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Trial registered on ANZCTR
Registration number
ACTRN12614000328673
Ethics application status
Approved
Date submitted
20/03/2014
Date registered
26/03/2014
Date last updated
19/09/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Pharmacokinetics of Oxypurinol in Patients on Dialysis
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Scientific title
An observational study of oxypurinol pharmacokinetics in haemodialysis patients treated with allopurinol
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Secondary ID [1]
284292
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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:
Gout
291437
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Renal impairment
291438
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Condition category
Condition code
Inflammatory and Immune System
291812
291812
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0
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Other inflammatory or immune system disorders
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Renal and Urogenital
291813
291813
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0
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Kidney disease
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Patients with gout already receiving 100mg of allopurinol will be recruited from the haemodialysis unit. They will be observed over a 48 hour period that includes one dialysis cycle and two allopurinol dose intervals. On the first day, blood samples will be taken hourly prior to, during, and post-dialysis up until the first 100mg dose of allopurinol. The first blood sample will be taken directly prior to the start of dialysis and then will be taken hourly for 6 hours. The allopurinol will be taken directly following the last blood sample (6 hours after the start of dialysis). On the second day, a second 100mg dose of allopurinol will be given and eight blood samples will be taken at set intervals throughout the day. The first sample will be taken prior to the allopurinol dose, and the remaining samples will be taken 30 minutes, 1 hour, 1.5 hours, 2 hours, 4 hours, and 6 hours after the allopurinol dose. A final blood sample will be taken at 48 hours (post study commencement).
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Intervention code [1]
289015
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Not applicable
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Comparator / control treatment
No control/comparison treatment
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Allopurinol and oxypurinol plasma area under the concentration time curves (trend across time in concentration). Laboratory analysis of the blood samples taken will be used to determine blood concentrations of allopurinol and oxypurinol, and area under the curve concentrations will be calculated using the trapezoidal method.
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Assessment method [1]
291727
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Timepoint [1]
291727
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0 - 48 hours from dialysis commencement
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Secondary outcome [1]
307359
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Peak and trough concentrations at steady state will be assessed via laboratory analysis of the blood samples taken.
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Assessment method [1]
307359
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Timepoint [1]
307359
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0 - 48 hours from dialysis commencement
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Eligibility
Key inclusion criteria
Patients must be receiving haemodialysis, must be diagnosed with gout, and must be already receiving 100mg of allopurinol daily.
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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 exclusion criteria.
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data will be reported as means and changes as mean difference. Allopurinol and oxypurinol concentration area under the curve (AUC) will be calculated using the trapezoidal method. Assuming a standard deviation of 30% in oxypurinol AUC, a sample of six subjects will allow estimation of the mean AUC with a margin of error of 32%
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2014
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Actual
26/05/2014
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Date of last participant enrolment
Anticipated
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Actual
2/09/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
6
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Accrual to date
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Final
6
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Recruitment outside Australia
Country [1]
5908
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New Zealand
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State/province [1]
5908
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Canterbury
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Funding & Sponsors
Funding source category [1]
288923
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Charities/Societies/Foundations
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Name [1]
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Ross Bailey Nephrology Trust
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Address [1]
288923
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23 Ennerdale Row
Westmorland
Christchurch 8025
Canterbury
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Country [1]
288923
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New Zealand
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Primary sponsor type
Individual
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Name
Professor Lisa Stamp
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Address
Department of Medicine
University of Otago Christchurch
PO Box 4345
Christchurch 8140
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
287615
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None
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Name [1]
287615
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Address [1]
287615
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Country [1]
287615
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290754
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The University of Otago Human Ethics Committee (Health)
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Ethics committee address [1]
290754
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Academic Committees Office Ground Floor, Rm G22 Clocktower Building, Leith Street University of Otago North Dunedin Dunedin 9016
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Ethics committee country [1]
290754
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New Zealand
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Date submitted for ethics approval [1]
290754
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31/03/2014
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Approval date [1]
290754
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14/04/2014
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Ethics approval number [1]
290754
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Summary
Brief summary
This observational study will track allopurinol and oxypurinol serum concentrations in haemodialysis patients with allopurinol-treated gout across a 48 hour period in order to determine the pharmacokinetics of oxypurinol (the active metabolite of allopurinol) in this particular population. The results will provide insight on the efficacy of current allopurinol dosing strategies in patients with gout on haemodialysis.
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Trial website
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Trial related presentations / publications
Wright DFB, Doogue MP, Barclay ML, Chapman PT, Cross NB, Irvine JH, Stamp LK. A population pharmacokinetic model to predict oxypurinol exposure in patients on haemodialysis. Eur J Clin Pharmacol 2016 In press
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Public notes
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Contacts
Principal investigator
Name
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Prof Lisa Stamp
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Address
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Department of Medicine
University of Otago Christchurch
PO Box 4345
Christchurch 8140
New Zealand
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Country
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New Zealand
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Phone
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+64 3 364 0253
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Fax
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+64 3 364 0935
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Email
47066
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[email protected]
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Contact person for public queries
Name
47067
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Lisa Stamp
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Address
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Department of Medicine
University of Otago Christchurch
PO Box 4345
Christchurch 8140
New Zealand
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Country
47067
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New Zealand
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Phone
47067
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+64 3 364 0253
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Fax
47067
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+64 3 364 0935
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Email
47067
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[email protected]
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Contact person for scientific queries
Name
47068
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Lisa Stamp
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Address
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Department of Medicine
University of Otago Christchurch
PO Box 4345
Christchurch 8140
New Zealand
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Country
47068
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New Zealand
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Phone
47068
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+64 3 364 0253
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Fax
47068
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+64 3 364 0935
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Email
47068
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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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