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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03815357
Registration number
NCT03815357
Ethics application status
Date submitted
12/12/2018
Date registered
24/01/2019
Titles & IDs
Public title
What is the Incidence of an Immune Disorder in Children With Invasive Pneumococcal Disease (IPD)?
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Scientific title
What is the Incidence of an Immune Disorder in Children With Invasive Pneumococcal Disease (IPD)? A Prospective Cohort Study.
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Secondary ID [1]
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35266C
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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:
Invasive Pneumococcal Disease, Recurrent Isolated, 1
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Invasive Pneumococcal Disease, Recurrent Isolated, 2
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Invasive Pneumococcal Disease, Protection Against
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0
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Primary Immunodeficiency
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0
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Condition category
Condition code
Infection
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0
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Other infectious diseases
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Inflammatory and Immune System
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0
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Autoimmune diseases
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Human Genetics and Inherited Disorders
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0
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Other human genetics and inherited disorders
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Other
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0
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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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
Other interventions - Referral to Immunology
Children with IPD - Children with IPD will be referred for immunological evaluation. The protocol for immune work up will be the same but between centres there is variation in the age criteria for referral i.e. \>2 years in some, \>6 months in others.
Other interventions: Referral to Immunology
Screening for primary immunodeficiency including splenic dysfunction
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Intervention code [1]
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Other interventions
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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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incidence of primary immunodeficiency in children who present with invasive pneumococcal disease
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Assessment method [1]
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This will be picked up upon prospective immunological testing, after identification of patients with invasive pneumococcal disease. A series of tests will be performed depending on the clinical opinion of the immunology team. Such tests may include lymphocyte subsets, complement function, serum immunoglobulin levels, memory B cells, vaccine antibody responses, etc.
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Timepoint [1]
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3 years
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Primary outcome [2]
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types of immunodeficiency associated with children who present with invasive pneumococcal disease
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Assessment method [2]
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This will be determined based on the testing performed by the immunologists.
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Timepoint [2]
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3 years
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Secondary outcome [1]
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whether increased referrals of children who present with invasive pneumococcal disease for investigation of primary immunodeficiency facilitates early detection
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Assessment method [1]
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This information will come from reviewing the case series of patients who are identified from this study. The incidence of those with primary immunodeficiency will be analysed against known background rates of diagnoses.
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Timepoint [1]
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3 years
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Eligibility
Key inclusion criteria
* Children aged 0 to 18 years admitted to one of the six centres with IPD.
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Minimum age
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Months
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Children who do not fulfil the age criteria for immunological evaluation at that particular site e.g. aged <2 years at Royal Children's Hospital.
* Children with a known underlying condition predisposing to IPD i.e. nephrotic syndrome.
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Study design
Purpose
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Duration
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Selection
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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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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
31/01/2017
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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
30/06/2021
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Sample size
Target
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Accrual to date
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Final
380
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Recruitment in Australia
Recruitment state(s)
NSW,SA,VIC
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Recruitment hospital [1]
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Sydney Children's Hospital - Sydney
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Recruitment hospital [2]
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Adelaide Women's and Children's Hospital - Adelaide
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Recruitment hospital [3]
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Monash Health - Clayton
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Recruitment hospital [4]
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Royal Children's Hospital - Melbourne
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Recruitment hospital [5]
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Lady Cilento Children's Hospital - Brisbane
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Recruitment postcode(s) [1]
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2031 - Sydney
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Recruitment postcode(s) [2]
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- Adelaide
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Recruitment postcode(s) [3]
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- Clayton
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Recruitment postcode(s) [4]
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3049 - Melbourne
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Recruitment postcode(s) [5]
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- Brisbane
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Wellington
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Funding & Sponsors
Primary sponsor type
Other
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Name
Murdoch Childrens Research 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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Royal Children's Hospital
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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
This is a multicentre prospective audit to determine the incidence of immunodeficiency in children with IPD. Aims and/or research question of the project 1. To determine the incidence of primary immunodeficiency in children \>2 years who present with IPD 2. To determine the types of immunodeficiency associated with IPD in children
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Trial website
https://clinicaltrials.gov/study/NCT03815357
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Trial related presentations / publications
Gaschignard J, Levy C, Chrabieh M, Boisson B, Bost-Bru C, Dauger S, Dubos F, Durand P, Gaudelus J, Gendrel D, Gras Le Guen C, Grimprel E, Guyon G, Jeudy C, Jeziorski E, Leclerc F, Leger PL, Lesage F, Lorrot M, Pellier I, Pinquier D, de Pontual L, Sachs P, Thomas C, Tissieres P, Valla FV, Desprez P, Fremeaux-Bacchi V, Varon E, Bossuyt X, Cohen R, Abel L, Casanova JL, Puel A, Picard C. Invasive pneumococcal disease in children can reveal a primary immunodeficiency. Clin Infect Dis. 2014 Jul 15;59(2):244-51. doi: 10.1093/cid/ciu274. Epub 2014 Apr 23. Picard C, Puel A, Bustamante J, Ku CL, Casanova JL. Primary immunodeficiencies associated with pneumococcal disease. Curr Opin Allergy Clin Immunol. 2003 Dec;3(6):451-9. doi: 10.1097/00130832-200312000-00006. Alsina L, Basteiro MG, de Paz HD, Inigo M, de Sevilla MF, Trivino M, Juan M, Munoz-Almagro C. Recurrent invasive pneumococcal disease in children: underlying clinical conditions, and immunological and microbiological characteristics. PLoS One. 2015 Mar 4;10(3):e0118848. doi: 10.1371/journal.pone.0118848. eCollection 2015.
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Public notes
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Contacts
Principal investigator
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 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/NCT03815357