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Trial registered on ANZCTR
Registration number
ACTRN12612000286842
Ethics application status
Not yet submitted
Date submitted
9/03/2012
Date registered
12/03/2012
Date last updated
12/03/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
VALDA: Volatile Associated Liver Disease Audit
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Scientific title
A Prospective Study of The Incidence of Liver Injury Caused by Volatile Anaesthesia In Trauma Patients Undergoing Surgery
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Secondary ID [1]
280099
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Nil
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Universal Trial Number (UTN)
U1111-1128-9973
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Trial acronym
V.A.L.D.A.
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
The incidence of liver disease caused by exposure to volatile anaesthetic agents, in trauma patients.
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Condition category
Condition code
Anaesthesiology
286198
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0
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Anaesthetics
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Oral and Gastrointestinal
286199
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Inflammatory and Immune System
286200
286200
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0
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Allergies
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Trauma patients admitted and undergoing surgical procedures will have their liver function assessed during admission to ascertain the development of liver disease, potentially resulting from exposure to volatile anaesthetic agents. VALDA occurs typically within days of exposure, and therefore patients will have repeat LFTs taken on admission, and then on days 1, 4, 8 and 12 postoperatively. Those with a characteristic pattern of dysfunction will be followed up with immunoassay, to confirm the development and presence of antibodies typically seen in immune-mediated liver dysfunction (anti-trifluoroactate [TFA] antibodies). Those with abnormal liver function will be followed up by a hepatologist.
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Intervention code [1]
284424
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Not applicable
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Comparator / control treatment
Trauma patients admitted, but having no surgery, and
trauma patients undergoing surgery with no volatile exposure (TIVA or regional technique) will have their liver function assessed.
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Control group
Active
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Outcomes
Primary outcome [1]
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Incidence of liver disease attributable to volatile agent exposure, as determined by previously mentioned data. Patients with abnormal over function will be further for concomitant hepatotoxic medications and liver injury. Those suspicious of VALDA will have anti-TFA antibody screening to confirm it.
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Assessment method [1]
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Timepoint [1]
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Development of VALDA within 12 days of exposure.
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Secondary outcome [1]
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Incidence of liver disease in trauma patients, as determined by abnormal liver function tests.
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Assessment method [1]
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Timepoint [1]
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Within twelve days of surgery.
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Eligibility
Key inclusion criteria
Trauma patients admitted to Royal Melbourne Hospital.
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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
No consent.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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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
1/04/2012
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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
500
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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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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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Australia
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Primary sponsor type
Individual
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Name
Brad Hockey
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Address
c/- Department of Anaesthesia and Pain Management
Royal Melbourne Hospital
Grattan St, Melbourne VIC 3050
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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]
283733
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Country [1]
283733
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Melbourne Health Human Research Ethics Committee (EC00243)
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Ethics committee address [1]
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C/- Royal Melbourne Hospital Grattan St, Melbourne Victoria 3050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/02/2012
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Approval date [1]
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Ethics approval number [1]
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2012.009
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Summary
Brief summary
To assess whether anaesthetic gases in trauma patients may contribute to liver damage.
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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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Dr Brad Hockey
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Address
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c/- Department of Anaesthesia and Pain Management
3 North, Royal Melbourne Hospital
Grattan St, Melbourne
VIC 3050
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Country
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Australia
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Phone
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+61393427540
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Fax
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+61393428623
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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 Brad Hockey
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Address
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c/- Department of Anaesthesia and Pain Management
3 North, Royal Melbourne Hospital
Grattan St Melbourne
VIC 3050
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Country
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Australia
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Phone
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+61393427540
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Fax
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+61393428623
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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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