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Trial registered on ANZCTR
Registration number
ACTRN12612000441819
Ethics application status
Approved
Date submitted
16/04/2012
Date registered
18/04/2012
Date last updated
10/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Variable Concentrations of Oxygen in Chronic Obstructive Pulmonary Disease
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Scientific title
Response of Patients with Chronic Obstructive Pulmonary Disease to Variable Concentrations of Oxygen, as Measured by Carbon Dioxide
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Secondary ID [1]
280278
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Nil
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Universal Trial Number (UTN)
U1111-1130-0109
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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:
Chronic Obstructive Pulmonary Disease
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Condition category
Condition code
Respiratory
286449
286449
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0
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Chronic obstructive pulmonary disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Oxygen administered to all participants at 28, 35 and 50%, each for 30 minutes with a 30 minute washout period following, via a venturi mask system.
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Intervention code [1]
284629
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Treatment: Other
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Comparator / control treatment
Oxygen administered at 21% (room air concentration) for 30 minutes with a 30 minute washout period following, via a venturi mask system.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Transcutaneous carbon dioxide level, adjusted for baseline, as measured by a TOSCA monitor.
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Assessment method [1]
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Timepoint [1]
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30 minutes.
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Secondary outcome [1]
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Transcutaneous carbon dioxide level, adjusted for baseline, as measured by a TOSCA monitor.
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Assessment method [1]
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Timepoint [1]
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Countinuously measured via the TOSCA, and specifically recorded at 10 minute intervals, during the intervention and washout periods.
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Secondary outcome [2]
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Transcutaneous oxygen level, adjusted for baseline, as recorded on the TOSCA.
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Assessment method [2]
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Timepoint [2]
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Continuously over the time course of the intervention and washout periods.
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Secondary outcome [3]
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Effect of baseline transcutaneous carbon dioxide, as recoded via the TOSCA, on outcome.
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Assessment method [3]
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Timepoint [3]
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Value from baseline.
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Secondary outcome [4]
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Heart rate, adjusted for baseline, as recorded on the TOSCA.
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Assessment method [4]
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Timepoint [4]
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10 minute intervals during the intervention and washout periods.
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Secondary outcome [5]
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Respiratory rate, adjusted for baseline, counted by investigator.
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Assessment method [5]
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Timepoint [5]
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10 minute intervals during the intervention and washout periods.
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Eligibility
Key inclusion criteria
Diagnosis of chronic obstructive pulmonary disease with oxygen induced elevation in transcutaneous carbon dioxide levels of greater than or equal to 4mmHg.
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Minimum age
16
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?
No
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Key exclusion criteria
An intercurrent chest infection
FEV1:FVC >0.7
Baseline transcutaneous carbon dioxide of greater than 60mmHg
Diagnosis of a disease causing restriction to chest wall expansion (neuromuscular disease or chest wall dysfunction)
Obesity (body mass index greater than or equal to 40)
Any other condition which, at the investigator's discretion, is believed may present a safety risk or impact the feasibility of the study or the study results.
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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)
Following explaination of the trial and consent, participants will be assessed for eligibility. If eligible, participants will be randomised to the order of interventions (21%, 28%, 35% or 50% oxygen). Allocation will be concealed using sealed opaque envelopes, which will only be opened once eligibilty has been confirmed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety
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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
26/04/2012
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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
24
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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]
4241
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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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Medical Research Institute of New Zealand
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Address [1]
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [1]
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New Zealand
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Funding source category [2]
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Government body
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Name [2]
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Health Research Council
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Address [2]
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Level 3 - ProCARE Building, Grafton Mews, at 110 Stanley Street, Auckland 1010
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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
Janine Pilcher
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Address
MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country
New Zealand
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Secondary sponsor category [1]
283910
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Individual
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Name [1]
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Richard Beasley
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Address [1]
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [1]
283910
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New Zealand
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Other collaborator category [1]
260708
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Individual
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Name [1]
260708
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Kyle Perrin
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Address [1]
260708
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [1]
260708
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New Zealand
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Other collaborator category [2]
260709
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Individual
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Name [2]
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Pip Shirtcliffe
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Address [2]
260709
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [2]
260709
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New Zealand
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Other collaborator category [3]
260710
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Individual
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Name [3]
260710
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Mitesh Patel
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Address [3]
260710
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [3]
260710
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New Zealand
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Other collaborator category [4]
260711
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Individual
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Name [4]
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Irene Braithwaite
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Address [4]
260711
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [4]
260711
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New Zealand
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Other collaborator category [5]
260712
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Individual
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Name [5]
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Mathew Williams
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Address [5]
260712
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MRINZ, Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [5]
260712
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New Zealand
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Other collaborator category [6]
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Individual
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Name [6]
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Mark Weatherall
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Address [6]
260713
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Wellington Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country [6]
260713
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287050
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Health and Disability Ethics Committee: Northern Y
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Ethics committee address [1]
287050
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130 Grantham St, Hamilton 3204
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Ethics committee country [1]
287050
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New Zealand
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Date submitted for ethics approval [1]
287050
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12/01/2012
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Approval date [1]
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28/03/2012
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Ethics approval number [1]
287050
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NTY/12/01/009
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Summary
Brief summary
It is well established that oxygen therapy can increase carbon dioxide in patients with chronic obstructive pulmonary disease. However, the dose-response relationship is unknown, in particular whether this effect occurs above a certain oxygen concentration threshold. This needs to be explored to ensure guidelines appropriately recommend oxygen prescription to minimise the incidence of hypercapnia (high carbon dioxide levels). We plan to explore this with a randomised controlled four way cross over clinical trial of varying concentrations of oxygen therapy in chronic obstructive pulmonary disease patients.
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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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Address
34025
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Country
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Phone
34025
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Fax
34025
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Email
34025
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Contact person for public queries
Name
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Janine Pilcher
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Address
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MRINZ, Wellinton Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country
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New Zealand
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Phone
17272
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+64 4 8050241
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Fax
17272
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+64 4 3895707
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Email
17272
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[email protected]
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Contact person for scientific queries
Name
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Janine Pilcher
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Address
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MRINZ, Wellinton Regional Hospital, Riddiford Street, Newtown, Wellington 6021
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Country
8200
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New Zealand
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Phone
8200
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+64 4 8050241
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Fax
8200
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+64 4 3895707
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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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