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Trial registered on ANZCTR
Registration number
ACTRN12611000516987
Ethics application status
Not yet submitted
Date submitted
13/05/2011
Date registered
18/05/2011
Date last updated
18/05/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Vitamin D status in heart surgery patients and effects on clinical outcomes
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Scientific title
In elective cardiac surgery patients, what is the effect of vitamin D status on clinical ICU outcomes, and does a 6 week period of vitamin D supplementation post surgery increase serum vitamin D levels in those found to be deficient?
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Secondary ID [1]
262165
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Nil
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Universal Trial Number (UTN)
U1111-1121-3689
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Elective cardiac surgery patients requiring either or both coronary artery bypass graft or valve repair or replacement
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Condition category
Condition code
Cardiovascular
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
After initial screening before surgery, participants found to be deficient in vitamin D will be given oral supplements of 4000IU of vitamin D3 daily for 6 weeks after discharge from hospital.
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Intervention code [1]
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Early detection / Screening
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Intervention code [2]
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Treatment: Other
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Intervention code [3]
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Diagnosis / Prognosis
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Comparator / control treatment
Participants not found to be deficient in vitamin D will have medical information (length of ventilation time, length of ICU stay, APACHE scores) gathered as comparator.
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Control group
Active
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Outcomes
Primary outcome [1]
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To identify the prevalence of vitamin D deficiency and insufficiency in cardiac ICU patients presenting to the Alfred Hospital by serum analysis of 25-hydroxy-vitamin D levels
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Assessment method [1]
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Timepoint [1]
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Immediately before cardiac surgery
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Primary outcome [2]
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To identify whether vitamin D deficiency or insufficiency is associated with increased length of ventilation use and ICU stay
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Assessment method [2]
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Timepoint [2]
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Immediately after cardiac surgery
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Primary outcome [3]
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To identify whether vitamin D deficiency or insufficiency is associated with greater severity of illness as measured by the APACHE 3
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Assessment method [3]
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Timepoint [3]
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In postoperative period, over length of hospital stay
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Secondary outcome [1]
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Patients response to 6 weeks treatment with 4000 IU daily of vitamin D3 using a popular over-the-counter product by serum analysis of 25-hydroxy-vitamin D levels
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Assessment method [1]
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Timepoint [1]
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6 weeks from hospital discharge after cardiac surgery
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Eligibility
Key inclusion criteria
All elective cardiac surgery patients over 18 years admitted to the Alfred hospital during the study period
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Minimum age
18
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
Patients unable to give informed consent; patients taking supplements containing vitamin D or who have taken them within the last 3 months; patients who have undergone parathyroidectomy; patients with hypercalcaemia or hyperphosphataemia; patients taking medications known to affect vitamin D metabolism; patients with liver failure or nephrotic syndrome
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Study design
Purpose of the study
Diagnosis
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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)
All eligible, adult, elective cardiac surgery patients presenting to the preadmission clinic at The Alfred hospital in the study time period will be recruited
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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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
Parallel
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Other design features
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Phase
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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2011
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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 in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Blackmores Ltd
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Address [1]
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20 Jubilee Avenue
Warriewood NSW 2102
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Alfred
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Address
Commercial Rd
Prahran Vic 3181
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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]
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Other collaborator category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Department of Surgery
5th floor, Alfred Centre
90 Commercial Rd
Melbourne Vic 3004
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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23/05/2011
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Vitamin D deficiency and insufficiency has been detected in the general community and is likely to be present in cardiac intensive care unit patients. This may impact recovery from surgery and rehospitalisation risk. The primary aim of this study is to identify the prevalence of vitamin D deficiency and insufficiency in cardiac ICU patients presenting to the Alfred Hospital. Secondary aims are to identify whether vitamin D deficiency or insufficiency is associated with longer ICU stay, longer ventilation time and/or APACHE 3 scores showing deterioration. And also to ascertain whether supplementation with 4000IU of vitamin D daily restores serum levels to within normal range.
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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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Ondine Spitzer
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Address
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Dept of Surgery
5th floor, The Alfred Centre
99 Commercial Rd
Melbourne Vic 3004
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Country
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Australia
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Phone
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+61 3 99030838
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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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Dr Lesley Braun
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Address
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Dept of Surgery
5th floor, The Alfred Centre
99 Commercial Rd
Melbourne Vic 3004
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Country
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Australia
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Phone
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+61 3 99030326
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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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