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Trial registered on ANZCTR
Registration number
ACTRN12610000707066
Ethics application status
Not yet submitted
Date submitted
23/08/2010
Date registered
25/08/2010
Date last updated
25/08/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of sugammadex on the allergic component of rocuronium
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Scientific title
The effect of sugammadex on patients being skin tested who are allergic to rocuronium
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Secondary ID [1]
252542
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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:
Rocuronium allergy
258023
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Condition category
Condition code
Inflammatory and Immune System
258190
258190
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0
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Allergies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients who are allergic to rocuronium (confirmed by skin testing) will be skin tested to the following:
1. Histamine - (positive control) 10mg/ml, skin prick
2. Saline - (negative control), 0.02ml intradermally
3. Rocuronium alone - 0.02ml of 0.01mg/ml intradermally
4. Sugammadex alone - 0.02ml of 0.13mg/ml intradermally (the dose required to reverse 0.01mg/ml rocuronium)
5. Combination of sugammadex and rocuronium - 0.02ml of a mixture of equal volumes of 0.02mg/ml rocuronium and 0.26mg/ml sugammadex (final concentrations of each will be 0.01mg/ml and 0.13mg/ml respectively)
All five interventions will be given to each participant.
They are one off interventions and the results will be read at 20 minutes after the injections.
We aim to assess whether sugammadex encapsulates the allergic component of the rocuronium causing a negative skin test in someone who is allergic to rocuronium.
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Intervention code [1]
257065
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Treatment: Drugs
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Intervention code [2]
257066
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Treatment: Other
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Comparator / control treatment
All participants will receive the same five interventions
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
259047
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Whether or not a negative skin test results when sugammadex is combined with rocuronium in patients who are allergic to rocuronium
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Assessment method [1]
259047
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Timepoint [1]
259047
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Skin test is read 20 minutes after drugs injected
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Secondary outcome [1]
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nil
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Assessment method [1]
265310
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Timepoint [1]
265310
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nil
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Eligibility
Key inclusion criteria
Previous allergy to rocuronium confirmed by skin testing
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Minimum age
18
Years
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Maximum age
80
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
Lack of informed consent
Recent anti-histamine use
Skin infection of both arms (the site where the skin testing will occur)
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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 who have previously skin tested positive to rocuronium will be contacted by phone and voluntary, informed consent obtained. All patients will receive the same testing ie no randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
No randomisation
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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 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2010
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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
10
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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]
257509
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Hospital
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Name [1]
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Sir Charles Gairdner Hospital
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Address [1]
257509
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Hospital Ave
Nedlands 6009
Western Australia
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Country [1]
257509
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Australia
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Primary sponsor type
Hospital
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Name
Sir Charles Gairdner Hospital
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Address
Hospital Ave
Nedlands 6009
Western Australia
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Country
Australia
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Secondary sponsor category [1]
256745
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None
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Name [1]
256745
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Address [1]
256745
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Country [1]
256745
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
259537
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Ethics committee address [1]
259537
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Ethics committee country [1]
259537
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Date submitted for ethics approval [1]
259537
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31/08/2010
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Approval date [1]
259537
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Ethics approval number [1]
259537
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Summary
Brief summary
Muscle relaxants are the most common cause of allergic reactions in patients having an anaesthetic. One of the most commonly used muscle relaxants is rocuronium. Recently sugammadex has been made available that reverses the effects of rocuronium by encapsulating the drug and preventing it binding at the neuromuscular junction. No one knows the role of sugammadex in someone who has developed an allergic reaction to rocuronium. It is our hypothesis that when sugammadex is combined with rocuronium the allergenic component of rocuronium is covered. If this is true sugammadex may play an important role in the management of patients who have developed an allergic reaction to rocuronium. We will investigate this by skin testing rocuronium alone and the combination of rocuronium and sugammadex in patients who are rocuronium allergic. We will see the effect on skin testing of the combination of the two drugs. Should the combination cause a negative skin test one could conclude that the allergenic component of rocuronium has been covered by the sugammadex.
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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
31555
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Address
31555
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Country
31555
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Phone
31555
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Fax
31555
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Email
31555
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Contact person for public queries
Name
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Dr Russell Clarke
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Address
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Sir Charles Gairdner Hospital
Hospital Ave
Nedlands WA 6009
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Country
14802
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Australia
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Phone
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+61 412 288 818
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Fax
14802
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Email
14802
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[email protected]
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Contact person for scientific queries
Name
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Dr Russell Clarke
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Address
5730
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Sir Charles Gairdner Hospital
Hospital Ave
Nedlands WA 6009
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Country
5730
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Australia
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Phone
5730
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+61 412 288 818
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Fax
5730
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Email
5730
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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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