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Trial registered on ANZCTR
Registration number
ACTRN12616000083493
Ethics application status
Approved
Date submitted
19/01/2016
Date registered
27/01/2016
Date last updated
17/05/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Allostasis and Sedation Practices in the Critically Ill
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Scientific title
Observational pilot study evaluating markers of physiological stress response in mechanically ventilated intensive care patients
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Secondary ID [1]
288370
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Nil Known
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Universal Trial Number (UTN)
U1111-1178-7172
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Trial acronym
All-SPICE OPS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Multi-Organ Failure
297365
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Condition category
Condition code
Anaesthesiology
297553
297553
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0
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Other anaesthesiology
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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 will have blood sampled every twelve hours for 5 days
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Intervention code [1]
293671
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Diagnosis / Prognosis
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Comparator / control treatment
No Control Group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
297110
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To determine the optimal timing for sampling as determined by the variation in the serum assays over time.
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Assessment method [1]
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Timepoint [1]
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Every 12 hours for 5 days from enrolment
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Secondary outcome [1]
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To inform a statistical plan for a larger randomised controlled study.
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Assessment method [1]
320042
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Timepoint [1]
320042
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5 days
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Eligibility
Key inclusion criteria
Admitted to the Intensive Care Unit
Mechanically Ventilated
Likely to be ventilated for >24hrs
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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
- <18yrs
- Pregnant
- Primary cardiac diagnosis
- Ventilated >12hrs
- Enrolled in the intervention arm of the SPICE study
- Primary brain lesion
- Overdose
- Burns
- MAP <50 despite adequate resuscitation
- Fulminant hepatic failure
- Full-time residential nursing care
- Imminent/inevitable death
- Unlikely to survive to 90 days
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Study design
Purpose
Screening
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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
Statistical analysis will be performed using a propriety statistical package (STATA
version 12.0). Data will be organised and trends reported using standard descriptive
statistics (mean (SD), median (IRQ), proportions). More detailed inferential analysis will
be done using regression techniques that take into account the linear and correlated
nature of the data
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
13/08/2015
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Date of last participant enrolment
Anticipated
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Actual
30/11/2015
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Date of last data collection
Anticipated
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Actual
31/12/2015
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Sample size
Target
10
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Accrual to date
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Final
12
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
5092
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Nambour General Hospital - Nambour
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Recruitment postcode(s) [1]
12557
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4560 - Nambour
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Funding & Sponsors
Funding source category [1]
292720
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Charities/Societies/Foundations
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Name [1]
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Wishlist
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Address [1]
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P.O. Box 2610
Nambour West QLD 4560
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Country [1]
292720
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Australia
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Primary sponsor type
Hospital
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Name
Sunshine Coast Health and Hospitals District
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Address
Nambour General Hospital
PO Box 547
Nambour, QLD 4560
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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]
291451
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Address [1]
291451
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Country [1]
291451
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Prince Charles Hospital
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Ethics committee address [1]
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Building 14 The Prince Charles Hospital Rode Road Chermside Qld 4032
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Ethics committee country [1]
294209
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Australia
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Date submitted for ethics approval [1]
294209
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26/03/2015
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Approval date [1]
294209
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01/06/2015
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Ethics approval number [1]
294209
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HREC/15/QPCH/85
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Summary
Brief summary
The survival of an organism in the face of internal and external events requires a measured and appropriate stress response. Recent strands of evidence suggest that an abnormal stress response is linked to the likelihood of the development and severity of critical illness and multi-organ failure. The stress response is coordinated by primitive brain structures in response to sensory inputs and comprises a broad range of effects. We hypothesise that the use of sedating medications confuses the normal generation of a stress response. If this is confirmed, this may be a fundamental underlying cause for the abnormal physiology, metabolic disturbances and organ dysfunction observed in critical illness. The current large multi-centre randomised-controlled Sedation Practices in Intensive Care Evaluation III (SPICE-III) study, in offers the opportunity to study two similar groups of patients who may have differing levels of physiological stress as a result of an Early Goal-Directed Sedation (EGDS) strategy as compared to standard care. The proposed observational study, to be conducted at Nambour Hospital, aims to provide the investigators with pilot data to determine the optimum timing of sampling for a stress panel and to conduct a statistical plan for a randomised–controlled sub-study of the larger SPICE-III study.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr John Moore
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Address
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Sunshine Coast Institute for Critical Care Research
Department of Intensive Care
Hospital Rd
Nambour Hospital
Nambour
QLD 4560
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Country
62894
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Australia
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Phone
62894
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+61 7 54706284
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Fax
62894
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Email
62894
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[email protected]
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Contact person for public queries
Name
62895
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Lauren Murray
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Address
62895
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Sunshine Coast Institute for Critical Care Research
Department of Intensive Care
Hospital Rd
Nambour Hospital
Nambour
QLD 4560
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Country
62895
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Australia
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Phone
62895
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+61 7 54705407
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Fax
62895
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Email
62895
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[email protected]
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Contact person for scientific queries
Name
62896
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John Moore
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Address
62896
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Sunshine Coast Institute for Critical Care Research
Department of Intensive Care
Hospital Rd
Nambour Hospital
Nambour
QLD 4560
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Country
62896
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Australia
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Phone
62896
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+61 7 54706284
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Fax
62896
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Email
62896
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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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