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Trial registered on ANZCTR
Registration number
ACTRN12619000599178
Ethics application status
Approved
Date submitted
4/04/2019
Date registered
17/04/2019
Date last updated
3/08/2024
Date data sharing statement initially provided
17/04/2019
Date results provided
25/07/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A Phase 1/2a Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic Effects and Exploratory Efficacy of FPP003 Vaccine in Subjects with Psoriasis.
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Scientific title
A Phase 1/2a Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic Effects and Exploratory Efficacy of FPP003 Vaccine in Subjects with Psoriasis.
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Secondary ID [1]
297480
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Nil known
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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:
Psoriasis
311684
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Condition category
Condition code
Skin
310313
310313
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0
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Dermatological conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cohort 1 - 4 participants will receive one subcutaneous injection of FPP003 vaccine at 0.5 mg on three occasions (Day 1, Day 15, and Day 29).
Cohort 2 - 4 participants will receive one subcutaneous injection of FPP003 vaccine at 1.5 mg on three occasions (Day 1, Day 15, and Day 29).
Cohort 3 - 9 participants will receive one subcutaneous injection of FPP003 vaccine at 5.0 mg on three occasions (Day 1, Day 15, and Day 29)
Cohort 4 - 9 participants will receive one subcutaneous injection of FPP003 vaccine at 15.0 mg on three occasions (Day 1, Day 15, and Day 29)
A safety review committee consisting of an independent medical monitor, investigator, and other members of the investigational team will review safety data include adverse events, clinical laboratory results, and vital signs through Day 8 prior to dosing of the next cohort.
The selected doses for a given cohort may also be adjusted by the investigator or safety review committee if three or more subjects in a given cohort experience any severe or serious adverse events that are at least possibly related to study drug. Additional cohorts may be enrolled after consultation between the sponsor and the investigator.
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Intervention code [1]
313739
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Treatment: Drugs
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Comparator / control treatment
Cohort 1 - 2 participants will receive one subcutaneous injection of Placebo on three occasions (Day 1, Day 15, and Day 29).
Cohort 2 - 2 participants will receive one subcutaneous injection of Placebo on three occasions (Day 1, Day 15, and Day 29).
Cohort 3 - 3 participants will receive one subcutaneous injection of Placebo on three occasions (Day 1, Day 15, and Day 29)
Cohort 4 - 3 participants will receive one subcutaneous injection of Placebo on three occasions (Day 1, Day 15, and Day 29)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Safety and tolerability of escalating doses of the FPP003 vaccine administered as a subcutaneous injection in adults with psoriasis compared with placebo This will be assessed by reviewing the incidence and severity of adverse events (AE), Incidence of serious adverse events (SAE) and suspected unexpected serious adverse reactions, assessing local injection site reactions, and clinically significant changes from baseline in: laboratory evaluations (haematology, biochemistry, urinalysis), electrocardiograms (ECG), vital signs, and physical examinations.
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Assessment method [1]
319206
0
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Timepoint [1]
319206
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Baseline (Day 1 pre-dose) through Day 120
ECG at Baseline (Day 1 pre-dose) and Day 29
Vital signs at Baseline (Day 1 pre-dose) and on Days 8, 15, 29, 60, 90, and 120
Clinical laboratory assessments at Baseline (Day 1 pre-dose) and on Days 8, 15, 29, 60, 90, and 120
Injection site reaction assessment at Baseline (Day 1 pre-dose) and on Days 8, 15, and 29.
Symptom directed physical exam at Baseline (Day 1 pre-dose) and on Days 8, 15, 29, 60, 90, and 120
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Secondary outcome [1]
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Serum PK concentration of the FPP003 vaccine
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Assessment method [1]
367296
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Timepoint [1]
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At baseline (Day 1 pre-dose) and, 5, 15, 30, 60, and 120 minutes after FPP003 administration on Day 1 and Day 29.
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Secondary outcome [2]
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Pharmacodynamic effect (immunological response) following escalating doses of the FPP003 vaccine compared to placebo in adults with psoriasis This will be assessed by changes to serum IL-17A titre at Day 8, 15, 29, 60, 90 and 120 compared to baseline (Day 1 pre-dose)
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Assessment method [2]
367299
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Timepoint [2]
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Changes at Days 8, 15, 29, 60, 90, and 120 compared to baseline (Day 1 pre-dose)
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Secondary outcome [3]
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Evaluate the efficacy of escalating doses of the FPP003 vaccine in adults with psoriasis compared to placebo based on changes from baseline to Psoriasis area severity index (PASI); • Proportion of subjects to achieve: - PASI 90 (i.e., 90% reduction from baseline PASI score); - PASI 75 (i.e., 75% reduction from baseline PASI score); - PASI 50 (i.e., 50% reduction from baseline PASI score); - PASI 25 (i.e., 25% reduction from baseline PASI score);
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Assessment method [3]
369182
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Timepoint [3]
369182
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PASI scores at baseline (Day 1 pre-dose) and on Days 8, 15, 29, 60, 90 and 120
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Secondary outcome [4]
369183
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Evaluate the efficacy of escalating doses of the FPP003 vaccine in adults with psoriasis compared to placebo based on changes from baseline to % body surface area (BSA) of psoriasis;
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Assessment method [4]
369183
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Timepoint [4]
369183
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Percent BSA of psoriasis at baseline (Day 1 pre-dose) and on Days 15, 29, 60, 90 and 120
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Secondary outcome [5]
369184
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Evaluate the efficacy of escalating doses of the FPP003 vaccine in adults with psoriasis compared to placebo based on changes from baseline to Dermatology Life Quality Index (DLQI)
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Assessment method [5]
369184
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Timepoint [5]
369184
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DLQI at baseline (Day 1 pre-dose) and on Day 120
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Secondary outcome [6]
369185
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Evaluate the efficacy of escalating doses of the FPP003 vaccine in adults with psoriasis compared to placebo based on changes from baseline to biomarkers in serum and skin biopsy samples. Change in serum IL-17A and other relevant biomarker levels (including IL-17F, IL-22, IL-23, hBD-2, liopcaline-2) at Day 120 compared to baseline (Day 1 pre-dose); • Change in skin IL-17A and other relevant biomarker levels (including IL-17F, IL-22, IL-23, hBD-2, liopcaline-2) from skin biopsy samples collected at baseline (Day 1 pre-dose) and Day 120
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Assessment method [6]
369185
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Timepoint [6]
369185
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Serum IL-17A titre at baseline (Day 1 pre-dose) and on Days 8, 15, 29, 60, 90, and 120.
Serum biomarkers at baseline (Day 1 pre-dose) and on Days 60, 90, and 120.
Skin biopsy at baseline (Day 1 pre-dose) and on Day 120.
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Eligibility
Key inclusion criteria
1. Male or female aged 18 to 75 years (inclusive) at screening;
2. Body mass index (BMI) of greater than 18.5 kg/m2 and less than 38 kg/m2 at screening;
3. History of plaque-type psoriasis for greater than or equal to 6 months;
4. Plaque-type psoriasis based on PASI score greater than or equal to 5 at both the screening and baseline visits;
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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. Presence of non-plaque psoriasis i.e., pustular, erythrodermic psoriasis;
2. Presence of other skin condition other than psoriasis, in particular eczema, skin infections or an inherited skin disorder (other than psoriasis) that would interfere with the ability to perform study assessments;
3. History or evidence of a clinically significant disorder (including psychiatric), condition, or disease that, in the opinion of the investigator and medical monitor or designee, would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion;
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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 administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety
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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
17/04/2019
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Actual
17/04/2019
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Date of last participant enrolment
Anticipated
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Actual
6/06/2022
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Date of last data collection
Anticipated
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Actual
27/09/2022
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Sample size
Target
36
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Accrual to date
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Final
36
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Recruitment in Australia
Recruitment state(s)
NSW,SA
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Recruitment hospital [1]
13240
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CMAX Clinical Research Pty Ltd - Adelaide
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Recruitment hospital [2]
15188
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Scientia Clinical Research - Randwick
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Recruitment hospital [3]
22354
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East Sydney Doctors - Darlinghurst
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Recruitment hospital [4]
22355
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Emeritus Research - Botany - Botany
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Recruitment postcode(s) [1]
25798
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5000 - Adelaide
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Recruitment postcode(s) [2]
28497
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2031 - Randwick
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Recruitment postcode(s) [3]
37515
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2010 - Darlinghurst
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Recruitment postcode(s) [4]
37516
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2019 - Botany
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Funding & Sponsors
Funding source category [1]
302047
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Commercial sector/Industry
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Name [1]
302047
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FunPep Co., Ltd
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Address [1]
302047
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151-0051 No. 7 Mizuho Building 3F
5-8-4 Sendagaya Shibuya-ku
Tokyo
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Country [1]
302047
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Japan
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Primary sponsor type
Commercial sector/Industry
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Name
FunPep Co. Ltd.
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Address
151-0051 No. 7 Mizuho Building 3F
5-8-4 Sendagaya Shibuya-ku
Tokyo
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Country
Japan
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Secondary sponsor category [1]
301856
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Commercial sector/Industry
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Name [1]
301856
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Avance Clinical Pty Ltd
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Address [1]
301856
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Level 1, 2 Ann Nelson Drive
Thebarton, SA 5031
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Country [1]
301856
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
302729
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Bellberry Human Research Ethics Committee B (TGA HREC Code EC00419)
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Ethics committee address [1]
302729
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123 Glen Osmond Road Eastwood, SA 5063
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Ethics committee country [1]
302729
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Australia
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Date submitted for ethics approval [1]
302729
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23/01/2019
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Approval date [1]
302729
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25/02/2019
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Ethics approval number [1]
302729
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2019-01-055
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Summary
Brief summary
Psoriasis is an immune-mediated disease that causes raised, red, scaly patches to appear on the skin as a result of a sped-up skin production process. The typical life cycle of a skin cell is 1 month (www.healthline.com/health/psoriasis). Typically, skin cells grow deep in the skin and slowly rise to the surface and eventually fall off. In people with psoriasis, this production process may occur in just a few days resulting in rapid overproduction and build-up of skin cells. This study is investigating a new vaccine called FPP003 which is being developed to treat patients with moderate - severe psoriasis. This study will investigate the safety and tolerability of FPP003. It will also look at the pharmacokinetics (how much of the drug remains in the blood at certain timepoints) of the drug and how effective it is with escalating dose levels. These investigations will be compared with placebo under the same conditions. This study will be conducted in 4 successive, dose escalated, cohorts. In each cohort, participants will receive a subcutaneous dose of the study drug (FPP003 or placebo) on Day 1, Day 15 and Day 29. The study will be divided into a screening phase lasting up to 28 days. The total duration of the study for participants completing the study is about 5 months, with a total of 8 visits to the study unit.
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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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Dr Catherine Reid
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Address
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CMAX Clinical Research
Level 5, 18a North Terrace
Adelaide, SA 5000
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Country
91186
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Australia
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Phone
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+61 08 8363 7433
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Fax
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Email
91186
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[email protected]
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Contact person for public queries
Name
91187
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Catherine Reid
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Address
91187
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CMAX Clinical Research
Level 5, 18a North Terrace
Adelaide, SA 5000
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Country
91187
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Australia
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Phone
91187
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+61 08 8363 7433
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Fax
91187
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Email
91187
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[email protected]
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Contact person for scientific queries
Name
91188
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Catherine Reid
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Address
91188
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CMAX Clinical Research
Level 5, 18a North Terrace
Adelaide, SA 5000
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Country
91188
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Australia
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Phone
91188
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+61 08 8363 7433
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Fax
91188
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Email
91188
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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)?
No
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No/undecided IPD sharing reason/comment
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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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