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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00718068
Registration number
NCT00718068
Ethics application status
Date submitted
16/07/2008
Date registered
18/07/2008
Date last updated
27/07/2010
Titles & IDs
Public title
Safety of Continuous Potassium Chloride Infusion in Critical Care
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Scientific title
Assessing the Safety of a Continuous Potassium Chloride Infusion in Critical Care: A Randomised Controlled Trial
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Secondary ID [1]
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2007185
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Universal Trial Number (UTN)
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Trial acronym
ASPIC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Hypokalemia
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Arrhythmias, Cardiac
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Condition category
Condition code
Cardiovascular
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Other cardiovascular diseases
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Metabolic and Endocrine
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0
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Other metabolic disorders
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Diet and Nutrition
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sterile Potassium Chloride Concentrate
Treatment: Drugs - Sterile Potassium Chloride Concentrate
Experimental: Continuous - This group will receive potassium chloride by continuous infusion on a sliding-scale system based on serum potassium level.
Active comparator: Intermittent - This arm will form the control group and receive potassium chloride by intermittent infusion as per conventional management
Treatment: Drugs: Sterile Potassium Chloride Concentrate
Continuous infusion, 40mmol in 40ml, starting at 10ml/hr, rate altered according to serum potassium level checked 2 hourly
Treatment: Drugs: Sterile Potassium Chloride Concentrate
By intermittent infusion, 20mmol diluted in 100ml 0.9% NaCl, administered over 60 mins, serum potassium level checked 2 hourly, and repeat doses administered as appropriate
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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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Adherence to a potassium level 4.0 - 4.5mmol/L
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Assessment method [1]
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Timepoint [1]
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7 days
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Secondary outcome [1]
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Total quantity of potassium administered
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Assessment method [1]
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0
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Timepoint [1]
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7 days
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Secondary outcome [2]
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Incidence of potassium level < 3.0mmol/L and > 5.5mmol/L
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Assessment method [2]
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0
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Timepoint [2]
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7 days
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Secondary outcome [3]
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Incidence of arrhythmia
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Assessment method [3]
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0
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Timepoint [3]
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7 days
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Secondary outcome [4]
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Number of arterial blood gases taken
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Assessment method [4]
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Timepoint [4]
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7 days
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Eligibility
Key inclusion criteria
* Any inpatient on the investigating unit with a serum potassium level of less than 3.8mmol/L
* arterial line for blood sampling and central venous access for infusion administration in situ
* continuous 12-lead ECG monitoring
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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
* Patients with a serum potassium = 3.8mmol/L
* Renal dysfunction with serum creatinine 50% greater than the upper end of the normal reference range (i.e.: > 180micromol/L) or urine output less than 0.5ml/kg/hr for 6 consecutive hours, or the requirement for dialysis
* Burns
* Hypomagnesaemia (= 0.7mmol/L), however patients may be enrolled after the hypomagnesaemia is corrected
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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)
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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
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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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
1/10/2008
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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
1/10/2009
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Sample size
Target
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Accrual to date
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Final
160
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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The Queen Elizabeth Hospital - Woodville South
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Recruitment postcode(s) [1]
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5011 - Woodville South
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Queen Elizabeth Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Patients in critical care often require supplemental potassium chloride if levels in their blood are below acceptable level. Common practice is to administer a single dose of potassium chloride under controlled conditions via a drip, before checking if a further dose is required. The purpose of this study is to ensure that it is safe to administer potassium chloride continuously with the dose varied according to patient needs.
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Trial website
https://clinicaltrials.gov/study/NCT00718068
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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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Richard Chalwin, FCICM
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Address
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The Queen Elizabeth Hospital
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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
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00718068
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