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Trial registered on ANZCTR
Registration number
ACTRN12616001242415
Ethics application status
Approved
Date submitted
1/09/2016
Date registered
6/09/2016
Date last updated
9/12/2020
Date data sharing statement initially provided
9/12/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Thyroid tests in people who will be taking quetiapine.
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Scientific title
The effect of quetiapine on thyroid function test results measured by both immunoassay and LCMSMS, in patients prescribed quetiapine.
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Secondary ID [1]
290077
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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
The parent study for this trial is registered on ANZCTR.org.au with registration number ACTRN12616001227482p
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Health condition
Health condition(s) or problem(s) studied:
Psychosis, treated with quetiapine
300154
0
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Mood disorders, treated with quetiapine
300188
0
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Agitation, treated with quetiapine
300189
0
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Condition category
Condition code
Mental Health
300038
300038
0
0
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Anxiety
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Mental Health
300057
300057
0
0
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Schizophrenia
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Mental Health
300058
300058
0
0
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Other mental health disorders
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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
Collection of 4 blood specimens from 20 people who are about the start quetiapine and who are expected to continue treatment for at least 6 weeks. During this time, participants will take quetiapine according to their treating doctor's prescription. Doses will not be changed for the purposes of this study. The first specimen is collected before the first dose of quetiapine, then further specimens at day 1, week 3 and week 6.
Each specimen will be 7.5 millilitres, or about one and a half teaspoons volume.
Thyroid function and quetiapine will be measured in the specimens.
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Intervention code [1]
295813
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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]
299515
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Comparison of Free T4 and Free T3 levels as measured by immunoassay and LC-MSMS at 3 and 6 weeks of treatment (co-primary endpoints).
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Assessment method [1]
299515
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Timepoint [1]
299515
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3 weeks and 6 weeks
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Secondary outcome [1]
327409
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Secondary: quetiapine concentration as a predictor of immunoassay - LCMSMS assay difference in a mixed effects model.
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Assessment method [1]
327409
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Timepoint [1]
327409
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Results from all blood specimens, at 0, 1 day, 3 weeks and 6 weeks
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Secondary outcome [2]
327452
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Exploratory: relationships between immunoassay - LCMSMS assay difference and total T3, T4, TSH and anti-thyroid antibodies.
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Assessment method [2]
327452
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Timepoint [2]
327452
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Results from all blood specimens, at 0, 1 day, 3 weeks and 6 weeks
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Eligibility
Key inclusion criteria
20 patients who are about to start taking quetiapine on a daily basis, and who are expected to still be taking it in 6 weeks time. Patients taking quetiapine for any indication may be recruited.
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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
No exclusion criteria
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Study design
Purpose
Natural history
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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
Analysis of primary outcome measure from 20 participants: Initially, 2-way ANOVA or mixed effects modelling, as appropriate, followed by specific comparisons, On the assumption that fT4 population variance is similar when measured by immunoassay and LCMSMS, a paired analysis of 40 specimens will have a power of 0.87 to detect a difference of 1.25 pm/L in fT4 at p = 0.05 on 2-tailed paired t-test, Measurements of bias and 95% limits of agreement will be determined and displayed on Bland-Altman plots.
The slope of the regression line between concentrations reported by the two methodologies and the surrounding 95% confidence intervals will be calculated by linear regression. If the immunoassay and LCMSMS assay are shown to return systematically different values, an exploratory analysis will follow to estimate the effect of quetiapine concentration as a covariate in multiple regression.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
30/09/2016
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Actual
30/09/2016
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
3
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
6608
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
14215
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6009 - Nedlands
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Funding & Sponsors
Funding source category [1]
294446
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Government body
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Name [1]
294446
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PathWest Laboratory Medicine
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Address [1]
294446
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Locked Bag 2009,
Nedlands, WA, 6009
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Country [1]
294446
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Australia
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Primary sponsor type
Government body
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Name
PathWest Laboratory Medicine
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Address
Locked Bag 2009,
Nedlands, WA, 6009
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Country
Australia
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Secondary sponsor category [1]
293300
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None
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Name [1]
293300
0
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Address [1]
293300
0
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Country [1]
293300
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295876
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Sir Charles Gairdner Hospital Human Research Ethics Committee
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Ethics committee address [1]
295876
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2nd Floor, "A" Block, QEII Medical Centre, Nedlands, WA 6009
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Ethics committee country [1]
295876
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Australia
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Date submitted for ethics approval [1]
295876
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01/05/2016
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Approval date [1]
295876
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19/08/2016
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Ethics approval number [1]
295876
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2015-169
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Summary
Brief summary
Quetiapine is a commonly-prescribed drug with a good safety margin that is prescribed in psychotic illnesses, agitation and anxiety. Thyroid function is commonly checked in patients with psychotic disorders and signs of anxiety. We have observed that some patients taking quetiapine have low results on measure of free thyroid hormone level in blood, even though there is no other evidence that their thyroid function is impaired. We suspect this is because the quetiapine is interfering with the laboratory test, but it might actually be a biological effect of the quetiapine and potentially important to quetiapine’s adverse effects on metabolism. We are asking 20 patients in whom their treating psychiatrist has already made the clinical decision to commence quetiapine as part of their management plan, to provide us with a specimen of blood to check thyroid function on 4 occasions (prior to quetiapine commencement, 1 day following commencement of quetiapine, and at weeks 3 and 6 ). We will firstly check to see whether our impression, that free thyroid hormone tests are reading lower in patients on quetiapine by the current test, is correct. The current test is an immunoassay. Then we will use the same blood specimens to measure free thyroid hormone level by another newer, highly specific test (LCMSMS) that is not open to interference in the way immunoassays may be. A comparison of the results will tell us whether the problem is simply immunoassay interference from quetiapine.
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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
68782
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Dr Rhonda Maguire
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Address
68782
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Department of Clinical Pharmacology & Toxicology,
PathWest Laboratory Medicine,
Locked Bag 2009,
Nedlands, WA 6009
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Country
68782
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Australia
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Phone
68782
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+618 63834151
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Fax
68782
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Email
68782
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[email protected]
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Contact person for public queries
Name
68783
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Rhonda Maguire
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Address
68783
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Department of Clinical Pharmacology & Toxicology,
PathWest Laboratory Medicine,
Locked Bag 2009,
Nedlands, WA 6009
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Country
68783
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Australia
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Phone
68783
0
+618 63834151
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Fax
68783
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Email
68783
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[email protected]
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Contact person for scientific queries
Name
68784
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Rhonda Maguire
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Address
68784
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Department of Clinical Pharmacology & Toxicology,
PathWest Laboratory Medicine,
Locked Bag 2009,
Nedlands, WA 6009
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Country
68784
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Australia
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Phone
68784
0
+618 63834151
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Fax
68784
0
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Email
68784
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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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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