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Trial registered on ANZCTR
Registration number
ACTRN12606000322538
Ethics application status
Approved
Date submitted
18/07/2006
Date registered
26/07/2006
Date last updated
10/02/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
The efficacy of intranasal administration of Naloxone by paramedics for the successful treatment of suspected heroin overdose in the prehospital setting.
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Scientific title
The efficacy of intranasal administration of Naloxone by paramedics for the successful treatment of suspected heroin overdose in the prehospital setting.
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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:
Opiate Overdose
1292
0
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Condition category
Condition code
Mental Health
1382
1382
0
0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Randomisation to receive either intramuscular naloxone 2mg or intranasal naloxone 2mg via a mucosal atomisation device [MAD]. Subjects receive one dose only of intranasal naloxone before re-assessment at 10 minutes post treatment. Subjects are given additional intramuscular Naloxone after 10 minutes if clinically necessary.
Duration of the study is likely to be 18 months, commencing 1st August 2006 and concluding 31st January 2008.
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Intervention code [1]
1213
0
Treatment: Devices
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Comparator / control treatment
Intranasal (IN) Naloxone is the intervention and Intramuscular (IM) Naloxone is the control. Patients in the control group received 2mg IM naloxone. Participants received only 1 dose of IM naloxone. After 10 minutes, patients without adequate response were administered secondary naloxone treatment [endpoint] via the IM route [2mg].
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Control group
Active
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Outcomes
Primary outcome [1]
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Requirement for subsequent treatment with Naloxone
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Assessment method [1]
1886
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Timepoint [1]
1886
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At 10 minutes from randomisation treatment.
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Secondary outcome [1]
3326
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Time to adequate and effective spontaneous respirations.
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Assessment method [1]
3326
0
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Timepoint [1]
3326
0
10 minutes.
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Secondary outcome [2]
3327
0
Time to adequate consciousness.
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Assessment method [2]
3327
0
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Timepoint [2]
3327
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10 minutes
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Eligibility
Key inclusion criteria
All suspected opiate overdose victims in the prehospital setting to be treated by paramedics with naloxone will be included in this study, regardless of age or gender .Client unrousable i.e. GCS less than 13.No major facial trauma/blocked nasal passages/epistaxis.
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Minimum age
No limit
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Maximum age
No limit
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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
Client rousable i.e. GCS Greater than 12.Major facial trauma/blocked nasal passages/epistaxis.
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Study design
Purpose of the study
Treatment
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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)
Conclealed envelope with randomisation advice enclosed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., computerised 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
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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
1/08/2006
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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
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1516
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Government body
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Name [1]
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Department of Human Services, Australian Government.
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Address [1]
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18/120 Spencer St
Melbourne Victoria 3000
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Country [1]
1516
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Australia
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Primary sponsor type
Government body
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Name
Department of Human Services, Australian Government.
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Address
18/120 Spencer St
Melbourne Victoria 3000
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Country
Australia
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Secondary sponsor category [1]
1331
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None
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Name [1]
1331
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Nil
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Address [1]
1331
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Country [1]
1331
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2939
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Melbourne Health Research Directorate
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Ethics committee address [1]
2939
0
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Ethics committee country [1]
2939
0
Australia
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Date submitted for ethics approval [1]
2939
0
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Approval date [1]
2939
0
20/02/2006
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Ethics approval number [1]
2939
0
2001.172
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Ethics committee name [2]
2940
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Monash University
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Ethics committee address [2]
2940
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Ethics committee country [2]
2940
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Australia
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Date submitted for ethics approval [2]
2940
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Approval date [2]
2940
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05/12/2005
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Ethics approval number [2]
2940
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2005/813MC
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Summary
Brief summary
The purpose of this study is to determine the effectiveness of concentrated intranasal naloxone compared to intramuscular naloxone for treatment by paramedics of respiratory depression due to suspected opiate overdose in the pre-hospital setting. Subjects are unconscious prior to study enrolment, and consent from individuals for study participation is not required.
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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
35382
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Address
35382
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Country
35382
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Phone
35382
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Fax
35382
0
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Email
35382
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Contact person for public queries
Name
10402
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Debra Kerr
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Address
10402
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The Joseph Epstein Centre for Emergency Medicine Research
Sunshine Hospital
176 Furlong Rd
St Albans VIC 3021
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Country
10402
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Australia
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Phone
10402
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+61 3 83451027
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Fax
10402
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+61 3 83451019
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Email
10402
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[email protected]
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Contact person for scientific queries
Name
1330
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Debra Kerr
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Address
1330
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The Joseph Epstein Centre for Emergency Medicine Research
Sunshine Hospital
176 Furlong Rd
St Albans VIC 3021
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Country
1330
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Australia
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Phone
1330
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+61 3 83451027
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Fax
1330
0
+61 3 83451019
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Email
1330
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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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