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Trial registered on ANZCTR
Registration number
ACTRN12611000856910
Ethics application status
Approved
Date submitted
11/08/2011
Date registered
11/08/2011
Date last updated
30/04/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of remote ischaemic preconditioning on the immune response in healthy volunteers
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Scientific title
A paired-analysis trial investigating the effect of remote ischaemic preconditioning compared with no remote ischaemic preconditioning on inflammatory cytokine production and leukocyte function in healthy volunteers
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Secondary ID [1]
262816
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Nil
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Universal Trial Number (UTN)
U1111-1123-6538
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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:
The intervention is primarily intended for use in cardiac surgery patients
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Condition category
Condition code
Cardiovascular
270695
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0
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Coronary heart disease
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Surgery
270696
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A blood pressure cuff will be placed on the non-dominant upper arm and inflated to 200 mmHg for five minutes, then deflated for five minutes. This cycle will be repeated three times, taking a total of thirty minutes.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
No treatment. A blood pressure cuff will be placed on the non-dominant upper arm for thirty minutes, but not inflated.
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Control group
Active
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Outcomes
Primary outcome [1]
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Serum levels of inflammatory cytokines (interleukin 4, 6, 8, 10, and 17, monocyte chemoattractant protein 1 and interferon gamma) assessed via cytometric bead assay and flow cytometry
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Assessment method [1]
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Timepoint [1]
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Pre-treatment and 20 minutes, 1 hour and 4 hours post-treatment
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Primary outcome [2]
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Changes in the size and activation state of leukocyte populations, as determined using flow cytometry
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Assessment method [2]
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Timepoint [2]
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Pre-treatment and 20 minutes, 1 hour and 4 hours post-treatment
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Primary outcome [3]
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Changes in neutrophil function via measurement of the respiratory burst following stimulation, and expression levels of cell surface markers of activation using flow cytometry
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Assessment method [3]
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Timepoint [3]
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Pre-treatment and 1 hour post-treatment
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Secondary outcome [1]
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Identification of the cellular source of cytokine production (interleukin 6, 8 and 10) via intracellular cytokine staining using blood samples and flow cytometry
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Assessment method [1]
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Timepoint [1]
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Pre-treatment and 1 hour post-treatment
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Secondary outcome [2]
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Serum levels of C-reactive protein
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Assessment method [2]
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Timepoint [2]
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Pre-treatment, and 20 minutes, 1 hour and 4 hours post-treatment
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Secondary outcome [3]
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Changes in T-cell function via measurement of proliferation and cytokine production
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Assessment method [3]
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Timepoint [3]
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Pre-treatment and 1 hour post-treatment
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Eligibility
Key inclusion criteria
Healthy volunteers that have received a tetanus vaccine or booster within the last 10 years
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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?
Yes
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Key exclusion criteria
Peripheral vascular disease
Smoking
Regular use of medication
Acute illness (within 1 week of the study visits)
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Study design
Purpose of the study
Treatment
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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)
Potential participants will be sent an information sheet about the study and informed consent will be obtained prior to treatment on the day of the first study visit. All participants will receive the control treatment first, and then the remote ischaemic preconditioning one week later, therefore there are no procedures in place for allocation of patients to treatment groups or concealment of treatment.
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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
Other
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Other design features
The study is similar in design to a crossover trial; however, because the effects of remote ischaemic preconditioning have been reported to persist for several weeks, the trial has been designed such that all subjects receive the control treatment first, and the preconditioning seven days later.
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Phase
Not Applicable
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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
1/09/2011
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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
10
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Wellington Medical Research Foundation
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Address [1]
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PO Box 51 211
Wellington 6140
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Country [1]
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New Zealand
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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The Heart Foundation
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Address [2]
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9 Kalmia Street
Ellerslie
Auckland 1051
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Country [2]
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New Zealand
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Primary sponsor type
Individual
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Name
Jenni Williams
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Address
School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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A/Prof Anne La Flamme
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Address [1]
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School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country [1]
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New Zealand
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Other collaborator category [2]
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Individual
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Name [2]
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Prof Richard Beasley
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Address [2]
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country [2]
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New Zealand
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Other collaborator category [3]
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Individual
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Name [3]
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Dr Paul Young
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Address [3]
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Intensive Care Unit
Wellington Hospital
Private Bag 7902
Wellington South 6242
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Country [3]
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New Zealand
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Other collaborator category [4]
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Individual
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Name [4]
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Dr Janine Pilcher
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Address [4]
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country [4]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Central Regional Ethics Committee
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Ethics committee address [1]
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PO Box 5013 Wellington 6145
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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24/05/2011
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Approval date [1]
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23/09/2011
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Ethics approval number [1]
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CEN/11/06/034
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Summary
Brief summary
There is evidence that remote ischaemic preconditioning (RIPC) protects organs from the effects of decreased blood supply during procedures such as heart surgery. Currently it is not known how this protection occurs, but it appears that RIPC may affect inflammation. This study will investigate the effects of RIPC on the immune system in healthy volunteers. The RIPC takes 30 minutes in total and involves inflation of a blood-pressure cuff on the upper arm for five minutes, temporarily preventing blood flow, followed by deflation for five minutes. This process is repeated three times. Participants will undergo a control session where a blood pressure cuff will be placed on the upper arm for 30 minutes without inflation. Seven days later a treatment session will take place where the blood pressure cuff is placed on the same arm and RIPC is performed. At each of these sessions samples of blood will be collected prior to placement of the blood pressure cuff, and at 20 minutes, 1 hour and 4 hours following. Blood will be analysed by looking for changes in immune cells and markers of inflammation.
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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
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Miss Jenni Williams
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Address
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School of Biological Sciences, Victoria University of Wellington, PO Box 600, Wellington 6140
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Country
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New Zealand
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Phone
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+64 27 227 0220
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Fax
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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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Jenni Williams
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Address
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School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 463 5233 x7125
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jenni Williams
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Address
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School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 463 5233 x7125
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Fax
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Email
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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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