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Trial registered on ANZCTR
Registration number
ACTRN12616001067460
Ethics application status
Approved
Date submitted
5/08/2016
Date registered
9/08/2016
Date last updated
8/01/2020
Date data sharing statement initially provided
21/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Do donor white blood cells survive in patients who need multiple blood transfusions?
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Scientific title
The incidence of donor white blood cell survival (microchimerism) in transfusion dependent patients
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Secondary ID [1]
289863
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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:
Blood transfusion related outcomes
299806
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microchimerism
299807
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Condition category
Condition code
Blood
299735
299735
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0
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Haematological diseases
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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
This is a pilot observational study. Haematology patients who require chronic blood transfusion will be recruited (preferably transfusion naive when they are recruited). A research sample for testing will be collected at each time point during their current standard of care sample collections. The timepoints will be patient dependent, some patients could have weekly samples taken others every 2-3 months. The blood sample will be 3mL (1 teaspoon) in volume and will be taken prior to each blood transfusion and will be taken at the same time as other standard of care samples. This means that up to, but not limited to, 10 samples will be collected over the recruitment period of 4 years. No interventions will be applied the sample will be collected for research testing only.
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Intervention code [1]
295548
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Early Detection / Screening
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Comparator / control treatment
No control group since patients will either be positive or negative for the presence of donor white blood cells after transfusion. The incidence is patient dependent and comparisons with other patient types will not be effective for this study.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To determine if donor white blood cells survive in chronic blood transfusion recipients. This outcome will be tested using a sensitive genetic real time polymerase chain reaction test on specific non-coding DNA sequences.
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Assessment method [1]
299195
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Timepoint [1]
299195
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Samples will be taken before transfusion (baseline)
and before each red blood cell unit is administered. These samples will be taken at the same time as other routine standard of care samples are collected (these will be patient dependent timepoints but could be up to 10 samples per patient in total)
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Secondary outcome [1]
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None
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Assessment method [1]
326480
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Timepoint [1]
326480
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N/A
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Eligibility
Key inclusion criteria
Male and female patients 18-80 years of age.
Patients with a haematological condition who require chronic RBC transfusions.
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Minimum age
18
Years
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Maximum age
80
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
Minors under the age of 18 and patients over the age of 80.
Mentally impaired or individuals in dependent relationships who are not sound of mind to consent to participate in this study.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Directed measured outcomes. Patients will either be positive or negative for an incidence of donor white cell survival (microchimerism). The number of patients to be recruited is 200. This recruitment target is achievable in the timeframe for the student project for which this study is being conducted under. Since it is a pilot data gathering exercise, this number of patients will give a good indication on whether an incidence is present given that 10% of trauma patients in Australia were found to have microchimerism.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
5/09/2016
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Actual
23/03/2017
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Date of last participant enrolment
Anticipated
31/07/2021
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Actual
30/09/2019
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Date of last data collection
Anticipated
31/07/2021
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Actual
23/12/2019
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Sample size
Target
200
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
NSW,SA
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Recruitment hospital [1]
6423
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Flinders Medical Centre - Bedford Park
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Recruitment hospital [2]
6424
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The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [3]
6425
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [4]
15579
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
13965
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5042 - Bedford Park
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Recruitment postcode(s) [2]
13966
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5000 - Adelaide
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Recruitment postcode(s) [3]
13967
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2065 - St Leonards
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Recruitment postcode(s) [4]
28964
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2145 - Westmead
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Australian Red Cross Blood Service
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Address [1]
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Research and Development
17 O'Riordan St
Alexandria
Sydney NSW 2015
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Country [1]
294241
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Australia
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Primary sponsor type
Government body
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Name
Australian Red Cross Blood Service
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Address
Research and Development
17 O'Riordan St
Alexandria
Sydney NSW 2015
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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]
293076
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Address [1]
293076
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Country [1]
293076
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295665
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Northern Sydney Local Health District HREC
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Ethics committee address [1]
295665
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Research Office Kolling Building, Level 13 Reserve Road Royal North Shore Hospital St Leonards NSW 2065
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Ethics committee country [1]
295665
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Australia
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Date submitted for ethics approval [1]
295665
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09/05/2016
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Approval date [1]
295665
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25/07/2016
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Ethics approval number [1]
295665
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RESP/16/104
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Summary
Brief summary
Chronically transfused patients receive multiple units of blood products over the course of their treatment. Multiple red blood cell (RBC) unit transfusions may lead to adverse transfusion related outcomes including the production of antibodies directed against RBC surface markers (antigens), haemolytic diseases and potential long-term donor cell survival, which is termed ‘microchimerism’. The phenomenon of microchimerism has been documented between a mother and her fetus during pregnancy or as a result of twin-to-twin transfer in utero. However, microchimerism could also occur following organ transplantation and blood transfusion. Transfusion-associated microchimerism (TAM) is hypothesised to result from the presence of donor leucocytes present within a RBC unit. Research from the Blood Service Research & Development Team in Australia and from the Blood Systems Research Institute in the US has shown that long-term surviving donor leucocytes have been detected in up to 10% of transfused trauma patients following blood transfusion. However, it is currently unknown whether chronically transfused Australian patients could also be vulnerable to microchimerism. Therefore, chronic RBC transfusion recipients will be investigated for the incidence of microchimerism.
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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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Dr Rena Hirani
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Address
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Research and Development
Australian Red Cross Blood Service
17 O'Riordan Street
Alexandria NSW 2015
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Country
68042
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Australia
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Phone
68042
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+61292342454
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Fax
68042
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+61292342411
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Email
68042
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[email protected]
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Contact person for public queries
Name
68043
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Rena Hirani
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Address
68043
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Research and Development
Australian Red Cross Blood Service
17 O'Riordan Street
Alexandria NSW 2015
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Country
68043
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Australia
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Phone
68043
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+61292342454
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Fax
68043
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+61292342411
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Email
68043
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[email protected]
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Contact person for scientific queries
Name
68044
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Rena Hirani
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Address
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Research and Development
Australian Red Cross Blood Service
17 O'Riordan Street
Alexandria NSW 2015
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Country
68044
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Australia
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Phone
68044
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+61292342454
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Fax
68044
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+61292342411
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Email
68044
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
participants did not consent to having individual data provided
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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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