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Trial registered on ANZCTR
Registration number
ACTRN12615000004561
Ethics application status
Approved
Date submitted
14/12/2014
Date registered
7/01/2015
Date last updated
8/07/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Measuring glucose and lactate in healthy volunteers and patients with diabetes: Do new blood collection tubes produce more accurate laboratory values?
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Scientific title
When measuring laboratory plasma glucose in healthy and diabetic participants, are citrate/fluoride blood collection tubes superior to fluoride tubes with regards to minimising pre-analytical loss of glucose?
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Secondary ID [1]
285847
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None
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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:
Diabetes
293761
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Condition category
Condition code
Metabolic and Endocrine
294060
294060
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0
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Diabetes
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Collection of 40ml venous blood from the antecubital fossa of participants, on two separate occasions up to one week apart. Pre-analytical loss of glucose will be determined on both occasions, using three different blood collection tube systems. (One is the 'new' citrate/fluoride collection tube, the other two collection tubes are in common everyday use, that is they are used in routine clinical care).
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Intervention code [1]
290823
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Diagnosis / Prognosis
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Intervention code [2]
290824
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Early detection / Screening
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Comparator / control treatment
Laboratory plasma glucose measured using the 'new' citrate/fluoride tubes will be compared at times 0 hours, 2 hours and 24 hours with a) fluoride 'grey top' tubes and b) lithium heparin PST tubes
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Control group
Active
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Outcomes
Primary outcome [1]
293840
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Glucose loss using the citrate/fluoride collection system, compared to glucose loss using the fluoride system.
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Assessment method [1]
293840
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Timepoint [1]
293840
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Separation of plasma from red cells 2 hours after each of the two venesections
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Secondary outcome [1]
311969
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Comparison of intra-individual pre-analytical glucose loss using fluoride blood collection tubes.
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Assessment method [1]
311969
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Timepoint [1]
311969
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2 hours after each of the two venesections.
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Secondary outcome [2]
311970
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Comparison of intra-individual pre-analytical glucose loss using fluoride blood collection tubes.
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Assessment method [2]
311970
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Timepoint [2]
311970
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24 hours after each of the two venesections
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Secondary outcome [3]
311971
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Comparison of intra-individual pre-analytical glucose loss using lithium heparin blood collection tubes.
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Assessment method [3]
311971
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Timepoint [3]
311971
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2 hours after each of the two venesections.
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Secondary outcome [4]
311972
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Comparison of intra-individual pre-analytical glucose loss using lithium heparin blood collection tubes.
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Assessment method [4]
311972
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Timepoint [4]
311972
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24 hours after each of the two venesections
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Eligibility
Key inclusion criteria
Participants are either healthy volunteers (N=20) or subjects with diabetes attending the local diabetes clinic (N=20)
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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?
Yes
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Key exclusion criteria
Previous history of 'difficult' venesection
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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)
Participants will be enrolled from local staff (healthy volunteers) and from patients attending the local diabetes clinic (diabetic participants). Once they have donated a blood sample, participants will have no control of blood processing and analysis. Laboratory staff undertaking plasma glucose analysis will analyse de-identified samples.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Method comparison statistics, including Bland Altman comparison of plasma glucose values obtained from blood samples undergoing delayed separation of red cells from plasma, with those samples undergoing immediate separation and are therefore deemed to give accurate glucose values.
A sample size of 40 is considered a minimum number for validation of a new laboratory assay procedure. Also, a previous study published by ourselves (Chan H et al. Plasma glucose measurement in diabetes: impact and implications of variations in sample collection procedures with a focus on the first hour after sample collection, CCLM 2014) was powered to show a clinically significant effect with 62 participants who had their plasma separated <1 hour after collection. We anticipate we will need smaller numbers in a study focusing on a longer time delay when separating plasma from red cells.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
12/01/2015
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Actual
22/01/2015
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Date of last participant enrolment
Anticipated
24/08/2015
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Actual
24/08/2015
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Date of last data collection
Anticipated
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Actual
24/08/2015
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment outside Australia
Country [1]
6548
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New Zealand
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State/province [1]
6548
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Canterbury
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Funding & Sponsors
Funding source category [1]
290417
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Charities/Societies/Foundations
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Name [1]
290417
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Diabetes Christchurch
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Address [1]
290417
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550 Hagley Ave
Riccarton 8011
Christchurch
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Country [1]
290417
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Helen Lunt
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Address
Diabetes Centre
550 Hagley Ave
Riccarton
Christchurch 8011
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Country
New Zealand
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Secondary sponsor category [1]
289133
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Other
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Name [1]
289133
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Canterbury Health Laboratories
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Address [1]
289133
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Hagley Ave
Addington 8011
Christchurch
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Country [1]
289133
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New Zealand
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Secondary sponsor category [2]
289134
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University
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Name [2]
289134
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University of Otago, Christchurch
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Address [2]
289134
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2 Riccarton Avenue, Christchurch Central, Christchurch 8011
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Country [2]
289134
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292105
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HDEC
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Ethics committee address [1]
292105
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Ministry of Health Ethics Department Reception - Ground Floor 20 Aitken Street Thorndon WELLINGTON 6011
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Ethics committee country [1]
292105
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New Zealand
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Date submitted for ethics approval [1]
292105
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18/12/2014
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Approval date [1]
292105
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23/12/2014
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Ethics approval number [1]
292105
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14/STH/220
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Ethics committee name [2]
292158
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HDEC
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Ethics committee address [2]
292158
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Ethics committee country [2]
292158
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New Zealand
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Date submitted for ethics approval [2]
292158
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Approval date [2]
292158
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Ethics approval number [2]
292158
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Summary
Brief summary
Accurate estimation of laboratory plasma glucose is important for the screening, diagnosis and management of several conditions, including diabetes. One of the reasons why laboratory plasma glucose results may not be accurate relates to in vitro glycolysis i.e. glucose is lost due to red cell uptake of glucose, if red cells are not separated immediately from plasma, following venesection. Routinely available blood collection tubes are not good glycolysis inhibitors. A 'new' citrate/fluoride blood collecting system, manufactured by Terumo, is thought to be much better at inhibiting glycolysis. Published information is however limited and there is virtually no information available from study participants with hyperglycaemia. The current study aims to compare pre-analytical glucose loss using the 'new' collection system with the systems already in routine use. The study also aims to compare intra-individual rates of glycolysis. If rates of glycolysis are similar both between and also within participants, then it may be possible to apply a correction factor when undertaking comparisons of serial glucose values across 'old' and 'new' collection systems.
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Trial website
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Trial related presentations / publications
Carey, R., Lunt, H., Heenan, H. F., Frampton, C. M. A., & Florkowski, C. M. (2016). Collection tubes containing citrate stabiliser over-estimate plasma glucose, when compared to other samples undergoing immediate plasma separation. Clinical Biochemistry. Advance online publication. doi: 10.1016/j.clinbiochem.2016.05.017
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Public notes
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Contacts
Principal investigator
Name
53526
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A/Prof Helen Lunt
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Address
53526
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Diabetes Centre
550 Hagley Ave
Riccarton 8011
Christchurch
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Country
53526
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New Zealand
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Phone
53526
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+64 3 3640860
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Fax
53526
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+64 3 3640171
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Email
53526
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[email protected]
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Contact person for public queries
Name
53527
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Helen Lunt
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Address
53527
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Diabetes Centre
550 Hagley Ave
Riccarton 8011
Christchurch
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Country
53527
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New Zealand
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Phone
53527
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+64 3 3640860
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Fax
53527
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Email
53527
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[email protected]
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Contact person for scientific queries
Name
53528
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Helen Lunt
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Address
53528
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Diabetes Centre
550 Hagley Ave
Riccarton 8011
Christchurch
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Country
53528
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New Zealand
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Phone
53528
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+64 3 3640860
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Fax
53528
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Email
53528
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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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