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Trial registered on ANZCTR
Registration number
ACTRN12612000782831
Ethics application status
Approved
Date submitted
13/07/2012
Date registered
24/07/2012
Date last updated
24/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A new method for Gastroesophageal Reflux Disease Diagnosis: Signal Detection Theory Approach
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Scientific title
Signal Detection Theory Approach for Symptom Analysis of Impedance-pH Monitoring Signal Data of Patients with Heartburn and Regurgitation
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Secondary ID [1]
280846
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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:
Gastroesophageal Reflux Disease
286913
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Condition category
Condition code
Oral and Gastrointestinal
287241
287241
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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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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
24 hour ambulatory impedance-pHmeter monitoring. A thin catheter (diameter 2.1 mm) which have attached a data logger (a walkman-sized portable electronic recording device) passed through a nostril and positioned according to lower esophageal sphincter's upper border. Patients then returned home with instructions to press buttons which are located on the data logger for symptoms, meal intake times and sleeping. They were encouraged to carry out normal daily activities without dietary restrictions. At the completion of the study (that is 24 hour), the catheter is removed and the data logger is uploaded to the computer for analysis.
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Intervention code [1]
285271
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Diagnosis / Prognosis
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
287523
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Describe optimal time window for reflux-symptom relationship analysis. Patients underwent esophageal manometry and 24-hour multichannel intraluminal impedance-pH (MII-pH) monitoring. MII-pH signal data was divided into various consecutive time windows (1, 2, 3, 4, and 5 min) that were evaluated for the presence of reflux and symptom. The SDT parameter (d') values were calculated for each time window. Time window which provides highest d' value was considered as optimal time window.
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Assessment method [1]
287523
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Timepoint [1]
287523
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After proton pomp inhibitor (PPI) responsiveness evaluation.
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Primary outcome [2]
287532
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Find discriminability (d') cut-off points for diagnosis. Receiver Operating Characteristics curve analysis provided these values using with PPI responsive and PPI unresponsive patient d' data.
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Assessment method [2]
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Timepoint [2]
287532
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After proton pomp inhibitor (PPI) responsiveness evaluation.
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Secondary outcome [1]
298316
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Comparison of response bias (c) values between PPI responsive and unresponsive group.Patients underwent esophageal manometry and 24-hour multichannel intraluminal impedance-pH (MII-pH) monitoring. MII-pH signal data was divided into various consecutive time windows (1, 2, 3, 4, and 5 min) that were evaluated for the presence of reflux and symptom. The SDT parameter (c) values were calculated for each time window.
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Assessment method [1]
298316
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Timepoint [1]
298316
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After proton pomp inhibitor (PPI) responsiveness evaluation.
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Eligibility
Key inclusion criteria
Patients with heartburn and/or gastric regurgitation
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Minimum age
18
Years
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Maximum age
65
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
Gastrointestinal surgery history
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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)
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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
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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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
1/05/2011
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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
70
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4405
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Turkey
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State/province [1]
4405
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Marmara University
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Address [1]
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Marmara Universitesi Tip Fakultesi
Selimiye M. Tibbiye C. No:38
34668 Haydarpasa - Istanbul
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Country [1]
285630
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Turkey
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Primary sponsor type
University
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Name
Marmara University
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Address
Marmara Universitesi Tip Fakultesi
Selimiye M. Tibbiye C. No:38
34668 Haydarpasa - Istanbul
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Country
Turkey
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Secondary sponsor category [1]
284464
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None
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Name [1]
284464
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Address [1]
284464
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Country [1]
284464
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287627
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Ethical Committee of Marmara University Faculty of Medicine
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Ethics committee address [1]
287627
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Marmara Universitesi Tip Fakultesi Selimiye M. Tibbiye C. No:38 34668 Haydarpasa - Istanbul
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Ethics committee country [1]
287627
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Turkey
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Date submitted for ethics approval [1]
287627
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Approval date [1]
287627
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07/04/2011
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Ethics approval number [1]
287627
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09.2011.0085
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Summary
Brief summary
Signal Detection Theory (SDT) provides a method that measures discriminability (d’) of any stimulus (signal) without response bias (c) effect . The aim of the study was to adapt SDT approach to gastroesophageal reflux disease (GERD) diagnosis in order to develop a new analysis method for temporal relationship between reflux and symptom for 24 hour impedance-pHmeter monitoring data. We have considered reflux and symptom as signal and response respectively in this context. In conclusion, SDT approach using 1 min time window to GERD diagnosis provides us a simple, quantitative measure of reflux-symptom relationship that appears to more accurate than SAP index for MII-pH monitoring analysis.
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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
34436
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Country
34436
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Phone
34436
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Fax
34436
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Email
34436
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Contact person for public queries
Name
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Adnan Giral
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Address
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Cumhuriyet cad. 134/10 Izmit Kocaeli
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Country
17683
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Turkey
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Phone
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+90 (216) 657-0606 x 4680
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Fax
17683
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Email
17683
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[email protected]
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Contact person for scientific queries
Name
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Adnan Giral
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Address
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Cumhuriyet cad. 134/10 Izmit Kocaeli
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Country
8611
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Turkey
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Phone
8611
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+90 (216) 657-0606 x 4680
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Fax
8611
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Email
8611
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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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