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Trial registered on ANZCTR
Registration number
ACTRN12612000951853
Ethics application status
Approved
Date submitted
4/09/2012
Date registered
5/09/2012
Date last updated
7/09/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A clinical trial of Mentalization Based Therapy treatment for Borderline Personality disorder
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Scientific title
Outcome effects of a Mentalization Based Treatment service (Mindsight) for people with Borderline Personality disorder in urban Christchurch: a clinical trial and evaluative study
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Secondary ID [1]
281157
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None
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Universal Trial Number (UTN)
U1111-1134-1847
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Borderline personality disorder
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Condition category
Condition code
Mental Health
287657
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Mentalization Based Treatment psychotherapy.
The intervention group receive a weekly 50 minute individual psychotherapy session with a therapist trained in Mentalization Based Treatment methods. They also attend a 90 minute group psychotherapy session weekly. This is facilitated by 2 MBT trained therapists. They retain a case manager to co-ordinate care and have regular 6 monthly, or greater, reviews by a psychiatrist for medical care. The intervention is applied for a duration of 18 months.
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Intervention code [1]
285606
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Treatment: Other
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Comparator / control treatment
The comparison group receive treatment as usual standard psychiatrist follow up of 3 - 6 monthly review, or greater. As well as standard clinical case management care follow up consisting of 30 – 60 minute sessions 2 weekly or more often if crisis intervention is necessary. Case managers recieve additional training in case management approaches to the care of people with Borderline Personality Disorder to standardise and optimise usual treatment.
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Control group
Active
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Outcomes
Primary outcome [1]
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Incident rate of self harm. Self harm is defined as those events which are serious in nature and requiring medical intervention. Case notes will be tracked to recover details of presentations, nature of harm, interventions required and outcome of event.
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Assessment method [1]
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Timepoint [1]
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Baseline and at 6, 12 and 18 month after intervention commencement
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Primary outcome [2]
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Incident rate of suicide attempts. Suicide events are defined as those events which are serious in nature requiring medical intervention. Case notes will be tracked to recover details of presentations, nature of suicide event, interventions required and outcome of event.
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Assessment method [2]
287906
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Timepoint [2]
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [1]
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Perception of quality of life. this will be measured using the Quality of Life Index, a patient self report questionnnaire will be used.
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Assessment method [1]
299031
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Timepoint [1]
299031
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [2]
299032
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Depression. Depression will be assessed using the Beck Depression Inventory, a patient self report questionnnaire.
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Assessment method [2]
299032
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Timepoint [2]
299032
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [3]
299033
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Anxiety. Anxiety will be assessed using the Speilberger State & Trait Anxiety Inventory for Adults, a patient self report questionnnaire.
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Assessment method [3]
299033
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Timepoint [3]
299033
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [4]
299034
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Social adjustment. Social adjustment will be measured using the Social Adjustment Scale, a patient self report questionnnaire.
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Assessment method [4]
299034
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Timepoint [4]
299034
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [5]
299035
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Borderline personality disorder symptoms. Symptom severity wil be measured using the Borderline Symptom Checklist (Severity Scale), a patient self report questionnnaire.
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Assessment method [5]
299035
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Timepoint [5]
299035
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [6]
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Severity of other personality problems. This will be measured using the Severity Indices of Personality Problems scale, a patient self report questionnnaire.
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Assessment method [6]
299036
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Timepoint [6]
299036
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [7]
299037
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Severity of self destructive thinking. This will be measured using the Firestone Assessment of Self-Destructive Thoughts, a patient self report questionnnaire.
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Assessment method [7]
299037
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Timepoint [7]
299037
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Baseline and at 6, 12 and 18 month after intervention commencement
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Secondary outcome [8]
299038
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Function of self injury. This will be measured using the Modified Ottawa Self-Injury Functions scale, a patient self report questionnnaire.
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Assessment method [8]
299038
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Timepoint [8]
299038
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Baseline and at 6, 12 and 18 month after intervention commencement
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Eligibility
Key inclusion criteria
Diagnosis of Borderline Personality Disorder
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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
Primary diagnosis of psychosis, substance dependence, insufficient ability to speak English to the degree that would inhibit the delivery of structured psychological treatment
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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)
Central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation by using a randomization table created by a computer software
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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
Not Applicable
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Type of endpoint/s
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
1/09/2009
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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
72
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Canterbury
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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P.O. Box 56
Dunedin 9054
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Country [1]
285932
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New Zealand
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Funding source category [2]
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Government body
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Name [2]
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Department of Internal Affairs
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Address [2]
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P.O. Box 805
Wellington 6140
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Country [2]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago, Christchurch
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Address
P.O. Box 4345
Christchurch 8140
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
284754
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Address [1]
284754
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Country [1]
284754
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287958
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Upper South B Regional Ethics committee
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Ethics committee address [1]
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Ministry of Health P.O. Box 5013 Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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15/06/2009
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Approval date [1]
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10/08/2009
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Ethics approval number [1]
287958
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URB/09/06/026
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Summary
Brief summary
Treatment as usual (TAU) is thought to contribute to the long-standing nature of borderline personality disorder. There is increasing evidence that structured programmes of care, organised around a consistent model of care such as Mentalization Based Treatment, and delivered over the longer-term, are beneficial in reducing self-harm and suicidality; and in reducing service demand and health costs. Additionally, there is evidence that intensive treatment packages produce additional improvements in the long-term. A new MBT service for clients with BPD is introduced in Christchurch. This study will attempt to establish the benefits of investing in a specific treatment approach over more general enhancements to case managment. This comparison will also contribute to the clinical knowledge concerning the efficacy of this treatment approach in real-world scenarios.
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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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Dr David Carlyle
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Address
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Dept. Psychological Medicine
University of Otago
P.O. Box 4345
Christchurch 8011
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Country
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New Zealand
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Phone
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+64 03 3720400
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Fax
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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 David Carlyle
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Address
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Dept. Psychological Medicine
University of Otago
P.O. Box 4345
Christchurch 8011
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Country
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New Zealand
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Phone
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+64 03 3720400
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Fax
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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
Source
Title
Year of Publication
DOI
Embase
A Randomized-Controlled Trial of Mentalization-Based Treatment Compared With Structured Case Management for Borderline Personality Disorder in a Mainstream Public Health Service.
2020
https://dx.doi.org/10.3389/fpsyt.2020.561916
N.B. These documents automatically identified may not have been verified by the study sponsor.
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