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Trial registered on ANZCTR
Registration number
ACTRN12611000523909
Ethics application status
Approved
Date submitted
17/05/2011
Date registered
23/05/2011
Date last updated
30/08/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Targeted treatment of haemangioma with captopril
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Scientific title
Pilot observational study to confirm the safety and efficacy of captopril in infants with problematic haemangioma
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Secondary ID [1]
262186
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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:
Problematic infantile haemangiomas
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Condition category
Condition code
Skin
266024
266024
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0
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Dermatological conditions
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Other
266025
266025
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0
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Conditions of unknown or disputed aetiology (such as chronic fatigue syndrome/myalgic encephalomyelitis)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Captopril oral solution titrated gradually to a maximum dose of 0.6mg/kg/day in 3 divided doses. With a starting dose of 0.15mg/kg/day in 3 divided doses until the child is 1 year of age.
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Intervention code [1]
264594
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Treatment: Drugs
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Comparator / control treatment
The literature, from 1999-2009, is clear on the fact that problematic haemangiomas if left untreated will cause disruption to form/function to the child
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Control group
Historical
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Outcomes
Primary outcome [1]
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Improved observational changes in the infantile haemangioma as assessed by 2 independent consultant physicians
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Assessment method [1]
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Timepoint [1]
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At baseline and every 2 months until the child is 1 year of age
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Secondary outcome [1]
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Clinical photography to assess haemangioma colour
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Assessment method [1]
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Timepoint [1]
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baseline and every 2 months until the child is 1 year of age
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Eligibility
Key inclusion criteria
: Infants and young children with growing problematic haemangiomas whose parents or guardians are willing, able, and competent to administer prescribed medications. (Problematic haemangiomas are defined in the literature as those that cause disruption to form/function of a child or that ulcerate)
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Minimum age
9
Weeks
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Maximum age
5
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
Parents and guardians who would not consent to participate in this study.
Neonates Infants or children who have underlying cardiovascular disease
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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)
Before offering the treatment, the child will undergo a full physical examination (as is currently practised for Propranolol). An ECG and echocardiogram will be performed to exclude underlying left ventricular outflow tract obstruction (aortic stenosis and coartation of aorta). A blood sample is taken to exclude underlying renal failure.
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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
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Type of endpoint/s
Safety/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
23/10/2010
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Actual
29/10/2010
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Date of last participant enrolment
Anticipated
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Actual
5/11/2010
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Date of last data collection
Anticipated
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Actual
12/08/2011
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Sample size
Target
25
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Accrual to date
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Final
8
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Recruitment outside Australia
Country [1]
3590
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New Zealand
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State/province [1]
3590
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Hutt Valley District Health Board
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Address [1]
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High St
Lower Hutt 5040
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Country [1]
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New Zealand
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Primary sponsor type
Hospital
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Name
Hutt Valley District Health Board
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Address
High St
Lower Hutt 5040
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Country
New Zealand
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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]
264181
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Other collaborator category [1]
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University
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Name [1]
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School of Biological Sciences, Victoria University of Wellington
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Address [1]
252007
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Kelburn Pde
Wellington 6012
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Country [1]
252007
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northen X Regional Ethics Committee
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Ethics committee address [1]
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Ministry of Health 3rd Floor, Ulisys Building 650 Great South Rd Penrose Auckland 1061
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
267071
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Approval date [1]
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24/08/2010
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Ethics approval number [1]
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NTX/10/06/056
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Summary
Brief summary
Strawberry birthmark (haemangioma) grows rapidly during infancy before gradually shrinking in later childhood. Rapidly growing haemangiomas can cause significant disfigurement and functional problems including threatened vision and life. The child affected by problematic growing haemangioma is considered for this study because we believe that Captopril, given in small doses could dramatically shrink the birthmark such that surgery and/or laser therapy would not be needed later on. Captopril has been used in infants and children with high blood pressure for many years. Our research suggests that Capopril will specifically target a particular type of cells in the haemangioma that are responsible for its rapid growth. In this study, we would start the child on small doses of Captopril, given by mouth. The medication is maintained until the birthmark is fully regressed or until 12 months of age
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Trial website
Nil
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Trial related presentations / publications
Treatment of Infantile Haemangioma with Captopril. Brit J Dermatol. 2012; 167: 619-624.
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Public notes
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Contacts
Principal investigator
Name
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Dr Swee T Tan
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Address
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Gillies McIndoe Research Institute,
Newtown 6242,
Wellington
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Country
32617
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New Zealand
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Phone
32617
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644 2820366
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Fax
32617
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Email
32617
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[email protected]
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Contact person for public queries
Name
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Prof Swee T Tan
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Address
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Wellington Regional Plastic Maxillofacial & Burns Unit,
Hutt Hospital
Pvt Bag 31-907 High St; Lower Hutt 5040
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Country
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New Zealand
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Phone
15864
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644 5666 999
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Fax
15864
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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 Tinte Itinteang
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Address
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Gillies McIndoe Research Institute,
Newtown 6242,
Wellington.
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Country
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New Zealand
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Phone
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644 2820366
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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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