/province [25]
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Santa Catarina
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Country [26]
0
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Brazil
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State/province [26]
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São Paulo
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Country [27]
0
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Brazil
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State/province [27]
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Rio de Janeiro
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Country [28]
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0
Bulgaria
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State/province [28]
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Branipole Village
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Country [29]
0
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Bulgaria
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State/province [29]
0
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Haskovo
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Country [30]
0
0
Bulgaria
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State/province [30]
0
0
Pleven
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Country [31]
0
0
Bulgaria
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State/province [31]
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Plovdiv
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Country [32]
0
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Bulgaria
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State/province [32]
0
0
Sofia
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Country [33]
0
0
Canada
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State/province [33]
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Alberta
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0
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Canada
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Ontario
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0
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Canada
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Quebec
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Chile
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Cautín
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Chile
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Santiago
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0
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China
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0
0
Anhui
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Country [39]
0
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China
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0
0
Beijing
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Country [40]
0
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China
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0
0
Chongqing
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0
0
China
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Fujian
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0
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China
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Gansu
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0
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China
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0
Guangdong
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0
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China
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0
Hainan
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0
0
China
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0
Hebei
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0
0
China
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0
0
Heilongjiang
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0
0
China
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0
Henan
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0
0
China
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0
Hubei
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0
0
China
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0
Hunan
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0
0
China
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0
Jiangsu
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0
0
China
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0
Jiangxi
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0
0
China
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0
Jilin
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0
0
China
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0
Liaoning
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0
0
China
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0
0
Shaanxi
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0
0
China
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0
0
Shandong
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0
0
China
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0
0
Shanghai
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0
0
China
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0
0
Shanxi
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0
0
China
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0
0
Sichuan
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0
0
China
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0
0
Zhejiang
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0
0
China
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0
Tianjin
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0
0
Colombia
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0
Antioquia
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Colombia
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0
0
Cesar
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0
Colombia
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0
Santander
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0
0
Colombia
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0
0
Pasto
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0
0
Czechia
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0
Brno
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0
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Czechia
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Hradec Kralove
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0
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Czechia
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Olomouc
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0
0
Czechia
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0
0
Praha 2
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0
0
Czechia
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State/province [69]
0
0
Praha 4
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Country [70]
0
0
Denmark
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0
Copenhagen
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0
Estonia
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Tallinn
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France
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0
Amiens Cedex 1
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0
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France
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State/province [73]
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0
Avignon cedex 9
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0
0
France
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State/province [74]
0
0
Besançon
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Country [75]
0
0
France
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State/province [75]
0
0
Brest Cedex
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Country [76]
0
0
France
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State/province [76]
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0
Clermont-Ferrand cedex 1
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0
0
France
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0
Lille
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0
0
France
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0
Lyon cedex 8
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0
0
France
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0
0
Paris Cedex 14
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0
0
France
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0
0
Paris
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Country [81]
0
0
France
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State/province [81]
0
0
Reims Cedex
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Country [82]
0
0
France
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State/province [82]
0
0
Saint Priest en Jarez
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Country [83]
0
0
France
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State/province [83]
0
0
Strasbourg cedex
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0
0
France
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State/province [84]
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0
Villejuif
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0
0
Greece
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0
0
Athens
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Country [86]
0
0
Greece
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State/province [86]
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Heraklion - Crete
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Greece
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Larissa
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Greece
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Patra
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Greece
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Thessaloniki
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Gyor
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Hungary
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Gyula
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Hungary
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Miskolc
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Hungary
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Nyiregyhaza
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Hungary
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Szekszard
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Ireland
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Dublin 4
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Ireland
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Dublin
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Israel
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Jerusalem
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Israel
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Kfar Saba
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Italy
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Brescia
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Italy
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Catania
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Italy
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Lecce
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Italy
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Milano
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Italy
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Monserrato CA
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Italy
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Reggio Emilia
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Italy
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Roma
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Italy
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Rozzano MI
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Italy
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Torino
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Italy
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Tricase
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Italy
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Udine
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Italy
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Verona
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Japan
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Aichi
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Japan
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Chiba
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Japan
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Ehime
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Japan
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Fukuoka
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Japan
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Gifu
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Japan
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Hokkaido
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Japan
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Hyogo
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Japan
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Ishikawa
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Japan
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Kagawa
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Japan
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Kanagawa
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Japan
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Kyoto
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Japan
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Niigata
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Japan
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Osaka
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Japan
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Saitama
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Japan
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Shizuoka
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Japan
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Tokyo
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Korea, Republic of
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Busan
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Daegu
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Daejeon
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Korea, Republic of
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Goyang-si Gyeonggi-do
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Korea, Republic of
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Incheon
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Korea, Republic of
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Jeonju-si, Jeollabuk-do
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Korea, Republic of
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Seongnam-si, Gyeonggi-do
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Korea, Republic of
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Seoul
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Latvia
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Riga
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Lithuania
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Kaunas
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Lithuania
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Klaipeda
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Lithuania
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Vilnius
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Malaysia
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Sarawak
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Malaysia
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Wilayah Persekutuan
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Mexico
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Baja California Norte
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Mexico
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Jalisco
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Mexico
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Nuevo León
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Mexico
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Aguascalientes
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Mexico
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Mexico
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Norway
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Oslo
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Peru
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La Libertad
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Peru
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Lima
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Peru
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Arequipa
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Poland
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Bydgoszcz
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Poland
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Gdynia
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Poland
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Jozefow
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Poland
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Koszalin
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Poland
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Olsztyn
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Poland
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Opole
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Poland
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Poznan
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Poland
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Przemysl
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Poland
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Radom
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Portugal
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Coimbra
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Portugal
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Guimaraes
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Portugal
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Lisboa
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Portugal
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Porto
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Portugal
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Santa Maria da Feira
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Romania
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Baia Mare
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Romania
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Bucharest
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Romania
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Bucuresti
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Romania
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Cluj-Napoca
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Romania
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Iasi
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Romania
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Ovidiu
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Singapore
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Singapore
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Durban
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South Africa
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Gauteng
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South Africa
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Johannesburg
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South Africa
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Tshwane
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Spain
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Andalucía
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Spain
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Aragón
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Spain
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Castilla León
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Spain
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Cataluña
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Spain
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Comunidad Valenciana
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Spain
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Galicia
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Spain
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País Vasco
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Spain
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Madrid
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Spain
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Murcia
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Göteborg
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Stockholm
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Sweden
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Umea
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Taiwan
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Kaohsiung
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Taiwan
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Taichung
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Taiwan
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Tainan
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Taiwan
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Taipei
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Taiwan
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Taoyuan
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Thailand
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Bangkok
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Turkey
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Adana
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Turkey
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Ankara
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Turkey
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Antalya
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Turkey
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Diyarbakir
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Turkey
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Istanbul
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Turkey
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Izmir
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Turkey
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Kocaeli
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Turkey
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Malatya
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Turkey
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Sakarya
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Turkey
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Samsun
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Turkey
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Van
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Query!
Name
Amgen
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Address
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Country
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Other collaborator category [1]
0
0
Other
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Name [1]
0
0
Zai Lab (China only)
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Address [1]
0
0
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Country [1]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
The main objective of this study is to compare efficacy of bemarituzumab combined with oxaliplatin, leucovorin, and 5-fluorouracil (5-FU) (mFOLFOX6) to placebo plus mFOLFOX6 as assessed by overall survival (OS) in participants with FGFR2b =10% 2+/3+ tumor cell staining (FGFR2b =10% 2+/3+TC)
Query!
Trial website
https://clinicaltrials.gov/study/NCT05052801
Query!
Trial related presentations / publications
Query!
Public notes
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Contacts
Principal investigator
Name
0
0
MD
Query!
Address
0
0
Amgen
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Country
0
0
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Phone
0
0
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Fax
0
0
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Email
0
0
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Contact person for public queries
Name
0
0
Amgen Call Center
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
866-572-6436
Query!
Fax
0
0
Query!
Email
0
0
[email protected]
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
Query!
What data in particular will be shared?
De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR)
Query!
When will data be available (start and end dates)?
Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication have been granted marketing authorization in both the US and Europe or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.
Query!
Available to whom?
Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors. If not approved, a Data Sharing Independent Review Panel will arbitrate and make the final decision. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.
Query!
Available for what types of analyses?
Query!
How or where can data be obtained?
IPD available at link: https://www.amgen.com/datasharing
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05052801