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Trial registered on ANZCTR
Registration number
ACTRN12607000066482
Ethics application status
Approved
Date submitted
26/06/2006
Date registered
22/01/2007
Date last updated
20/10/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Steroids and colonic surgery
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Scientific title
The influence of pre-operative dexamethasone on post operative recovery and fatigue in patients undergoing elective colonic resection
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Universal Trial Number (UTN)
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Trial acronym
nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Patients undergoing elective colonic resection/surgery
1557
0
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Condition category
Condition code
Oral and Gastrointestinal
1657
1657
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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
8 mg of intravenous dexamethasone 90 minutes prior to incision
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Intervention code [1]
1165
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Prevention
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Comparator / control treatment
Placebo (saline 90 minutes prior to incision)
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Control group
Placebo
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Outcomes
Primary outcome [1]
2292
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Fatigue
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Assessment method [1]
2292
0
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Timepoint [1]
2292
0
Pre-op and days 1, 2, 3, 7, 30, 60, 90
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Primary outcome [2]
2293
0
Local and plasma cytokine concentration
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Assessment method [2]
2293
0
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Timepoint [2]
2293
0
Morning of day 1
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Primary outcome [3]
2294
0
Nausea and vomiting
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Assessment method [3]
2294
0
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Timepoint [3]
2294
0
Pre-op and days 1, 2 and 3
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Primary outcome [4]
2295
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Pain
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Assessment method [4]
2295
0
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Timepoint [4]
2295
0
Pre-op and days 1,2 and 3
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Primary outcome [5]
2296
0
Return to normal activity
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Assessment method [5]
2296
0
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Timepoint [5]
2296
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Assessed at days 3, 7, 30, 60 and 90
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Secondary outcome [1]
3999
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Sleep
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Assessment method [1]
3999
0
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Timepoint [1]
3999
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Pre-op and days 1,2 and 3
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Secondary outcome [2]
4000
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Appetite
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Assessment method [2]
4000
0
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Timepoint [2]
4000
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Pre-op and days 1,2 and 3
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Secondary outcome [3]
4001
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Anxiety
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Assessment method [3]
4001
0
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Timepoint [3]
4001
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Pre-op and days 1,2 and 3
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Eligibility
Key inclusion criteria
Age 18 yrs and overGender : male and female
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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
Sensitivity to Dexamethasone or any contraindication to use of dexamethasone, long term steroid useInclusion: colonic surgery
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes containing coded numbers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
subjects and assesors (the medical team and the investigators) will be blinded as to which treatment the patient is recieving pre-operatively
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Phase
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Type of endpoint/s
Safety/efficacy
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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
27/06/2006
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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
70
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
363
0
New Zealand
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State/province [1]
363
0
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Funding & Sponsors
Funding source category [1]
1803
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Charities/Societies/Foundations
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Name [1]
1803
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Auckland Medical Research Foundation
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Address [1]
1803
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Auckland University
Auckland
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Country [1]
1803
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New Zealand
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Funding source category [2]
1804
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Government body
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Name [2]
1804
0
Health Research Council of New Zealand
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Address [2]
1804
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PO Box 5541, Wellesley Street, Auckland, 1141, New Zealand
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Country [2]
1804
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New Zealand
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Primary sponsor type
Individual
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Name
Associate Professor Andrew Hill
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Address
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Country
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Secondary sponsor category [1]
1624
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Individual
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Name [1]
1624
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Dr Kamran Zargar
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Address [1]
1624
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Department of Surgery University of Auckland Middlemore Hospital PO Box 93311 Otahuhu Auckland
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Country [1]
1624
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3369
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Middlemore hospital
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Ethics committee address [1]
3369
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Ethics committee country [1]
3369
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New Zealand
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Date submitted for ethics approval [1]
3369
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Approval date [1]
3369
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Ethics approval number [1]
3369
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NTY/06//03/020
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Summary
Brief summary
Fatigue is a common and significant problem after major colonic surgery. It is thought that one cause of this fatigue is the production of inflammatory mediators, including cytokines, in the peritoneal cavity. It is known that the production of cytokines can be decreased by the use of steroids. Thus, in order to decrease fatigue after surgery, consecutive patients undergoing major colonic surgery will be randomised to 2 groups. One will receive 8 mg of preoperative Dexamethasone (intervention group) and the other will receive saline (Placebo group). We will measure fatigue, pain, nausea and vomiting scores and measures of functional recovery after surgery in order to assess that impact of the preoperative steroid.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
35536
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Address
35536
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Country
35536
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Phone
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Fax
35536
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Email
35536
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Contact person for public queries
Name
10354
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Assoc. Prof Andrew G. Hill
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Address
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Department of Surgery
University of Auckland
Middlemore Hospital
PO Box 93311 Otahuhu Auckland
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Country
10354
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New Zealand
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Phone
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+64 9 276 0000 ext 8424
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Fax
10354
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+64 9 2679482
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Email
10354
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[email protected]
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Contact person for scientific queries
Name
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Dr Kamran Zargar Shoshtari
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Address
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Department of Surgery
University of Auckland
Middlemore Hospital
PO Box 93311 Otahuhu Auckland
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Country
1282
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New Zealand
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Phone
1282
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+64 9 2760000 ext 2100
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Fax
1282
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+64 9 2679482
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Email
1282
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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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