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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12617001540303
Ethics application status
Approved
Date submitted
30/10/2017
Date registered
7/11/2017
Date last updated
10/06/2021
Date data sharing statement initially provided
4/12/2018
Date results information initially provided
10/06/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Steroids To Reduce the Impact on DElirium study (STRIDE)
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Scientific title
Steroids To Reduce the Impact on DElirium (STRIDE) study - pilot randomised controlled trial of preoperative dexamethasone to prevent delirium after hip fracture.
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Secondary ID [1]
293218
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Nil known
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Universal Trial Number (UTN)
U1111-1194-9950
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Trial acronym
STRIDE
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Linked study record
N/A
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Health condition
Health condition(s) or problem(s) studied:
Delirium
305231
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Hip Fracture
305232
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Condition category
Condition code
Anaesthesiology
304535
304535
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0
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Anaesthetics
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Surgery
304536
304536
0
0
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Other surgery
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Injuries and Accidents
304537
304537
0
0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dexamethasone (20mg) intravenous infusion delivered once (as early as possible after acute admission to hospital)
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Intervention code [1]
299475
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Prevention
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Intervention code [2]
299531
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Treatment: Drugs
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Comparator / control treatment
Placebo (sodium chloride 0.9%)
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Control group
Placebo
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Outcomes
Primary outcome [1]
303773
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Delirium incidence assessed by the 4A'S test (4AT)
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Assessment method [1]
303773
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Timepoint [1]
303773
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Postoperative day 1, 2 and 3
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Primary outcome [2]
303774
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Delirium severity assessed by the Memorial Delirium Assessment Scale (MDAS)
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Assessment method [2]
303774
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Timepoint [2]
303774
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Postoperative day 1, 2 and 3 (if delirium is developed on any of these days, MDAS will be assessed daily until it resolves, or until discharged from the orthopaedic ward.
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Primary outcome [3]
303816
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Feasibility issue; participant eligibility
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Assessment method [3]
303816
0
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Timepoint [3]
303816
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Monthly
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Secondary outcome [1]
340215
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Primary outcome; feasibility issue; participant accrual for the trial
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Assessment method [1]
340215
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Timepoint [1]
340215
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Monthly
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Secondary outcome [2]
340216
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Primary outcome; feasibility issue; timing of the intervention (how early after admission we are able to deliver the intervention)
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Assessment method [2]
340216
0
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Timepoint [2]
340216
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Monthly
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Secondary outcome [3]
340217
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Primary outcome; feasibility issue; safety
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Assessment method [3]
340217
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Timepoint [3]
340217
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Adverse events will be reviewed individually in real-time and in aggregate on a weekly basis. Interim analyses of safety data by independent data monitoring committee after 10, 40 and 80 patients have been enrolled.
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Secondary outcome [4]
340218
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Levels of inflammatory cytokines in blood and cerebrospinal fluid. These samples will be analysed for cytokines and biomarkers previously associated with delirium (S100B, IL-1B, IL-2, IL-6, IL-8, IL-10, IL-13, TNFa, IL-1RA, IFNy, IGF-1, and Cortisol).
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Assessment method [4]
340218
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Timepoint [4]
340218
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Blood samples (baseline, day of surgery, postoperative day 1, 2 and 3.
CSF sample (at time of surgery).
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Secondary outcome [5]
340297
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Acute postoperative pain will be assessed with the Numerical Rating Scale (NRS 0-10)
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Assessment method [5]
340297
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Timepoint [5]
340297
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Postoperative day 1, 2 and 3
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Secondary outcome [6]
340298
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Length of hospital stay
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Assessment method [6]
340298
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Timepoint [6]
340298
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At discharge from hospital
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Secondary outcome [7]
340299
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Mortality rates
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Assessment method [7]
340299
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Timepoint [7]
340299
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30 days and 6 months
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Eligibility
Key inclusion criteria
65 years and older
Fractured neck of femur
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Minimum age
65
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
Dementia or any cognitive deficit
Delirium on admission
Used steroids in the last 7 days
Significant and poorly controlled diabetes (glucose >12 mmol/l on admission)
Systemic infection
Unable to read and speak English
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The researcher recruiting patients to the study is blinded to the allocation. Allocation involves contacting the holder of the allocation schedule who is "off-site".
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
Stratification by age (65-79, 80-89, >90)
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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
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
A sample size of 80 participants is the largest sample size that is feasible to recruit from our hospital in a 12-18 month period.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2017
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Actual
14/11/2018
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Date of last participant enrolment
Anticipated
31/03/2020
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Actual
19/03/2020
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Date of last data collection
Anticipated
30/04/2020
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Actual
18/09/2020
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Sample size
Target
80
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Accrual to date
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Final
79
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Recruitment outside Australia
Country [1]
9328
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New Zealand
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State/province [1]
9328
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Auckland
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Funding & Sponsors
Funding source category [1]
297845
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Hospital
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Name [1]
297845
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Waitemata District Health Board
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Address [1]
297845
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North Shore Hospital
Private Bag 93503
North Shore, Auckland 0740
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Country [1]
297845
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New Zealand
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Funding source category [2]
301362
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Government body
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Name [2]
301362
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Health Research Council of New Zealand (HRC)
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Address [2]
301362
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Health Research Council of New Zealand
PO Box 5541, Wellesley Street, Auckland 1141
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Country [2]
301362
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New Zealand
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Primary sponsor type
Hospital
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Name
Waitemata District Health Board
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Address
North Shore Hospital
Private Bag 93503
North Shore, Auckland 0740
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Country
New Zealand
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Secondary sponsor category [1]
296885
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None
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Name [1]
296885
0
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Address [1]
296885
0
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Country [1]
296885
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298891
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Health and Desability Ethics Committees
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Ethics committee address [1]
298891
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Ministry of Health
133 Molesworth Street
PO Box 5013
Wellington
6011
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Ethics committee country [1]
298891
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New Zealand
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Date submitted for ethics approval [1]
298891
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25/05/2017
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Approval date [1]
298891
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07/07/2017
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Ethics approval number [1]
298891
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17/NTB/98
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Summary
Brief summary
This randomised, placebo-controlled, double-blind clinical trial will include 80 patients aged 65 and over admitted for hip fracture.
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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
78582
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Dr Michal Kluger
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Address
78582
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Waitemata District Health Board
North Shore Hospital
Department of Anaesthesia and Perioperative medicine
Private Bag 93-503
North Shore City, Auckland 0740
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Country
78582
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New Zealand
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Phone
78582
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+64 21 684022
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Fax
78582
0
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Email
78582
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[email protected]
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Contact person for public queries
Name
78583
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Dr Michal Kluger
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Address
78583
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Waitemata District Health Board
North Shore Hospital
Department of Anaesthesia and Perioperative medicine
Private Bag 93-503
North Shore City, Auckland 0740
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Country
78583
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New Zealand
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Phone
78583
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+64 21 684022
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Fax
78583
0
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Email
78583
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[email protected]
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Contact person for scientific queries
Name
78584
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Dr Michal Kluger
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Address
78584
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Waitemata District Health Board
North Shore Hospital
Department of Anaesthesia and Perioperative medicine
Private Bag 93-503
North Shore City, Auckland 0740
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Country
78584
0
New Zealand
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Phone
78584
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+64 21 684022
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Fax
78584
0
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Email
78584
0
[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
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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
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Study results article
Yes
Version of record online 25/4/2021 Kluger MT, S...
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