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A Phase II trial in which inhaled PPP001 is evaluated against immediate-release oral opioids (morphine sulfate) for the management of breakthrough cancer pain is ongoing in the USA (NCT03564548)

Smith suggests that Kennedy's book "even flirts with outright germ theory denial", quoting from a portion in which Kennedy contrasts the germ theory of disease with terrain theory [345] and another in which he writes that Louis Pasteur "is said to have recanted" germ theory on his deathbed in favor of Antoine Bchamp's terrain theory, [345] : Table 1 an unproven claim that circulates among germ theory denialists