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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
ACTRN12624001412527
Ethics application status
Approved
Date submitted
13/11/2024
Date registered
29/11/2024
Date last updated
29/11/2024
Date data sharing statement initially provided
29/11/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Effects of cadence and sex on calf muscle fatigue during the calf raise test
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Scientific title
The effects of cadence and sex on the mechanisms of calf muscle fatigue during maximal calf raise tests in healthy young adults from the greater Montreal area
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Secondary ID [1]
313371
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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:
Muscle fatigue
335732
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Musculoskeletal pain
335733
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Achilles tendon injuries
335734
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Calf muscle injuries
335735
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Condition category
Condition code
Musculoskeletal
332296
332296
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0
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Normal musculoskeletal and cartilage development and function
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Musculoskeletal
332412
332412
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a randomised crossover trial with repeated measures performed in a laboratory. Participants will be required to attend a single session lasting around 120 to 150 minutes.
The aim of the study is to assess the influence of calf raise cadence (60 beats per minute vs 120 beats per minute) on muscular mechanisms (activity, fatigue, thickness, and oxygenation) in a comparative way between males and females.
Two kinesiology students trained by an expert physiotherapist / researcher (over 15 years experience, over 500 calf raise test administration) will supervise the session. The same kinesiology student will provide all verbal instructions. Sessions will be conducted one-on-one, with only one participant present at a time.
The cadence of the calf raise test will be audible via a metronome, and supervised by the kinesiology students. The 3D motion capture system will enable confirmation of the actual cadence followed by participants following test completion.
Both the 60 and 120 beats per minute conditions will be assessed within the same session, with 40 minutes rest between conditions. Only the dominant leg (leg used to kick a ball) will be tested. Adherence to the calf raise test protocol will be visually monitored throughout the session my the two trained kinesiology students.
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Intervention code [1]
329954
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Treatment: Other
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Intervention code [2]
330018
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Rehabilitation
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Comparator / control treatment
The control condition for this trial is the 60 beats per minute calf raise test. Each participant will act as their own control (i.e., repeated measures).
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Control group
Active
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Outcomes
Primary outcome [1]
339870
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Muscle activity
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Assessment method [1]
339870
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Surface electromyography
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Timepoint [1]
339870
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Start (first 5 repetitions) and end (last 5 repetitions) of the calf raise test, excluding the first 2 and last 2 repetitions (i.e., end point errors)
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Primary outcome [2]
339871
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Muscle fatigue
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Assessment method [2]
339871
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Surface electromyography
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Timepoint [2]
339871
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Start (first 5 repetitions) and end (last 5 repetitions) of the calf raise test, excluding the first 2 and last 2 repetitions (i.e., end point errors)
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Primary outcome [3]
339872
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Muscle thickness
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Assessment method [3]
339872
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B-Mode Ultrasound
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Timepoint [3]
339872
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Before the calf raise test and immediately after the calf raise test to fatigue
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Secondary outcome [1]
441704
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Tissue oxygenation
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Assessment method [1]
441704
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Near-infrared spectroscopy
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Timepoint [1]
441704
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Start (first 5 repetitions) and end (last 5 repetitions) of the calf raise test, excluding the first 2 and last 2 repetitions (i.e., end point errors)
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Secondary outcome [2]
441705
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Calf Raise Test Performance
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Assessment method [2]
441705
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3D motion capture and force plate
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Timepoint [2]
441705
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Throughout the Calf Raise Test
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Eligibility
Key inclusion criteria
A convenience sample of healthy young adults from the Montreal area. Inclusion criteria are:
1. Ages 18 to 40 years.
2. No health concerns that would inhibit participation
3. Have not performed high intensity exercise within 24 hours of visit.
4. Have not drank alcohol within 24 hours and caffeine within 12 hours before the visit.
5. Have no musculoskeletal or cardiovascular impairments in the 3 months prior to data collection (confirmed by passing the PAR-Q).
6. Willing to provide informed consent to participate.
7. No history of an Achilles tendon rupture.
8. At least moderate physical activity levels on the Short Form International Physical Activity Questionnaire
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Minimum age
18
Years
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Maximum age
40
Years
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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
Individuals that are older than 40 years or younger than 18 years old, that have health concerns identified using the PAR-Q, that have a history of Achilles tendon rupture, and that present with low levels of physical activity (based on the Short Form International Physical Activity Questionnaire) will be excluded.
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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)
Central randomisation before participant recruitment
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation, stratified by sex
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Sample size calculation was performed using G*Power, with the primary outcome measures as the change in EMG of Medial Gastrocnemius pre-to-post. A repeated measures analysis of variance (ANOVA) with both within (cadence) and between (sex) interaction statistical tests is planned for use. Setting power to 0.80, f effect size to 0.25, alpha-level to 0.05, correlations amongst repeated measures to 0.5, and assuming spericity indicates that a total sample of 34 participants (50% female) is required. These assumptions were made based on statistical measures found in Youdas et al. (2007, 10.1519/00124278-200702000-00020) and Yoon et al. (2022, 10.1139/apnm-2021-0664)
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/12/2024
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Actual
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Date of last participant enrolment
Anticipated
14/03/2025
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Actual
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Date of last data collection
Anticipated
28/03/2025
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Actual
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Sample size
Target
34
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26725
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Canada
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State/province [1]
26725
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Quebec
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Funding & Sponsors
Funding source category [1]
317811
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University
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Name [1]
317811
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McGill University
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Address [1]
317811
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Country [1]
317811
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Canada
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Funding source category [2]
317812
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University
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Name [2]
317812
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University of Waikato
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Address [2]
317812
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Country [2]
317812
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New Zealand
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Primary sponsor type
University
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Name
McGill University
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Address
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Country
Canada
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Secondary sponsor category [1]
320141
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University
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Name [1]
320141
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University of Waikato
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Address [1]
320141
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Country [1]
320141
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
316494
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McGill University Research Ethics Board
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Ethics committee address [1]
316494
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https://www.mcgill.ca/research/research/human/reb
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Ethics committee country [1]
316494
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Canada
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Date submitted for ethics approval [1]
316494
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30/04/2024
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Approval date [1]
316494
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05/08/2024
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Ethics approval number [1]
316494
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24-04-116
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Summary
Brief summary
This is a randomised crossover study that seeks to examine the influence of varying calf raise test cadence on the muscle activity, fatigue, thickness, and oxygenation of the triceps surae muscles (medial gastrocnemius, lateral gastrocnemius, and soleus) in a comparative way between males and females. The Calf Raise Test is used to assess triceps surae muscle strength-endurance in clinics and in research, but variations in protocols exist. How these variations influence triceps surae fatigue mechanics is of interest for targeted prescription of exercise, and needs consideration of sex. We anticipate greater relative activation and quicker fatigue of the medial gastrocnemius and lateral gastrocnemius muscle at the faster than slower cadence. We also anticipate the influence of cadence to be less pronounced in females than males.
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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
138078
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A/Prof Kim Hebert-Losier
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Address
138078
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The University of Waikato, Adams Centre for High Performance 52 Miro Street, Mount Maunganui 3116 Bay of Plenty
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Country
138078
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New Zealand
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Phone
138078
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+64 22 062 0781
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Fax
138078
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Email
138078
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[email protected]
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Contact person for public queries
Name
138079
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Kim Hebert-Losier
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Address
138079
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The University of Waikato, Adams Centre for High Performance 52 Miro Street, Mount Maunganui 3116 Bay of Plenty
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Country
138079
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New Zealand
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Phone
138079
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+64 22 062 0781
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Fax
138079
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Email
138079
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[email protected]
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Contact person for scientific queries
Name
138080
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Kim Hebert-Losier
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Address
138080
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The University of Waikato, Adams Centre for High Performance 52 Miro Street, Mount Maunganui 3116 Bay of Plenty
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Country
138080
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New Zealand
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Phone
138080
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+64 22 062 0781
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Fax
138080
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Email
138080
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
Participants are given the right to consent (or not) to the sharing of de-identified data to be used for future, related research. Given the status of their consent is unknown, we cannot confirm if IPD will be made available.
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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