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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01100892
Registration number
NCT01100892
Ethics application status
Date submitted
31/03/2010
Date registered
9/04/2010
Titles & IDs
Public title
Cystic Fibrosis - Insulin Deficiency, Early Action
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Scientific title
Cystic Fibrosis - Insulin Deficiency, Early Action
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Secondary ID [1]
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CF-IDEA
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Universal Trial Number (UTN)
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Trial acronym
CF-IDEA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cystic Fibrosis
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Diabetes
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Condition category
Condition code
Human Genetics and Inherited Disorders
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Cystic fibrosis
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Respiratory
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Other respiratory disorders / diseases
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
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Connective tissue diseases
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Once-daily insulin detemir
No intervention: Control group - Observation only. Does not receive once-daily insulin detemir.
Experimental: Once-daily insulin detemir - Once-daily insulin detemir
Treatment: Drugs: Once-daily insulin detemir
Insulin detemir is a long-acting insulin analog. Starting dose 0.1 units/kg/day (titrated according to the results of home blood glucose monitoring).
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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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Change in Weight SDS (Standard Deviation Score)
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Assessment method [1]
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Timepoint [1]
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12 months
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Primary outcome [2]
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Change in lung function (FEV1, FVC)
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Assessment method [2]
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Timepoint [2]
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12 months
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Secondary outcome [1]
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Reduced rate of decline in glycaemic category, comparing OGTT at baseline and 12 months.
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Assessment method [1]
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OGTT = Oral Glucose Tolerance Test
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Timepoint [1]
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12 months
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Secondary outcome [2]
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Reduced frequency of hospitalisation for acute respiratory illness
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Assessment method [2]
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Timepoint [2]
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12 months
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Secondary outcome [3]
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Change in glycaemic status assessed by HbA1c and CGM
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Assessment method [3]
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CGM = Continuous Glucose Monitoring
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Timepoint [3]
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12 months
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Secondary outcome [4]
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Body composition by DEXA. Patients at CHW will also have pQCT.
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Assessment method [4]
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DEXA = Dual Energy X-ray Absorptiometry
pQCT = peripheral Quantitative Computed Tomography
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Change in Grip-strength
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Assessment method [5]
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Timepoint [5]
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12 months
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Secondary outcome [6]
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Improved quality of life, measured by a validated CF QOL questionnaire
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Assessment method [6]
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Timepoint [6]
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12 months
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Secondary outcome [7]
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Bacterial colonisation of sputum
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Assessment method [7]
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Timepoint [7]
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12 months
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Secondary outcome [8]
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Change in effort-dependent lung function: MIP, MEP, SnIP
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Assessment method [8]
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MIP = Mouth Inspiratory Pressure
MEP = Mouth Expiratory Pressure
SnIP = Sniff Nasal Inspiratory Pressure
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Timepoint [8]
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12 months
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Eligibility
Key inclusion criteria
* Patients with CF aged >=5 yrs attending one of the study sites.
* CFID1 or CFID2 (defined as BGmax >=8.2 and BG120 <11.1mmol/l on OGTT performed within the last 6 months, when respiratory function stable as judged by the treating respiratory team, not taking fluoroquinolone antibiotics, and not taking systemic glucocorticoids).
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Minimum age
5
Years
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Maximum age
19
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
* Cystic Fibrosis Related Diabetes, defined as CFID3 (BG120 >11.1mmol/L) or CFID4 (fasting BG >7mmol/L). Such patients will be offered insulin treatment as standard clinical care.
* Unstable respiratory disease (hospital admission for treatment of respiratory exacerbation within the last month).
* Treatment with systemic glucocorticoids of more than 1 month duration, within the last 12 months.
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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
Open (masking not 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 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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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
1/12/2010
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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
1/02/2023
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
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Recruitment hospital [1]
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John Hunter Children's Hospital - New Lambton
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Recruitment hospital [2]
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Sydney Children's Hospital - Randwick
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Recruitment hospital [3]
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Children's Hospital at Westmead - Westmead
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Recruitment hospital [4]
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Lady Cilento Children's Hospital - Brisbane
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Recruitment hospital [5]
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Women's and Children's Hospital - Adelaide
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Recruitment postcode(s) [1]
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2310 - New Lambton
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Recruitment postcode(s) [2]
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2031 - Randwick
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Recruitment postcode(s) [3]
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2145 - Westmead
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Recruitment postcode(s) [4]
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4101 - Brisbane
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Recruitment postcode(s) [5]
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5006 - Adelaide
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Colorado
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Funding & Sponsors
Primary sponsor type
Other
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Name
Sydney Children's Hospitals Network
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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John Hunter Children's Hospital
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Lady Cilento Children's Hospital, Brisbane
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Women's and Children's Hospital, Adelaide
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Children's Hospital Colorado
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Address [4]
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Country [4]
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Ethics approval
Ethics application status
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Summary
Brief summary
Cystic Fibrosis (CF) is the most common life-threatening genetic condition affecting Australian children. As well as repeated lung infections, children with CF develop insulin deficiency and eventually diabetes. The CF-IDEA trial (Cystic Fibrosis - Insulin Deficiency, Early Action) will determine whether starting insulin treatment before the onset of diabetes (earlier than current practice) will improve the health of children with CF by improving body weight and lung function.
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Trial website
https://clinicaltrials.gov/study/NCT01100892
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Trial related presentations / publications
Hameed S, Morton JR, Jaffe A, Field PI, Belessis Y, Yoong T, Katz T, Verge CF. Early glucose abnormalities in cystic fibrosis are preceded by poor weight gain. Diabetes Care. 2010 Feb;33(2):221-6. doi: 10.2337/dc09-1492. Epub 2009 Nov 12. Hameed S, Morton JR, Field PI, Belessis Y, Yoong T, Katz T, Woodhead HJ, Walker JL, Neville KA, Campbell TA, Jaffe A, Verge CF. Once daily insulin detemir in cystic fibrosis with insulin deficiency. Arch Dis Child. 2012 May;97(5):464-7. doi: 10.1136/adc.2010.204636. Epub 2011 Apr 14. Hameed S, Jaffe A, Verge CF. Cystic fibrosis related diabetes (CFRD)--the end stage of progressive insulin deficiency. Pediatr Pulmonol. 2011 Aug;46(8):747-60. doi: 10.1002/ppul.21495. Epub 2011 May 27.
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Public notes
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Contacts
Principal investigator
Name
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Charles Verge, MBBS PhD
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Address
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Endocrinology, Sydney Children's Hospital Randwick; School of Women's and Children's Health, University of NSW
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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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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 scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT01100892