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Trial registered on ANZCTR
Registration number
ACTRN12610000705088
Ethics application status
Approved
Date submitted
12/08/2010
Date registered
25/08/2010
Date last updated
25/08/2010
Type of registration
Retrospectively registered
Titles & IDs
Public title
Cardiopulmonary function before and after pectus excavatum surgical repair
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Scientific title
Cardiopulmonary function before and after surgical repair in pectus excavatum patients
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Secondary ID [1]
252521
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none
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Universal Trial Number (UTN)
U1111-1116-4756
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Trial acronym
EFXPECTUS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
cardiovascular function in patients with pectus excavatum
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aerobic capacity at exercise
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Condition category
Condition code
Human Genetics and Inherited Disorders
258109
258109
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0
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Other human genetics and inherited disorders
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Surgery
258208
258208
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients undergo a simplified open repair using a limited transversal, or submammary incision in female patients. The mobilization of pectoralis muscles and rectus abdominis are just sufficient to expose the enlarged cartilages, which are resected subperichondrially (generally total bilateral cartilage resection from 3th to the 6th, limited to the extremities of the 7th cartilages). An optional transverse anterior osteotomy of the upper sternum, followed by elevation of the distal sternum is then performed. Approximative duration is 90 min. Sternal stabilization is achieved by using an easily removable metallic strut, which is removed under local anesthesia on an outpatient basis, 6 months after the initial procedure.
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Intervention code [1]
256996
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Treatment: Surgery
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Comparator / control treatment
no control treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Maximal exercise performance is determined using an incremental exercise test performed on a calibrated electromagnetically braked cycle ergometer. Continuous measurement of inspired and expired oxygen and carbon dioxide output are done using in-line sensors together with spirometry. These parameters are then used to the calculation of VO2 (oxygen uptake)
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Assessment method [1]
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Timepoint [1]
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before and one year after surgery
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Secondary outcome [1]
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Oxygen pulse at maximal exercise is determined as the ratio of VO2 to heart rate
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Assessment method [1]
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Timepoint [1]
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before and one year after surgery
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Eligibility
Key inclusion criteria
pectus excavatum
Haller severity score up to 4
chest discomfort or chest pain
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Minimum age
16
Years
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Maximum age
35
Years
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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
pregnancy
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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)
Patients are referred for evaluation to the surgical unit at Calmette Hospital, a tertiary care hospital affiliated with Lille University School of Medicine. Patients undergo evaluation which consisted of collection of data sets (repeated echocardiography, pulmonary function and exercise testing and chest computerized tomography (CT)-scan before and after surgery. After institutional review board approval and according to their consent, patients are then proposed to surgical repair.
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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
Not Applicable
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Type of endpoint/s
Safety
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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
1/01/2005
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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
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2818
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France
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State/province [1]
2818
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Nord
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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France
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Primary sponsor type
Hospital
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Name
University Hospital (CHRU) of Lille France
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Address
Calmette Hospital, 45 Bd Pr. LECLERCQ 59000 LILLE FRANCE
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Country
France
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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]
259474
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Local Ethics committee
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Ethics committee address [1]
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Department of Clinical Investigations University Hospital CHRU Lille 45 Bd Pr. LECLERCQ 59000 FRANCE
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Ethics committee country [1]
259474
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France
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Date submitted for ethics approval [1]
259474
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01/01/2004
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Approval date [1]
259474
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01/01/2005
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Ethics approval number [1]
259474
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Summary
Brief summary
The objective of our study is to assess whether the open repair of pectus excavatum in adults would improve pulmonary and cardiovascular function, and exercise tolerance.
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Trial website
none
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Trial related presentations / publications
We plan to present our preliminary results at the French Society of Thoracic and cardiovascular Surgery in 2011. No abstract has been sent yet .
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Public notes
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Contacts
Principal investigator
Name
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Address
31513
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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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Remi Neviere
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Address
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Dpt of Physiology Faculty of Medicine
1 place de Verdun
59000 LILLE
FRANCE
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Country
14760
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France
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Phone
14760
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+33 320 62 69 68
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Fax
14760
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+33 320 62 69 93
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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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Remi Neviere
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Address
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Dpt of Physiology Faculty of Medicine
1 place de Verdun
59000 LILLE
FRANCE
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Country
5688
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France
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Phone
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+33 320 62 69 68
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Fax
5688
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+33 320 62 69 93
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Email
5688
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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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