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Trial registered on ANZCTR
Registration number
ACTRN12609001066279
Ethics application status
Approved
Date submitted
9/12/2009
Date registered
11/12/2009
Date last updated
19/11/2018
Date data sharing statement initially provided
19/11/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Inhaled mannitol for the clearance of mucus in asthma
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Scientific title
Inhaled mannitol for the treatment of mucociliary dysfunction in patients with asthma - Its effect and mechanisms on the clearance of mucus
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Secondary ID [1]
1191
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None
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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:
Asthma
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Condition category
Condition code
Respiratory
256545
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0
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study consisted of 5 visits. The first visit was a screening visit involving assessment of lung function and a bronchial challenge with mannitol after premedication with eformoterol. Subjects were eligible to proceed to the next visits if they had a fall in forced expiratory volume in one second (FEV1) less than 15 % from the baseline value.
Visits 2-5 were mucociliary and cough clearance studies using a radioaerosol technique and imaging with a gamma camera in the Departmet of Nuclear Medicine. The radioaerosol inhaled was sulphur colloid tagged with technetium.
Mucocilairy and cough clearance was measured over a total of 90 min at baseline (no cough or mannitol) and in response to 2 doses of inhaled dry powder mannitol (240 and 480 mg). Patients were premedicated with eformoterol at all times prior to inhaling mannitol. The baseline and mannitol visits were randomised. The last visit was a cough control day involving cough but no mannitol.
Cough clearance was assessed by asking the subjects to cough, 30 minutes after mannitol inhalation, 100 times (4 per min) over 30 minutes.
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Intervention code [1]
255664
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Treatment: Drugs
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Comparator / control treatment
uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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an improvement in mucociliary and cough clearance of mucus measured with the imaging technique. Image analysis gives counts over time that are used to calculate clearance of mucus over time.
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Assessment method [1]
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Timepoint [1]
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acute effect of total of 90 min measured in each visit
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Secondary outcome [1]
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acute improvement in the physical properties of sputum as a result of interventions.
Sputum is collected at the beginning (baseline) and end of each visit for the measurement of the physical properties. The physical properties include the solids content, surface tension, rheology and contact angle. An improvement in the physical properties is a significant reduction in the physical properties at the end of each visit compared to the baseline measurements.
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Assessment method [1]
262543
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Timepoint [1]
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over 90 min on each visit
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Eligibility
Key inclusion criteria
asthma
chronic cough and sputum production
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Minimum age
17
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
fall in FEV1 greater or equal to 15% in response to mannitol
bronchiectasis based on high resolution computed tomography (HRCT)
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The order of the mucociliary clearance studies at baseline and with the two doses of mannitol (visits 2-4) were randomised using the randomisation table created by computer software
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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 2 / 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
11/02/2008
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Actual
11/02/2008
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Date of last participant enrolment
Anticipated
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Actual
25/07/2008
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Date of last data collection
Anticipated
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Actual
7/08/2008
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Sample size
Target
10
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Accrual to date
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Final
7
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council (NHMRC)
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Address [1]
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National Health and Medical Research Council
GPO Box 1421 Camberra ACT 2601
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Country [1]
256148
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Australia
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Primary sponsor type
Individual
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Name
Dr Evangelia Daviskas
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Address
Department of Respiratory and Sleep Medicine, 11 West, Building 75, Royal Prince Alfred Hospital Missenden Road, Camperdown, Sydney, NSW 2050
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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]
251491
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Review Committee of Sydney South West Area Health Service
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Ethics committee address [1]
258246
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Research and Development Office, Building 92, Royal Prince Alfred Hospital Camperdown NSW 2050
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Ethics committee country [1]
258246
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Australia
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Date submitted for ethics approval [1]
258246
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10/08/2007
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Approval date [1]
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16/10/2007
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Ethics approval number [1]
258246
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07/RPAH/32
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Summary
Brief summary
Baseline mucociliary and cough clearance is very abnormal in asthmatics with excessive secretions and presenting symptoms of chronic cough and sputum production. Inhaled mannitol markedly improves mucociliary clearance and this effect is dose dependent in the large airways. Repetitive voluntary coughing following inhalation of mannitol enhances clearance of mucus. Asthmatics with mucociliary dysfunction, after careful assessement and appropriate premedication may benefit from inhaling mannitol to clear excessive secretions and prevent mucus plug formation in the small airways
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Trial website
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Trial related presentations / publications
The study was published in Respiratory Medicine (2010) 104, 1645-1653. The title/authors: Beneficial effect of inhaled mannitol and cough in asthmatics with mucociliary dysfunction. Evangelia Daviskas a, Sandra D. Anderson, Stefan Eberl, Iven H. Young.
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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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Dr Evangelia Daviskas
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Address
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Department of Respiratory and Sleep Medicine, 11 West Building 75, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2050
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Country
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Australia
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Phone
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612 95157410
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Fax
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61 2 95158196
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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 Evangelia Daviskas
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Address
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Department of Respiratory and Sleep Medicine, 11 West Building 75, Royal Prince Alfred Hospital, Missenden Road, Camperdown NSW 2050
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Country
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Australia
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Phone
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61 2 95157410
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Fax
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61 2 95158196
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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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
Embase
Beneficial effect of inhaled mannitol and cough in asthmatics with mucociliary dysfunction.
2010
https://dx.doi.org/10.1016/j.rmed.2010.05.019
N.B. These documents automatically identified may not have been verified by the study sponsor.
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