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Trial registered on ANZCTR
Registration number
ACTRN12618000869279
Ethics application status
Approved
Date submitted
8/03/2018
Date registered
22/05/2018
Date last updated
29/06/2022
Date data sharing statement initially provided
11/02/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Demographic and clinical information in acute cervical spinal cord injury as part of the Riluzole in Spinal cord Injury Study (RISCIS)
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Scientific title
Demographic and clinical information in acute cervical spinal cord injury as part of the Riluzole in Spinal cord Injury Study (RISCIS)
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Secondary ID [1]
294284
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
NCT01597518: main RISCIS trial
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Health condition
Health condition(s) or problem(s) studied:
Spinal cord injury
306975
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Condition category
Condition code
Injuries and Accidents
306070
306070
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Investigators will analyse data collected for the RISCIS study on the demographics, spinal cord injury, neurological outcomes and quality of care of subjects presenting to participating hospitals. There will be no additional intervention involved. Period of follow-up will be the same as the main RISCIS protocol i.e., 12 months the longest.
The intervention is administered as part of the main RISCIS study and not in the study being registered in this form.
The primary objective of RISCIS is to evaluate the superiority of riluzole, at a dose of 2 x 100 mg the first 24 hours followed by 2 x 50 mg for the following 13 days after injury, as compared to placebo, in patients with acute traumatic SCI, presenting to the hospital less than 12 hours after injury.
Experimental group: Riluzole.
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Intervention code [1]
300581
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Diagnosis / Prognosis
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Comparator / control treatment
This is administered as part of the main RISCIS study and not in the study being registered in this form.
The primary objective of RISCIS is to evaluate the superiority of riluzole, at a dose of 2 x 100 mg the first 24 hours followed by 2 x 50 mg for the following 13 days after injury, as compared to placebo, in patients with acute traumatic SCI, presenting to the hospital less than 12 hours after injury.
Placebo comparator: Placebo.
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Control group
Active
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Outcomes
Primary outcome [1]
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The composite primary outcome is the quality of care will be assessed by the time to review by a spinal rehabilitation physician, the occurrence of complications: DVT/PE, pneumonia, UTI and pressure area.
The primary outcome will be assessed by the review of medical records.
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Assessment method [1]
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Timepoint [1]
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Secondary outcome [1]
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ISNCSCI - ASIA Impairment Scale and motor score
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Assessment method [1]
346585
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Timepoint [1]
346585
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Secondary outcome [2]
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Onset and severity of pressure areas. (Composite secondary outcome)
This secondary outcome will be assessed by the review of medical record.
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Assessment method [2]
346708
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Timepoint [2]
346708
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Secondary outcome [3]
346709
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Onset of pneumonia. The secondary outcome will be assessed by the review of medical record.
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Assessment method [3]
346709
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Timepoint [3]
346709
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Secondary outcome [4]
346711
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Onset of DVT will be assessed by the review of medical record.
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Assessment method [4]
346711
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Timepoint [4]
346711
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Secondary outcome [5]
346712
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Onset of pulmonary embolism will be assessed by the review of medical record.
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Assessment method [5]
346712
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Timepoint [5]
346712
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Post-injury/enrollment at baseline, 72-hours, 7-days, 14-days, 84-days, 180-days (primary endpoint) and 365-days.
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Eligibility
Key inclusion criteria
Participants will be included in the study if they have the same type and level of injury required for inclusion in RISCIS.
1. Age between 18 and 75 years.
2. Able to cooperate in the completion of standardized neurological examination by ISNCSCI standards.
3. ISNCSCI Impairment Scale Grade A, B or C based on first ISNCSCI evaluation on admission to hospital.
4. Neurological level of injury between C4 and C8 based on first ISNCSCI evaluation on admission to hospital.
5. Present to participating hospitals within 12 hours of injury.
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Minimum age
18
Years
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Maximum age
75
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. Significant concomitant brain injury defined by Glasgow Coma Score <14 with a clinically significant abnormality on a head CT scan
2. Pre-existing neurological or mental health disorder which would preclude accurate evaluation and follow-up.
3. Previous spinal cord injury
4. Is a prisoner
5. Acquired immune deficiency syndrome (AIDS) or AIDS related complex.
6. Active malignancy or history of invasive malignancy in previous 5 years.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Comparative statistics for demographic data.
Multivariate analysis for neurological condition and complications.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
8/04/2016
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Date of last participant enrolment
Anticipated
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Actual
18/02/2020
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Date of last data collection
Anticipated
31/12/2022
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Actual
24/02/2021
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Sample size
Target
50
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Accrual to date
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Final
39
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
10336
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Prince of Wales Hospital - Randwick
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Recruitment hospital [2]
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
22007
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2031 - Randwick
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Recruitment postcode(s) [2]
22008
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2065 - St Leonards
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Funding & Sponsors
Funding source category [1]
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Other Collaborative groups
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Name [1]
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AOSpine North America
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Address [1]
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1700 Russell Road, Paoli PA 19039
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Country [1]
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United States of America
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Primary sponsor type
Individual
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Name
Ralph Stanford
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Address
Department of Orthopaedic Surgery, Prince of Wales Hospital, Barker Street, Randwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
298139
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None
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Name [1]
298139
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Address [1]
298139
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Country [1]
298139
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299863
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Human Research Ethics Committee of South Eastern Sydney Local Health District
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Ethics committee address [1]
299863
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Room G71, East Wing Edmund Blacket Building Prince of Wales Hospital Randwick NSW 2031
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Ethics committee country [1]
299863
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Australia
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Date submitted for ethics approval [1]
299863
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20/05/2014
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Approval date [1]
299863
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05/01/2016
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Ethics approval number [1]
299863
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LNR/14/POWH/284
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Summary
Brief summary
This study is proposed to run alongside the approved Riluzole in Spinal Cord Injury Study (RISCIS) at Prince of Wales and Royal North Shore Hospitals. RISCIS is a randomized, prospective trial in acute cervical spinal cord injury. The outcome data that will be collected for this study will be good quality and detailed. Running RISCIS represents a unique opportunity to also collect ancillary observational data on possible predictors of general outcomes in acute spinal cord injury as well as the type and frequency of complications. This data will allow the investigators to generate reliable and accurate information on quality of care of acute spinal cord injury at both participating hospitals. This can be compared with international bench-marks and also allow comparison between the Spinal Units at the two hospitals. As a result, it is hoped that care can be optimized at each site in light of the new information and also that standardization of care across both Spinal Units can be established according to best practice guidelines. This study will be purely observational and will not require additional investigations or clinical assessments than used in standard clinical care.
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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
81802
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Dr Ralph Stanford
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Address
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Department of Orthopaedic Surgery
Level 2, South Wing Edmund Blacket Building
Prince of Wales Hospital
Barker Street, Randwick NSW 2031
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Country
81802
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Australia
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Phone
81802
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+61 2 9382 2490
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Fax
81802
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+61 2 9382 2890
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Email
81802
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[email protected]
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Contact person for public queries
Name
81803
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Trent Li
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Address
81803
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Department of Orthopaedic Surgery
Level 2, South Wing Edmund Blacket Building
Prince of Wales Hospital
Barker Street, Randwick NSW 2031
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Country
81803
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Australia
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Phone
81803
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+61 2 9382 2490
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Fax
81803
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+61 2 9382 2890
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Email
81803
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[email protected]
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Contact person for scientific queries
Name
81804
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Ralph Stanford
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Address
81804
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Department of Orthopaedic Surgery
Level 2, South Wing Edmund Blacket Building
Prince of Wales Hospital
Barker Street, Randwick NSW 2031
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Country
81804
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Australia
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Phone
81804
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+61 2 9382 2490
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Fax
81804
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+61 2 9382 2890
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Email
81804
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All data collected from individual participant.
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When will data be available (start and end dates)?
IPD will be available after the estimated date of study completion on 31-Dec-2022 and onwards.
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Available to whom?
Available to general public and all research stakeholders.
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Available for what types of analyses?
Meta-analysis method might be used, but it will be confirmed and finalised by PI.
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How or where can data be obtained?
Access subject to approvals by Principal Investigator, de-identified data can be retrieved from the OpenClinica database of the main RISCIS trial.
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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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