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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
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Trial registered on ANZCTR
Registration number
ACTRN12624001363572p
Ethics application status
Submitted, not yet approved
Date submitted
18/10/2024
Date registered
13/11/2024
Date last updated
13/11/2024
Date data sharing statement initially provided
13/11/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The Lumir Mission Medicinal Cannabis for Menopause Symptoms Study
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Scientific title
The Lumir Mission Medicinal Cannabis for Menopause Symptoms Study in women aged between 45-55 years old.
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Secondary ID [1]
313222
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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
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Health condition
Health condition(s) or problem(s) studied:
Menopause
335519
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Condition category
Condition code
Reproductive Health and Childbirth
332085
332085
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0
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Menstruation and menopause
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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
Participants will be prescribed a type of medicinal cannabis (MC) as part of their participation in this study by a medicinal cannabis doctor via a telehealth appointment at the Natura Clinic. The medical doctor will assess if the participant is suitable for medicinal cannabis and will use the same criteria as for members of the general public wishing to use medicinal cannabis to manage period pain. The research team has no involvement in the allocation or dispensing of medicinal cannabis products and the decision to prescribe medicinal cannabis for the potential participant rests solely with the medical doctor.
A specific type of MC, dose range and mode of administration will be individualised to each patient. MC products will be chosen by the MC doctor using the project formulary which includes cannabidiol (CBD) only products, delta-9-tetrahydrocannabinol (THC) dominant products and mixed CBD/THC products. The MC doctor will prescribe MC products based on pain experienced by the participant. Modes of administration include: flower products, vape (cartridge) and oils. The dose range and mode of administration will be prescribed by the MC doctor at the participant's baseline visit at the medicinal cannabis clinic. Over the course of the observation period the doctor can change dosage or product if required due to adverse events or lack of efficacy.
Participants will use MC products for 6 months.
Blood tests:
Participants are to attend a Laverty Pathology (or sister site) collection centre for: full blood exam, liver function tests and kidney function tests including urea and electrolytes and hsCRP. These will be done at baseline, 3 months and 6 months.
Each month, participants will be required to complete a series of questionnaires.
Monitoring:
Side effects will be tracked during study via monthly reporting by participants through REDCap. Participants will be advised to contact their treating medicinal cannabis doctor at Natura Clinic if they experience any serious side effects/adverse events.
The modified COMM survey will be used to assess the participant for cannabis use disorder.
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Intervention code [1]
329795
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Not applicable
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Comparator / control treatment
No control group
Doses, duration of administration, mode of administration, etc for the specified groups are not included as they will be individualised to the participants.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
339674
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The mean impact of sleep as measured by the PSQI.
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Assessment method [1]
339674
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Pittsburgh Sleep Quality Index (PSQI)
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Timepoint [1]
339674
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Baseline (pre-commencement), 1 month, 2 months, 3 months (primary timepoint, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [1]
440828
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Level of anxiety
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Assessment method [1]
440828
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Generalized Anxiety Disorder (GAD-7)
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Timepoint [1]
440828
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Baseline (pre-commencement), 1 month, 2 months, 3 months, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [2]
440829
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Level of depression
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Assessment method [2]
440829
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Patient Health Questionnaire (PHQ-9)
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Timepoint [2]
440829
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Baseline (pre-commencement), 1 month, 2 months, 3 months, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [3]
440830
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Level of interference in life due to hot flashes
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Assessment method [3]
440830
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Hot Flash Related Daily Interference Scale (HFRDIS)
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Timepoint [3]
440830
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Baseline (pre-commencement), 1 month, 2 months, 3 months, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [4]
440831
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Change in quality of life
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Assessment method [4]
440831
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Menopause-Specific Quality-of-Life Intervention Questionnaire (MENQOL-Intervention)
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Timepoint [4]
440831
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Baseline (pre-commencement), 1 month, 2 months, 3 months, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [5]
440832
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Change in cognition
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Assessment method [5]
440832
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Ecological Momentary Assessment (EMA) questionnaire
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Timepoint [5]
440832
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1 month, 2 months, 3 months, 4 months, 5 months, 6 months post commencement of treatment
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Secondary outcome [6]
440833
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Safety and tolerability of medicinal cannabis This will be assessed as a composite outcome.
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Assessment method [6]
440833
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Frequency and types of side effects (non-validated questionnaire) and changes in blood markers including liver function tests and kidney function tests (urea and electrolytes)
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Timepoint [6]
440833
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Baseline (pre-commencement), 3 months & 6 months post commencement of treatment
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Secondary outcome [7]
440834
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Development of cannabis use disorder (CUD)
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Assessment method [7]
440834
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Modified current opioid misuse measure (COMM)
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Timepoint [7]
440834
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3 months & 6 months post commencement of treatment
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Secondary outcome [8]
440835
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Patient satisfaction with medicinal cannabis
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Assessment method [8]
440835
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Menopause symptoms treatment satisfaction questionnaire (MS-TSQ)
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Timepoint [8]
440835
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3 months & 6 months post commencement of treatment
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Secondary outcome [9]
440838
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Global change
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Assessment method [9]
440838
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Patient Global Impression of Change (PGIC)
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Timepoint [9]
440838
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3 months & 6 months post commencement of treatment
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Eligibility
Key inclusion criteria
1. Women aged between 45 and 55 years who meet criteria for perimenopause or postmenopausal status using the Stages of Reproductive Aging Workshop (STRAW+10) criteria. Perimenopause will include both early menopause transition (variability of 7 or more days in the menstrual cycle within 10 cycles of the first variable length cycle) and late menopause transition (amenorrhea for at least 60 days and increased variability in cycle length).
Post menopause will be defined as 12 consecutive months without menstruation.
2. Women who reach a score of 14 or more on the Menopause Rating Scale (MRS), indicating the need of treatment for climacteric symptoms, are eligible for this study.
3. Results within normal ranges on screening pathology test: full blood exam, liver function tests, urea and electrolytes.
4. Women who are experiencing difficulties with sleep including either falling asleep or staying asleep.
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Minimum age
45
Years
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Maximum age
55
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants will be excluded if they:
1. Have used medical or illicit cannabis within the past 2 months; and are unwilling to complete a 6-wash-out period from cannabis
2. Are enrolled in another active research project using an intervention for menopause symptoms;
3. Have been diagnosed with psychiatric affective and non-affective disorders including dissociative disorder, obsessive-compulsive disorder, personality disorders, schizophrenia, bipolar disorder;
4. Have started, stopped, or made significant changes to dosage of any menopause-related medication (including hormonal, any herbs or supplements) in the past 3 months;
5. Have used any recreational drugs in the preceding 3 months or significant current alcohol use (defined as history of alcohol or substance abuse or dependence within the past 2 years (and across the lifespan for cannabis and cannabis products), as per Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria, or pattern of alcohol use over the last 3 months averaging in excess of 21 standard drinks per week or 4 standard drinks in any given day)
6. Have abnormal results on the screening pathology tests (full blood exam (FBE), liver function test (LFT), urea and electrolytes (U&E)).
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Study design
Purpose
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
A range of statistical methods will be used, including within-groups analyses to assess changes in outcome variables, comparing mean outcomes of rating scales or questionnaire scores with baseline, at 3 and 6 months.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/02/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
317664
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Commercial sector/Industry
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Name [1]
317664
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Cannim Group Pty Ltd
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Address [1]
317664
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Country [1]
317664
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Cannim Group Pty Ltd
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Address
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Country
Australia
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Secondary sponsor category [1]
319978
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None
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Name [1]
319978
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Address [1]
319978
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Country [1]
319978
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
316362
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University of Western Sydney Human Research Ethics Committee
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Ethics committee address [1]
316362
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https://www.westernsydney.edu.au/research/research_ethics_and_integrity/human_ethics/apply_for_human_research_ethics_review
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Ethics committee country [1]
316362
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Australia
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Date submitted for ethics approval [1]
316362
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30/09/2024
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Approval date [1]
316362
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Ethics approval number [1]
316362
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Summary
Brief summary
This study will determine if there are any changes in sleep difficulties in relation to menopause, and other symptoms of menopause as well as looking at the rate of adverse events after using medicinal cannabis. This study will provide data for future clinical trials if potential benefits are found. We hypothesise that medicinal cannabis can improve sleep quality in relation to menopause, alongside other symptoms.
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Trial website
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Trial related presentations / publications
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Public notes
The Chief Investigator and Associate Investigators will be responsible for write-up of publications resulting from study data. Proposed publications must not contain any information that is confidential (such as participants’ names or other personal data), other than study results. Data will be collated for analysis to address the primary and secondary objectives of the study. Such data is de-identified. However, in some cases, permission may be sought from individuals to write up their case as a formal case study for publication in a medical journal or presentation at a conference. In such cases, as is required by medical journals, written permission will be gained from the patient and their name or other identifying information will not be associated with the case study. All due care will be taken to minimise any information that could conceivably identify the patient.
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Contacts
Principal investigator
Name
137654
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Dr Guoyan Yang
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Address
137654
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Western Sydney University Building J, Westmead Campus Locked Bag 1797 Penrith NSW 2751
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Country
137654
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Australia
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Phone
137654
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+61 2 9685 4720
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Fax
137654
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Email
137654
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[email protected]
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Contact person for public queries
Name
137655
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Guoyan Yang
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Address
137655
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Western Sydney University Building J, Westmead Campus Locked Bag 1797 Penrith NSW 2751
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Country
137655
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Australia
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Phone
137655
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+61 2 9685 4732
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Fax
137655
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Email
137655
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[email protected]
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Contact person for scientific queries
Name
137656
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Guoyan Yang
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Address
137656
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Western Sydney University Building J, Westmead Campus Locked Bag 1797 Penrith NSW 2751
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Country
137656
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Australia
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Phone
137656
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+61 2 9685 4732
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Fax
137656
0
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Email
137656
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Informed consent form
[email protected]
Consent Form_30Sep24.docx
Other
Participant Information Sheet
[email protected]
PIS_27 Sept_Final.docx
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.
Download to PDF