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Trial registered on ANZCTR
Registration number
ACTRN12605000342617
Ethics application status
Approved
Date submitted
6/09/2005
Date registered
9/09/2005
Date last updated
9/09/2005
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of two different doses of paracetamol for post-operative pain relief
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Scientific title
Comparison of two different doses of paracetamol for post-operative pain relief
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Secondary ID [1]
144
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Comparison of two different doses of paracetamol for post-operative pain relief
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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:
Fit ASA 1-2 adult patients
435
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Condition category
Condition code
Alternative and Complementary Medicine
507
507
0
0
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Spiritual care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cross over trail with 60 mg/kg or 90 mg/kg of paracetamol.
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Intervention code [1]
370
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Treatment: Drugs
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Comparator / control treatment
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
578
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Pain relief
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Assessment method [1]
578
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Timepoint [1]
578
0
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Secondary outcome [1]
1233
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Blood levels (pharmacokinetics)
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Assessment method [1]
1233
0
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Timepoint [1]
1233
0
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Secondary outcome [2]
1234
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Metabolism of paracetamol
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Assessment method [2]
1234
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Timepoint [2]
1234
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Eligibility
Key inclusion criteria
(ASA 1-2) with bilaterally impacted 3rd molar teeth are included.
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Minimum age
18
Years
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Maximum age
Not stated
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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
Pregnant patients, patients with liver disease, children.
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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)
Drugs were available in sealed brown paper bags (with patient's number, name and weight written on it), which were opened immediately prior to operation on the first side. Each bag contained 2 bottles labelled with the name of patient, weight of the patients and operation sequence (first operation side or second operation side). Each bottle contained same number of indistinguishable capsules. Randomisation, allocation concealment and blinding were done by the pharmacy which made up the sealed brown paper bags with name of patient written on its outside, to be collected by one of the researchers the day before the trial on a patient. Investigators and patients were blinded to the treatment allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomised in blocks using random number generator in Excel.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
Placebo capsules along with active capsules (indistingushable)
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Phase
Phase 4
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/01/2005
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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
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Actual
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Sample size
Target
18
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
170
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New Zealand
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State/province [1]
170
0
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Funding & Sponsors
Funding source category [1]
569
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Other Collaborative groups
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Name [1]
569
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Australina & New Zealand College of Anaesthetists
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Address [1]
569
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Country [1]
569
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Primary sponsor type
Other Collaborative groups
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Name
ANZCA
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Address
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Country
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Secondary sponsor category [1]
461
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Hospital
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Name [1]
461
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Dept of Anaesthesia, Dunedin Hospital
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Address [1]
461
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Dunedin
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Country [1]
461
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1592
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Otago Ethics Committee (Lower South Island Ethics Committee)
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Ethics committee address [1]
1592
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Ethics committee country [1]
1592
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New Zealand
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Date submitted for ethics approval [1]
1592
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Approval date [1]
1592
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Ethics approval number [1]
1592
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Summary
Brief summary
Paracetamol is commonly used to reduce pain after operations. Recently anaesthetists have been using bigger doses of paracetamol because it has been suggested that bigger doses will work better. However these bigger doses have never been assessed scientifically in adult patients to see if they work better, and it has not been determined at which dose the maximum effect in reducing pain occurs. We will investigate whether a 90 mg per kg body weight dose works better than a 60 mg per kilogram dose, in reducing pain after wisdom tooth extraction. We will also examine the pharmacokinetics (the way the body removes the drug) of paracetamol, and whether paracetamol changes the way blood clots at these doses. We will also examine whether these doses are safe, by monitoring liver enzymes, and making sure the blood level of paracetamol is not greater than that previously recognised to cause liver disease. The patients will be healthy volunteers scheduled to have wisdom tooth extraction. They will have blood taken at intervals for four hours after having the paracetamol. They will fill in pain scores at the same times they have blood taken.
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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
36377
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Address
36377
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Country
36377
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Phone
36377
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Fax
36377
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Email
36377
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Contact person for public queries
Name
9559
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Dr Mathew Zacharias
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Address
9559
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Department of Anaesthesia and Intensive Care
Dunedin Hosptial
Dunedin Otago 913
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Country
9559
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New Zealand
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Phone
9559
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+64 3 4740999
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Fax
9559
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+64 3 4747650
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Email
9559
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[email protected]
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Contact person for scientific queries
Name
487
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Dr Mathew Zacharias
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Address
487
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Department of Anaesthesia and Intensive Care
Dunedin Hosptial
Dunedin Otago 913
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Country
487
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New Zealand
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Phone
487
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+64 3 4740999
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Fax
487
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+64 3 4747650
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Email
487
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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