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Trial registered on ANZCTR
Registration number
ACTRN12613000165785
Ethics application status
Approved
Date submitted
23/01/2013
Date registered
11/02/2013
Date last updated
24/03/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of Calendula lotion in reducing the severity of radiation induced dermatitis in women undergoing radiotherapy for breast cancer
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Scientific title
A single-blinded randomised controlled trial to determine the effect of topical application of Calendula officinalis based lotion on the prevalence of clinically significant radiation induced dermatitis in women undergoing radiotherapy for breast cancer.
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Secondary ID [1]
281831
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Nil
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Universal Trial Number (UTN)
U1111-1138-8279
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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:
Radiation induced dermatitis
288185
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Breast cancer
288186
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Condition category
Condition code
Skin
288550
288550
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0
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Dermatological conditions
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Cancer
288551
288551
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Calendula officinalis lotion (marigold extract 32%v/v) topically applied to skin twice a day every day of the week during radiotherapy treatment (typically a 5 week period) and for up to 6 weeks after treatment. Participants will be instructed to apply lotion generously to entire irradiated skin using an amount approximately in size to a 20cent-50cent piece (dependent on physique).
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Intervention code [1]
286386
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Prevention
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Intervention code [2]
286387
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Treatment: Other
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Comparator / control treatment
Sorbolene lotion with 10% glycerine topically applied to skin twice a day every day of the week during radiotherapy treatment (typically a 5 week period) and for up to 6 weeks after treatment. Participants will be instructed to apply lotion generously to entire irradiated skin using an amount approximately in size to a 20cent-50cent piece (dependent on physique).
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Control group
Active
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Outcomes
Primary outcome [1]
288709
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Severity of radiation induced dermatitis will be assessed clinically and graded using the Radiation Therapy Oncology Group (RTOG) and the European Organization for Research and Treatment of Cancer (EORTC) acute radiation morbidity scale for skin.
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Assessment method [1]
288709
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Timepoint [1]
288709
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Weekly throughout the active treatment (radiation) and at post-treatment follow-up at up to 6 weeks after conclusion of treatment
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Secondary outcome [1]
300797
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Radiation Induced Skin Reaction Assessment Scale Part A and Part B (RISRAS)
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Assessment method [1]
300797
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Timepoint [1]
300797
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Weekly throughout the active treatment (radiation) and at post-treatment follow-up at up to 6 weeks after conclusion of treatment
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Secondary outcome [2]
301088
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Interruptions to treatment as documented by treating radiation oncologist on treatment plan
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Assessment method [2]
301088
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Timepoint [2]
301088
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At any time through the active treatment (radiation)
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Secondary outcome [3]
301089
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Radiation Schedule (dose/fraction) as documented by radiotherapists on treatment plan
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Assessment method [3]
301089
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Timepoint [3]
301089
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End of treatment follow-up review
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Secondary outcome [4]
301090
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Participant reported ease of application of topical lotion as assessed by investigator administered questionnaire
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Assessment method [4]
301090
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Timepoint [4]
301090
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End of treatment follow-up review
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Secondary outcome [5]
301091
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Dermatis reaction to regularly applied topical lotion, judged by treating radiation oncologists to not be related to radiation therapy, as documented in treatment plan
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Assessment method [5]
301091
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Timepoint [5]
301091
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Any stage throughout study
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Eligibility
Key inclusion criteria
Women who have undergone lumpectomy or mastectomy and are due to undergo post-surgical radiotherapy for
breast cancer using standard treatment pathways
No concurrent chemotherapy
Informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Known allergy to calendula/officinalis or sorbolene
Salicylate sensitivity
Previous radiation to breast
History of skin/dermatitis condition
On anticoagulant therapy
Pregnant or breast feeding
Reaction to skin test
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Following consent, participant details faxed to Pharmacy who will randomise according to randomisation schedule. Treatment (bottles) labelled in a blinded manner with reidentifiable study participant number and will be dispensed by Pharmacy.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated randomisation schedule
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
The people assessing the outcomes
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
Efficacy
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Statistical methods / analysis
Descriptive and inferential statistical
Percent of participants with Grade 2, 3 or 4 skin toxicity will be calculated with 95% confidence limits.
Test primary hypothesis by difference in proportions of participants with Grade 2 or greater skin toxicity using Chi-Square statistic and relative risk estimates.
Secondary analyses: Prevalance estimates of pain and other parameters. Independent associations between covariates and outcomes and multivariate logistic regression analysis for outcome clinically significant RID and the key covariates to determine risk factors for RID.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/01/2013
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Actual
22/01/2013
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Date of last participant enrolment
Anticipated
30/06/2015
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Actual
22/04/2015
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Date of last data collection
Anticipated
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Actual
23/06/2015
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Sample size
Target
178
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Accrual to date
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Final
72
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
469
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The Royal Adelaide Hospital - Adelaide
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Recruitment postcode(s) [1]
6220
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5000 - Adelaide
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Funding & Sponsors
Funding source category [1]
286615
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Hospital
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Name [1]
286615
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Royal Adelaide Hospital Research Fund
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Address [1]
286615
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Research Secretariat
L3 IMVS Building
North Terrace campus
Adelaide SA 5000
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Country [1]
286615
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Australia
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Primary sponsor type
Individual
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Name
Dr Michael Penniment
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Address
Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country
Australia
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Secondary sponsor category [1]
285401
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None
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Name [1]
285401
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Address [1]
285401
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Country [1]
285401
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Other collaborator category [1]
277259
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Individual
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Name [1]
277259
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Eileen Giles
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Address [1]
277259
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University of South Australia
North Terrace
Adelaide SA 5000
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Country [1]
277259
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Australia
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Other collaborator category [2]
277260
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Individual
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Name [2]
277260
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Margaret McGee
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Address [2]
277260
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Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country [2]
277260
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Australia
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Other collaborator category [3]
277261
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Individual
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Name [3]
277261
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Dr Yee Chai
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Address [3]
277261
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Pharmacy, Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country [3]
277261
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Australia
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Other collaborator category [4]
277262
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Individual
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Name [4]
277262
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Dr Nicole Moore
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Address [4]
277262
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Dame Roma Mitchell Cancer Research Laboratories
University of Adelaide
Hanson Institute Bldg, Frome Rd
Adelaide SA 5000
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Country [4]
277262
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Australia
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Other collaborator category [5]
277263
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Individual
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Name [5]
277263
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Dr Raghu Gowda
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Address [5]
277263
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Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country [5]
277263
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288688
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Royal Adelaide Hospital Human Research Ethics Committee
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Ethics committee address [1]
288688
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L3 Hanson Institute Royal Adelaide Hospital North Terrace Adelaide SA 5000
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Ethics committee country [1]
288688
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Australia
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Date submitted for ethics approval [1]
288688
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Approval date [1]
288688
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09/05/2012
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Ethics approval number [1]
288688
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120322
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Summary
Brief summary
The main aim of this study is to compare two products for preventing or reducing the severity of radiation induced dermatitis (RID). RID is a common side effect of radiation therapy. RID is characterised by skin redness and in severe cases, the skin thins and begins to weep and may be susceptible to infection. With ongoing radiation, the skin condition and appearance often worsens. This trial aims to compare sorbolene cream which is the standard product that is recommended for use by patients at the Royal Adelaide Hospital with a lotion containing extract of Calendula officinalis (marigold flower), called Calendula lotion. Calendula is reported to have anti-inflammatory properties and may encourage skin healing. The hypothesis for the study is that Calendula lotion offers significant benefits compared to sorbolene when used for the prevention or treatment of RID. Who is it for? This study is open to women 18 years and over who have undergone prior lumpectomy or mastectomy and are due to undergo post-surgical radiotherapy for breast cancer using standard treatment pathways. Participants will need to provide informed consent, and not be undergoing any concurrent chemotherapy at the time of participation. Full exclusion criteria for this study can be found in the relevant section of this form. Trial details You will be randomised to receive either Calendula officinalis lotion (marigold extract 32%v/v) or Sorbolene lotion with 10% glycerine, which will be topically applied to skin twice a day every day of the week during radiotherapy treatment (typically a 5 week period) and for up tp 6 weeks. Participants will be instructed to apply lotion generously to entire irradiated skin using an amount approximately in size to a 20cent-50cent piece (dependent on physique).
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Trial website
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Trial related presentations / publications
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Public notes
Data analysis and report preparation underway.
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Contacts
Principal investigator
Name
37306
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Dr Michael Penniment
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Address
37306
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Department of Radiation Oncology
Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country
37306
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Australia
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Phone
37306
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+61 8 8222 4800
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Fax
37306
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Email
37306
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[email protected]
,au
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Contact person for public queries
Name
37307
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Margaret McGee
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Address
37307
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Discipline of Medicine
Level 6, Adelaide Health and Medical Sciences Building
The University of Adelaide
Adelaide SA 5005
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Country
37307
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Australia
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Phone
37307
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61 8 8313 0514
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Fax
37307
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NA
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Email
37307
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[email protected]
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Contact person for scientific queries
Name
37308
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Margaret McGee
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Address
37308
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Discipline of Medicine
Level 6, Adelaide Health and Medical Sciences Building
The University of Adelaide
Adelaide SA 5005
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Country
37308
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Australia
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Phone
37308
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61 8 8313 0514
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Fax
37308
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NA
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Email
37308
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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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