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Trial registered on ANZCTR
Registration number
ACTRN12621000700831
Ethics application status
Approved
Date submitted
25/10/2020
Date registered
8/06/2021
Date last updated
8/06/2021
Date data sharing statement initially provided
8/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The acute effect of chlorpromazine on body temperature in intensive care unit patients
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Scientific title
The acute effect of single dose of chlorpromazine treatment on body temperature alterations in intensive care unit patients
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Secondary ID [1]
302573
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Nil
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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:
Adverse drug reaction
319470
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Condition category
Condition code
Anaesthesiology
317436
317436
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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
Whether the participants who needed sedative therapy due to agitation would take chlorpromazine or not was independent of their participation in this study. Patients will be divided into two groups according to baseline body temperatures, 30 patients (16 males, 14 females) with temperatures less than or equal to 38 °C as Group 1, and 33 patients (18 males, 15 females) with temperatures above 38 °C as Group 2. For treating agitation, 25 mg single dose chlorpromazine will be applied by intravenous (IV) slow infusion within 30 minutes to the patients enrolled in the study. Body temperatures for both groups will be measured by digital thermometer at 0th, 1st, 2nd, 4th, 6th, 8th, 10th, and 12th hours of the treatment.
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Intervention code [1]
318871
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Not applicable
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Comparator / control treatment
Patients with temperatures above 38 °C as comparator group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Body temperature alterations will be evaluated by non-invasive measurements made from the tympanic membrane.
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Assessment method [1]
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Timepoint [1]
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Body temperatures will be measured at 0th, 1st, 2nd, 4th, 6th, 8th, 10th, and 12th hours (endpoint) of the treatment
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Primary outcome [2]
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Serum biomarkers related with systemic inflammation and pyrexia such as white blood cells (WBC), C-reactive protein (CRP), and procalcitonin (PCT) levels will be assessed.
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Assessment method [2]
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Timepoint [2]
325474
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Serum biomarkers will be evaluated with routine blood samples taken at any time within 24 hours prior to chlorpromazine treatment.
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Secondary outcome [1]
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The safety of chlorpromazine will be evaluated by continuous monitoring and clinical examination.
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Assessment method [1]
389179
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Timepoint [1]
389179
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The safety of chlorpromazine application will be evaluated for 12 hours after chlorpromazine treatment
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Secondary outcome [2]
389180
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28-day ICU mortality will be assessed by following patients in ICU.
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Assessment method [2]
389180
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Timepoint [2]
389180
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ICU mortality will be assessed during intensive care stay for 28 days.
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Eligibility
Key inclusion criteria
After obtaining participants' informed consent, 63 patients, who were aged 18-85 years and stayed in ICU for at least 24 hours after admission will enroll in the study.
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Minimum age
18
Years
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Maximum age
85
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
Schizophrenia, hyperthermia syndromes (e.g., malignant hyperthermia, neuroleptic malignant syndrome), endocrinal states which may cause hyperthermia, shock states (with lactic acid levels > 4 mmol), diagnosed hepatitis (with alanine aminotransferase levels more than twice the upper limit), chronic hepatic insufficiency, pregnancy, breastfeeding, use of medications (such as antibiotics, steroids, non-steroid anti inflammatory drugs, antipyretics, sedative-hypnotics, and anticonvulsants), and history of blood product transfusion or surgery within 24 hours will exclude from the study.
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Study design
Purpose
Natural history
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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
Chi-squared or Fisher’s exact tests, Shapiro-Wilk test, Independent-Samples t-test, Mann-Whitney U test, Repeated measures analysis of variance (rANOVA), Pearson’s correlation test, Receiver operating characteristic (ROC) analysis, Logistic regression analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/06/2018
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Date of last participant enrolment
Anticipated
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Actual
1/07/2019
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Date of last data collection
Anticipated
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Actual
29/07/2019
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Sample size
Target
62
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Accrual to date
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Final
63
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Recruitment outside Australia
Country [1]
23075
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Turkey
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State/province [1]
23075
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Konya
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Funding & Sponsors
Funding source category [1]
307005
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University
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Name [1]
307005
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Selcuk University
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Address [1]
307005
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Selcuk University Medical Faculty, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya/TURKEY
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Country [1]
307005
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Turkey
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Primary sponsor type
University
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Name
Selcuk University
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Address
Selcuk University Medical Faculty, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya/TURKEY
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
307573
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Address [1]
307573
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Country [1]
307573
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307137
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Selcuk University Medical Faculty Ethics Committee
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Ethics committee address [1]
307137
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Selcuk University Medical Faculty, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya/TURKEY
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Ethics committee country [1]
307137
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Turkey
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Date submitted for ethics approval [1]
307137
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11/02/2016
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Approval date [1]
307137
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11/02/2016
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Ethics approval number [1]
307137
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2016/4
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Summary
Brief summary
Aim: Hypothermia is a rare complication of antipsychotic drugs but serious outcomes including death may result. In this prospective observational study, we will analyze patients’ body temperatures for 12 hours after 25 mg IV chlorpromazine administered for agitation and the relationship of inflammatory indicators with adverse drug reaction (ADR) development. Methods: Patients will divide according to baseline body temperatures into Group 1 with temperatures less than or equal to 38°C and Group 2 with temperatures >38°C. Also, recurrent measurements for 12 hours will make at specific intervals following 25 mg intravenous chlorpromazine. Serum biomarkers related with systemic inflammation and pyrexia such as white blood cells (WBC), C-reactive protein (CRP), and procalcitonin (PCT) levels will measure. Length of ICU stay and 28-day mortality rate will record.
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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 Omur Ilban
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Address
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Selcuk University Medical Faculty, Department of Anesthesiology and Raenimation, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya
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Country
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Turkey
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Phone
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+905052227998
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Fax
106162
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Email
106162
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[email protected]
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Contact person for public queries
Name
106163
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Mehmet Ali Bas
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Address
106163
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Selcuk University Medical Faculty, Department of Anesthesiology and Raenimation, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya
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Country
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Turkey
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Phone
106163
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+905375425467
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Fax
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Email
106163
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[email protected]
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Contact person for scientific queries
Name
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Faruk Cicekci
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Address
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Selcuk University Medical Faculty, Department of Anesthesiology and Raenimation, Alaaddin Keykubat Yerleskesi, Postal code: 42130, Selcuklu-Konya
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Country
106164
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Turkey
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Phone
106164
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+905057649235
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Fax
106164
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Email
106164
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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
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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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