Cluster 127: likely interfere illness psychiatric participation medical clinical study patients opinion Cluster 236: subject study treatment protocol france investigator following french subjects condition Cluster 431: preclude participation investigator condition opinion medical study trial safe clinical Cluster 482: condition medical investigator opinion participation study interfere psychiatric protocol compliance Cluster 675: interfere cooperate likely deemed ability participate condition mental investigator sign Cluster 1594: coexisting likely condition medical procedures interfere results study psychiatric hazard Cluster 1665: results interfere interpretation medical likely participation laboratory investigator history including Cluster 1697: patient study investigator participate treatment disease medical therapy protocol unlikely Cluster 1735: extenuating circumstance significantly additional interfere opinion illness compliance condition medical Cluster 2181: psychological medical condition compliance investigator compromise participation social opinion study