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Trial registered on ANZCTR
Registration number
ACTRN12609000733279
Ethics application status
Approved
Date submitted
22/08/2009
Date registered
25/08/2009
Date last updated
10/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Tropisetron versus metoclopramide for nausea and vomiting in the emergency department: a randomised, double blinded, clinical trial
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Scientific title
A randomised double blind clinical trial to compare the efficacy of tropisetron and metoclopramide in decreasing nausea and vomiting in the emergency department
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Secondary ID [1]
288126
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nil known
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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:
nausea and vomiting
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Condition category
Condition code
Oral and Gastrointestinal
239867
239867
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An intravenous bolus of 5mg of tropisetron (over 30 seconds)
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Intervention code [1]
241174
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Treatment: Drugs
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Comparator / control treatment
An intravenous bolus of 10mg of metoclopramide (over 30 seconds)
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Control group
Active
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Outcomes
Primary outcome [1]
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Nausea score (0-100) on a visual analogue scale
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Assessment method [1]
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Timepoint [1]
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0, 30, 60, 90, 120, 180 and 240 minutes after drug injection
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Primary outcome [2]
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Incidence of vomiting
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Assessment method [2]
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Timepoint [2]
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0, 30, 60, 90, 120, 180 and 240 minutes after drug injection
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Secondary outcome [1]
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requirement for rescue medication (additional drugs to control nausea and/or vomiting) as determined by the treating medical staff (not by nausea score)
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Assessment method [1]
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Timepoint [1]
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0, 30, 60, 90, 120, 180 and 240 minutes after drug injection
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Secondary outcome [2]
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Side effects including drowsiness (measured using a 5 point sedation scale), dystonic reactions (determined clinically by the treating the clinicians) and akathisia (measured using the Prince Henry Hospital Akathisia Rating Scale.
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Assessment method [2]
257295
0
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Timepoint [2]
257295
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0, 30, 60, 90, 120, 180 and 240 minutes after drug injection
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Eligibility
Key inclusion criteria
Patients who have presented to the emergency department for treatment; age 18 years or more; nausea and/or vomiting that requires drug treatment as determined by the treating physician
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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
Refusal to participate; Migraine (metoclopramide sedation confers an advantage); Inability to co-operate or consent due to debility, significant illness, language barriers, altered consciousness (as determined by the emergency department or study staff); Known allergy or hypersensitivity to tropisetron or metoclopramide; Intoxication (alcohol, substance abuse); Pregnancy; Previous administration of antiemetic within 24 hours
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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)
A note containing each patient's allocation will be inside a sealed envelope inside each study pack.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated random numbers
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Emergency department staff will open the allocation envelope, draw up the allocated drug and inject itinto the patient. However, these staff will not disclose the nature of the drug administered and take not part in the patient management of data collection.
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Phase
Phase 3
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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
1/10/2009
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Actual
26/10/2009
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Date of last participant enrolment
Anticipated
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Actual
30/03/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
100
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2041
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3084
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
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Grattan Street
Parkville
Victoria 3052
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Country [1]
237534
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Australia
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Primary sponsor type
Hospital
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Name
Austin Hospital
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Address
Studley Rd
Heidelberg
Victoria 3084
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Country
Australia
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Secondary sponsor category [1]
237010
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None
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Name [1]
237010
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Address [1]
237010
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Country [1]
237010
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health
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Ethics committee address [1]
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Studley Rd Heidelberg Victoria 3084
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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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19/08/2009
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Approval date [1]
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01/10/2009
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Ethics approval number [1]
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H2009/03731
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Summary
Brief summary
Tropisetron has been shown to be more efficacious than metioclopramide in the post-operative and chemotherapy settings. Both drugs are widely used in the emergency department setting. However, no study has been undertaken to compare the drugs in the emergency department setting.
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Trial website
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Trial related presentations / publications
Chae J, Taylor DMcD, Frauman AG. Tropisetron versus metoclopramide for the treatment of nausea and vomiting in the emergency department: A randomized, double-blinded, clinical trial. Emerg Med Australas 2011, 23: 554-561 ‘Tropisetron is superior to metoclopramide for treatment of nausea and vomiting in the emergency department’ (free paper) Presentation at th eAustralasian College for Emergency Medicine, Annual Scientific Meeting, Canberra, November 2010.
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Public notes
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Contacts
Principal investigator
Name
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Prof David Taylor
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Address
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Emergency Departmetn, Austin Hospital, PO Box 5555, Hedelberg Vic 3084
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Country
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Australia
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Phone
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+61 3 9496 4711
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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A/Prof David Taylor
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Address
13330
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Emergency Department
Austin Hospital
Studley Rd
Heidelberg
Victoria 3084
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Country
13330
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Australia
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Phone
13330
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+61 3 9496 4883
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Fax
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+61 3 9496 3380
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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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A/Prof David Taylor
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Address
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Emergency Department
Austin Hospital
Studley Rd
Heidelberg
Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 4883
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Fax
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+61 3 9496 3380
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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
Source
Title
Year of Publication
DOI
Dimensions AI
Tropisetron versus metoclopramide for the treatment of nausea and vomiting in the emergency department: A randomized, double-blinded, clinical trial
2011
https://doi.org/10.1111/j.1742-6723.2011.01444.x
N.B. These documents automatically identified may not have been verified by the study sponsor.
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