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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01427842
Registration number
NCT01427842
Ethics application status
Date submitted
31/08/2011
Date registered
2/09/2011
Date last updated
2/09/2011
Titles & IDs
Public title
Dose Enhancement of Vancomycin IN Everyday Patients
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Scientific title
A Single-centred Randomised Trial of a New Vancomycin Dosing Method Compared to Standard Care in Everyday Patients Receiving Vancomycin
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Secondary ID [1]
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ETH.4.11.076
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Universal Trial Number (UTN)
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Trial acronym
DEVINE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vancomycin Therapy
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - DEVINE vancomycin regimen
Experimental: DEVINE vancomycin regimen - This is the intervention arm and will be the pharmacokinetically derived vancomycin dosing regimen.
Treatment: Drugs: DEVINE vancomycin regimen
The dosing regimen varies by weight and height and by initial or ongoing dose prescribed. The loading dose is based on actual volume of distribution of vancomycin whilst the ongoing doses are based on creatinine clearance.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Trough vancomycin concentration
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Assessment method [1]
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The primary outcome measure will be the trough serum vancomycin concentration measured at steady state usually between 36 and 60 hours after the initial dose of vancomycin. This according to Australian targets is between 12-18mg/L.
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Timepoint [1]
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At steady state for vancomycin received between 36 and 60 hours after the initial dose of vancomycin
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Eligibility
Key inclusion criteria
* All patients in general wards requiring routine treatment with vancomycin
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Minimum age
16
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
* GFR < 30mL/min(as measured by Cockcroft Gault equation)
* Age < 16 yrs
* Weight > 200kg
* Patients dosing with Vancomycin other than BD according to national guidelines (ie continuous infusions, q6h etc)
* Vancomycin infused at a rate other than 500mL/min
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2011
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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
1/07/2012
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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
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Recruitment in Australia
Recruitment state(s)
ACT
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Recruitment hospital [1]
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The Canberra Hospital - Canberra
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Recruitment postcode(s) [1]
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2605 - Canberra
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Canberra Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Current Australian guidelines for vancomycin commonly underdoses individuals particularly in the first 48 hours. The aim of the trial is to compare two dosing regimens; the current Australian guidelines versus a more appropriately modeled pharmacokinetic based regimen with the overall aim of developing a new vancomycin dosing strategy that will enable patients to have more individualised and therapeutically efficacious treatment. The hypothesis is that dosing vancomycin according to a pharmacokinetically modeled regimen increases the likelihood of achieving therapeutic trough levels of vancomycin within the first 48 hours (or at steady state, whichever is sooner) compared to dosing vancomycin according to the current Antibiotic guidelines.
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Trial website
https://clinicaltrials.gov/study/NCT01427842
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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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Kathryn Daveson, Bsc, MBBS, MPH
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Address
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The Canberra Hospital
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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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Kathryn Daveson, BSc, MBBS, MPH
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Address
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Country
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Phone
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+61 2 6244 2222
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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
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01427842
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