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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03783754
Registration number
NCT03783754
Ethics application status
Date submitted
6/12/2018
Date registered
21/12/2018
Titles & IDs
Public title
Triple Therapy Prevention of Recurrent Intracerebral Disease EveNts Trial Magnetic Resonance Imaging Sub-study
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Scientific title
Triple Therapy Prevention of Recurrent Intracerebral Disease EveNts Trial (TRIDENT) MRI Sub-study
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Secondary ID [1]
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TRIDENT MRI
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Universal Trial Number (UTN)
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Trial acronym
TRIDENT-MRI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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0
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Cerebral Small Vessel Diseases
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0
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Intracerebral Hemorrhage
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0
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Vascular Dementia
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0
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Hypertension
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0
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Condition category
Condition code
Stroke
0
0
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0
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Haemorrhagic
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Neurological
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0
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0
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Other neurological disorders
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Cardiovascular
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0
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Neurological
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0
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0
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Dementias
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Cardiovascular
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0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - telmisartan 20 mg + amlodipine 2.5mg + indapamide 1.25mg
Treatment: Drugs - Placebo oral capsule
Experimental: Triple Pill (Active Treatment) - telmisartan 20mg, amlodipine 2.5mg, and indapamide 1.25mg;
Placebo comparator: Placebo - received via blinded study oral capsules
Treatment: Drugs: telmisartan 20 mg + amlodipine 2.5mg + indapamide 1.25mg
low-dose combination therapy
Treatment: Drugs: Placebo oral capsule
matched placebo
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in T2 FLAIR white matter hyperintensities (WMH) volume
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Assessment method [1]
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Timepoint [1]
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36 months
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Secondary outcome [1]
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Whole brain atrophy measured by percentage brain volume change between baseline and 36 months on HIRES-T1.
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Assessment method [1]
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0
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Timepoint [1]
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36 months
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Secondary outcome [2]
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Substructure change - cortical grey matter
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Assessment method [2]
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expected range: \>400,000 and \<800,000mm3 Relevant Sequence: 3D-T1
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Timepoint [2]
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36 months
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Secondary outcome [3]
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Substructure change - white matter
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Assessment method [3]
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expected range: \>400,000 and \<900,000mm3 Relevant Sequence: 3D-T1
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Timepoint [3]
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36 months
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Secondary outcome [4]
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Substructure change - cerebrospinal fluid (CSF)
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Assessment method [4]
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volume change measured Relevant Sequence: 3D-T1
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Timepoint [4]
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36 months
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Secondary outcome [5]
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Change in number of cerebral microbleeds (CMBs)
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Assessment method [5]
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0
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Timepoint [5]
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36 months
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Eligibility
Key inclusion criteria
1. Eligible for, randomised and continuing in TRIDENT Main Study
2. No contraindications to MRI scan of the brain
3. Provide informed consent for the MRI Sub-Study
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Minimum age
18
Years
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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
1. Any MRI contraindications (e.g. metallic implants, claustrophobia, etc.)
2. Less than 6 weeks or greater than 6 months post-randomisation (however, where possible the baseline MRI Sub-Study scan should be conducted as soon as possible after the qualifying ICH. e.g. if the qualifying ICH was 4 months prior to randomisation, the baseline scan should be done as close to 6 weeks post-randomisation as possible)
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Study design
Purpose of the study
Other
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
9/08/2018
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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
21/03/2021
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Sample size
Target
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Accrual to date
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Final
4
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Liverpool Hospital - Liverpool
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Recruitment hospital [2]
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Sunshine Coast University Hospital - Birtinya
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Recruitment hospital [3]
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Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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2170 - Liverpool
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Recruitment postcode(s) [2]
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4575 - Birtinya
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Recruitment postcode(s) [3]
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3050 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
The George Institute
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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University of Sydney
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
TRIDENT Main Study: TRIDENT is a multicentre, international, double-blinded, placebo-controlled, parallel-group, randomised controlled trial of a fixed low-dose combination BP-lowering pill ("Triple Pill") strategy on top of standard of care, in patients with a history of acute intracerebral haemorrhage (ICH) and systolic blood pressure (SBP) levels defined as 'high normal to borderline high', and on either minimal or no BP-lowering treatment according to current guidelines. MRI Sub-Study Centres capable of specific MRI of the brain sequences will be identified. The patients in the TRIDENT main study who are identified to be eligible for the MRI Sub-Study will undergo MRI scans at baseline (6 weeks to 6 months post-randomisation) and at 36-month follow-up time points. All data collected will be analysed centrally at the Brain and Mind Centre (BMC) in Sydney, Australia.
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Trial website
https://clinicaltrials.gov/study/NCT03783754
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Craig Anderson, Prof
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Address
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The George Institute
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03783754