Protocol summary
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Study aim
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To evaluate the immunogenicity and safety of Omicron-Based CovIran Barkat vaccine as a third injection dose in vaccinated population over 18 years of age
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Design
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Non-randomized clinical trial with a parallel design on 210 volunteers over the age of 18 with a history of two-dose vaccination with an inactivated vaccine
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Settings and conduct
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This Non-randomized clinical trial study will be conducted on 210 volunteers aged ≥18 years at Eram Hotel and Eshragh vaccination centre. They will be followed up for safety, immunogenicity, any adverse events, and COVID-19 incidence.
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Participants/Inclusion and exclusion criteria
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Main inclusion criteria: Aged over 18 years old, In the volunteer’s vaccination history, the interval between the first and second dose is 4 to 8 weeks and at least 3 months and at most 5 months have passed since the injection of the 2nd dose of the volunteer vaccine, willing to participate, able to understand, sign the informed consent, medically stable condition for the past 3 months/ Main exclusion criteria: Confirmed, suspected, or asymptomatic COVID-19, History of SARS-CoV-2 (documented rtPCR) after the second dose, any abnormal paraclinical findings, history of allergy to the vaccine, any neurologic disease, immunodeficiency, coagulopathy, psychiatric and other chronic diseases, receiving the live vaccine in 14 days before inoculation, receiving immunoglobulins or blood products in 3 months before inoculation, women with a positive Beta HCG or breastfeeding or pregnancy intention.
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Intervention groups
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1. 3rd injection of CovIran Barkat of Wuhan strain 2. 3rd injection of CovIran Barkat of Omicron strain, both with a history of receiving two doses of CovIran Barkat 3. 3rd injection of COVIran Barekat of Omicron strain, with a history of receiving two doses of Sinopharm
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Main outcome variables
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Humoral immunity (Seroconversion, Neutralizing Ab, Anti-RBD, Anti-SPIKE)
General information
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Reason for update
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Amendments in data sharing section
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT20171122037571N4
Registration date:
2022-02-26, 1400/12/07
Registration timing:
registered_while_recruiting
Last update:
2023-11-15, 1402/08/24
Update count:
2
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Registration date
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2022-02-26, 1400/12/07
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Expected recruitment start date
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2022-02-26, 1400/12/07
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Expected recruitment end date
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2022-03-11, 1400/12/20
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Actual recruitment start date
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empty
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Actual recruitment end date
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empty
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Trial completion date
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empty
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Scientific title
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A Clinical trial to evaluate the immunogenicity and safety of Omicron-Based CovIran Barkat vaccine as a third injection dose in vaccinated population over 18 years of age
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Public title
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A Clinical trial of Omicron-Based CovIran Barkat vaccine as a third injection dose in vaccinated population over 18 years of age
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Purpose
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Prevention
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Inclusion/Exclusion criteria
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Inclusion criteria:
Aged over 18 years old
In the volunteer’s vaccination history, the interval between the first and second dose is between 4 to 8 weeks and at least 3 months and at most 5 months have passed since the injection of the second dose of the volunteer's vaccination.
The volunteer must be able and willing to cooperate with the researchers throughout the study period.
The volunteer must be able to fully understand the executive processes of the study and to understand the explanations of the facilitators correctly.
The volunteer would be able to understand the contents of the informed consent form and sign the informed consent before recruitment.
Access to the medical records and test results if hospitalised for any reason including due to the suspected or confirmed COVID-19 should be allowed.
The volunteer has been in a medically stable condition for the past three months (he/she has not been hospitalized, his / her chronic illness has not recurred). His / her chronic illness medication instructions have not changed due to lack of control over clinical symptoms, etc.)
Exclusion criteria:
Confirmed, suspected, or asymptomatic COVID-19 case
Candidate with a history of SARS-CoV-2 infection (documented rtPCR) after receiving the second dose of COVID-19 vaccine.
During the period of home quarantine due to Covid-19 (suspicion of exposure or suspicious symptoms).
In the 14 days prior to vaccination: fever or presence of at least two symptoms from Dry cough, severe fatigue, nasal congestion, runny nose, sore throat, myalgia, diarrhoea, dyspnea, and shortness of breath
History of severe allergic reaction, urticaria or allergic reactions to COVID-19 Inactivated vaccine ingredients (allergic to Aluminium).
Personal or family history of seizure, epilepsy, encephalopathy or psychiatric disorders
Presence of congenital malformations or any genetic disorder
Presence of any malignancy
Known case of immunodeficiency, HIV, lymphoma, leukemia, or other autoimmune diseases.
Receiving immunosuppressive drugs or corticosteroids in the last 6 months
Splenectomy or history of any organ removal
History of coagulation disorders
History of hereditary and acquired angioedema over the past year
Receiving Anti-TB treatment
Positive HBsAg/ Positive HCV antibody
Receiving immunomodulators or immunosuppressors at least for14 days in the past 3 months
Receiving live vaccine in one month or other vaccines in 14 days before inoculation
Receiving immunoglobulins or blood products in 3 months before inoculation
History of severe mental disorders affecting the participation in the study
Women with a positive pregnancy test (Beta HCG in a blood sample) or breastfeeding or those who intend to become pregnant during the study period.
Any other circumstances are other than the above-mentioned ones that the researcher deems inappropriate for a person participating in a clinical trial. These cases are recorded as the reason for not entering.
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Age
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From 18 years old
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Gender
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Both
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Phase
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3
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Groups that have been masked
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No information
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Sample size
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Target sample size:
210
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Randomization (investigator's opinion)
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Not randomized
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Randomization description
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Blinding (investigator's opinion)
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Not blinded
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Blinding description
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Placebo
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Not used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2022-02-22, 1400/12/03
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Ethics committee reference number
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IR.NREC.1400.021
Health conditions studied
1
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Description of health condition studied
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COVID-19 disease
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ICD-10 code
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U07.1
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ICD-10 code description
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COVID-19, virus identified
Primary outcomes
1
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Description
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Total IgG titers against Wuhan and Omicron variants (with GMT, GMI)
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Timepoint
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Days 0,14, 90, 180
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Method of measurement
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ELISA assay
2
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Description
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The neutralization capacity of booster doses against Wuhan and Omicron variants
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Timepoint
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Days 0,14, 90, 180
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Method of measurement
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Conventional Virus Neutralization Test (cVNT)
Secondary outcomes
1
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Description
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Any immediate reaction after inoculation
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Timepoint
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0-30 minutes after inoculation
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Method of measurement
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Close observation
2
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Description
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Percentage of local reactions (pain, redness, swelling, ....in injection site)
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Timepoint
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Days 0 to 7 after each inoculation
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Method of measurement
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Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System
3
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Description
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Percentage of systemic events (fever, headache, chills, nausea, vomiting, diarrhoea, fatigue, muscle pain, arthralgia, ....)
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Timepoint
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Days 0 to 7 after inoculation
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Method of measurement
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Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System
4
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Description
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Occurrence of any adverse event (serious or non-serious)
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Timepoint
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Days 0 to 7 after inoculation
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Method of measurement
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Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System
5
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Description
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Occurrence of any systemic events
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Timepoint
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Days 0 to 180 after inoculation
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Method of measurement
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Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System
6
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Description
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Occurrence of any adverse event (serious or non-serious)
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Timepoint
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Days 0 to 180 after inoculation
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Method of measurement
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Examination, history, and report of the study participant based on the Vaccine Adverse Event Reporting System
7
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Description
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Occurrence and the severity of SARS-COV-2 infection
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Timepoint
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Till 180 days after inoculation
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Method of measurement
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Comparing confirmed COVID-19 cases, severity status is categorised as non-severe, severe, and critical based on the WHO diagnosis scheme.
Intervention groups
1
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Description
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Group of recipients of the third injection of CovIran Barkat vaccine of Wuhan strain, with a history of receiving two doses of CovIran Barkat vaccine
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Category
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Prevention
2
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Description
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Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of CovIran Barkat vaccine
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Category
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Prevention
3
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Description
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Group of recipients of the third injection of CovIran Barkat vaccine of Omicron strain, with a history of receiving two doses of Sinopharm vaccine
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Category
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Prevention
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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SHIFAPHARMED Industrial Group Co
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Proportion provided by this source
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100
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Public or private sector
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Private
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Industry
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Yes - There is a plan to make this available
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Study Protocol
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Undecided - It is not yet known if there will be a plan to make this available
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Statistical Analysis Plan
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Undecided - It is not yet known if there will be a plan to make this available
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Informed Consent Form
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Undecided - It is not yet known if there will be a plan to make this available
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Clinical Study Report
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Undecided - It is not yet known if there will be a plan to make this available
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Analytic Code
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Undecided - It is not yet known if there will be a plan to make this available
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Data Dictionary
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Undecided - It is not yet known if there will be a plan to make this available
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Title and more details about the data/document
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De-identified, individual participant data will be made available upon requests directed to the corresponding author; after the approval of a proposal, data can be shared through a secure online platform.
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When the data will become available and for how long
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Access will be granted after publishing the results
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To whom data/document is available
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Anyone who requests
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Under which criteria data/document could be used
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Categorization and reanalysis of data is permitted. The publication of analysis results is possible only with the permission of the corresponding author of the article.
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From where data/document is obtainable
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Requests directed to the corresponding author
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What processes are involved for a request to access data/document
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Request from the corresponding author, granting access to anonymized data in one month
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Comments
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