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Trial registered on ANZCTR
Registration number
ACTRN12621001564842
Ethics application status
Approved
Date submitted
4/03/2021
Date registered
17/11/2021
Date last updated
30/11/2023
Date data sharing statement initially provided
17/11/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Australian Arthritis and Autoimmune Biobank Collaborative (A3BC): a national study collecting broad data and biological samples from individuals with arthritis and autoimmune diseases for research towards safer, more effective and evidence-based prevention, diagnosis, treatment and outcome strategies.
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Scientific title
The Australian Arthritis and Autoimmune Biobank Collaborative (A3BC): a national best-practice biobank-registry network for multi-centre prospective longitudinal collection, processing and storage of broad patient-reported and clinical/health data, and high-quality biospecimens from participants with inflammatory arthritis and autoimmune diseases
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Secondary ID [1]
303379
0
Nil known
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Universal Trial Number (UTN)
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Trial acronym
A3BC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rheumatoid Arthritis
320652
0
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Psoriatic Arthritis
320653
0
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Ankylosing Spondylitis
320654
0
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Juvenile Idiopathic Arthritis
320655
0
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Vasculitis
320656
0
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Polymyalgia Rheumatica
320657
0
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Giant Cell Arteritis
320658
0
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Sjogren’s Syndrome
320659
0
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Gout
320660
0
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Scleroderma
320661
0
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Systemic Lupus Erythematosus
320662
0
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Myositis
320663
0
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Osteoarthritis
320664
0
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Lower Back Pain
320665
0
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Condition category
Condition code
Inflammatory and Immune System
318503
318503
0
0
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Rheumatoid arthritis
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Inflammatory and Immune System
318504
318504
0
0
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Autoimmune diseases
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Inflammatory and Immune System
318505
318505
0
0
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Connective tissue diseases
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Musculoskeletal
318506
318506
0
0
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Other muscular and skeletal disorders
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Musculoskeletal
318507
318507
0
0
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Osteoarthritis
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Human Genetics and Inherited Disorders
319449
319449
0
0
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Other human genetics and inherited disorders
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Skin
319450
319450
0
0
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Other skin conditions
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
20
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Target follow-up type
Years
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Description of intervention(s) / exposure
Multi-centre prospective cohort of case and control biospecimens linked to longitudinal personal, patient-reported, clinical and health information. Biospecimens and data are collected 6-monthly up to 24 months, then data yearly afterwards for the life of the project – at least 20 years (open-ended). The questionnaires gather information on disease status, quality of life, function, medication history, medical illnesses, malignancy history, infections, lifestyle, diet and environmental/exposure history. Valid and reliable quality of life/function instruments are used, such as the PROMIS-29, the European Quality of Life (EQ-5D) and the PROMIS Paediatric Profiles. Participants’ health records are also accessed periodically through record linkage with federal/state health services and registries including Services Australia (Medicare Benefits Schedule, Pharmaceutical Benefits Scheme and Australian Immunisation Register), National Death Index, National Cancer Statistics Clearing House and the Population Health Research Network.
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Intervention code [1]
319689
0
Diagnosis / Prognosis
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Intervention code [2]
319690
0
Early Detection / Screening
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Comparator / control treatment
Control participants will be recruited, largely on a project-specific basis. Inclusion and exclusion criteria will be defined within the accessing project’s protocol through HREC application within the A3BC Access process.
Control biospecimen and data collections will mirror those collected from participants with arthritis and autoimmune diseases with the exception of observations that are only applicable to people with disease e.g. disease-specific data collection instruments such as the Rheumatoid Arthritis Flare Questionnaire, the Bath Ankylosing Spondylitis Disease Activity Index and the Psoriatic Arthritis Impact of Disease-9.
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Control group
Active
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Outcomes
Primary outcome [1]
326459
0
Collect blood samples from arthritis and autoimmune disease patients (children and adults), stored as plasma, serum, peripheral blood mononuclear cells - PBMCs, buffy coat DNA (adults only), stabilised blood RNA (adults only) and whole blood DNA (children only).
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Assessment method [1]
326459
0
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Timepoint [1]
326459
0
Routine blood collections occur at baseline (0 months), 6 months, 12 months and 24 months.
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Primary outcome [2]
327314
0
Quality of life (QoL) assessed by PROMIS-29 (adults), PROMIS-25 (children), EQ-5D-5L (adults), EQ-5D-Y (children)
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Assessment method [2]
327314
0
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Timepoint [2]
327314
0
Collected within an online emailed questionnaire at 0, 6, 12, 18 and 24 months, then 12-monthly for the life of the project.
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Primary outcome [3]
327784
0
Patient-reported disease activity and functional outcomes assessed by Patient Global Health VAS, Patient Global Pain VAS, Patient Global Disease Activity VAS, Routine Assessment of Patient Index Data (RAPID-3), Rheumatoid Arthritis Flare Questionnaire (RA-FQ), Rheumatoid Arthritis Disease Activity Index (RADAI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), ANCA-associated vasculitis (AAV-PRO), Polymyalgia Rheumatica & Giant-cell arthritis (PMR & GCA PRO), The EULAR Psoriatic Arthritis Impact of Disease 9 (PsAID9), Childhood Health Assessment Questionnaire (CHAQ) (children)
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Assessment method [3]
327784
0
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Timepoint [3]
327784
0
Collected within an online emailed questionnaire and case report form at 0, 6, 12, 18 and 24 months, then 12-monthly by questionnaire for the life of the project.
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Secondary outcome [1]
394590
0
Clinical disease activity and severity assessed by physician global and composite disease activity scores (Ankylosing Spondylitis Disease Activity Score (ASDAS), DAS28-CRP, DAPSA, ASDAS-CRP, ASDAS-ESR, BASDAI, CDAI, SDAI, JADAS-10, Birmingham Vasculitis Activity Score, (BVAS, version 3), clinical indices (Leeds Enthesitis Index; LEI, Spondyloarthritis Research Consortium of Canada index; SPARCC, Dactylitis (tender digit count), Psoriasis Area and Severity Index (PASI), Psoriasis body surface area (%BSA), Vasculitis Damage Index (VDI).
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Assessment method [1]
394590
0
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Timepoint [1]
394590
0
Collected within a Case Report Form (CRF) at 0, 6, 12, and 24 months.
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Secondary outcome [2]
394591
0
Healthcare resource utilisation assessed by questionnaire (designed specifically for this study) and linkage to MBS, PBS, AIR and state health linkage agencies for hospitalisation data, electronic medical records (EMR), pathology and medical imaging.
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Assessment method [2]
394591
0
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Timepoint [2]
394591
0
Patient-reported information collected within an online emailed questionnaire and case report form at 0, 6, 12, 18 and 24 months, then 12-monthly for the life of the project. Periodic linkage will occur at adhoc timepoints.
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Secondary outcome [3]
394593
0
Morbidity and comorbidity assessed by questionnaire (designed specifically for this study), case report form and linkage to national cancer and state health administration datasets.
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Assessment method [3]
394593
0
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Timepoint [3]
394593
0
Patient-reported information collected within an online emailed questionnaire and case report form at 0, 6, 12, 18 and 24 months, then 12-monthly for the life of the project. Periodic linkage will occur at adhoc timepoints.
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Secondary outcome [4]
401987
0
Mortality assessed by linkage to National Death Index (NDI)
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Assessment method [4]
401987
0
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Timepoint [4]
401987
0
Periodic linkage will occur at adhoc timepoints.
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Secondary outcome [5]
401991
0
Medication utilisation (prescription, non-prescription and complementary) assessed by questionnaire (designed specifically for this study), case report form and linkage to PBS (Services Australia)
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Assessment method [5]
401991
0
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Timepoint [5]
401991
0
Collected within an online emailed questionnaire and case report form at 0, 6, 12, 18 and 24 months, then 12-monthly by questionnaire for the life of the project. Periodic linkage will occur at adhoc timepoints.
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Secondary outcome [6]
402141
0
Medication adherence assessed by Compliance Questionnaire for Rheumatology (CQR5)
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Assessment method [6]
402141
0
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Timepoint [6]
402141
0
Collected within an online emailed questionnaire at 0, 6, 12, 18 and 24 months, then 12-monthly for the life of the project.
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Secondary outcome [7]
402142
0
Diet assessed by Dietary Questionnaire for Epidemiological Studies (DQES v3.2)
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Assessment method [7]
402142
0
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Timepoint [7]
402142
0
Collected within an online emailed questionnaire at 0, 12 and 24 months.
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Secondary outcome [8]
402143
0
Collect stool and oral swab samples from arthritis and autoimmune disease patients (children and adults), stored in nucleic acid preservation media as frozen aliquots for microbiome analysis.
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Assessment method [8]
402143
0
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Timepoint [8]
402143
0
Collect in-person or via reply paid postage collection kit at 0, 6, 12 and 24 months.
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Secondary outcome [9]
402144
0
Lifestyle, genetic and environmental risk factors assessed by questionnaire (designed specifically for this study) for smoking, alcohol, family history, occupational history, obstetric and hormonal history, infection and animal exposure history, sleep, diet, physical activity, secondhand smoke exposure, immunisations and psychological stress.
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Assessment method [9]
402144
0
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Timepoint [9]
402144
0
Collected within an online emailed questionnaire at 0, 6, 12, 18 and 24 months, then 12-monthly for the life of the project.
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Secondary outcome [10]
402145
0
Pregnancy and early childhood outcomes assessed by questionnaire (designed specifically for this study) in child participants (parent/guardian completion).
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Assessment method [10]
402145
0
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Timepoint [10]
402145
0
Collected within an online emailed questionnaire at 0 months.
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Secondary outcome [11]
402151
0
Collect synovial fluid and biopsy samples for assessing molecular tissue biomarkers of disease activity, stored as frozen aliquots or frozen tissue fragments in RNALater, Cryostor, paraffin and cryomolds.
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Assessment method [11]
402151
0
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Timepoint [11]
402151
0
Collected on an adhoc basis at the Flinders Medical Centre site.
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Eligibility
Key inclusion criteria
ALL DISEASES
Case Inclusion Criteria
• Male, female or non-binary
• Aged from 0-18 years for childhood musculoskeletal and autoimmune diseases.
• Aged over 18 years for adult musculoskeletal and autoimmune diseases.
• Allow their rheumatologist/ specialist to be notified of participation.
• Formally diagnosed under validated classification systems related to the disease.
• Able (in the Investigator’s opinion) and willing to comply with all study requirements.
• Participant (or parent/guardian) is willing and able to give informed consent for participation.
Control Inclusion Criteria
• Aged over 18 years
• Controls are classified into three main subtypes:
a. At-Risk* first-degree and second-degree relatives of existing A3BC participants.
b. Healthy or at-risk* family and friends accompanying existing A3BC participants to their routine clinic visits.
c. Healthy or at-risk* general members of the community.
*Definitions of healthy or at-risk controls are detailed on a project-specific basis
---------------------------------
RA
Inclusion Criteria
RA after symptom onset
• Diagnosed with RA under the 2010 Rheumatoid Arthritis Classification Criteria published by the American College of Rheumatology (Group 1).
RA before symptom onset
• Participants without RA who have at-risk RF and/or ACPA antibodies.
JIA
Inclusion Criteria
• Children and adolescents aged 0-18 years.
• Diagnosis of JIA (under ILAR Classification
PsA
Inclusion Criteria
• At least 18 years of age
• Diagnosis of PsA under the CASPAR Classification System
AS, nr-axSpA or PERIPHERAL SpA
Inclusion Criteria
• At least 18 years of age
• Diagnosis of AS under the modified New York Classification System or nr-axSpA / Peripheral SpA under the ASAS Classification Criteria
VASCULITIS
Inclusion Criteria
• Diagnostic classification will be according to EULAR/ACR Criteria for each subtype of vasculitis:
- Small blood vessel vasculitis - Granulomatosis with polyangiitis (Wegener’s granulomatosis), Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome), Goodpasture’s syndrome (Anti-glomerular basement membrane disease), Henoch-Schonlein purpura (IgA Vasculitis), Microscopic polyangiitis, Cogan’s disease, Cryoglobulinaemic vasculitis and Urticarial vasculitis
- Medium blood vessel vasculitis - Behcet’s disease, Central nervous system vasculitis, Kawasaki disease, Polyarteritis nodosa
- Large blood vessel vasculitis - Giant cell (temporal) arteritis, Takayasu arteritis, Polymyalgia rheumatica
• In addition to EULAR/ACR Criteria, the rarer form of small blood vessel vasculitis, known as anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis, will be identified by:
- Myeloperoxidase (MPO) or proteinase 3 (PR3) positive blood test (ELISA detection)
- ANCA-associated disease via vasculitis activity/ damage scoring (BVAS, DEI or VDI)
IDIOPATHIC INFLAMMATORY MYOPATHIES
Inclusion Criteria
• Diagnosis under the 2017 EULAR/ACR IIMs Criteria Adult and Juvenile Idiopathic Inflammatory Myopathies
SJOGREN'S SYNDROME
Inclusion Criteria
• Adults diagnosed under the 2016 EULAR/ACR Sjogren’s Syndrome Criteria or the American-European Consensus Sjögren’s Classification Criteria
GOUT
Inclusion criteria
• Adults diagnosed under the 2015 ACR/EULAR Gout Classification Criteria
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Minimum age
No limit
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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?
Yes
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Key exclusion criteria
ALL DISEASES
Exclusion Criteria for Cases and Controls
• Unable to speak English at a level capable of understanding the informed consent process, or lack of access to an interpreter to enable this level of understanding.
• Any significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the study, or may influence the result of the study, or the participant’s ability to participate in the study. For example, cognitive impairment that would interfere with completing a self-administered questionnaire.
• Legacy/existing samples collected through participating sites will only be included in the A3BC network’s collections if they meet the current SOP parameters.
Exclusion Criteria Specific to Microbiome Collection – Cases and Controls
• Given the inherent variability in microbiome populations and the myriad external factors which are thought to affect human microbial populations, the A3BC will carefully document and adjust for these in planned microbiome-related analyses. Microbiome research is a rapidly evolving field and therefore these criteria will be updated as levels of evidence evolve. Particular confounding variables to be minimised/documented in both faecal and saliva collections include antibiotic use, use of commercial probiotic/prebiotic products and infections (all in the last 3 months).
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Study design
Purpose
Screening
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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
A sample size calculation has not been calculated for A3BC. The database is established as a ongoing registry for monitoring biological and environmental health factors against phenotypic disease consequences, to uncover unknown associations and trends for safer, more effective and evidence-based prevention, diagnosis, treatment and prognosis strategy. The A3BC's holistic and inclusive design will enable a wide variety of simple to complex research questions, especially those involving biologic therapies, rather than being limited to a single specific research question.
Where specific research questions are identified, sample size calculations will be performed to answer those questions with sufficient statistical power. The A3BC will therefore continue to recruit patients for as long as infrastructure and funds are available.
The A3BC does not have a defined hypothesis, therefore a description of statistical techniques is not applicable. In accordance with the data collected and the specific research design, appropriate statistical techniques will be applied at that time.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
14/05/2019
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Date of last participant enrolment
Anticipated
3/01/2039
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Actual
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Date of last data collection
Anticipated
3/01/2059
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Actual
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Sample size
Target
20000
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Accrual to date
425
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,WA,VIC
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Recruitment hospital [1]
18588
0
Royal North Shore Hospital - St Leonards
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Recruitment hospital [2]
18589
0
Hornsby Ku-ring-gai Hospital - Hornsby
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Recruitment hospital [3]
18590
0
Mater Sydney - North Sydney
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Recruitment hospital [4]
18591
0
North Shore Private Hospital - St Leonards
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Recruitment hospital [5]
18592
0
Liverpool Hospital - Liverpool
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Recruitment hospital [6]
18593
0
Campbelltown Hospital - Campbelltown
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Recruitment hospital [7]
18594
0
St George Hospital - Kogarah
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Recruitment hospital [8]
18595
0
Prince of Wales Hospital - Randwick
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Recruitment hospital [9]
18596
0
Westmead Hospital - Westmead
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Recruitment hospital [10]
18597
0
Blacktown Hospital - Blacktown
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Recruitment hospital [11]
18599
0
The Children's Hospital at Westmead - Westmead
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Recruitment hospital [12]
18600
0
Sydney Children's Hospital - Randwick
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Recruitment hospital [13]
18601
0
John Hunter Hospital - New Lambton
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Recruitment hospital [14]
18602
0
Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [15]
18603
0
Concord Repatriation Hospital - Concord
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Recruitment hospital [16]
18604
0
Sydney Adventist Hospital - Wahroonga
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Recruitment hospital [17]
18605
0
The Canberra Hospital - Garran
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Recruitment hospital [18]
18606
0
Cabrini Hospital - Malvern - Malvern
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Recruitment hospital [19]
18607
0
Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [20]
18608
0
Logan Hospital - Meadowbrook
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Recruitment hospital [21]
18609
0
Royal Brisbane & Womens Hospital - Herston
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Recruitment hospital [22]
18610
0
Redcliffe Hospital - Redcliffe
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Recruitment hospital [23]
18611
0
Queensland Children's Hospital - South Brisbane
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Recruitment hospital [24]
18612
0
Gold Coast University Hospital - Southport
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Recruitment hospital [25]
18613
0
Royal Perth Hospital - Perth
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Recruitment hospital [26]
18614
0
Fiona Stanley Hospital - Murdoch
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Recruitment hospital [27]
18615
0
Perth Children's Hospital - Nedlands
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Recruitment hospital [28]
18616
0
Flinders Medical Centre - Bedford Park
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Recruitment hospital [29]
18617
0
Noarlunga Health Service - Noarlunga Centre
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Recruitment hospital [30]
18618
0
The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [31]
18619
0
The Queen Elizabeth Hospital - Woodville
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Recruitment hospital [32]
18620
0
Womens and Childrens Hospital - North Adelaide
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Recruitment hospital [33]
18621
0
The Royal Childrens Hospital - Parkville
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Recruitment hospital [34]
18622
0
Monash Medical Centre - Clayton campus - Clayton
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Recruitment hospital [35]
18624
0
Royal Melbourne Hospital - City campus - Parkville
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Recruitment hospital [36]
18726
0
Austin Health - Heidelberg Repatriation Hospital - Heidelberg West
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Recruitment postcode(s) [1]
32961
0
2065 - St Leonards
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Recruitment postcode(s) [2]
32962
0
2077 - Hornsby
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Recruitment postcode(s) [3]
32963
0
2060 - North Sydney
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Recruitment postcode(s) [4]
32964
0
2170 - Liverpool
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Recruitment postcode(s) [5]
32965
0
2560 - Campbelltown
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Recruitment postcode(s) [6]
32966
0
2217 - Kogarah
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Recruitment postcode(s) [7]
32967
0
2031 - Randwick
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Recruitment postcode(s) [8]
32968
0
2145 - Westmead
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Recruitment postcode(s) [9]
32969
0
2148 - Blacktown
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Recruitment postcode(s) [10]
32970
0
2305 - New Lambton
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Recruitment postcode(s) [11]
32971
0
2050 - Camperdown
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Recruitment postcode(s) [12]
32972
0
2139 - Concord
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Recruitment postcode(s) [13]
32973
0
2076 - Wahroonga
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Recruitment postcode(s) [14]
32974
0
2605 - Garran
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Recruitment postcode(s) [15]
32975
0
3144 - Malvern
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Recruitment postcode(s) [16]
32976
0
4102 - Woolloongabba
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Recruitment postcode(s) [17]
32977
0
4131 - Meadowbrook
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Recruitment postcode(s) [18]
32978
0
4029 - Herston
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Recruitment postcode(s) [19]
32979
0
4020 - Redcliffe
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Recruitment postcode(s) [20]
32980
0
4101 - South Brisbane
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Recruitment postcode(s) [21]
32981
0
4215 - Southport
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Recruitment postcode(s) [22]
32982
0
6000 - Perth
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Recruitment postcode(s) [23]
32983
0
6150 - Murdoch
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Recruitment postcode(s) [24]
32984
0
6009 - Nedlands
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Recruitment postcode(s) [25]
32985
0
5042 - Bedford Park
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Recruitment postcode(s) [26]
32986
0
5168 - Noarlunga Centre
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Recruitment postcode(s) [27]
32987
0
5000 - Adelaide
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Recruitment postcode(s) [28]
32988
0
5011 - Woodville
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Recruitment postcode(s) [29]
32989
0
5006 - North Adelaide
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Recruitment postcode(s) [30]
32990
0
3052 - Parkville
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Recruitment postcode(s) [31]
32991
0
3168 - Clayton
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Recruitment postcode(s) [32]
33169
0
3081 - Heidelberg West
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Funding & Sponsors
Funding source category [1]
307793
0
University
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Name [1]
307793
0
The University of Sydney
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Address [1]
307793
0
The University of Sydney, NSW, 2006, Australia
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Country [1]
307793
0
Australia
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Funding source category [2]
307795
0
Government body
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Name [2]
307795
0
NSW Ministry of Health
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Address [2]
307795
0
1 Reserve Road St Leonards NSW 2065
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Country [2]
307795
0
Australia
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Funding source category [3]
307796
0
Charities/Societies/Foundations
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Name [3]
307796
0
Hospital Research Foundation Group
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Address [3]
307796
0
Level 1, 62 Woodville Road Woodville, SA 5011
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Country [3]
307796
0
Australia
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Funding source category [4]
307797
0
Hospital
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Name [4]
307797
0
Goatcher Clinical Research Unit, Royal Perth Hospital
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Address [4]
307797
0
Royal Perth Hospital Victoria Square, Perth WA 6000
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Country [4]
307797
0
Australia
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Funding source category [5]
307798
0
Hospital
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Name [5]
307798
0
Flinders Medical Centre, SA Health
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Address [5]
307798
0
Flinders Dr Bedford Park, SA, 5042
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Country [5]
307798
0
Australia
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Funding source category [6]
307799
0
University
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Name [6]
307799
0
University of Queensland
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Address [6]
307799
0
St Lucia, QLD, 4072
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Country [6]
307799
0
Australia
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Funding source category [7]
307800
0
Commercial sector/Industry
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Name [7]
307800
0
Janssen-Cilag
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Address [7]
307800
0
1-5 Khartoum Rd Macquarie Park, NSW 2113
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Country [7]
307800
0
Australia
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Funding source category [8]
307801
0
Commercial sector/Industry
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Name [8]
307801
0
Roche Australia
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Address [8]
307801
0
Level 8/30-34 Hickson Rd Millers Point NSW 2000
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Country [8]
307801
0
Australia
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Funding source category [9]
307802
0
Commercial sector/Industry
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Name [9]
307802
0
AbbVie Australia
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Address [9]
307802
0
Gateway 241, 241 O'Riordan St Mascot NSW 2020
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Country [9]
307802
0
Australia
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Funding source category [10]
312473
0
Government body
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Name [10]
312473
0
Australian Government, Department of Health, National Health and Medical Research Council, Medical Research Future Fund (MRFF)
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Address [10]
312473
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NHMRC Research Administration Section National Health and Medical Research Council GPO Box 1421 Canberra City ACT 2601
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Country [10]
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
The University of Sydney
NSW 2006
Australia
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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]
308504
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Country [1]
308504
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Sydney Local Health District Human Research Ethics Committee
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Ethics committee address [1]
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NSLHD Research Office Level 13 Kolling Building Royal North Shore Hospital Reserve Road, St Leonards, NSW, 2065
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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04/07/2018
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Ethics approval number [1]
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2019/ETH10386; HREC/17/HAWKE/339
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Summary
Brief summary
The Australian Arthritis and Autoimmune Biobank Collaborative (A3BC) was formed in 2016 by a group of Australian rheumatologists and researchers in response to a clear need to enable better prediction of prognosis and treatment outcomes among Australian men, women and children living with arthritis and autoimmune conditions. It was agreed that the best way to achieve this was to build a state-of-the-art national resource that would also enhance rheumatology and related research capacity, thereby addressing the disproportionate support for research into the National Health Priority Area of 'Arthritis and musculoskeletal (MSK) conditions' compared to its high health burden and expenditure. The A3BC vision is to identify causes and cures for a wide range of musculoskeletal and autoimmune conditions using biobank-enabled, data-linked, collaborative, and multidisciplinary research. Now merged with the Australian Rheumatology Association Database (ARAD) and joining forces with the Australian and New Zealand ChiLdhood Arthritis Risk factor Identification sTudY (ANZ CLARITY), Australian Paediatric Rheumatology Group (APRG) and Juvenile Arthritis Foundation Australia (JAFA), the A3BC will identify the biological/environmental causes and phenotypic consequences of musculoskeletal conditions and combine these with a broad range of patient and population health datasets, to uncover unknown patterns and associations for safer, more effective and evidence-based prevention, diagnosis, treatment and prognosis strategies. Aside from the collection of high-quality, diverse-use biospecimens, the most innovative element in the A3BC vision is the establishment of a level of data analysis and integration not seen before in Australia. The A3BC will link broad biospecimen-derived biological (‘omic’) data, patient-reported outcome data, cross-jurisdictional electronic medical records, pathology and medical imaging data, Commonwealth health datasets (MBS, PBS, AIR), national cancer and death registries, and longitudinal studies, into a comprehensive platform for discovery and change. Initially focused on Rheumatoid Arthritis, Psoriatic Arthritis, Juvenile Idiopathic Arthritis, Ankylosing Spondylitis and Vasculitis (including Polymyalgia Rheumatica, the network and infrastructure of the A3BC, once established, will provide a platform to expand biospecimen and data collection to other key high-burden MSK conditions, such as Sjogren's Syndrome, Lower Back Pain, Gout, Scleroderma, Systemic Lupus Erythematosus, Myositis and Osteoarthritis. Built upon a national network of consolidated biobank/research infrastructure and leading research/clinical expertise, the A3BC promises a new paradigm in evidence generation for more responsive policy and practice decision-making, and a cost-effective research platform to efficiently uncover vital patient and population data associations to drive a new era in disease diagnosis, therapy, prognosis and hopefully - prevention and cure.
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Trial website
https://a3bc.org.au/
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Trial related presentations / publications
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Public notes
Note on recruitment site ethics and governance approvals: The majority of public health sites have provisional ethical approval under the National Mutual Acceptance scheme. Public health site governance approvals (SSAs) are being progressed in a staggered manner based on local funding and staffing availability. Private sites are being progressively governance-approved via agreements between the A3BC and the site Director or Delegate.
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Contacts
Principal investigator
Name
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Prof Lyn March
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Address
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Department of Rheumatology Level 7C, Acute Services Building, Royal North Shore Hospital Reserve Rd, St Leonards, NSW, 2065
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Country
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Australia
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Phone
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+61 2 9463 1887
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Fax
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+61 2 9463 1077
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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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Lyn March
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Address
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Department of Rheumatology Level 7C, Acute Services Building, Royal North Shore Hospital Reserve Rd, St Leonards, NSW, 2065
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Country
108575
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Australia
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Phone
108575
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+61 2 9463 1887
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Fax
108575
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+61 2 9463 1077
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Email
108575
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[email protected]
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Contact person for scientific queries
Name
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Lyn March
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Address
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Department of Rheumatology Level 7C, Acute Services Building, Royal North Shore Hospital Reserve Rd, St Leonards, NSW, 2065
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Country
108576
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Australia
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Phone
108576
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+61 2 9463 1887
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Fax
108576
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+61 2 9463 1077
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Deidentified data and samples are available to all bona fide researchers who wish to conduct research in the public interest relating to musculoskeletal and autoimmune conditions. All approved researchers will undergo the same application and approval processes as described in the A3BC Access Policy.
Conditions for requesting access:
•
-
What individual participant data might be shared?
•
Samples Available
Plasma, serum, PBMCs, buffy coat DNA, stabilised blood RNA, whole blood DNA, synovial tissue, synovial fluid, oral swab, stool, newborn card, urine
Data Available
Demographics, disease history, treatment history, cancer history, obstetric history, quality of life, environment, lifestyle, sleep, diet, physical activity, MBS Claims, PBS Claims, immunisations, death
What types of analyses could be done with individual participant data?
•
Participant consent is given for any type of analysis that is in the public interest relating to musculoskeletal and autoimmune conditions. All analyses must be reviewed and approved by an human research ethics committee, the A3BC Consortium Committee and Access Committee prior to prior to release of samples and/or data.
When can requests for individual participant data be made (start and end dates)?
From:
Routine data is available from the date of ethics approval for the Australian Rheumatology Association Database, 24th April 2001. Samples are available for participants recruited into the A3BC after the 3rd November 2020. No end date is specified given this is an long-term observational study with ongoing recruitment.
To:
-
Where can requests to access individual participant data be made, or data be obtained directly?
•
Bona fide researchers can apply for sample and/or data access through a 5-step application process:
1. Registration of Approved Researchers
2. Preliminary (Pre-HREC) Application
3. HREC Application
4. Main (Post-HREC) Application
5. Material Transfer Agreement (MTA) and Access Fees
The full A3BC Access Policy can be found on the study website (https://a3bc.org.au/applications-and-access/)
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Study protocol
[email protected]
All supporting documents may be obtained by contac...
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Informed consent form
[email protected]
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Ethical approval
Study-related document.pdf
Results publications and other study-related documents
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No additional documents have been identified.
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