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Trial registered on ANZCTR
Registration number
ACTRN12614000240640
Ethics application status
Approved
Date submitted
18/02/2014
Date registered
6/03/2014
Date last updated
27/03/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Influenza Specific Immunity After Vaccination in Recipients of Haematopoietic Stem Cell Transplantation Compared to Healthy Controls
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Scientific title
A Prospective Study to Evaluate the Immunogenicity and Efficacy of Inactivated Trivalent Influenza Vaccine in Children (> or = 6 months to < or =18 years of age) who have Undergone Allogeneic or Autologous Haematopoietic Stem Cell Transplant compared to Aged Matched Controls
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Secondary ID [1]
284123
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
Influenza Vaccine HSCT study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Haematopoietic Stem Cell Transplant patients
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cancer
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haematological malignancy
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Autologous or allogeneic
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Influenza
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Condition category
Condition code
Cancer
291539
291539
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0
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Any cancer
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Infection
291590
291590
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0
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Other infectious diseases
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Inflammatory and Immune System
291591
291591
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Trivalent Inactivated Influenza Vaccine 6 months to 2 years post transplant as per immunisation guidelines. Two doses of influenza vaccine at least 4 weeks apart are recommended for all HSCT recipients receiving influenza vaccine for the first time, with the 1st dose given as early as 6 months post transplant. This is given intramuscularly.
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Intervention code [1]
288814
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Prevention
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Comparator / control treatment
comparing immunogenecity to healthy controls who will be given the vaccination as per the Australian immunisation guidelines. This means that children who are influenza vaccine naive and under 10 years of age will have two doses and the others will have one dose of the vaccine given intramuscularly.
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Control group
Active
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Outcomes
Primary outcome [1]
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To measure influenza specific Haemagglutinin Inhibition [HI] antibody levels by standarised method at WHO Collaborating Centre for Reference and Research on Influenza
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Assessment method [1]
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Timepoint [1]
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for one dose, prevaccinetion and between 4 to 8 weeks post dose.
For two doses, prevaccination and between 4 to 8 weeks post each dose.
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Secondary outcome [1]
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To identify the frequency and severity of microbiologically confirmed influenza illness in HSCT patients who received TIV during that influenza season. This is assessed by asking the patients to contact staff if they have an influenza like illness. If they fulfil the criteria, then they come in for medical assessment and nasal swab looking for respiratory viruses by IF +/_ PCR. If positive for influenza, the swab will be sent to WHO Collaborating Centre for Reference and Research on Influenza for specific strain typing to assess vaccine failure versus strain mismatch.
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Assessment method [1]
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Timepoint [1]
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Any time from enrolment to end of the influenza season (End of nov of enrolment year)
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Eligibility
Key inclusion criteria
1.Age greater than or equal to 6 months to less than or equal to 18 years of age at time of vaccination and have undergone HSCT
2.HSCT recipients who are more than 6 months upto 2 years post transplant
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Minimum age
6
Months
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Maximum age
18
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
1.Known contraindication to influenza vaccine as defined in the National Health and Medical Research Council (NHMRC) Immunisation Handbook (10th ed.)
2.Receipt of an inappropriate dose of influenza vaccine for age of child during the current year
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Study design
Purpose of the study
Prevention
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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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
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
23/05/2013
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Actual
23/05/2013
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Date of last participant enrolment
Anticipated
30/08/2015
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Actual
12/05/2016
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Date of last data collection
Anticipated
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Actual
19/03/2017
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Sample size
Target
150
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Accrual to date
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Final
131
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Recruitment in Australia
Recruitment state(s)
QLD,SA,WA,VIC
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Recruitment hospital [1]
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Princess Margaret Hospital - Subiaco
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Recruitment hospital [2]
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The Royal Childrens Hospital - Parkville
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Recruitment hospital [3]
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Royal Children's Hospital - Herston
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Recruitment hospital [4]
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Womens and Childrens Hospital - North Adelaide
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Recruitment postcode(s) [1]
7805
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6008 - Subiaco
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Recruitment postcode(s) [2]
7806
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3052 - Parkville
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Recruitment postcode(s) [3]
7807
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4029 - Royal Brisbane Hospital
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Recruitment postcode(s) [4]
15655
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5006 - North Adelaide
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Pfizer Australia
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Address [1]
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38-42 Wharf Road
West Ryde NSW 2114
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Country [1]
288753
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Australia
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Funding source category [2]
288755
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Charities/Societies/Foundations
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Name [2]
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Princess Margaret Hospital foundation
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Address [2]
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Level 1, 68 Hay Street
Subiaco WA 6008
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Country [2]
288755
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Australia
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Primary sponsor type
Hospital
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Name
Princess Margaret Hospital for children
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Address
Roberts Road
Subiaco WA 6008
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Country
Australia
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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]
287451
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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princess margaret Hospital HREC
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Ethics committee address [1]
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Roberts road Subiaco WA 6008
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
290593
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Approval date [1]
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30/07/2013
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Ethics approval number [1]
290593
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1988/EP
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Ethics committee name [2]
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QLD Children’s Health Services (RCH), HREC
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Ethics committee address [2]
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Level 3, Foundation Building Royal Children’s Hospital Herston Road HERSTON QLD 4029
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Ethics committee country [2]
290594
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Date submitted for ethics approval [2]
290594
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Approval date [2]
290594
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04/12/2012
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Ethics approval number [2]
290594
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HREC/12/QRCH/213
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Ethics committee name [3]
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Women and Childrens Hospital HREC
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Ethics committee address [3]
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Level 2, Samuel Way Building, 72 King William Road, North Adelaide, South Australia 5006
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
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10/02/2015
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Approval date [3]
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23/03/2015
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Ethics approval number [3]
297294
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HREC/15/WCHN/19
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Summary
Brief summary
This study is looking at whether children who have had a bone marrow transplant produce protective antibodies after the flu vaccine. We will compare this to healthy children, and also look at how many children get the flu despite being vaccinated. Who is it for? You or your child may be eligible to join this study if you/they are aged between 6 months to 18 years, and have undergone haematopoietic stem cell transplant 6 months to 2 years ago. Study details Bone marrow transplant (BMT) patients have significant problems with their immune system. The rate of problems caused by the flu (influenza) is particularly high in these patients. Vaccination is the main way to prevent the flu and the problems it causes. Vaccination of children and adolescents may not only protect the children themselves, but may also significantly decrease the rate of transmission and consequently, the knock-on effects in the general population. There are many studies in adults that have looked at the immune response of the flu vaccine in patients post transplant. Response rates are poor and whilst the response improves over time with recovery of their immune system, it rarely reaches that of healthy controls. The rates reported are between 9-40%. The studies that have been done are small. There are limitations to these studies and importantly, there is minimal amount of data for children. To our knowledge, there have been no studies conducted looking at the immune response to the flu vaccine in children alone. In this study all participants will receive the influenza vaccine as per immunisation guidelines. After each vaccine dose (1-2 doses may be administered), participants will undergo a blood test to evaluate influenza specific antibody levels. Participants will also be monitored from enrolment to the end of the influenza season (end of November of enrolment year) in order to identify frequency and severity of influenza infection.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr Rishi Kotecha
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Address
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Princess Margaret Hospital For children
Roberts Road,
SUBIACO
WA 6008
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Country
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Australia
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Phone
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+61893408222
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Fax
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+61 8 9340 8402
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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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Ushma Wadia
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Address
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Princess Margaret Hospital For children
Roberts Road,
SUBIACO
WA 6008
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Country
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Australia
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Phone
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+61 8 93408222
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Fax
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+61 8 9340 8402
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Email
46351
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[email protected]
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Contact person for scientific queries
Name
46352
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Ushma Wadia
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Address
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Princess Margaret Hospital For children
Roberts Road,
SUBIACO
WA 6008
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Country
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Australia
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Phone
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+61 8 93408222
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Fax
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Email
46352
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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
Source
Title
Year of Publication
DOI
Embase
Immunogenicity of the inactivated influenza vaccine in children who have undergone allogeneic haematopoietic stem cell transplant.
2020
https://dx.doi.org/10.1038/s41409-019-0728-5
N.B. These documents automatically identified may not have been verified by the study sponsor.
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