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Trial registered on ANZCTR
Registration number
ACTRN12624000384550
Ethics application status
Approved
Date submitted
8/03/2024
Date registered
3/04/2024
Date last updated
1/09/2024
Date data sharing statement initially provided
3/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A pilot single-centre double-blind randomised controlled trial of the effect of centhaquine on stroke volume in the treatment of vasodilatory hypotension in adults admitted to the intensive care unit
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Scientific title
A pilot single-centre double-blind randomised controlled trial of centhaquine in the treatment of vasodilatory hypotension in adults admitted to the intensive care unit
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Secondary ID [1]
311648
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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:
hypotension
333155
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Condition category
Condition code
Cardiovascular
329853
329853
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Centhaquine is to be administered at a dose of 0.01 mg/kg body weight as an Intravenous infusion over 1 hour in 100 ml 0.9% sodium chloride (NaCl) with adherence to the intervention performed via electronic medical record review.
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Intervention code [1]
328156
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Treatment: Drugs
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Comparator / control treatment
An intravenous infusion over 1 hour in 100 ml 0.9% sodium chloride (NaCl).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Stroke volume
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Assessment method [1]
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milliliter as measured by pulse-contour analysis
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Timepoint [1]
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Recorded every hour over the six hours after initiation of the study infusion as recorded in the patient's medical record
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Secondary outcome [1]
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Central venous pressure
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Assessment method [1]
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Millimeters of Mercury (mm Hg) as measured via central venous catheter
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Timepoint [1]
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Recorded every hour over the six hours after initiation of the study infusion as recorded in the patient's medical record
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Secondary outcome [2]
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Mean arterial blood pressure
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Assessment method [2]
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Millimeters of Mercury (mm Hg) as measured via intra-arterial catheter
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Timepoint [2]
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Recorded every hour over the six hours after initiation of the study infusion as recorded in the patient's medical record
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Secondary outcome [3]
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Total dose equivalents of administered vasopressor agents
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Assessment method [3]
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total dose equivalents obtained from the electronic medical record
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Timepoint [3]
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Recorded every hour over the six hours after initiation of the study infusion as recorded in the patient's medical record
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Secondary outcome [4]
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Length of stay in the intensive care unit
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Assessment method [4]
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Days obtained from the electronic medical record
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Timepoint [4]
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Upon discharge from the ICU or death, whichever occurs first
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Secondary outcome [5]
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Length of stay in hospital
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Assessment method [5]
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Days obtained from the electronic medical record
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Timepoint [5]
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Upon discharge from the hospital or death, whichever occurs first
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Secondary outcome [6]
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Mortality
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Assessment method [6]
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Yes or No
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Timepoint [6]
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Upon discharge from the hospital or death, whichever occurs first
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Eligibility
Key inclusion criteria
Adults aged equal to or greater than 18 years
Vasopressor dependent hypotension (vasopressor therapy to maintain a mean arterial pressure greater than 65 mmHg)
Cardiac index > 2.3 litres per minute per meters squared or central venous oxygen saturation > 70 percent
Central venous access and an arterial line present
Expected to require vasopressor support for at least 24 hours
Informed consent provided by the patient or medical treatment decision maker
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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
Cardiac surgery patients
Suspected cardiogenic shock
Greater than 24 hours continuous vasoactive therapy prior to enrolment
Chronic haemodialysis or peritoneal dialysis
Expected survival less than 24 hours
Suspected or confirmed pregnancy
Previously enrolled into the this trial
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Study design
Purpose of the study
Treatment
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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)
central randomisation by phone/fax/computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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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 administering 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
Efficacy
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Statistical methods / analysis
Statistical analysis will be performed using computerised software (Stata MP/16.0, StataCorp, College Station, Texas, USA). Baseline characteristics will be reported as frequencies and percentages, means with standard deviation, or medians and interquartile ranges. Summary statistics to compare baseline characteristics will include t-test, chi square test, and Wilcoxon rank sum test, as dictated by data type. The primary outcome will be reported using multivariable mixed effects linear regression models. Secondary outcomes will be explored using multivariable linear regression models for continuous outcomes and logistic regression models for binary outcomes. No imputation will be performed for missing data. A two-sided p-value <0.05 will be considered significant.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
7/10/2024
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Actual
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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
29/08/2025
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Actual
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Sample size
Target
18
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Accrual to date
0
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
26244
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
42212
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Austin Hospital
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
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Country
Australia
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Secondary sponsor category [1]
318117
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Individual
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Name [1]
318117
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Dr Heidi Gaulke
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Address [1]
318117
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Country [1]
318117
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314797
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
314797
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https://www.austin.org.au/Office-for-Research/
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Ethics committee country [1]
314797
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Australia
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Date submitted for ethics approval [1]
314797
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22/03/2024
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Approval date [1]
314797
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23/08/2024
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Ethics approval number [1]
314797
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Summary
Brief summary
Current pharmacotherapy options of haemodynamic support in critically ill patients with vasodilatory hypotension are limited. Centhaquine is a novel agent that has a dual action on the sympathetic system and may helped in the management of hypotensive states. We hypothesise that, compared to placebo, centhaquine will be associated with higher stroke volume, higher central venous pressure, higher mean arterial pressure, and lower vasopressor agent use over six hours after initiation of the study infusion. We plan to enrol 18 adult patients.
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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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Prof Rinaldo Bellomo
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Address
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Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+61 394965992
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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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Rinaldo Bellomo
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Address
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Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+61 394965992
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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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Rinaldo Bellomo
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Address
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Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084
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Country
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Australia
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Phone
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+61 394965992
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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)?
No
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No/undecided IPD sharing reason/comment
Hypothesis-generating clinical trial
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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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