Protocol summary
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Study aim
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compare rFVIII-Fc (Coageight, produced by AryoGen Pharmed Co.) with rFVIII-Fc (Elocta¨, produced by Sobi Co.) by dose-normalized area under the curve (dnAUC last)
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Design
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The study is designed as a randomized, two armed, double-blind, single-dose, crossover, two sequence, active-controlled, multi-center, bioequivalence clinical trial with primary endpoint of dose-normalized area under the curve (dnAUC last)- 50 patients, Two arm parallel group randomised trial with blinded postoperative care and outcome assessment
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Settings and conduct
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
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Participants/Inclusion and exclusion criteria
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Investigators assess the inclusion/exclusion criteria in patients, get ICF, randomized, Enrollment
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Intervention groups
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rFVIII-Fc (Aryogen Pharmed Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Elocta®, Sobi Co.), Cross-over
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Main outcome variables
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dnAUC last; dose; normalized area under the curve 12 days after the first intervention; One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
General information
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Reason for update
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Trial Completed
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Acronym
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FAC
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IRCT registration information
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IRCT registration number:
IRCT20150303021315N31
Registration date:
2023-05-04, 1402/02/14
Registration timing:
prospective
Last update:
2023-10-25, 1402/08/03
Update count:
1
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Registration date
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2023-05-04, 1402/02/14
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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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2023-07-26, 1402/05/04
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Expected recruitment end date
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2024-02-04, 1402/11/15
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Actual recruitment start date
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2023-06-22, 1402/04/01
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Actual recruitment end date
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2023-09-27, 1402/07/05
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Trial completion date
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2023-09-27, 1402/07/05
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Scientific title
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A randomized, two-armed, double-blind, single-dose, crossover, two sequence, active-controlled, multi-center, bioequivalence clinical trial to compare PK parameters and safety of Factor VIII, recombinant human with Fc fusion (rFVIII-Fc) (Coageight, produced by AryoGen Pharmed Company (versus rFVIII-Fc (Elocta®, produced by Sobi Company) in previously treated patients with severe hemophilia A
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Public title
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Bioequivalence clinical trial to compare PK parameters and safety of Factor VIII, recombinant human with Fc fusion (rFVIII-Fc) (Coageight, produced by AryoGen Pharmed Company) versus Elocta® in previously treated patients with severe hemophilia A
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Purpose
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Treatment
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Inclusion/Exclusion criteria
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Inclusion criteria:
Male patients ≥ 12 years, with signed informed consent by the patient, or the patient's legally authorized representative for patients under the legal age
Diagnosed with severe hemophilia A (endogenous FVIII <1% [1 IU/dL])
History of at least 150 documented prior exposure days to any FVIII product
Having adequate bone marrow and organ function:• Plt ≥ 80,000 cells/µL • Hgb ≥ 8 mg/dL• eGFR ≥ 30 mL/min• ALT or AST ≤ 5×ULN• Serum bilirubin ≤ 1.5×ULN
Exclusion criteria:
Measurable anti-drug antibody activity against FVIII (≥ 0.6 BU/mL) at screening or a history of developing anti FVIII antibody
History of other coagulation disorders except for hemophilia A
Acute hemorrhagic state
Infection with HCV or HBV
HIV-positive patients
Infusion of any products containing FVIII within 7 days prior to first administration
Previous treatment with commercially available extended half-life products
Receiving drugs which increase bleeding tendency (e.g: Anti-coagulants, antiplatelets, omega 3, Vit E, etc.) within 2 weeks of screening. NSAIDs are permitted.
Current systemic treatment with immunosuppressive drugs
Hypersensitivity or anaphylaxis associated with any FVIII concentrate or intravenous immunoglobulin (IVIg)
Planned elective surgery
Current enrolment or willing to enroll in any other experimental study during the time of current trial
Subjects assessed by the investigator to be unable or unwilling to comply with the requirements of the protocol (e.g.: physical, psychological and mental problems)
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Age
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From 12 years old
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Gender
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Male
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Phase
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Bioequivalence
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Groups that have been masked
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- Participant
- Care provider
- Investigator
- Outcome assessor
- Data analyser
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Sample size
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Target sample size:
50
Actual sample size reached:
50
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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The randomization plan of the patients will be carried out centrally using an R-CRAN software version 4.0.3 with the size 2 or 4 blocks. for a total of 50 patients, randomization scheme will be implemented crosses-over with sequence AB or BA. Once the randomization has been made, each patient is given a code with which he will be identified throughout the study. The assigned code will be made up of 3 numbers (corresponding to the randomization number) and by 4 initials (corresponding to the 2 first letters of the first name, the 2 first letters of the first surname), and 3 numbers (center code), for example ABCD001FAC-001. The randomization number will be assigned in a consecutive way.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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In this double-blind study, subjects and the product administrators are blinded. The size of vials is different. For this purpose, subjects and administrator of the drug will be blinded by considering two nurses in each center: one nurse who opens the drug package and prepares the drug for injection, and another nurse who injects the drugs and will remain blind throughout the study.
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Placebo
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Not used
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Assignment
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Crossover
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Other design features
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Single-dose- two sequence
Ethics committees
1
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Ethics committee
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Approval date
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2023-04-19, 1402/01/30
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Ethics committee reference number
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IR.IUMSREC.1402.034
Health conditions studied
1
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Description of health condition studied
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Severe hemophilia A
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ICD-10 code
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Z14.02
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ICD-10 code description
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Symptomatic hemophilia A carrier
Primary outcomes
1
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Description
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dnAUC last (dose-normalized area under the curve)
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Timepoint
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12 days after the first intervention
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
Secondary outcomes
1
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Description
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AUC inf
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
2
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Description
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Cmax
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
3
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Description
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Incremental recovery (IR)
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
4
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Description
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Half-life (T ½)
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
5
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Description
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Vd
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
6
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Description
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Clearance
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Timepoint
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pre-dose and 0.25, 0.5, 1, 3, 6, 8, 24, 48, 72, 96 and 120 h after each infusion
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Method of measurement
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One-Stage Assay (OSA) and Chromogenic Substrate Assay (CSA)
7
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Description
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Assessment of Adverse events
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Timepoint
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At screening and on days 0,1, 2, 3, 4, 5, 7, 8, 9, 10, 11, 12 and 28
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Method of measurement
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Clinical monitoring
8
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Description
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Immunogenicity: Anti-drug antibody
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Timepoint
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At screening and on days 7, 12 and 28
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Method of measurement
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Nijmegen Bethesda assay
Intervention groups
1
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Description
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Intervention group: rFVIII-Fc (Aryogen Pharmed Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Elocta®, Sobi Co.), Cross-over
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Category
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Treatment - Drugs
2
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Description
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Intervention group: rFVIII-Fc (Elocta®, Sobi Co.), IV, 50 units/kg, Single dose, then rFVIII-Fc (Aryogen Pharmed Co.), Cross-over
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Category
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Treatment - Drugs
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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AryoGen Company
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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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Undecided - It is not yet known if there will be 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