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Trial registered on ANZCTR
Registration number
ACTRN12606000182594
Ethics application status
Approved
Date submitted
1/05/2006
Date registered
17/05/2006
Date last updated
14/01/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Prospective study of predictors of the diagnosis of delirium or future development of the delirium: the association between serum anticholinergic levels and dignosis or future development of delirium in palliative care patients with advanced cancer.
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Scientific title
Prospective study of predictors of the diagnosis of delirium or future development of the delirium: the association between serum anticholinergic levels and dignosis or future development of delirium in palliative care patients with advanced cancer.
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Secondary ID [1]
288323
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nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Delirium in advanced cancer
1155
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Condition category
Condition code
Cancer
1237
1237
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0
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
patients with delirium in advanced cancer. Data collection will be daily from admission to death or discharge.
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Intervention code [1]
1011
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Diagnosis / Prognosis
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Association of Serum Anticholinergic Levels (SAL) on admission to palliative care unit and at delirium occurrence with admission diagnosis of delirium or future occurrence during admission of delirium
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Assessment method [1]
1674
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Timepoint [1]
1674
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Patients will be followed from admission to palliative care inpatient unit until death or discharge for delirium episdoes.
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Secondary outcome [1]
3000
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i. Association of rating on Clinician rated Anticholinergic Scale – modified version (on admission and daily scores for period of observation) with occurrence of delirium.
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Assessment method [1]
3000
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Timepoint [1]
3000
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on admission, daily
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Secondary outcome [2]
3001
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ii.Sensitivity and specificity for SAL (taken on admission and level taken if delirium occurs i.e daily memorial delirium score of 10 or above on daily assessment) for diagnosis of incident and prevalent delirium.
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Assessment method [2]
3001
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Timepoint [2]
3001
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on admission, at delirium
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Secondary outcome [3]
3002
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iii.Predictive model of investigational and clinical parameters on admission for incident and prevalent delirium.
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Assessment method [3]
3002
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Timepoint [3]
3002
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on admission, at delirium
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Eligibility
Key inclusion criteria
i.Admission to a palliative care inpatient unit.ii.male and female patients with Advanced cancer.iii.Predicted survival of greater than 7 days.
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Minimum age
18
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
i.Non-English speaking background.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2006
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Actual
2/05/2005
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Date of last participant enrolment
Anticipated
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Actual
27/03/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
126
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1353
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University
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Name [1]
1353
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Flinders University
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Address [1]
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Flinders University, Bedford Park, Adelaide South Australia
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Country [1]
1353
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Australia
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Funding source category [2]
1354
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Charities/Societies/Foundations
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Name [2]
1354
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Hopehealthcare research fund
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Address [2]
1354
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Braeside Hospital, 340 Prairievale road Prairiewood 2164
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Country [2]
1354
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Australia
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Funding source category [3]
1355
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Charities/Societies/Foundations
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Name [3]
1355
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Sacred heart palliative care services research fund
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Address [3]
1355
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Darlinghurst Road, Darlinghurst
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Country [3]
1355
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Australia
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Primary sponsor type
Hospital
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Name
Sacred Heart palliative care services and Flinders University
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Address
Flinders University, Bedford Park, Adelaide South Australia
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Country
Australia
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Secondary sponsor category [1]
1196
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Government body
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Name [1]
1196
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Hope healthcare
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Address [1]
1196
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Braeside Hospital, 340 Prairievale road Prairiewood 2164
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Country [1]
1196
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2711
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St Vincents hospital
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Ethics committee address [1]
2711
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Ethics committee country [1]
2711
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Australia
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Date submitted for ethics approval [1]
2711
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Approval date [1]
2711
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13/03/2006
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Ethics approval number [1]
2711
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H05/102
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Ethics committee name [2]
2712
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Braeside Hospital
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Ethics committee address [2]
2712
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Ethics committee country [2]
2712
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Australia
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Date submitted for ethics approval [2]
2712
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Approval date [2]
2712
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18/08/2005
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Ethics approval number [2]
2712
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2005-08-1
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Summary
Brief summary
Delirium is common in patients with advanced cancer, and presents with symptoms of disturbed sleep, attention, and/or memory; and restlessness or drowsiness. The cause of this is believed to be due to a disturbance of the cholinergic transmitter system in the brain. This could be due to anticholinergic activity of medication, or substances produced in acute illness. It is not possible to measure these abnormalities in the brain in the clinical setting, so a surrogate marker(s) that is routinely measured would be useful. A serum anticholinergic assay can quantify anticholinergic activity in the blood. We aim to measure this on admission to a palliative care unit, and at an episode of delirium, and look at its levels in relation to its ability to predict the occurrence of delirium. We will also look for associations with other simple clinical and investigational measures, so a model can be developed to more accurately predict those at risk of delirium so preventive strategies and early identification can be utilised.
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Trial website
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Trial related presentations / publications
Agar M, Draper B, Plummer J, Phillips P, and Currow D. Anticholinergic levels and risk of delirium in advanced cancer. Poster presentation. MASCC International symposium on supportive care in cancer. New York City, June 2012.
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Public notes
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Contacts
Principal investigator
Name
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Prof Meera Agar
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Address
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PO Box 123 Ultimo NSW 2007
Office: Level 3, 235 Jones St, Ultimo NSW 2007
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Country
35748
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Australia
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Phone
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+61 2 9514 4243
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Fax
35748
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Email
35748
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[email protected]
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Contact person for public queries
Name
10200
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Meera Agar
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Address
10200
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PO Box 123 Ultimo NSW 2007
Office: Level 3, 235 Jones St, Ultimo NSW 2007
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Country
10200
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Australia
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Phone
10200
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+61 2 9514 4243
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Fax
10200
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o
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Email
10200
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[email protected]
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Contact person for scientific queries
Name
1128
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Meera Agar
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Address
1128
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University of Technology Sydney, 235 Jones Street Ultimo 2007
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Country
1128
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Australia
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Phone
1128
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+61 2 9514 4243
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Fax
1128
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+61 2 83829518
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Email
1128
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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