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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01846247
Registration number
NCT01846247
Ethics application status
Date submitted
30/04/2013
Date registered
3/05/2013
Date last updated
15/04/2015
Titles & IDs
Public title
A Very Early Rehabilitation Trial
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Scientific title
A Phase 3, Multicentre, Randomised Controlled Trial of Very Early Rehabilitation After Stroke.
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Secondary ID [1]
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ACTRN12606000185561
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Secondary ID [2]
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version3 25April08
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Universal Trial Number (UTN)
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Trial acronym
AVERT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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Condition category
Condition code
Stroke
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Haemorrhagic
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Stroke
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Other interventions - Standard Care + VEM
Placebo comparator: Standard Care - Standard stroke unit rehabilitation care
Experimental: Standard Care + VEM - Standard stroke unit rehabilitation care in addition to a very early rehabilitation protocol
Other interventions: Standard Care + VEM
Patient will receive standard stroke unit care with earlier and additional physiotherapy and nursing sessions as per an intervention protocol.
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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modified Rankin Score
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Assessment method [1]
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Favorable outcome (0-2) modified Rankin Score
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Timepoint [1]
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3 months
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Secondary outcome [1]
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Safety. Death rate and severity of important medical events
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Assessment method [1]
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Important medical events (stroke progression, recurrent stroke, falls, angina, myocardial infarction, deep vein thrombosis, pulmonary emboli, pressure sores, chest infections, urinary tract infections, depression) at 3 months.
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Timepoint [1]
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up until 3 months
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Secondary outcome [2]
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Time to unassisted walking over 50 meters and the proportion achieving unassisted walking
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Assessment method [2]
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Achieves walking independently or with supervision over 50 meters
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Timepoint [2]
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3 Months
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Secondary outcome [3]
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modified Rankin Score
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Assessment method [3]
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Assumption free ordinal approach
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Timepoint [3]
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3 months
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Secondary outcome [4]
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Health related Quality of life
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Assessment method [4]
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AQoL
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Timepoint [4]
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12 months
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Secondary outcome [5]
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Cost effectiveness and cost utility
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Assessment method [5]
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comprehensive questionaire
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Timepoint [5]
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12 months
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Eligibility
Key inclusion criteria
* Informed consent
* Clinical diagnosis of first or recurrent stroke, hemorrhage or infarct.
* Recruited within 24 hours of onset of stroke symptoms
* Admission in a stroke care unit
* Consciousness: At a minimum patient must at least react to verbal commands.
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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
* pre stroke mRS of 3,4 or 5
* Deterioration in patients condition resulting in direct admission to ICU, decision to palliate or surgery.
* Concurrent diagnosis of rapidly deteriorating disease
* Unstable coronary or other medical condition that is judged by the investigator to impose a hazard to the patient by involvement
* Patients unable to be mobilized within 24 hours of onset. (eg bed rest policy post tPA, lower limb fracture)
* Other interventional trials
* Systolic BP less than 110 or greater than 220mmHg
* Oxygen saturation of less than 92 % with supplementation
* Resting heart rate of less than 40 or greater than 110 beats per minute
* Temperature of greater than 38.5 degrees C
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/06/2006
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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
1/01/2015
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Sample size
Target
2014
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Florey Institute for Neuroscience and Mental health - Melbourne
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Recruitment postcode(s) [1]
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3084 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Neuroscience Trials Australia
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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Singhealth Foundation
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Chest, Heart and Stroke Association Scotland
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Northern Ireland Chest Heart and Stroke
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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The Stroke Association - UK
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Address [4]
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Country [4]
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Other collaborator category [5]
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Government body
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Name [5]
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National Institute for Health Research, United Kingdom
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Address [5]
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Country [5]
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Ethics approval
Ethics application status
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Summary
Brief summary
Phase 3, multicenter, international randomized controlled trial of a Very Early Mobilization(VEM) care rehabilitation protocol compared to standard post stroke care (SC). Participants receive either SC and VEM or SC alone in the acute phase of stroke up to a period of 14 days. Participants are followed up by a blinded assessor at 3 and 12 months post stroke to determine trial outcomes.
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Trial website
https://clinicaltrials.gov/study/NCT01846247
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Trial related presentations / publications
Saunders DH, Mead GE, Fitzsimons C, Kelly P, van Wijck F, Verschuren O, Backx K, English C. Interventions for reducing sedentary behaviour in people with stroke. Cochrane Database Syst Rev. 2021 Jun 29;6(6):CD012996. doi: 10.1002/14651858.CD012996.pub2. Sheppard L, Dewey H, Bernhardt J, Collier JM, Ellery F, Churilov L, Tay-Teo K, Wu O, Moodie M; AVERT Trial Collaboration Group. Economic Evaluation Plan (EEP) for A Very Early Rehabilitation Trial (AVERT): An international trial to compare the costs and cost-effectiveness of commencing out of bed standing and walking training (very early mobilization) within 24 h of stroke onset with usual stroke unit care. Int J Stroke. 2016 Jun;11(4):492-4. doi: 10.1177/1747493016632254. Epub 2016 Mar 2. Bernhardt J, Raffelt A, Churilov L, Lindley RI, Speare S, Ancliffe J, Katijjahbe MA, Hameed S, Lennon S, McRae A, Tan D, Quiney J, Williamson HC, Collier J, Dewey HM, Donnan GA, Langhorne P, Thrift AG; AVERT Trialists' Collaboration. Exploring threats to generalisability in a large international rehabilitation trial (AVERT). BMJ Open. 2015 Aug 17;5(8):e008378. doi: 10.1136/bmjopen-2015-008378.
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Public notes
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Contacts
Principal investigator
Name
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Julie Bernhardt, PhD
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Address
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The Florey Institute of Neuroscience and Mental Health
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01846247
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