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Trial registered on ANZCTR
Registration number
ACTRN12606000246583
Ethics application status
Approved
Date submitted
15/06/2006
Date registered
19/06/2006
Date last updated
6/06/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Alpha-2 agonists in cardiac kids
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Scientific title
Pharmacokinetics and pharmacodynamics of alpha-2 adrenoceptor agonists in children undergoing cardiac surgery
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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:
Children undergoing cardiac surgery
1225
0
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Condition category
Condition code
Cardiovascular
1308
1308
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Clonidine is given as a intravenous bolus dose (1-5micrograms/kg) once child is stable in the intensive care unit. Dexmedetomidine is given as an intravenous bolus over 15 minutes (1-4 micrograms/kg) once child is stable in intensive care.
The intervention group are all children (1day to 16 years) who have undergone cardiac surgery at Starship Childrens Hospital.
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Intervention code [1]
1145
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Treatment: Drugs
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Comparator / control treatment
No comparator.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Pharmacokinetics of clonidine in children.
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Assessment method [1]
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Timepoint [1]
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Clonidine plasma concentrations will be determined at approximately 5 minutes, 3 hours and 8 hours following drug administration by assay of plasma
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Primary outcome [2]
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Pharmacokinetics of dexmedetomidine in children.
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Assessment method [2]
1789
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Timepoint [2]
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Dexmedetomidine plasma concentrations will be determined at approximately 5 minutes, 3 hours and 8 hours following drug administration by assay of plasma
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Secondary outcome [1]
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Pharmacodynamics of clonidine and dexmedetomidine in children.
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Assessment method [1]
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Timepoint [1]
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Pharmacodynamic variables such as blood pressure, heart rate, morphine and benzodiazipine use will be measured hourly for 18 hours, time to extubation will also be noted.
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Eligibility
Key inclusion criteria
All children presenting to ICU following cardiac surgery.
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Minimum age
1
Days
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Maximum age
16
Years
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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
Allergy to alpha-2 drugs, haemodynamic instability, parental or child refusal.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
The first 50 children enrolled in the study will be given clonidine, the second 50 children enrolled in the study will be given dexmedetomidine. This will then be compared to historical data of patietns who have undergone cardiac surgery in the past
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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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
23/03/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
355
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New Zealand
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State/province [1]
355
0
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Funding & Sponsors
Funding source category [1]
1434
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Charities/Societies/Foundations
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Name [1]
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Green Lane Research and Educational Fund
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Address [1]
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Auckland City Hospital
Park Road
Auckland
New Zealand
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Country [1]
1434
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
Department of Anaesthesiology
98-100 Mountain Road
Epsom
Auckland
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Nil
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Address [1]
1268
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Country [1]
1268
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2807
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Starship Childrens Hospital
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Ethics committee address [1]
2807
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Auckland
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Ethics committee country [1]
2807
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New Zealand
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Date submitted for ethics approval [1]
2807
0
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Approval date [1]
2807
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23/02/2006
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Ethics approval number [1]
2807
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NTX/06/02/005
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Summary
Brief summary
The primary purpose of the study is to determine the pharmacokinetics of intravenous clonidine and dexmedetomidine in children as this has not been determined before and will lead to more rational dosing. Once the child is enrolled in the study (following parental consent and child assent, if of age) the child is given a single dose of clonidine or dexmedetomidine once stable in the intensive care unit following surgery. Following administration of the drug, 3 blood samples will be taken at 5 minutes, 3 hours and 8 hours following drug administration. These blood samples will be assayed to determine the plasma concentration of clonidine or dexmedetomidine and allow the determination of the pharmacokinetic profile. Pharmacodynamic data will also be obtained. Blood pressure, heart rate, morphine and benzodiazipine useage will be determined from nursing flow charts and drug charts hourly. The time to extubation will also be noted. This will enable us to determine if clonidine or dexmedetomidine has any effect or BP, HR, analgesic and sedative use and time on mehcanical ventiation.
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Trial website
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Trial related presentations / publications
Potts AL, Larsson P, Eksborg S et al. Clonidine disposition n children; a population analysis. Pediatric Anesthesia. 2007; 17:924-933 Potts AL, Warman GR, Anderson BJ. Dexmedetomidine disposition in children; a population analysis. Pediatric Anesthesia. 2008;18:722-730
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Public notes
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Contacts
Principal investigator
Name
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Address
36258
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Country
36258
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Phone
36258
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Fax
36258
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Email
36258
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Contact person for public queries
Name
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Amanda Potts
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Address
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Department of Anaesthesiology
University of Auckland
Private Bag 92019
Auckland
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Country
10334
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New Zealand
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Phone
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+64 9 3737599 extn 89305
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Fax
10334
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Email
10334
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[email protected]
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Contact person for scientific queries
Name
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Amanda Potts
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Address
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Department of Anaesthesiology
University of Auckland
Private Bag 92019
Auckland
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Country
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New Zealand
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Phone
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+64 9 3737599 extn 89305
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Fax
1262
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Email
1262
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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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