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Trial registered on ANZCTR
Registration number
ACTRN12614000783628
Ethics application status
Approved
Date submitted
19/05/2014
Date registered
22/07/2014
Date last updated
24/09/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Multiparametric Magnetic Resonance Imaging and Positron Emission Tomography with a [68Ga]gallium-labelled prostate-specific membrane antigen (PSMA) ligand for the Detection of Multiple Cancer Foci in Localized Prostate Cancer Patients – A Pilot Study
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Scientific title
Evaluation of Multiparametric Magnetic Resonance Imaging and Positron Emission Tomography with a [68Ga]gallium-labelled prostate-specific membrane antigen (PSMA) ligand for the Detection of Multiple Cancer Foci in Localized Prostate Cancer Patients – A Pilot Study
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Secondary ID [1]
284625
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Nil
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Universal Trial Number (UTN)
Nil
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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:
Localized Prostate Cancer
291939
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Condition category
Condition code
Cancer
292291
292291
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0
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
[68Ga]Gallium-labelled prostate specific membrane antigen HBED-CC ligand
Glu-NH-CO-NH-Lys-(Ahx)-[68Ga-N,N'-bis [2-hydroxy-5-(carboxyethyl)benzyl] ethylenediamine-N,N'- diacetic acid]
The dosage form is intravenous (IV) solution. The strength is 150MBq/5 micrograms. The infusion will last 5 minutes and 1 infusion is required.
For MP MRI, the participants will be injected with a contrast agent (or “dye”). The whole scan would take about 30 to 40 minutes. A medication called Buscopan or Glucagon is injected into the blood stream to slow bowel movement, since a moving bowel can reduce the quality of the image. This scan will be undertaken once in the study.
For PET, the [68Ga]Gallium-labelled Prostate-specific membrane antigen ligand PSMA ligand will be injected into the blood stream. After 90 minutes, the participants will be placed in the PET scanner and the scan will begin (scanning takes ~30 minutes). A low dose whole-body computed tomography (CT) scan will be performed during the PET scan as this helps to interpret the PET scan. This scan will be undertaken once in the study.
For whole-mount pathology analysis, participants do not need to do anything. The prostate tissue will be collected after surgery as part of their clinical managements. In addition to a standard pathology report to the surgeon, specific pathology reports will be reported to the study team for analysis.
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Intervention code [1]
289409
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Diagnosis / Prognosis
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Intervention code [2]
289788
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Early detection / Screening
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Comparator / control treatment
No comparator
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Detection of local prostate cancer foci by PET/CT scan and multi-parametric MRI
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Assessment method [1]
292157
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Timepoint [1]
292157
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Outcome will be assessed once. After the imaging studies have been performed, and the final specimen retrieved, final analysis will be performed to correlate the results. There is no specific point time for the primary outcome.
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Secondary outcome [1]
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Correlation of the intensity of 68Ga-HBED-CC uptake with histopathologic Gleason Grade, tumour volume and tumour grade
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Assessment method [1]
308325
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Timepoint [1]
308325
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Outcome will be assessed once. After the imaging studies have been performed, and the final specimen retrieved, final analysis will be performed to correlate the results. There is no specific point time for the outcome.
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Eligibility
Key inclusion criteria
1.Male patients pathologically diagnosed with localized prostate cancer, awaiting prostatectomy
2. The time interval between last prostate biopsy and planned MP-MRI or planned 68Ga- HBED-CC PET must be not less than 8 weeks
3. No known problems with peripheral intravenous or central line access
4. Able to provide informed signed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Age under 18 years
2. Prior pelvic external beam radiation therapy or brachytherapy, prior chemotherapy, prior hormonal or radiation therapy for prostate cancer
3. Administered a radioisotope within 5 physical half-lives prior to study enrolment
4. Treated with an investigational drug, investigational biologic, or investigational therapeutic device within 14 days prior to study radiotracer administration
5. Hemorrhagic cystitis or active prostatitis
6. Unable to lie flat during or unable to tolerate MP MRI or PET
7. Prior history of any other malignancy within last 2 years
8. Contraindication to MRI or MRI contrast agent or PET scan or [68Ga]gallium-labelled PSMA ligand
9. Claustrophobia not manageable by oral sedatives ie Temazepam
10. Moderate to severe rectal inflammation
11. Previous rectal surgery that will affect prostate imaging
12. MRI incompatible pacemakers
13. Metallic implants or pumps which are MRI incompatible
14. Renal impairment or hemodialysis.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised 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
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Who is / are masked / blinded?
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Intervention assignment
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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
Recruiting
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Date of first participant enrolment
Anticipated
1/08/2014
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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
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
289253
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Charities/Societies/Foundations
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Name [1]
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Cyril Gilbert Testimonial Fund, Gallipoli Medical Research Foundation
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Address [1]
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Gallipoli Research Foundation
Greenslopes Private Hospital
Newdegate Street
Greenslopes Qld 4120
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Queensland University of Technology
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Address
2, George Street, Brisbane, QLD 4122, Australia
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Country
Australia
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Secondary sponsor category [1]
287926
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None
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Name [1]
287926
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Address [1]
287926
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Country [1]
287926
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291019
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Greenslopes Research and Ethics Committee
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Ethics committee address [1]
291019
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Greenslopes Private Hospital, Newdegate Street, Greenslopes QLD 4120
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Ethics committee country [1]
291019
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Australia
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Date submitted for ethics approval [1]
291019
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Approval date [1]
291019
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11/12/2013
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Ethics approval number [1]
291019
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EC00161
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Ethics committee name [2]
291020
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Royal Brisbane ad Women’s Hospital Human Research Ethics Committee
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Ethics committee address [2]
291020
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Level 7, Block 7, Royal Brisbane and Women’s Hospital, Butterfield Street, Herston, Queensland 4029
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Ethics committee country [2]
291020
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Australia
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Date submitted for ethics approval [2]
291020
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Approval date [2]
291020
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29/01/2014
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Ethics approval number [2]
291020
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EC00172
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Ethics committee name [3]
291021
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Metro South Health service District Human Research Ethics Committee
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Ethics committee address [3]
291021
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Princess Alexandra Hospital, Centres for Health Research, Level 7, Translational Research Institute, 37 Kent Street, Woolloongabba QLD 4102
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Ethics committee country [3]
291021
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Australia
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Date submitted for ethics approval [3]
291021
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Approval date [3]
291021
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29/01/2014
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Ethics approval number [3]
291021
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EC00167
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Ethics committee name [4]
291022
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Queensland University of Technology
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Ethics committee address [4]
291022
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Research Ethics Unit, Office of Research, Level 4, 88 Musk Ave, QUT Kelvin Grove, QLD 4059
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Ethics committee country [4]
291022
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Australia
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Date submitted for ethics approval [4]
291022
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Approval date [4]
291022
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01/04/2014
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Ethics approval number [4]
291022
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EC00171
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Summary
Brief summary
The study aims to evaluate the applicability of Multiparametric Magnetic Resonance Imaging (MP MRI) and Positron Emission Tomography (PET) with [68Ga]Gallium-labelled prostate-specific membrane antigen (PSMA) ligand (68Ga-HBED-CC) for the detection of cancer foci in localised prostate cancer patients. You may be eligible to join this study if you are a male aged 18 years or above who has been diagnosed with localised prostate cancer, and are awaiting prostatectomy. All participants in this study will undergo Multiparametric (MP) Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET) with [68Ga]Gallium-labelled Prostate-specific membrane antigen ligand (68Ga-HBED-CC) and whole-mount pathology analysis. For MP MRI the participants will be lying flat on the back on a bed that moves through a scanner. In order to get the best pictures, the participants will be injected with a contrast agent (or “dye”). The whole scan would take about 30 to 40 minutes. A medication called Buscopan or Glucagon is injected into the blood stream to slow bowel movement, since a moving bowel can reduce the quality of the image. For PET, the [68Ga]Gallium-labelled Prostate-specific membrane antigen (PSMA) ligand will be injected into the blood stream. After 90 minutes, the participants will be placed in the PET scanner and the scan will begin (scanning takes ~30 minutes). A low dose whole-body computed tomography (CT) scan will be performed during the PET scan as this helps to interpret the PET scan. For whole-mount pathology, the participants do not need to do anything. The prostate tissue will be collected after surgery as part of their clinical management. A standard pathology report will be reported to the surgeon as a standard clinical management. Results will be compared and analysed once we have the results from PET scan, multiparametric MRI scan and wholemount pathology review.
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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
48522
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Dr Peter Heathcote
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Address
48522
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Dr Peter Heathcote
Brisbane Urology Clinic
Level 11, BMM Place, 135 Wickham Terrace, Brisbane, QLD 4000
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Country
48522
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Australia
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Phone
48522
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+61 7 38303310 (for Brisbane, Australia)
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Fax
48522
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+61 7 38303399
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Email
48522
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[email protected]
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Contact person for public queries
Name
48523
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Peter Heathcote
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Address
48523
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Dr Peter Heathcote
Brisbane Urology Clinic
Level 11, BMM Place, 135 Wickham Terrace, Brisbane, QLD 4000
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Country
48523
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Australia
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Phone
48523
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+61 7 38303310 (for Brisbane, Australia)
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Fax
48523
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+61 7 38303399
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Email
48523
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[email protected]
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Contact person for scientific queries
Name
48524
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Peter Heathcote
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Address
48524
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Dr Peter Heathcote
Brisbane Urology Clinic
Level 11, BMM Place, 135 Wickham Terrace, Brisbane, QLD 4000
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Country
48524
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Australia
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Phone
48524
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+61 7 38303310 (for Brisbane, Australia)
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Fax
48524
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Email
48524
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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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