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Trial registered on ANZCTR
Registration number
ACTRN12616001190493p
Ethics application status
Not yet submitted
Date submitted
23/08/2016
Date registered
30/08/2016
Date last updated
30/08/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Device to aid in the administration of glyceryl tri-nitrate sublingual spray for patients with angina and impaired manual dexterity.
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Scientific title
Adaptive study of prototype assistive angina spray device for patients with angina and a coexisting arthritic, neuromuscular or other disability.
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Secondary ID [1]
289996
0
None
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Universal Trial Number (UTN)
U1111-1178-9034
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Trial acronym
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Linked study record
Not applicable
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Health condition
Health condition(s) or problem(s) studied:
Cardiac rehabilitation
300004
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Angina
300038
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Arthritis
300039
0
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Neuromuscular disability
300040
0
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Condition category
Condition code
Musculoskeletal
299901
299901
0
0
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Other muscular and skeletal disorders
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Neurological
299931
299931
0
0
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Other neurological disorders
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Cardiovascular
299932
299932
0
0
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Diseases of the vasculature and circulation including the lymphatic system
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The device used to facilitate the GTN spray has been called the GT'NHaler. The device is used to assist with the administration of glyceryl tri-nitrate sublingual spray in patients with angina and impaired manual dexterity caused by arthritic, neuromuscular or other disability. The device consists of a tube into which the GTN spray canister is inserted. A l lever attached .to the top of the device is used by the patient to provide downwards pressure to the top of the canister thereby activating administration of the GTN spray. The device will be used every time the participant's standard care glyceryl tri-nitrate sublingual spray is administered over the 1 month period of the study. The patient's use of the device and their opinions on its effectiveness and ease of use will be recorded in a questionnaire booklet.
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Intervention code [1]
295699
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Treatment: Devices
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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]
299383
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Satisfaction with the device, assessed by a questionnaire designed specifically for this study.
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Assessment method [1]
299383
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Timepoint [1]
299383
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One month after starting using the device
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Primary outcome [2]
299417
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Difficulty using the device during the 1 month period of the study, assessed by a questionnaire designed specifically for this study.
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Assessment method [2]
299417
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Timepoint [2]
299417
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One month after starting using the device
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Secondary outcome [1]
326997
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Proportion of participants who report not being able to use the device adequately, An inability to use the device will be defined as failure to use the device on two consecutive administrations of GTN spray in any given day. The number of consecutive failures over the 30 days of the trial will be counted.
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Assessment method [1]
326997
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Timepoint [1]
326997
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1 month after the start of using the device
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Eligibility
Key inclusion criteria
Angina
Impaired manual dexterity that hinders administration of angina spray
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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
Inability or unwillingness to use the spray device
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Study design
Purpose of the study
Treatment
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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)
Not applicable
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Not applicable
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Phase
Phase 0
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Analysis of patient written responses in questionnaire. No statistical power calculations were carried out as the study is a qualitative assessment of the GTN device, making statistical assumptions difficult to construct. The number of 20 subjects with 30 days of responses/observations (600 data points) was considered adequate to provide information that could be used to adapt or modify the GTN device. .
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2016
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Actual
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Date of last participant enrolment
Anticipated
1/08/2017
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Actual
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Date of last data collection
Anticipated
1/11/2017
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
8120
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New Zealand
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State/province [1]
8120
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Canterbury
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Funding & Sponsors
Funding source category [1]
294367
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Government body
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Name [1]
294367
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Via Innovations,
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Address [1]
294367
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4th floor, 32 Oxford Tce
Christchurch 8011
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Country [1]
294367
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New Zealand
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Primary sponsor type
Government body
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Name
Via Innovations,
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Address
4th floor, 32 Oxford Tce
Christchurch 8011
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Country
New Zealand
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Secondary sponsor category [1]
293210
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None
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Name [1]
293210
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None
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Address [1]
293210
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Not applicable
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Country [1]
293210
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
295784
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Health Disability Ethics Committee
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Ethics committee address [1]
295784
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Ministry of Health Freyberg Building 20 Aitken St PO Box 5013 wellington 6011
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Ethics committee country [1]
295784
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New Zealand
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Date submitted for ethics approval [1]
295784
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29/08/2016
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Approval date [1]
295784
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Ethics approval number [1]
295784
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Summary
Brief summary
This is an adaptive study. The objective is to field test a device for assisting with the administration of angina spray in patients who have difficulty using proprietary GTN spray devices and evolve the prototype based on this experience so that a final version can be produced. Firstly patients will be selected for the study because they have expressed difficulty using the proprietary GTN spray devices. Alternatively they will have been observed to be experiencing difficulty using the devices. The Christchurch Hospital cardiac rehabilitation programme or Arthritis Society will provide useful settings for these patients to be identified. The cardiac rehabilitation programme provides aftercare for patients who have been in hospital having experienced a cardiac event for example myocardial infarction. It is hoped that sufficient patients will be identified in this manner for a meaningful trial of the device to be undertaken. If insufficient numbers of patients are identified an alternative avenue would be through General Practice. Once identified, patients will be shown and instructed in the use of the device, and if they are interested in becoming part of the trial will be given a prototype device to use. Patients will be followed up to obtain their feedback about the use of the device, with information being sought on the ease of administration, durability, ease of changing to a new spray once expired or used up, and other issues that may arise. Modifications to the device can then be made based upon feedback obtained..
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
68478
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Dr Arthur Collins
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Address
68478
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Travis Medical Centre
225 Travis Road
Christchurch 8083
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Country
68478
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New Zealand
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Phone
68478
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+64 27 3394095
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Fax
68478
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+64 3 3289223
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Email
68478
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[email protected]
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Contact person for public queries
Name
68479
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Ruth Davison
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Address
68479
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Department of Cardiology
Christchurch Hospital
2 Riccarton Ave
Christchurch Central 4710
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Country
68479
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New Zealand
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Phone
68479
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+64 3 3641093 Ext 81093
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Fax
68479
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Email
68479
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[email protected]
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Contact person for scientific queries
Name
68480
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Arthur Collins
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Address
68480
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Travis Medical Centre
225 Travis Road
Christchurch 8083
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Country
68480
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New Zealand
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Phone
68480
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+64 27 3394095
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Fax
68480
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Email
68480
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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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