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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT06681636
Registration number
NCT06681636
Ethics application status
Date submitted
5/11/2024
Date registered
8/11/2024
Date last updated
8/11/2024
Titles & IDs
Public title
Effector and Memory Immune Responses to HPV Vaccination in Vietnamese Women Post Virus Exposure
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Scientific title
A Non-inferiority Study Comparing the Immunogenicity of a Standard or an Extended Three-dose Nonavalent Human Papillomavirus Vaccine Schedule Between High-risk Women Aged 18-26 Years and Age-matched Women in the General Population
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Secondary ID [1]
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HPV9-VINIF2427
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Universal Trial Number (UTN)
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Trial acronym
HPV9vxFSW
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
HPV Infection
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Cervical Cancer
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Anogenital Cancer
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Anogenital Warts
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Condition category
Condition code
Infection
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Other infectious diseases
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Cancer
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Womb (Uterine or endometrial cancer)
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Cancer
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Cervical (cervix)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Human papillomavirus 9-valent vaccine, Recombinant
Experimental: Group 1 FSW - 100 FSWs aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-6-18 months
Active comparator: Group 2 non-FSW - 100 non-FSW aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-6-18 months
Active comparator: Group 3 FSW - 100 FSW aged 18-26 years receiving 3 doses of Gardasil-9 vaccine at 0-2-6 months
Treatment: Other: Human papillomavirus 9-valent vaccine, Recombinant
HPV vaccine manufactured by MSD consisted of 9HPV types: 6,11,16,18,31,33, 45, 52,58
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Intervention code [1]
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Treatment: Other
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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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Comparison between antibody responses after the 3rd dose ofregular vaccine schedules among FSW and after the 2nd dose of the extended schedule
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Assessment method [1]
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geometric mean titer (GMT) ratios and 95% confidence intervals (CI) of HPV- specific antibody responses to HPV16 and HPV18 at 7m between FSWs aged 18-26 years who received either the standard (0, 2m, 6m) or extended 3-dose (at 0, 6m and 18m) 3-dose 9vHPV schedule and age-matched non-FSWs who received the extended 3-dose 9vHPV schedule (at 0, 6m and 18m).
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Timepoint [1]
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7 months from the first doses
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Secondary outcome [1]
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Comparison of antibody responses after each doses among FSW according to HPV infection status pre-vaccination
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Assessment method [1]
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Antibody GMT at 2m, 7m, 18m and 19m between FSW who are HPV DNA+/seropositive with FSW who are HPV DNA-/seronegative at baseline.
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Timepoint [1]
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19 months after the 1st doses
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Secondary outcome [2]
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Comparison of antibody response after 3 doses of extended schedule between FSW and non-FSW
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Assessment method [2]
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Antibody GMT at 18m and 19m between FSW and non-FSW.
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Timepoint [2]
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19 month after the first doses
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Secondary outcome [3]
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Celular response after each vaccine dose
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Assessment method [3]
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Proportion of HPV16 and 18-specific B/T cells at baseline, 2m, 7m, 18m and 19m.
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Timepoint [3]
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19 months after the 1st dose
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Secondary outcome [4]
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HPV persistent during 19 month or more among vaccines
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Assessment method [4]
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4. Incidence (detection of the specific-type HPV DNA at least once during the follow-up period) and persistent HPV infection (defined as detection of the same HPV type in at least 2 samples not interrupted by negative sample during the follow-up period).
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Timepoint [4]
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at least 19 months after the first dose
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Eligibility
Key inclusion criteria
* Is between the reporting ages of 18-26 years at the time of recruitment.
* Engage in commercial sex in the last 6m (for FSW group) or have engaged in sexual activity (non-FSWs)
* Willing and able to give written informed consent.
* Willing to complete the follow-up requirements of the study.
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Minimum age
18
Years
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Maximum age
26
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Exclusion criteria
Participants meeting any of the following criteria will be excluded from the trial:
* Pregnant or possibly pregnant
* Has received any HPV vaccine previously
* Has an axillary temperate greater than 38°C
* Known allergies to any vaccine component
* incapacity to provide consent
* Currently receiving immunosuppressive medication or anti-cancer chemotherapy.
* Known HIV infection.
* Known Congenital immune deficiency syndrome.
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Study design
Purpose of the study
Prevention
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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)
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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 assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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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
14/12/2024
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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
31/12/2027
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Actual
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Sample size
Target
300
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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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Murdoch Children Research Institute - Parkville
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Recruitment postcode(s) [1]
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3052 - Parkville
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Recruitment outside Australia
Country [1]
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Vietnam
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State/province [1]
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Hai Phong
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Funding & Sponsors
Primary sponsor type
Other
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Name
National Institute of Hygiene and Epidemiology, Vietnam
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Murdoch Childrens Research Institute
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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CENTER FOR SUPPORTING COMMUNITY DEVELOPMENT INITIATIVES
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Address [2]
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Country [2]
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Other collaborator category [3]
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Government body
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Name [3]
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Hai Phong Center for Disease Control
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Address [3]
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Country [3]
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Ethics approval
Ethics application status
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Summary
Brief summary
A Study to evaluate if the 3 dose extended schedule (0-6-18 months) for the HPV vaccine Gardasil-9 provide similar immune responses and short term protection against HPV infection compared to the regular 3 dose schedule (0-2-6 months) in high risk women in Vietnam
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Trial website
https://clinicaltrials.gov/study/NCT06681636
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Trial related presentations / publications
Nguyen TP, Luu HN, Nguyen MVT, Tran MT, Tuong TTV, Tran CTD, Boffetta P. Attributable Causes of Cancer in Vietnam. JCO Glob Oncol. 2020 Feb;6:195-204. doi: 10.1200/JGO.19.00239. Thi Nguyen DN, Simms K, Vu Nguyen HQ, Van Tran T, Nguyen NH, LaMontagne DS, Castle P, Canfell K. The burden of cervical cancer in Vietnam: Synthesis of the evidence. Cancer Epidemiol. 2019 Apr;59:83-103. doi: 10.1016/j.canep.2018.11.008. Epub 2019 Jan 30. Vandepitte J, Lyerla R, Dallabetta G, Crabbe F, Alary M, Buve A. Estimates of the number of female sex workers in different regions of the world. Sex Transm Infect. 2006 Jun;82 Suppl 3(Suppl 3):iii18-25. doi: 10.1136/sti.2006.020081. VAN Trang N, Prem K, Toh ZQ, Viet Ha BT, Ngoc Lan PT, Tran HP, Pham QD, VAN Khuu N, Jit M, Luu DT, Khanh Ly LT, Cao V, LE-Ha TD, Bright K, Garland SM, Anh DD, Mulholland K. Prevalence and Determinants of Vaginal Infection With Human Papillomavirus Among Female University Students in Vietnam. In Vivo. 2022 Jan-Feb;36(1):241-250. doi: 10.21873/invivo.12697. Tuan LA, Prem K, Pham QD, Toh ZQ, Tran HP, Nguyen PD, Mai CTN, Ly LTK, Cao V, Le-Ha TD, Tuan NA, Jit M, Bright K, Brisson M, Nguyen TV, Garland S, Anh DD, Trang NV, Mulholland K. Anal human papillomavirus prevalence and risk factors among men who have sex with men in Vietnam. Int J Infect Dis. 2021 Nov;112:136-143. doi: 10.1016/j.ijid.2021.09.016. Epub 2021 Sep 10. Pham QD, Prem K, Le TA, Van Trang N, Jit M, Nguyen TA, Cao V, Le-Ha TD, Chu MTN, Le LTK, Toh ZQ, Brisson M, Garland S, Murray G, Bright K, Dang DA, Tran HP, Mulholland EK. Prevalence and risk factors for human papillomavirus infection among female sex workers in Hanoi and Ho Chi Minh City, Viet Nam: a cross-sectional study. Western Pac Surveill Response J. 2022 Nov 7;13(4):1-11. doi: 10.5365/wpsar.2022.13.4.894. eCollection 2022 Oct-Dec. Hernandez BY, Vu Nguyen T. Cervical human papillomavirus infection among female sex workers in southern Vietnam. Infect Agent Cancer. 2008 Apr 23;3:7. doi: 10.1186/1750-9378-3-7. Brown B, Blas M, Cabral A, Carcamo C, Gravitt P, Halsey N. Randomized trial of HPV4 vaccine assessing the response to HPV4 vaccine in two schedules among Peruvian female sex workers. Vaccine. 2012 Mar 16;30(13):2309-14. doi: 10.1016/j.vaccine.2012.01.058. Epub 2012 Feb 1. Dobson SR, McNeil S, Dionne M, Dawar M, Ogilvie G, Krajden M, Sauvageau C, Scheifele DW, Kollmann TR, Halperin SA, Langley JM, Bettinger JA, Singer J, Money D, Miller D, Naus M, Marra F, Young E. Immunogenicity of 2 doses of HPV vaccine in younger adolescents vs 3 doses in young women: a randomized clinical trial. JAMA. 2013 May 1;309(17):1793-802. doi: 10.1001/jama.2013.1625.
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Public notes
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Contacts
Principal investigator
Name
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Hong T Duong, MD, PhD
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Address
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National Institute of Hygiene and Epidemiology, Vietnam
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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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Trang V Nguyen, PhD
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Address
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Country
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Phone
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84902028181
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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
Type
Citations or Other Details
Journal
VAN Trang N, Prem K, Toh ZQ, Viet Ha BT, Ngoc Lan ...
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Tuan LA, Prem K, Pham QD, Toh ZQ, Tran HP, Nguyen ...
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Pham QD, Prem K, Le TA, Van Trang N, Jit M, Nguyen...
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Hernandez BY, Vu Nguyen T. Cervical human papillom...
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Brown B, Blas M, Cabral A, Carcamo C, Gravitt P, H...
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Journal
Dobson SR, McNeil S, Dionne M, Dawar M, Ogilvie G,...
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Results not provided in
https://clinicaltrials.gov/study/NCT06681636
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