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Trial registered on ANZCTR
Registration number
ACTRN12626000651381
Ethics application status
Approved
Date submitted
13/05/2026
Date registered
1/06/2026
Date last updated
1/06/2026
Date data sharing statement initially provided
1/06/2026
Type of registration
Prospectively registered
Titles & IDs
Public title
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Drug-Drug Interactions of NB-9402 in Healthy Adult Volunteers - Part C Drug-Drug Interactions
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Scientific title
A Phase 1 Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Drug-Drug Interactions of NB-9402 in Healthy Adult Volunteers
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Additional trial identifiers [1]
317272
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NB-9402-101
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Universal Trial Number (UTN)
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Trial acronym
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Related trial records
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Health condition
Health condition(s) studied:
Diseases of the nervous system
341899
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Condition category
Condition code
Neurological
337958
337958
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of the intervention or exposure
This study involves 1 single cohort of 8 participants. Each participant will receive a single dose of a two-probe oral cocktail containing 0.5 mg of repaglinide and 1 mg midazolam on Day 1, Day 11 and Day 16, and once-daily doses of NB-9402 administered as an oral liquid (via oral syringe), followed by a water rinse and swallow for 14 days, commencing on Day 2.
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Intervention code [1]
334046
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Treatment: Drugs
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Description of the comparator or control
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Evaluate potential drug-drug interactions between NB-9402 and CYP2C8 (repaglinide) as well as CYP3A4 (midazolam) substrates in healthy volunteers.
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Assessment method [1]
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For Repaglinide the following parameters will be calculated: Maximum observed concentration (Cmax) and Area under the curve (AUC) ratios (Day11 over Day 1, Day 16 over Day 1). For Midazolam the following parameters will be calculated: Cmax and AUC ratios (Day 11 over Day 1, Day 16 over Day 1).
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Timepoint [1]
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Blood samples will be collected for pharmacokinetic (PK) analysis for Repaglinide and Midazolam a the following timepoints on days 1, 11 and 16: Predose (within 5 minutes of dose), 15 minutes, 30 minutes, 45 minutes, 1 hour, 1.5 hours, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours post-dose.
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Primary outcome [2]
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To evaluate the safety of NB-9402 dosing once daily for 14 days in healthy volunteers.
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Assessment method [2]
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The incidence of treatment-emergent AEs (TEAEs). TEAEs will be reported by the participant or observed by the Principal Investigator or qualified designee. Clinically significant changes from baseline in clinical laboratory safety tests will be assessed using blood and urine samples and will include clinical chemistry and hematology parameters, 12-lead electrocardiogram (ECG) will be taken using an ECG machine. Vital signs - temperature (using a tympanic thermometer), blood pressure, heart rate and respiratory rate will also be assessed, using an automated device (Multiparameter Patient Monitor). Physical examinations will be conducted by a medical professional
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Timepoint [2]
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All AEs will be recorded from the time of signing consent through the end-of-study (EOS) visit. Changes from baseline assessments will be measured at the following timepoints: Clinical lab safety tests Day 1, 3, 7, 11, 15 and 22/EOS. ECGs - Daily days 1-18 and day 22/EOS. Vital signs - Daily days 1-18 and day 22/EOS. Physical Examinations - Day 1, 3, 5, 7, 11, 15, 18 and 22/EOS.
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Secondary outcome [1]
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To evaluate the PK of NB-9402 upon dosing once daily for 14 days in healthy volunteers.
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Assessment method [1]
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The plasma PK parameters will be calculated on days 2, 11, 15 and 16 post-dose. The following PK parameters will be calculated for NB-9402 as appropriate: Cmax, time to maximum plasma concentration (Tmax), predose plasma concentration (Ctrough), AUC, terminal half-life, accumulation ratio, apparent volume of distribution and apparent clearance following oral administration.
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Timepoint [1]
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Blood samples will be collected for PK analysis at the following timepoints: - Day 2 and 11: Predose (within 5 minutes of dose), 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours and 24 hours post-dose. - Day 15: Predose (within 5 minutes of dose), 1 hour, 2 hours, 4 hours, 8 hours and 24 hours post-dose. - Day 16: 1 hour and 24 hours post dose.
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Eligibility
Key inclusion criteria
1. Participant must be >/= 18 years and < /= 65 years old at the time of signing informed consent.
2. Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring (ECG) obtained within 28 days before study drug administration.
3. Baseline laboratory test values within reference ranges based on the blood and urine samples taken at screening and on Day-1.
4. Nonsmoker and/or ex-smoker who has discontinued smoking and/or use of nicotine-containing products for at least 3 months prior to the first dose of study drug.
5. Ability to communicate well with the Investigator, in the local language, and to understand and comply with the requirements of the study.
6. Body mass index (BMI) within the range 18 to 32 kg/m2 (inclusive).
7. Females must be either postmenopausal for >/=1 year (or with FSH >/= 40 mlU/mL at screening if postmenopausal for< 1 year) or surgically sterile (having undergone bilateral tubal ligation, hysterectomy, or bilateral oophorectomy) for at least 6 months. However, to protect against the transfer of the study drug in any bodily fluids, male partners of female participants (whether postmenopausal or surgically sterile) must use a barrier form (e.g., condom) of contraception until the EOS visit or 7 days after the last dose of study drug in case of early termination.
8. Males with female partners of childbearing potential will agree to use barrier contraceptive (i.e., condom) and their female partners must use a highly effective method of contraception from screening to go days after the last dose of study drug. Males must also refrain from sperm donations during this time period. Males who are abstinent will not be required to use a contraceptive method unless they become sexually active. Males in a same sex relationship must also use a barrier form of contraception against the transfer of the study drug in any bodily fluids until the EOS visit or 7 days after the last dose of study drug in case of early termination.
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Healthy volunteers
Yes
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Key exclusion criteria
1. History or presence of significant cardiovascular, respiratory. hepatic. renal, gastrointestinal, endocrinological. hematological, or neurological disorders capable of significantly altering the absorption. metabolism, or elimination of drugs: constituting a risk when taking the study intervention: or interfering with the interpretation of data.
2. Any significant chronic medical illness, as determined by the Investigator.
3. Mentally or legally incapacitated. has significant emotional problems at screening or expected during the conduct of the study, or has a history of a clinically significant psychiatric disorder within the last 5 years. Note: normal healthy volunteers who have had situational depression without suicidal ideation or behavior may be enrolled in the study at the discretion of the Investigator.
4. The participant has a history of severe drug allergy or hypersensitivity or food allergy, including anaphylaxis.
5. The participant has had surgery or trauma with significant blood loss within the last 3 months prior to the first dose of study drug.
6. The participant has donated more than 1 unit (500 ml) of blood within 4 weeks prior to the first dose of study drug.
7, Fever (body temperature >38'C) or symptomatic viral or bacterial infection within 2 weeks prior to screening.
8. Any abnormal vital signs -at screening or before the first administration of study drug- considered to be clinically significant by the Investigator.
9. Lymphoma, leukemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years. Fully resected basal cell carcinoma (BCCl and squamous cell carcinoma (SCC) with no evidence of recurrence for 1 year are permitted.
10. Breast cancer within the past 10 years.
11. Any clinically significant laboratory abnormality at the screening visit or before the administration of the first dose of study drug.
12. Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
13. QTcF interval (QT with Fridericia's correction)> 450 msec in males and> 470 msec in females (based on the mean of triplicate measurements taken at screening).
14. Females of childbearing potential, irrespective of contraceptive measures taken.
15. Inability to tolerate oral medications.
16. Past or intended use of over-the-counter or prescription medication (including herbal medications) within 14 days before dosing.
17. Live vaccine(s) within 1 month before screening or plans to receive such vaccines during the study.
18. Treatment with biologic agents (such as monoclonal antibodies, including marketed drugs) within 3 months or 5 half-lives (whichever is longer) before dosing.
19. Current participation in any other investigational drug study or receipt of an investigational drug within 30 days or 5 half-lives (whichever is longer) before Day -1 for all Parts.
20. Positive prestudy drug or alcohol screen.
21. Positive human immunodeficiency virus (HIV) or hepatitis C antibody test (HCV), or hepatitis B surface antigen (HBsAgl at screening or 3 months before enrollment.
22. Regular alcohol consumption within 6 months before the study defined, current evidence of substance dependence or self-reported alcoholic intake> 2 drinks/day for female participants and > 3 drinks/day for male participants.
23. Use of tobacco products (e.g., cigarettes, e-cigarettes, cigars, smokeless tobacco) confirmed by a positive cotinine test.
24. Regular use of known drugs of abuse or a history of drug abuse within 12 months prior to screening.
25. Sensitivity to any of the study drug, or components thereof, or drug or other allergy that. in the opinion of the Investigator or Medical Monitor, contraindicates participation in the study.
26. Known hypersensitivity to midazolam or any of the formulation components, or history of acute narrow angle glaucoma. Participants with open-angle glaucoma must have well-controlled disease.
27. Known hypersensitivity to repaglinide or any of the formulation components or history of ketoacidosis.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
17/06/2026
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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
8
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Scientia Clinical Research - Randwick
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Recruitment postcode(s) [1]
45838
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2031 - Randwick
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Nura Bio Inc
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Address [1]
321848
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Country [1]
321848
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Nura Bio Inc
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Address
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Country
United States of America
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Secondary sponsor category [1]
324702
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Commercial sector/Industry
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Name [1]
324702
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InClin Pty Ltd
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Address [1]
324702
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Country [1]
324702
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
320387
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Bellberry Human Research Ethics Committee K
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Ethics committee address [1]
320387
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https://bellberry.com.au/
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Ethics committee country [1]
320387
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Australia
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Date submitted for ethics approval [1]
320387
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01/04/2026
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Approval date [1]
320387
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07/05/2026
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Ethics approval number [1]
320387
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Summary
Brief summary
This Phase 1 study is testing a new drug called NB-9402. The study drug NB-9402 is being developed by Nura Bio Inc, as a potential treatment for diseases of the nervous system. The study will evaluate the potential drug-drug interactions of NB-9402 with repaglinide and midazolam.
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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 Christopher Argent
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Address
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Scientia Clinical Research, The Bright Building, Level 5, Corner High & Avoca Streets, Randwick NSW 2031
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Country
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Australia
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Phone
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+61 2 9382 5800
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Fax
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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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Mr Taylor Kilfoil
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Address
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InClin Inc, Suite 210, 25/29 Berry Street, North Sydney, NSW, Australia, 2060.
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Country
150315
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Australia
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Phone
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+61 408 880 403
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Fax
150315
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Email
150315
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[email protected]
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Contact person for scientific queries
Name
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Mr Taylor Kilfoil
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Address
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InClin Inc, Suite 210, 25/29 Berry Street, North Sydney, NSW, Australia, 2060.
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Country
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Australia
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Phone
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+61 408 880 403
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Fax
150316
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Email
150316
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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
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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