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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02379845
Registration number
NCT02379845
Ethics application status
Date submitted
19/02/2015
Date registered
5/03/2015
Date last updated
6/04/2021
Titles & IDs
Public title
NBTXR3 Crystalline Nanoparticles and Radiation Therapy in Treating Randomized Patients in Two Arms With Soft Tissue Sarcoma of the Extremity and Trunk Wall
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Scientific title
A Multicenter Randomized, Open-Label Phase II/III Study, To Compare The Efficacy Of NBTXR3, Implanted As Intratumor Injection And Activated By Radiotherapy, Versus Radiotherapy Alone In Patients With Locally Advanced Soft Tissue Sarcoma Of The Extremity And Trunk Wall
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Secondary ID [1]
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NBTXR3-301
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Universal Trial Number (UTN)
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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:
Adult Soft Tissue Sarcoma
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Condition category
Condition code
Cancer
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Sarcoma (also see 'Bone') - soft tissue
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Cancer
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Bone
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - NBTXR3
Treatment: Devices - Radiation therapy
Experimental: Arm A - NBTXR3 + Radiotherapy
Active comparator: Arm B - Radiotherapy alone
Treatment: Devices: NBTXR3
One intratumor implantation by injection
Treatment: Devices: Radiation therapy
5 weeks/50 Gy (5 x 2 Gy by week)
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Intervention code [1]
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Treatment: Devices
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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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Pathological Complete Response Rate (pCRR)
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Assessment method [1]
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To compare antitumor activity in terms of Pathological complete response rate (pCRR) of intratumor injection of NBTXR3 activated by external beam radiation therapy (EBRT), versus EBRT alone
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Timepoint [1]
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36 months
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Secondary outcome [1]
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Incidence of early and late TEAE, post-TEAE, SAE and laboratory abnormalities (NCI CTCAE V4.0)
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Assessment method [1]
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Timepoint [1]
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36 months
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Secondary outcome [2]
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Objective Response Rate (ORR) by Imaging (MRI) according to RECIST 1.1
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Assessment method [2]
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Timepoint [2]
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36 months
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Secondary outcome [3]
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Tumor volume changes (theoretical tumor volume estimated as: Length x Width x Depth
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Assessment method [3]
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Timepoint [3]
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36 months
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Secondary outcome [4]
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Resection Margins (R0, R1, R2)
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Assessment method [4]
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Timepoint [4]
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36 months
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Secondary outcome [5]
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Hyalinization, fibrosis, necrosis and tumor infarction percentage
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Assessment method [5]
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Timepoint [5]
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36 months
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Secondary outcome [6]
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Limb amputation rate
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Assessment method [6]
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Timepoint [6]
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36 months
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Eligibility
Key inclusion criteria
* Age: 18 years and older
* Locally Advanced Soft Tissue Sarcoma of the Extremity and Trunk Wall
* All grades
* Candidate to radiotherapy + surgery (ESMO guideline 2014) i.e. tumor must not have involvement of bone and / or vessel and or nerve :
* Primary tumor or,
* Relapsed tumor, localized out of previously irradiated area
* WHO performance score 0 to 2
* Adequate function of bone marrow
* Adequate renal function
* Adequate hepatic function
* Adequate pulmonary function
* All female patients of childbearing potential must have a negative serum/urinary pregnancy test
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Minimum age
18
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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
* Absence of written Informed Consent duly signed and dated
* Patients with the following histological type: embryonal or alveolar rhabdomyosarcoma, Ewing's sarcoma, osteosarcoma or chondrosarcoma, Kaposi's sarcoma, primitive neuroectodermal tumor, angiosarcoma, aggressive fibromatosis or dermatofibrosarcoma protuberans
* Soft Tissue Sarcoma of the Trunk Wall localized in the abdominal region i.e. the region defined cranially by the xiphoid process of the sternum and the costal margins, and caudally by the line joining the anterior superior iliac spines, both limited by the perpendicular lines crossing both nipples
* Patient with a calculated tumor baseline volume > 3000 mL
* Metastatic disease (CT-scan / MRI verification) with life expectancy shorter than 6 months
* Previous radiation therapy in relapse site of soft tissue sarcoma (no radiation re-challenge is permitted)
* Concurrent treatment with any other anticancer therapy, including chemotherapy, immunotherapy, targeted therapy, gene therapy, or patients planning to receive these treatments during the study
* Absence of histologically or cytologically proven cancer at the first diagnosis
* Previous neoadjuvant chemotherapy treatment given as an upfront of the current treatment line
* Hemolytic anemia
* Autoimmune disease
* Complete initial work up earlier than 4 weeks prior to patient registration
* Patients unable to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures
* Patients participating in another clinical investigation at the time of signature of the informed consent
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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 2
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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
3/03/2015
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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
20/09/2020
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Sample size
Target
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Accrual to date
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Final
180
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Capital Region Cancer Service, Canberra Hospital - Canberra
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Recruitment hospital [2]
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Chris O'Brien Lifehouse - Sydney
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Recruitment postcode(s) [1]
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- Canberra
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Recruitment postcode(s) [2]
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- Sydney
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Recruitment outside Australia
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Belgium
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Bruxelles
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Belgium
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Ghent
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France
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Saint Herblain
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France
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Bordeaux
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France
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Lyon
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France
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Marseille
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France
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Montpellier
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France
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Nice
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France
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Paris
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France
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Toulouse
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France
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Villejuif
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Mannheim
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Germany
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Nürnberg
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Shatin
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Hungary
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Budapest
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Hungary
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Pecs
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Milan
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Italy
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Padova
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Italy
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Warsaw
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Romania
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Bucharest
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Romania
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Floresti
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Romania
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Oradea
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Romania
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Targu Mures
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Romania
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Timisoara
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South Africa
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Bloemfontein
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South Africa
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Durban
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South Africa
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George
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South Africa
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Pretoria
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Spain
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Barcelona
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Spain
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Madrid
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Nanobiotix
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Commercial sector/industry
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Name [1]
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PharmaEngine
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Ethics approval
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Summary
Brief summary
RATIONALE: Radiation therapy given before surgery of soft tissue sarcoma decreases the size of the tumor mass and the presence of malignant cells in its peripheral region. NBTXR3 and radiation therapy may kill more cancer cells and increase the tumor shrinkage rendering surgery more feasible or easier and achieve better local control of the tumor. PURPOSE: This phase II/III is a prospective randomized, multi-center, open-label and active controlled two arms study in patients with locally advanced soft tissue sarcoma (STS) of the extremity and trunk wall. Patients will be randomized to receive either NBTXR3 as intratumor injection, activated by external beam radiation therapy or external beam radiation therapy alone, as preoperative treatment. Once the radiotherapy treatment is completed, tumor surgery will be performed in all patients.
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Trial website
https://clinicaltrials.gov/study/NCT02379845
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Trial related presentations / publications
Bonvalot S, Rutkowski PL, Thariat J, Carrere S, Ducassou A, Sunyach MP, Agoston P, Hong A, Mervoyer A, Rastrelli M, Moreno V, Li RK, Tiangco B, Herraez AC, Gronchi A, Mangel L, Sy-Ortin T, Hohenberger P, de Baere T, Le Cesne A, Helfre S, Saada-Bouzid E, Borkowska A, Anghel R, Co A, Gebhart M, Kantor G, Montero A, Loong HH, Verges R, Lapeire L, Dema S, Kacso G, Austen L, Moureau-Zabotto L, Servois V, Wardelmann E, Terrier P, Lazar AJ, Bovee JVMG, Le Pechoux C, Papai Z. NBTXR3, a first-in-class radioenhancer hafnium oxide nanoparticle, plus radiotherapy versus radiotherapy alone in patients with locally advanced soft-tissue sarcoma (Act.In.Sarc): a multicentre, phase 2-3, randomised, controlled trial. Lancet Oncol. 2019 Aug;20(8):1148-1159. doi: 10.1016/S1470-2045(19)30326-2. Epub 2019 Jul 8. Erratum In: Lancet Oncol. 2019 Sep;20(9):e468. doi: 10.1016/S1470-2045(19)30529-7.
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Public notes
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Contacts
Principal investigator
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT02379845
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