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Trial registered on ANZCTR
Registration number
ACTRN12622001132730
Ethics application status
Approved
Date submitted
15/08/2022
Date registered
17/08/2022
Date last updated
21/05/2024
Date data sharing statement initially provided
17/08/2022
Date results provided
21/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Avoiding Anti-inflammatories: a randomized controlled trial testing the use of an information package on patient knowledge and behaviour
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Scientific title
Avoiding Anti-inflammatories: a randomized controlled trial testing the use of an information package on the knowledge and behaviour of patients prescribed angiotensin-converting enzyme inhibitors (ACEi) or angiotensin II receptor blockers.
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Secondary ID [1]
307778
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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
This RCT is based on the feasibility trial ACTRN12621000574842
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Health condition
Health condition(s) or problem(s) studied:
Renal impairment
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Health Literacy
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Condition category
Condition code
Renal and Urogenital
324481
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0
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Kidney disease
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Public Health
324482
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention group patients will be emailed a link to a webpage containing a downloadable PDF and a fully accessible online interactive learning activity. Both the PDF and interactive learning activity have been designed specifically for this project. The single A4 page PDF provides background information about the potential drug interactions and effect on the kidneys, as well as advice about avoiding non-steroidal anti-inflammatory medication. Participants can download and print this information if they would like. The interactive learning activity provides more detailed information about the potential harms associated with non-steroidal anti-inflammatory medication, and potential drug interactions. There are self-marking quizzes to reinforce learning for each short module. Participants will complete 4 modules in the online learning activity, which takes about 10-15 minutes to complete in total. Participants can access the online learning activity as many times as they like during the two week study period. Administration of the intervention will occur by automatic email at time of randomisation. Use of the intervention will be assessed by self-report in the follow-up survey.
The intervention group will also receive usual general practice care from their own primary care team. Usual general practice care means patients can contact their general practice as often as they like during normal business hours to speak with a healthcare provider, have a clinical appointment, receive advice or any clinical treatment deemed necessary, or be referred on for secondary care if required.
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Intervention code [1]
324241
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Treatment: Other
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Comparator / control treatment
Control treatment will receive usual general practice care from their own primary care team.
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Control group
Active
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Outcomes
Primary outcome [1]
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Participant knowledge regarding the risk of NSAIDs will be assessed by a study-specific questionnaire.
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Assessment method [1]
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Timepoint [1]
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Baseline for all participants, and at 2 weeks post-randomisation for both the intervention and control groups
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Secondary outcome [1]
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Self-reported behaviour change regarding personal NSAID use will be assessed by a study-specific questionnaire
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Assessment method [1]
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Timepoint [1]
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Baseline for all participants, and at 2 weeks post-randomisation for both the intervention and control groups
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Eligibility
Key inclusion criteria
1. Must be prescribed an angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers, PLUS a diuretic in the past 3 months
2. Must be a registered patient at a general practice in Aotearoa New Zealand
3. Have signed up to receive emails from Conporto Health Ltd
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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
1. Do not take the prerequisite medication
2. Do not complete the consent process
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Study design
Purpose of the study
Educational / counselling / training
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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)
Randomisation will occur centrally using the randomisation module in REDCap survey software using a randomisation schedule uploaded prior to the commencement of the study. Each patient will be randomised once they consent to participate in the study.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A simple randomisation schedule will be developed using Stata statistical software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Linear mixed models will be used to compare the changes in the mean score on the NSAID knowledge questionnaire and self-reported NSAID use between the two arms. All parameters will be analysed by demographic characteristics including gender, age and ethnicity
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
19/09/2022
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Actual
30/10/2022
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Date of last participant enrolment
Anticipated
17/10/2022
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Actual
18/12/2022
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Date of last data collection
Anticipated
31/10/2022
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Actual
27/01/2023
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Sample size
Target
200
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Accrual to date
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Final
408
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
24955
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Otago
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Address [1]
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University of Otago
362 Leith Street, Dunedin 9016
New Zealand
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Country [1]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
University of Otago
Department of General Practice and Rural Health
55 Hanover street
Dunedin 9016
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Sharon Leitch
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Address [1]
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University of Otago
Department of General Practice and Rural Health
55 Hanover street
Dunedin 9016
New Zealand
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Country [1]
313553
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Otago Human Ethics Committee
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Ethics committee address [1]
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Human Ethics Committee University of Otago 362 Leith Street, Dunedin 9016 New Zealand
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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14/02/2022
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Approval date [1]
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28/02/2022
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Ethics approval number [1]
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H22/027
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Summary
Brief summary
Non-steroidal anti-inflammatory drugs (NSAIDs) are a common cause of renal damage. The risk of renal injury dramatically increases when NSAIDs are taken together with angiotensin-converting enzyme inhibitors (ACEi) or angiotensin II receptor blockers (ARBs) plus a diuretic– this is known as the “triple whammy” combination. Co-prescribing of these medications is still common in New Zealand, and patients can easily buy NSAIDs independently of their doctor. Providing information directly to patients may help address some of those issues. We have developed patient educational material including a printable information sheet, a webpage and an online learning activity with collaborative input from patients, GPs, pharmacists, and a patient education provider. These resources aim to inform patients about their elevated risk of harm from NSAIDs, and discourage them from using over-the-counter NSAIDs. We have tested this material in a feasibility trial (ACTRN12621000574842). A randomised controlled trial is now planned to examine the effect of giving patients at-risk harm from the “triple whammy” (because of the combination of long-term medications they are prescribed) this information directly, without needing their health care practitioners to provide it.
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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 Sharon Leitch
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Address
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University of Otago
Department of General Practice and Rural Health
55 Hanover street
Dunedin 9016
New Zealand
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Country
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New Zealand
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Phone
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+64 212619996
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sharon Leitch
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Address
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University of Otago
Department of General Practice and Rural Health
55 Hanover street
Dunedin 9016
New Zealand
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Country
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New Zealand
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Phone
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+64 212619996
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sharon Leitch
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Address
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University of Otago
Department of General Practice and Rural Health
55 Hanover street
Dunedin 9016
New Zealand
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Country
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New Zealand
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Phone
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+64 212619996
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Fax
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Email
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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)?
Yes
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What data in particular will be shared?
All of the individual participant data collected during the trial, after de-identification
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When will data be available (start and end dates)?
Immediately following publication, no end date
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Available to whom?
Anyone who wishes to access it who provide a methodologically sound proposal
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Available for what types of analyses?
To achieve the aims of the approved proposal
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How or where can data be obtained?
Access subject to approval by Principal Investigator. Email
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
16912
Study protocol
[email protected]
16913
Ethical approval
[email protected]
16914
Informed consent form
[email protected]
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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