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Trial registered on ANZCTR
Registration number
ACTRN12618000738224
Ethics application status
Approved
Date submitted
25/04/2018
Date registered
3/05/2018
Date last updated
3/05/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Western Australia Retinal Degeneration Study
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Scientific title
The Western Australia Retinal Degeneration Study: An natural history observational cohort study of retinal degenerations and in vitro retinal disease modelling using patient derived stem cells
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Secondary ID [1]
294715
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Nil
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Universal Trial Number (UTN)
U1111-1212-8843
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Trial acronym
WARDS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
retinal disease
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genetic eye disease
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macular degeneration
307590
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Condition category
Condition code
Eye
306651
306651
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0
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Diseases / disorders of the eye
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Human Genetics and Inherited Disorders
306652
306652
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0
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
5
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Target follow-up type
Years
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Description of intervention(s) / exposure
Patients with retinal disease due to genetic mutation, age-related degeneration, post-inflammatory degeneration or vascular disease-related degeneration will be observed for 5 years. Blood sampling and skin biopsy will be obtained at baseline for biomarker study. Each patient will undergo retinal imaging once every 6 months during the course of the study.
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Intervention code [1]
301009
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Early Detection / Screening
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Comparator / control treatment
Patients with no retinal disease and / or genetic mutation that can cause retinal disease
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Control group
Active
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Outcomes
Primary outcome [1]
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Visual acuity as measured on the Early Treatment of Diabetic Retinopathy Study (ETDRS) letter chart.
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Assessment method [1]
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Timepoint [1]
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Post enrolment: 6 month, 12 month, 18 month, 24 months (primary timepoint), 30 months, 36 months, 42 months, 48 months and 60 months
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Primary outcome [2]
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Rate of change in total macular volume (mm3) and retinal thickness in ETDRS zones using spectral domain optical coherence tomography.
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Assessment method [2]
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Timepoint [2]
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Post enrolment: 6 month, 12 month, 18 month, 24 months (primary timepoint), 30 months, 36 months, 42 months, 48 months and 60 months
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Secondary outcome [1]
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Rate of change in area of atrophy (mm2) and number of new hyperautofluorescent lesions using Spectralis fundus autofluorescence imaging (30 and 55 degrees) and Optos fundus autofluorescence imaging (200 degrees).
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Assessment method [1]
346045
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Timepoint [1]
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Post enrolment: 6 month, 12 month, 18 month, 24 months, 30 months, 36 months, 42 months, 48 months and 60 months
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Secondary outcome [2]
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Cone density (cones per degree2), separation (degrees) and packing arrangement (% hexagonal voronoi) issing rtx1 AO camera (adaptive optics).
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Assessment method [2]
346046
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Timepoint [2]
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Post enrolment: 6 month, 12 month, 18 month, 24 months, 30 months, 36 months, 42 months, 48 months and 60 months
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Secondary outcome [3]
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Rate of change in mean and median macular mesopic retinal sensitivity (dB) and number of dense scotoma loci using fundus controlled MAIA microperimeter device
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Assessment method [3]
346047
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Timepoint [3]
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Post enrolment: 6 month, 12 month, 18 month, 24 months, 30 months, 36 months, 42 months, 48 months and 60 months
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Secondary outcome [4]
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Antiretinal auto-antibodies will be examined using Western blot and immunohistochemistry against retinal tissue.
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Assessment method [4]
346357
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Timepoint [4]
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Serum will be collected at baseline study visit. The presence and profile of autoantibodies against human retina will be correlated with disease progression rates.
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Eligibility
Key inclusion criteria
Two groups of patient are included:
(1) Patients with retinal disease due to age-related retinal degeneration, inherited retinal disease, post-inflammatory retinal degeneration, vascular disease associated retinal degeneration
(2) Subjects with no retinal disease as controls
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Minimum age
10
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?
Yes
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Key exclusion criteria
Patients or their guardian unable to to give informed consent
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Median, mean, standard deviation and range will be calculated for all variables. Normality of data distribution will be assessed to guide the choice of parametric vs non-parametric methods. Changes in visual acuity and retinal imaging parameters will be analysed by multivariate regression controlling for patient and eye independent variables.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/12/2015
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Date of last participant enrolment
Anticipated
20/11/2020
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
1000
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Accrual to date
510
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Lions Eye Institute Day Surgery Centre - Nedlands
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Recruitment postcode(s) [1]
22525
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
299321
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Charities/Societies/Foundations
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Name [1]
299321
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Lions Eye Institute
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Address [1]
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2 Verdun Street, Nedlands, WA 6009
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Country [1]
299321
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Australia
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Funding source category [2]
299349
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Self funded/Unfunded
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Name [2]
299349
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Dr Fred Chen
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Address [2]
299349
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Lions Eye Institute
2 Verdun Street, Nedlands, WA 6009
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Country [2]
299349
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Lions Eye Institute
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Address
2 Verdun Street, Nedlands, WA 6009
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Fred Chen
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Address [1]
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Lions Eye Institute
2 Verdun Street, Nedlands, WA 6009
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Country [1]
298624
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Professor Steven Wilton
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Address [1]
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The Perron Institute for Neurological and Translational Science
RR Block, QE II Medical Centre, 8 Verdun St, Nedlands WA 6009
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Country [1]
280084
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Dr David Alonso-Caneiro
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Address [2]
280085
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Queensland University of Technology
O Block (B wing), Room B556, Victoria Park Road , Kelvin Grove, Brisbane, QLD 4059
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Country [2]
280085
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Australia
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Other collaborator category [3]
280086
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Individual
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Name [3]
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Professor Sue Fletcher
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Address [3]
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Murdoch University
90 South St, Murdoch WA 6150
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Country [3]
280086
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Australia
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Other collaborator category [4]
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Individual
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Name [4]
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Dr Shaun Frost
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Address [4]
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CSIRO CCI WA | Preventative Health Flagship
Australian e-Health Research Centre
Private bag 5, Wembley WA 6913 Australia
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Country [4]
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Australia
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Other collaborator category [5]
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Individual
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Name [5]
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Professor Rodney Dilley
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Address [5]
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Ear Science Institute
1/1 Salvado Rd, Subiaco WA 6008
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Country [5]
280088
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300229
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The University of Western Australia Human Ethics Office of Research Enterprise
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Ethics committee address [1]
300229
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M459, 35 Stirling Highway Crawley 6009 WA
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Ethics committee country [1]
300229
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Australia
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Date submitted for ethics approval [1]
300229
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27/09/2015
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Approval date [1]
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20/11/2015
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Ethics approval number [1]
300229
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RA/4/1/7916
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Summary
Brief summary
The purpose of this research is to understand the molecular mechanisms of eye disease and to correlate this with variations in the speed of deterioration and disease manifestation between individuals. Part I of this project is to monitor the retina once every 6 months through a series of detailed tests which allows us to determine if the disease has progressed over a 5 year period. Part II of this project is to collect blood, urine saliva, skin and or eye tissues to study RNA, DNA and biomarkers in the blood and to create induced pluripotent stem cells from somatic cells. Combining Part I and Part II of the study will facilitate discovery of new methods or biomarkers to better predict retinal disease progression and future treatment response. Part I: High resolution retinal imaging can provide information on microscopic changes within the living retina. Fundus autofluorescence, optical coherence tomography and adaptive optics imaging are new techniques that may enhance our ability to detect very subtle changes within the retina in patients with slowly progressive retinal degeneration. The aim of part I of the research is to find out if new methods of analysis can detect changes in these serial retinal images over a period of years which an experienced image grader is unable to identify or measure. Part II: Biomarkers in the blood will be analysed. This includes anti-retinal antibodies, RNA and DNA. Induced pluripotent stem (iPS) cells are stem cells generated in the laboratory, generally from skin cells that have been reprogrammed and induced to become pluripotent that is, they have the ability to form any cell type of the body. This characteristic makes iPS cells similar to embryonic stem cells with the potential to form any organ in the body. The aim of part II of the research is to generate iPSC from skin cells of people with retinal disease. This will allow the development of stem cell lines that will then be studied to further understand the mechanisms of disease. This can be correlated with specific genetic variants to determine how genetic mutations cause disease and vision impairment. Importantly, new knowledge into the molecular mechanisms of disease can help to identify potential targets for therapies for people with eye disease. This research is based at the Lions Eye Institute incorporating the Centre for Ophthalmology & Visual Science, The University of Western Australia.
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Trial website
https://www.lei.org.au/research/clinical-trials/
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Trial related presentations / publications
N/A
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Public notes
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Contacts
Principal investigator
Name
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Dr Fred Chen
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Address
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Lions Eye Institute
2 Verdun Street, Nedlands, WA 6009
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Country
82986
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Australia
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Phone
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+61893810817
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Fax
82986
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Email
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[email protected]
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Contact person for public queries
Name
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Fred Chen
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Address
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Lions Eye Institute
2 Verdun Street, Nedlands, WA 6009
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Country
82987
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Australia
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Phone
82987
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+61893810817
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Fax
82987
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Email
82987
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[email protected]
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Contact person for scientific queries
Name
82988
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Fred Chen
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Address
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Lions Eye Institute
2 Verdun Street, Nedlands, WA 6009
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Country
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Australia
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Phone
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+61893810817
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Fax
82988
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Email
82988
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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.
Download to PDF