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Trial registered on ANZCTR
Registration number
ACTRN12609000845235
Ethics application status
Approved
Date submitted
29/09/2009
Date registered
30/09/2009
Date last updated
27/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Pharmacokinetics of 0.25% levobupivacaine with adrenaline following caudal epidural administration in children
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Scientific title
A non-randomised single group study on the pharmokinetics of 0.25% levobupivacaine with adrenaline administered caudally in children undergoing elective sub-umbilical surgical procedures for which caudal epidural analgesia is indicated
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Secondary ID [1]
284170
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Nil
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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:
Children undergoing elective sub-umbilical surgical procedures for which caudal epidural analgesia is indicated.
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Condition category
Condition code
Anaesthesiology
252118
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive 0.25% levobupivacaine in a volume to be determined by the attending anaesthetist with adrenaline 5 mcg/mL via the caudal route, under general anaesthesia. This will be administered as a single shot caudal.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Not applicable as this is a single group study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To establish the pharmacokinetics of levobupivacaine via the caudal route, when administered with adrenaline. We will obtain up to 6 blood samples per patient and the samples will be batch-analysed for serum levobupivacaine levels at the Biochemistry laboratory at the Royal Melbourne Hospital. NONMEM population pharmacokinetic modelling will be used to analyse this data.
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Assessment method [1]
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Timepoint [1]
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5, 10, 20, 30, 60, >90 minutes post-injection
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Secondary outcome [1]
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N/A
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Assessment method [1]
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Timepoint [1]
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N/A
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Eligibility
Key inclusion criteria
Inclusion criteria:
1. Children aged under 18 years.
2. Subumbilical surgery planned.
3. Caudal analgesia with levobupivacaine and adrenaline regarded as acceptable standard of care by treating anaesthetist (or by independent anaesthetist where conflict of interest arises between research and treating anaesthetist)
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Minimum age
0
Years
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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
Exclusion criteria: 1. Caudal analgesia refused by parent/guardian. 2. Allergy to levobupivacaine/drug solution excipients. 3. Administration of levobupivacaine or adrenaline via any route in 72 hours prior to, or any extra administration during, the study period.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Single group
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Pharmacokinetics
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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
15/10/2009
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Actual
8/12/2009
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Date of last participant enrolment
Anticipated
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Actual
2/06/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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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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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Royal Children's Hospital
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Address [1]
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Flemington Road
Parkville, Victoria, 3052
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Royal Children's Hospital
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Address
Flemington Road
Parkville, Victoria, 3052
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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
Approved
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Ethics committee name [1]
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Royal Children's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Flemington Road, Parkville Victoria 3052
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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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24/08/2009
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Approval date [1]
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19/11/2009
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Ethics approval number [1]
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29101
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Summary
Brief summary
The aim of this study is to determine how adrenaline affects the absorption of levobupivacaine in children having caudal anaesthesia for sub-umbilical surgery. Our study hypothesis is that the absorption of levobupivacaine will be affected when administered in conjunction with adrenaline via the caudal route.
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Trial website
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Trial related presentations / publications
Chalkiadis GA, Abdullah F, Bjorksten AR, Clarke A, Cortinez LI, Udayasiri S, Anderson BJ. Absorption characteristics of epidural levobupivacaine with adrenaline and clonidine in children. Paediatr Anaesth. 2013 Jan;23(1):58-67.
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Public notes
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Contacts
Principal investigator
Name
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Dr George Chalkiadis
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Address
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Department of Anaesthesia and Pain Management
Royal Children's Hospital
Flemington Road
Parkville
VIC 3052
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Country
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Australia
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Phone
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+61393455233
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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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Dr George Chalkiadis
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Address
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Department of Anaesthesia and Pain Management, Royal Children's Hospital
Flemington Road,
Parkville
Victoria 3052
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Country
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Australia
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Phone
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+61 3 9345 5233
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Fax
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+61 3 9345 6003
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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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Dr George Chalkiadis
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Address
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Department of Anaesthesia and Pain Management, Royal Children's Hospital
Flemington Road,
Parkville
Victoria 3052
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Country
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Australia
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Phone
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+61 3 9345 5233
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Fax
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+61 3 9345 6003
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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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