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Trial registered on ANZCTR
Registration number
ACTRN12615000178549
Ethics application status
Approved
Date submitted
7/08/2014
Date registered
24/02/2015
Date last updated
14/12/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Assessing nutritional status in patients with spinal cord injury
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Scientific title
Using doubly labelled water, bioimpedance analysis and dual x-ray absorptiometry in people with spinal cord injury to evaluate energy requirements and body composition
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Secondary ID [1]
285120
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None
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Universal Trial Number (UTN)
U1111-1160-1295
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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:
Spinal cord injury
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Condition category
Condition code
Neurological
292993
292993
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0
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Other neurological disorders
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Injuries and Accidents
293234
293234
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0
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Other injuries and accidents
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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
Participants with recent spinal cord injury will be given a single dose of doubly labelled water (99% deuterium and 10% 18O) based on body weight (1.35gm per kg). Urine samples will be collected pre-dose and at regular intervals over a two week period post dose. Participants will also undergo bioimpedance analysis and dual x-ray absorptiometry.
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Intervention code [1]
289971
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Not applicable
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Comparator / control treatment
Not applicable - Observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Energy expenditure measured by calculation of the elimination rates of deuterium and O-18 through the regular sampling of heavy isotope concentrations in the urine.
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Assessment method [1]
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Timepoint [1]
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Urine samples taken on days 1, 2, 3, 4 and days 11, 12, 13, 14 post-dose of doubly labelled water (2-week period).
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Secondary outcome [1]
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Body composition measured using dual x-ray absorptiometry (DEXA) and bioimpedance analysis (BIA).
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Assessment method [1]
309812
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Timepoint [1]
309812
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Baseline only
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Secondary outcome [2]
309813
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Creatinine levels in urine
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Assessment method [2]
309813
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Timepoint [2]
309813
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Samples taken at the beginning and end of the two week observation period.
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Eligibility
Key inclusion criteria
Traumatic spinal cord injury less than 6 weeks previously
Surgical fixation of fracture
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Minimum age
18
Years
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Maximum age
70
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
Ventilator dependent
Medically unstable
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Energy expenditure derived from mass spectrometry analysis of urine samples will be used to validate the Schofield Equation which is used clinically to estimate the basal metabolic rate and the total caloric intake required to maintain body mass. Fat mass and fat-free mass derived from the bioimpedance analysis will be correlated with the values obtained from dual x-ray absorptiometry (the current gold standard). The sample size of 20 participants is typical of that used to measure energy expenditure using doubly labelled water.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/12/2013
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Actual
2/12/2013
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Date of last participant enrolment
Anticipated
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Actual
3/06/2016
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Date of last data collection
Anticipated
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Actual
18/06/2016
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
2820
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
8507
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Institute for Safety Compensation and Recovery Research
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Address [1]
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Level 11, 499 St Kilda Road
Melbourne, VIC 3004
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Melbourne
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Address
Parkville, VIC 3010
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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]
288425
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Address [1]
288425
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Country [1]
288425
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
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Office for Research Level 8, Harold Strokes Building Austin Health 145 Studley Road Heidelberg Victoria Australia 3084
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Ethics committee country [1]
291467
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Australia
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Date submitted for ethics approval [1]
291467
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Approval date [1]
291467
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09/08/2013
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Ethics approval number [1]
291467
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H2013 / 05117
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Summary
Brief summary
Nutritional management of patients after spinal cord injury is complex and challenging. Dietitians currently estimate a patient’s nutritional requirements using standard equations of normal resting metabolism, adjusted for activity and stress levels. These equations have never been validated in the spinal cord injured population. To do this, metabolic activity will be measured using a technique called doubly labelled water. Patients are given a single dose of water labelled with a stable isotope. The elimination of the isotope over time directly measures metabolic activity. Weight loss, commonly used to detect malnutrition, cannot distinguish between muscle wasting associated with paralysis and wasting from malnutrition. This study will therefore validate the use of an objective and non-invasive technique called bioelectrical impedance analysis (BIA) to measure segmental body composition (muscle, fat and water) in acute spinal cord injury. With segmental BIA, muscle wasting due to paralysis can be distinguished from wasting due to malnutrition. BIA measures will be validated by dual energy x-ray absorptiometry (DEXA), the gold standard for analysing body composition. BIA can be conducted at bedside and is therefore more clinically feasible and cost-effective for on-going assessment in this population where nutritional needs change through different phases of recovery.
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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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Prof Mary Galea
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Address
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Department of Medicine (Royal Melbourne Hospital)
The University of Melbourne
Parkville, VIC 3010
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Country
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Australia
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Phone
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+61 3 8387 2017
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Fax
50526
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Email
50526
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[email protected]
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Contact person for public queries
Name
50527
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Mary Galea
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Address
50527
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Department of Medicine (Royal Melbourne Hospital)
The University of Melbourne
Parkville, VIC 3010
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Country
50527
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Australia
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Phone
50527
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+61 3 8387 2017
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Fax
50527
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Email
50527
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[email protected]
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Contact person for scientific queries
Name
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Mary Galea
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Address
50528
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Department of Medicine (Royal Melbourne Hospital)
The University of Melbourne
Parkville, VIC 3010
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Country
50528
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Australia
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Phone
50528
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+61 3 8387 2017
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Fax
50528
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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
Source
Title
Year of Publication
DOI
Embase
Bedside quantification of fat-free mass in acute spinal cord injury using bioelectrical impedance analysis: A psychometric study.
2018
https://dx.doi.org/10.1038/s41393-017-0035-1
Embase
Comparison of segmental lean tissue mass in individuals with spinal cord injury measured by dual energy X-ray absorptiometry and predicted by bioimpedance spectroscopy.
2021
https://dx.doi.org/10.1038/s41393-020-00568-3
N.B. These documents automatically identified may not have been verified by the study sponsor.
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