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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06587945
Additional trial details provided through ANZCTR are available at the end of this record.
Registration number
NCT06587945
Ethics application status
Date submitted
5/09/2024
Date registered
19/09/2024
Date last updated
24/02/2025
Titles & IDs
Public title
Nicotinamide Riboside Oral Supplementation in Macula Off Retinal Detachment
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Scientific title
A Randomised Double-Masked Placebo-Controlled Trial of Nicotinamide Riboside Oral Supplementation in Macula Off Retinal Detachment
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Secondary ID [1]
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U1111-1307-8530
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Secondary ID [2]
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NOMAD
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Universal Trial Number (UTN)
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Trial acronym
NOMAD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Retinal Detachment
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Mental Health
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Nicotinamide Riboside
Other interventions - Placebo
Treatment: Surgery - Vitrectomy and Gas tamponade
Experimental: Nicotinamide Riboside - Oral Nicotinamide Riboside intake from date of presentation: 2g daily for 4 weeks followed by 1g daily for 16 weeks postoperatively
Placebo comparator: Placebo -
Treatment: Other: Nicotinamide Riboside
Oral Nicotinamide Riboside, 2g daily for 4 weeks followed by 1g daily for 16 weeks
Other interventions: Placebo
Matched placebo
Treatment: Surgery: Vitrectomy and Gas tamponade
Standard of care Vitrectomy surgery for retinal reattachment
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Intervention code [1]
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Treatment: Other
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Intervention code [2]
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Other interventions
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Intervention code [3]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Best-corrected Visual Acuity
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Assessment method [1]
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Timepoint [1]
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20 weeks postoperatively
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Primary outcome [2]
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Microperimetry
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Assessment method [2]
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Timepoint [2]
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20 weeks postoperatively
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Primary outcome [3]
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Contrast sensitivity
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Assessment method [3]
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Timepoint [3]
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20 weeks postoperatively
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Secondary outcome [1]
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Integrity of the photoreceptor layer on optical coherence tomography
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Assessment method [1]
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Timepoint [1]
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20 weeks postoperatively
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Eligibility
Key inclusion criteria
* Age = 18 years old
* Able to give informed consent and comply with all study visits and procedures.
* Present within 10 days of macula-off retinal detachment (based on patient-reported history of loss of central vision)
* Present to the hospital with a visual acuity of hand motion or better in the study eye
* Have had previous cataract surgery in the study eye
* Have clinical indication for standard retinal reattachment surgery by means of a pars plana vitrectomy and gas tamponade
* In the opinion of the investigator, be able to safely undergo all study procedures.
Key exclusion Criteria:
* Any known significant ocular disease in the study eye (e.g., cornea opacity) which, in the opinion of the investigator, would preclude a visual acuity of at least 6/7.5 (20/25) following successful vitrectomy or limit adequate visibility of the retina.
* Any other ocular pathology in the study eye requiring treatment with topical ophthalmic drops or intravitreal injection.
* History of previous ocular surgery in the study eye other than uncomplicated cataract surgery with posterior chamber intraocular lens and intact posterior capsule or a refractive surgery (surgery must have occurred at least 3 months prior to the baseline visit).
* Participation in other clinical trials or use of any other investigational drugs or devices within 3 months prior to study participation.
* Females who are pregnant or lactating and women of childbearing potential.
* Known retinopathy, known hepatic disease (or history of significant chronic liver disease), or known renal disease. Patients Participants with diabetes and no known retinopathy may be enrolled.
* History of uncontrolled hypertension.
* History of stroke, transient ischemic attack, or major cardiac surgery within 3 months prior to study, or current treatment for systemic infection.
* Any ocular or systemic condition that in the opinion of the investigator could compromise the safety of the patientparticipant, or may interfere with the safety and tolerability assessments or study procedures of the trial.
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Minimum age
18
Years
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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?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Not applicable
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
1/05/2025
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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
30/11/2027
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Actual
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Sample size
Target
144
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Centre for Eye Research Australia - East Melbourne
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Recruitment hospital [2]
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Cerulea - East Melbourne
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Recruitment hospital [3]
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The Royal Victorian Eye and Ear Hospital - East Melbourne
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Recruitment hospital [4]
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Dr David Fabinyi - Geelong
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Recruitment hospital [5]
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Dr David Sousa - Geelong
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Recruitment postcode(s) [1]
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3002 - East Melbourne
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Recruitment postcode(s) [2]
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3220 - Geelong
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Funding & Sponsors
Primary sponsor type
Other
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Name
Center for Eye Research Australia
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Retinal detachment occurs when fluid separates the retina (a thin, light sensing tissue) from its usual attachment at the back of the eye. If detached, these retinal cells lose their normal blood supply and begin to die, which is the primary cause of vision loss in retinal detachment. The 'macula' refers to the very centre of the retina, with the highest density of retinal cells, most responsible for vision. Significant vision loss occurs when this part of the retina becomes separated (termed a 'macula-off retinal detachment'). Typically, surgery is required to repair the retinal detachment. Supporting the health of retinal cells at the macula may prolong their survival after detachment and their recovery postoperatively. Recent evidence has shown that boosting our nicotinamide adenine dinucleotide (NAD+) levels may improve the health of these cells and prolong their survival if detached. Oral Nicotinamide Riboside (NR) is converted into NAD+, and while not studied for macula-off retinal detachments, has been safely used in a range of other conditions. This study is designed to help evaluate the safety and tolerability of NR to help preserve vision in people diagnosed with macula-off retinal detachment. This study drug is given as an oral supplement (tablet) at the time of retinal detachment diagnosis, and daily for 20 weeks thereafter. The drug aims to prolong survival of cells in the retina (and macula) and their recovery after surgery. The long-term goal of this treatment is to reduce loss of vision after retinal detachment. The researchers will compare NR to a placebo (a look-alike substance that contains no drug) to see if NR has a positive effect on photoreceptor survival and quality of vision postoperatively. NR has been approved by the Therapeutic Goods Administration in Australia for many purposes but has not been approved for use in retinal detachment treatment.
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Trial website
https://clinicaltrials.gov/study/NCT06587945
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Trial related presentations / publications
Martens CR, Denman BA, Mazzo MR, Armstrong ML, Reisdorph N, McQueen MB, Chonchol M, Seals DR. Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults. Nat Commun. 2018 Mar 29;9(1):1286. doi: 10.1038/s41467-018-03421-7. Chen AC, Martin AJ, Choy B, Fernandez-Penas P, Dalziell RA, McKenzie CA, Scolyer RA, Dhillon HM, Vardy JL, Kricker A, St George G, Chinniah N, Halliday GM, Damian DL. A Phase 3 Randomized Trial of Nicotinamide for Skin-Cancer Chemoprevention. N Engl J Med. 2015 Oct 22;373(17):1618-26. doi: 10.1056/NEJMoa1506197. Trammell SA, Schmidt MS, Weidemann BJ, Redpath P, Jaksch F, Dellinger RW, Li Z, Abel ED, Migaud ME, Brenner C. Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nat Commun. 2016 Oct 10;7:12948. doi: 10.1038/ncomms12948. Bai S, Sheline CT. NAD(+) maintenance attenuates light induced photoreceptor degeneration. Exp Eye Res. 2013 Mar;108:76-83. doi: 10.1016/j.exer.2012.12.007. Epub 2012 Dec 26. Zhang X, Henneman NF, Girardot PE, Sellers JT, Chrenek MA, Li Y, Wang J, Brenner C, Nickerson JM, Boatright JH. Systemic Treatment With Nicotinamide Riboside Is Protective in a Mouse Model of Light-Induced Retinal Degeneration. Invest Ophthalmol Vis Sci. 2020 Aug 3;61(10):47. doi: 10.1167/iovs.61.10.47.
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Public notes
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Contacts
Principal investigator
Name
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David Sousa, MD PhD FRANZCO
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Address
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Center for Eye Research Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Carly Parfett
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Address
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Country
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Phone
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+61399590028
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT06587945
Additional trial details provided through ANZCTR
Accrual to date
Recruiting in Australia
Recruitment state(s)
VIC
Recruitment hospital [1]
201
The Royal Victorian Eye and Ear Hospital
Recruitment hospital [2]
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St John of God Hospital, Geelong
Recruitment postcode(s) [1]
202
3002
Recruitment postcode(s) [2]
203
3220
Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
Name [1]
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Center for Eye Research Australia Philantropy Funds
Address [1]
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Level 10/200 Victoria Parade East Melbourne VIC 3002
Country [1]
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Australia
Funding source category [2]
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Charities/Societies/Foundations
Name [2]
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Perpetual's IMPACT Philantropy
Address [2]
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The Murray R & Rodney A Brownless Charitable Trust The Merrett Endowment Rowe Family Foundation
Country [2]
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Australia
Primary sponsor
Other
Primary sponsor name
Center for Eye Research Australia Pty Lts
Primary sponsor address
Level 10/200 Victoria Parade
East Melbourne VIC 3002
Primary sponsor country
Australia
Ethics approval
Ethics application status
Not yet submitted
Ethics committee name [1]
82
St Vincent's Hospital Melbourne Human Research Ethics Committee
Address [1]
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41 Victoria Parade Fitzroy VIC 3065
Country [1]
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Australia
Date submitted for ethics approval [1]
82
Approval date [1]
82
Ethics approval number [1]
82
Public notes
Contacts
Principal investigator
Title
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Dr
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Name
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David Sousa
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Address
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SJOG Geelong Hospital Level 6, 80 Myers St Fitzroy VIC 3065
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Country
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Australia
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Phone
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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
Title
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Dr
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Name
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David Sousa
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Address
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SJOG Geelong Hospital Level 6, 80 Myers St Fitzroy VIC 3065
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Country
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Australia
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Phone
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Title
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Dr
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Name
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David Sousa
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Address
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SJOG Geelong Hospital Level 6, 80 Myers St Fitzroy VIC 3065
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Country
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Australia
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Phone
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Fax
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Email
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[email protected]
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