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Trial registered on ANZCTR
Registration number
ACTRN12609000632291
Ethics application status
Not yet submitted
Date submitted
2/07/2009
Date registered
29/07/2009
Date last updated
29/07/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of intravenous fish oil on the electrical properties of the human atria in patients undergoing elective electrophysiological evaluation and /or radiofrequency ablation of suraventricular or ventricular tachycardia
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Scientific title
The effect of intravenous fish oil on the electrical properties of the human atria in patients undergoing elective electrophysiological evaluation and /or radiofrequency ablation of suraventricular or ventricular tachycardia.
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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:
Cardiac electrophysiology
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Human atrial electrical properties.
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Condition category
Condition code
Cardiovascular
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0
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Normal development and function of the cardiovascular system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravenous fish oil.Participants will given a single dose of 100ml/10g (fish oil) of Omegaven . It will be mixed with 250ml 20% intralipid and infused at a rate of 0.5ml/kg/hr
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Intervention code [1]
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Prevention
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Comparator / control treatment
Placebo is an intravenous infusion of 250 ml 20% Intralipid given as a single dose over 4hrs .
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in atrial electrical conduction times .
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Assessment method [1]
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Timepoint [1]
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As measured during study protocol.Electrophysiological evaluation will consist of :
Measurement of atrial refractory periods (ERPs) - conducted from three sites distal coronary sinus, right atrial appendage and proximal coronary sinus and at three pacing cycle lengths 600ms, 500ms 400ms using 10ms increments from below refractoriness ( commencing at 150ms).
P wave duration in sinus rhythm .
Atrial conduction times measured at two sites along the coronary sinus(cs) by pacing from the distal bipole of the cs and measuring time to activation at the proximal bipole and at the right atrial appendage pacing the distal bipole from the cs catheter measuring time to activation at distal bipole from a catheter positioned at the right atrial appendage . these times will be measureed at pacing cycle lengths of 600, 500 and 400ms.
Conduction delay at the crista terminalis (ct) which will be assessed during pacing from the distal cs and mid right atrium at cycle lengths of 600,500and 400ms .Conduction delay at the ct will be analyzed by the timing between double potentials at the ct.
Sinus node function. This will be assessed by rapid atrial pacing at cycle lengths of 400 and 400ms to determine corrected sinus node recovery time.
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Secondary outcome [1]
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Prevention of induction of atrial fibrillation during rapid atrial pacing
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Assessment method [1]
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Timepoint [1]
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Will consist of atrial pacing at a cycle length of 200ms for 10 seconds at 20mA 10 times during the electrophysiological study.
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Eligibility
Key inclusion criteria
Participants recruited from patients undergoing elective electrophysiological evaluation and or radiofrequency ablation of supraventricular or ventricular tachycardia.
They may or may not have impaired ventricular function.
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Minimum age
18
Years
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Maximum age
80
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
Use of Amiodarone in the previous 6 months.
Patients with known allergies to fish or egg protein
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Study design
Purpose of the study
Educational / counselling / training
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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)
Participants will be recruited from patients undergoing elective electrophysiological evaluation and or radiofrequency ablation for suraventricular or ventricular tachycardia. They have been placed on a hospital waiting list . Approx 50% will come from the hospital outpatient cardiology clinic and 50% from the principal Cardiologists rooms . From the hospital waiting list participants will be approached by either the princial investigater or assistant to establish interest or not.Mostly this will be done over the phone and where approprate the relevant paperwork forwarded.
With regard to randomisation. The study will have two groups . Those who receive fish oil and those who do not . Participants will be randomly allocated to receive fish oil or not using sequentially numbered opaque sealed envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using sequentially numbered opaque sealed envelopes.
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Masking / blinding
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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
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2009
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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
40
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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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Recruitment postcode(s) [1]
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3050
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Cardiac electrophysiology (EP): Paul Sparks
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Address [1]
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Royal Melbourne Hospital
Grattan St
Parkville VIC 3050
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Country [1]
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Australia
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Funding source category [2]
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Hospital
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Name [2]
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Royal Melbourne Hospital
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Address [2]
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Grattan St
Parkville, VICTORIA 3050
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Melbourne Hospital
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Address
Grattan St
Parkville, VICTORIA 3050
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Human Research and Ethics Committee (HREC) Office for Research Royal Melbourne Hospital
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Ethics committee address [1]
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Level 6 East Main Block Royal Melbourne Hospital Grattan St Parkville VIC 3050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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23/04/2009
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Approval date [1]
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Ethics approval number [1]
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2009.076
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Summary
Brief summary
To observe the effects of intravenous fish oil on the electrophysiological properties of the human atria
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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
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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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Fiona Sutherland
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Address
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Cardiology Dept
The Royal Melbourne Hospital
Grattan St
Parkville Vic 3050
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Country
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Australia
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Phone
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+61 393427133
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Fax
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+61 393472808
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Email
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[email protected]
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Contact person for scientific queries
Name
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Fiona Sutherland
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Address
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Cardiology Dept
The Royal Melbourne Hospital
Grattan St
Parkville Vic 3050
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Country
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Australia
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Phone
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+61 393427133
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Fax
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+61 393472808
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Email
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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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