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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00408148
Registration number
NCT00408148
Ethics application status
Date submitted
5/12/2006
Date registered
6/12/2006
Date last updated
10/12/2010
Titles & IDs
Public title
High Density Lipoprotein Turnover
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Scientific title
A Randomized, Double-blind, Two Arm, Parallel, Placebo Controlled Study of Rimonabant 20 mg Effect on High Density Lipoprotein Kinetics in Patients With Abdominal Obesity and Additional Cardiometabolic Risk Factors
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Secondary ID [1]
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EUDRACT # : 2006-001716-71
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Secondary ID [2]
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RIMON_C_01346
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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:
Obesity
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Condition category
Condition code
Diet and Nutrition
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Obesity
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Metabolic and Endocrine
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Other metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - Rimonabant
Placebo comparator: 2 - Administration of one rimonabant placebo tablet once daily in the morning
Experimental: 1 - Administration of one tablet containing 20 mg of active rimonabant once daily in the morning
Treatment: Drugs: Placebo
Undistinguishable placebo tablets
Treatment: Drugs: Rimonabant
White film-coated, for oral administration containing 20 mg of active rimonabant
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Intervention code [1]
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Treatment: Drugs
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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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The fractional catabolic rate (FCR) of HDL ApoA-I
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Assessment method [1]
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Timepoint [1]
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After 12 months of treatment.
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Secondary outcome [1]
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Production Rate (PR) of HDL ApoA-I and A-II, (FCR) of HDL ApoA-II
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Assessment method [1]
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Timepoint [1]
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All across the study
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Secondary outcome [2]
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PR and FCR of VLDL1 and VLDL2 Apo B, VLDL1 and VLDL2 TG, IDL Apo B and LDL Apo B
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Assessment method [2]
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Timepoint [2]
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All across the study
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Secondary outcome [3]
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Variation in ApoA-I, ApoA-II, Lp-AI, Lp-AII, pre-beta-HDL HDL2a, HDL2b, HDL3a, HDL3b, HDL3c, Apo B, Apo C III, TG, LDL-C, HDL-C levels
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Assessment method [3]
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Timepoint [3]
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All across the study
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Secondary outcome [4]
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Variation in Glucose, insulin, HbA1c, leptin, adiponectin
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Assessment method [4]
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Timepoint [4]
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All across the study
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Secondary outcome [5]
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Variation in hs-CRP, TNF-alpha, CETP, PLTP and LCAT activities, lipoprotein and hepatic lipase activities in post-heparin plasma
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Assessment method [5]
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Timepoint [5]
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All across the study
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Secondary outcome [6]
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Variation in whole body fat
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Assessment method [6]
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Timepoint [6]
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All across the study
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Secondary outcome [7]
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Variation in abdominal sub-cutaneous and visceral fat
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Assessment method [7]
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Timepoint [7]
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All across the study
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Secondary outcome [8]
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Variation in liver fat
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Assessment method [8]
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Timepoint [8]
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All across the study
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Secondary outcome [9]
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Variation in blood pressure
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Assessment method [9]
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Timepoint [9]
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All across the study
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Secondary outcome [10]
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Variation in body weight, waist circumference, waist/hip ratio
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Assessment method [10]
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Timepoint [10]
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From the beginning to the end of the study
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Secondary outcome [11]
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CE/TG ratio in HDL
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Assessment method [11]
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Timepoint [11]
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All across the study
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Secondary outcome [12]
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Adverse events
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Assessment method [12]
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Timepoint [12]
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From the beginning to the end of the study
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Eligibility
Key inclusion criteria
* Abdominally obese patients with additional cardiometabolic risk factors
* Females must be post-menopausal
* BMI > 27 kg/m² and < 40 kg/m²
* Men or women with abdominal obesity according to NCEP/ATPIII criteria: Waist Circumference > 88 cm in women; > 102 cm in men
* With at least one lipid abnormality defined as:
* Fasting Triglycerides level > 1.7 mmol/L (150 mg/dL) and < 4.5 mmol/L (400 mg/dL)
* HDL < 1.03 mmol/L (40 mg/dL) in men and < 1.29 mmol/L (50 mg/dL) in women
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Minimum age
35
Years
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Maximum age
65
Years
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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
* HDL = 0.60 mmol/L (23 mg/dl)
* Plasma LDL-Cholesterol > 155 mg/dl (4.00 mmol/L) or total cholesterol 250 mg/dl (> 6.5mmol/L) or genetic hyperlipidaemia
* Fasting triglycerides > 400 mg/dL (4.5 mmol/L)
* Known heterozygous or homozygous familial hypercholesterolaemia or know type III hyperlipoproteinaemia (familial dysbetalipoproteinaemia)
* ApoE2/E2 homozygosity, Apo E4/E4 homozygosity
* Type 2 diabetes treated with oral agents and/or insulin
* Diet treated type 2 diabetic patients with HbA1c = 7%
* History of cardio vascular disease
* Systolic blood pressure = 160 mmHg or diastolic blood pressure = 95 mmHg.
* Very low-calorie diet (1200 calories a day or less) or history of surgical procedures for weight loss (e.g., stomach stapling, bypass)
* Body weight fluctuation > 5 Kg during the previous 3 months
* History of bulimia or anorexia nervosa by DSM-IV criteria
* Presence of any clinically significant endocrine disease according to the investigator, Cushing syndrome, obesity secondary to hypothalamic/pituitary disorder.
* Abnormal TSH and free T4 at baseline (Patients treated with thyroid replacement therapy must be on fixed and stable dose for at least 3 months prior to screening and must be in euthyroïd status.)
* Severe hepatic impairment known by the investigator or AST or ALT > 3 times the ULN at screening.
* Known severe renal dysfunction (creatinine clearance < 30 ml/min) or urine analysis (performed at screening by dipstick) showing 2+ or more protein
* Presence of any condition (medical, including clinically significant abnormal laboratory test, psychological, social or geographical) actual or anticipated that the investigator feels would compromise the patient safety or limit his/her successful participation to the study
* Patient treated for epilepsy
* Ongoing major depressive illness
* Uncontrolled psychiatric illness
* History of alcohol and/or drug abuse
* Smoker or smoking cessation within the past 3 months
* Marijuana or hashish users
* Previous participation in a Rimonabant study or to any other clinical trial within 4 weeks to study start
* Hypersensitivity/intolerance to the active substance or to any of the excipients such as lactose
* Blood donation within the past 3 months prior to the study or planned during the study or within the 3 months from the study completing
* Recent history of active peptic ulcer
* Willebrand disease or other hemorrhagic diatheses
* Administration of any of the following within 3 months prior to screening visit and susceptible to be prescribed during the study treatment period:
* Lipid-lowering drugs intake
* Anti obesity drugs
* Other drugs for weight reduction (phentermine, amphetamines)
* Herbal preparations for weight reduction
* Other drugs known to affect lipid metabolism: retinoids, antiretroviral, estrogens and hormone replacement therapy, cyclosporine, glitazones, benfluorex, fish oils, plant sterols.
* Thiazids (including fixed combination) at daily dose higher than 12.5 mg
* Unselective beta-blockers
* Prolonged use (more than one week) of systemic corticosteroids, neuroleptics
* Anticoagulants
* Ongoing antidepressive treatment
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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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
1/10/2006
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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
1/12/2008
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Sample size
Target
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Accrual to date
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Final
64
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Sanofi-Aventis Administrative Office - North Ryde
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Recruitment postcode(s) [1]
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- North Ryde
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Recruitment outside Australia
Country [1]
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Finland
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State/province [1]
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Helsinki
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Country [2]
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France
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State/province [2]
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Paris
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Country [3]
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United Kingdom
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State/province [3]
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Guildford
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Sanofi
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The objective of the study is to evaluate the effect of Rimonabant 20mg in comparison to placebo, on HDL and VLDL lipoprotein kinetics, over a 12 months period. Primary objectives: * To assess effect of Rimonabant on HDL ApoA-I fractional catabolic rate (FCR). Secondary objectives: * To assess effect of Rimonabant on HDL ApoA-I production rate (PR) and on other lipoprotein kinetics. * To assess effect of Rimonabant on lipids, glycemic and inflammatory parameters * To assess effect of Rimonabant on body composition * To assess safety of Rimonabant
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Trial website
https://clinicaltrials.gov/study/NCT00408148
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Trial related presentations / publications
Verges B, Adiels M, Boren J, Barrett PH, Watts GF, Chan D, Duvillard L, Soderlund S, Matikainen N, Kahri J, Robin I, Taskinen MR. Interrelationships between the kinetics of VLDL subspecies and HDL catabolism in abdominal obesity: a multicenter tracer kinetic study. J Clin Endocrinol Metab. 2014 Nov;99(11):4281-90. doi: 10.1210/jc.2014-2365. Epub 2014 Jul 31.
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Public notes
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Contacts
Principal investigator
Name
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Valérie Pilorget
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Address
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Sanofi
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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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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 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/NCT00408148
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