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Trial registered on ANZCTR
Registration number
ACTRN12610000260022
Ethics application status
Approved
Date submitted
12/11/2009
Date registered
30/03/2010
Date last updated
30/03/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
The sucrose study - A comparison of 24% versus 66% sugar to control procedural pain in new borns and young children
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Scientific title
24% versus 66% sucrose to control procedural pain in neonates and young children- a randomized controlled trial
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Secondary ID [1]
1556
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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:
Pain response of young children during intra venous access device placement (iv access), phlebotomy or heel prick
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Condition category
Condition code
Anaesthesiology
252380
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1 ml of 66% oral sucrose as a single dose is offered to the infant prior to the procedure and if sucrose remains, throughout the procedure. The speed of giving the sucrose depends on the infants eagerness to suckle. Most infants are expected to suckle the whole amount of sucrose within 30-60 seconds.The procedure commences EXACTLY 2 minutes after the giving of sucrose commences.
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Intervention code [1]
241541
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Other interventions
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Comparator / control treatment
1 ml of 24% oral sucrose as a single dose is offered to the infant prior to the procedure and if sucrose remains, throughout the procedure. The speed of giving the sucrose depends on the infants eagerness to suckle. Most infants are expected to suckle the whole amount of sucrose within 30-60 seconds.The procedure commences EXACTLY 2 minutes after the giving of sucrose commences.
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Control group
Active
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Outcomes
Primary outcome [1]
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Alder Hey Pain score difference of more than 1.3 points
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Assessment method [1]
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Timepoint [1]
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Procedure commences 2 minutes after sucrose commenced, pain score is assessed continuos from begin until end of procedure. Maximum pain score at any stage during procedure is recorded. Expected time of procedure is expected to vary between 30 seconds (heel prick) to 5 minutes ( placement of intravenous access device)
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Secondary outcome [1]
262237
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Procedure successfull/unsuccessful is defined by achievement of initial intent:
'iv'- successful: placement of an intravenous access device( device in situ and patent)
'heel prick'-successful: obtained blood sample intended with one heel prick
'phlebotomy"- successful: obtained intended blood test with one phlebotomy attempt
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Assessment method [1]
262237
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Timepoint [1]
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after first attempt completed
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Eligibility
Key inclusion criteria
parental consent, presenting to participating emergency departments, age 0-3 months , able to suckle / swallow, not critically ill.
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Minimum age
0
Months
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Maximum age
3
Months
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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
no consent , older than defined age, critically ill , unable to suckle, received sucrose in the previous 12 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)
Numbered sealed sucrose samples are provided from pharmacy in identical, consecutive numbered packets containing each 1 ml of either 66 or 24% sucrose.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer randomisation in batches. The computer randomly allocates consecutive numbers to either group 'A' or group 'B'. These series of codes are given to pharmacy who replace 'A' and 'B' with 24% or 66% sucrose and prepare sucrose doses accordingly. The patients and all investigators are blinded to the sucrose concentration , pharmacy is blinded to the outcome.
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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
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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
Recruiting
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Date of first participant enrolment
Anticipated
1/11/2009
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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
80
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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 outside Australia
Country [1]
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New Zealand
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State/province [1]
2331
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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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Mater children's hospital
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Address [1]
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Raymond Terrace
South Brisbane
Qld 4101
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Mater Children's Hospital
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Address
Raymond Terrace
South Brisbane
Qld 4101
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Gold Coast Emergency Department
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Address [1]
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Southport Nerang Street
Southport
Qld 4215
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Country [1]
251361
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Gold Coast Hospital Ethics committee
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Ethics committee address [1]
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Office of human research ethics Southport Nerang Street Southport Queensland 4215
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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Approval date [1]
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29/09/2009
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Ethics approval number [1]
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HREC/09/QGC/34
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Ethics committee name [2]
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Mater Children's Hospital
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Ethics committee address [2]
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Raymond terrace South Brisbane Qld 4215
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Ethics committee country [2]
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Date submitted for ethics approval [2]
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Approval date [2]
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25/09/2009
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Ethics approval number [2]
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1393C
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Summary
Brief summary
Children aged 0-3 month presenting to a participating emergency department and have been found to require medically indicated interventions ( placement of an intravenous access device, phlebotomy, heel prick) are enrolled after parental consent. After consent , patients will receive 1 ml of a study drug ( either 1 ml of 24% sucrose or 1ml of 66% sucrose). This is offered by a nurse to the infant who is encouraged to suckle on a pacifier or glove and is swaddled by a parent or caregiver at the same time. 2 minutes after the sucrose commenced, the procedure commences. During the procedure the attending nurse scores the maximum pain response as measured by Alder Hey pain score
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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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Dirken Christine Krahn
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Address
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Gold Coast Emergency Department
Southport- Nerang Street
Southport
Queensland 4101
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Country
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Australia
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Phone
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+64 (0)210549044
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Fax
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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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David Herd
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Address
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Mater Children's Emergency Department
Raymond terrace
South Brisbane
Qld 4215
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Country
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Australia
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Phone
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+61 7 31638100
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Fax
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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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