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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02290327
Registration number
NCT02290327
Ethics application status
Date submitted
31/10/2014
Date registered
14/11/2014
Date last updated
8/02/2016
Titles & IDs
Public title
Re-Evaluating the Inhibition of Stress Erosions: Gastrointestinal Bleeding Prophylaxis In ICU
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Scientific title
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Secondary ID [1]
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REV-06MAR14
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Universal Trial Number (UTN)
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Trial acronym
REVISE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stress Ulcer Prophylaxis
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Pantoprazole
Treatment: Drugs - Placebo
Placebo comparator: Placebo - 50 ml of 0.9% Normal Saline Intravenously once daily
Active comparator: Pantoprazole - Pantoprazole 40 mg in 50 ml 0.9% Normal Saline Intravenously once daily
Treatment: Drugs: Pantoprazole
Proton pump inhibitor
Treatment: Drugs: Placebo
50 ml of 0.9% normal saline
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Intervention code [1]
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Treatment: Drugs
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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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Consent Rate
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Assessment method [1]
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This will be calculated as the overall proportion of consented patients of those substitute decision makers (SDMs) approached (with 95% CI).
A successful consent rate will be defined as =70% of SDMs approached to consent.
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Timepoint [1]
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12 months
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Primary outcome [2]
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Recruitment Rate
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Assessment method [2]
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A successful recruitment rate will be defined as achieving enrolment of 90 patients, conventionally expressed as 2 patients per center per month over 12 months.
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Timepoint [2]
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12 months
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Primary outcome [3]
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Protocol Adherence
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Assessment method [3]
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This will be calculated as doses of study drug administered as a proportion of doses prescribed and associated 95% confidence intervals.
A successful adherence will be defined as =80% of prescribed drugs being administered.
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Timepoint [3]
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12 months
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Secondary outcome [1]
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Clinically important upper gastrointestinal bleeding
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Assessment method [1]
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Timepoint [1]
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During ICU stay (expected average is 10 days)
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Secondary outcome [2]
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Ventilator associated pneumonia
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Assessment method [2]
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Timepoint [2]
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During ICU stay (expected average is 10 days)
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Secondary outcome [3]
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Mortality
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Assessment method [3]
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Timepoint [3]
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During ICU and hospital stay (expected average ICU stay is 10 days, expected average hospital stay is 30 days)
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Secondary outcome [4]
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Clostridium Difficile infection
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Assessment method [4]
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Timepoint [4]
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During ICU stay (expected average ICU stay is 10 days)
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Eligibility
Key inclusion criteria
1. Adults = 18 years
2. Anticipated invasive mechanical ventilation of =48 hours, determined by the intensivist
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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. Invasive mechanical ventilation >72 hours before randomization.
2. Patients who must receive PPI due to active bleeding or increased bleeding risk (e.g., patients with acute GI bleeding, recent severe esophagitis, Zollinger Ellison syndrome, Barrett's esophagus, peptic ulcer bleeding within 8 weeks [mild dyspepsia or mild gastroesophageal reflex disease will not be excluded])
3. Receiving dual antiplatelet therapy aspirin and clopidogrel prior to randomization
4. Palliative care or decision to withdraw advanced life support (patients with a decision to forgo cardiopulmonary resuscitation will not be excluded)
5. Previous enrolment in this or a related trial
6. Pregnancy
7. Physician, patient, or substitute decision maker (SDM) declines
8. Two or more 'daily doses' of prophylaxis with H2RA or PPI (one day of a single PPI dose is not an exclusion criterion if once daily dosing of PPI prophylaxis was administered; one day of bid [twice daily] dosing of an H2RA is not an exclusion criterion if twice daily H2RA prophylaxis was administered; one day of tid [thrice daily] dosing of an H2RA is not an exclusion criterion if thrice daily H2RA prophylaxis was administered).
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Study design
Purpose of the study
Prevention
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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
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 3
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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
1/05/2015
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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
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Accrual to date
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Final
91
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Royal Adelaide - Adelaide
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Nova Scotia
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Country [2]
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Canada
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State/province [2]
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Ontario
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Country [3]
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Saudi Arabia
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State/province [3]
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Eastern Province
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Funding & Sponsors
Primary sponsor type
Other
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Name
McMaster University
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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The Physicians' Services Incorporated Foundation
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of the this Pilot Trial is to determine the feasibility of conducting a large randomized controlled trial (RCT), that aims to examine the efficacy and safety of using pantoprazole compared to placebo for stress ulcer prophylaxis in critically ill mechanically ventilated patients in the ICU.
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Trial website
https://clinicaltrials.gov/study/NCT02290327
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Trial related presentations / publications
Alhazzani W, Guyatt G, Marshall JC, Hall R, Muscedere J, Lauzier F, Thabane L, Alshahrani M, English SW, Arabi YM, Deane AM, Karachi T, Rochwerg B, Finfer S, Daneman N, Zytaruk N, Heel-Ansdell D, Cook D, Of OB. Re-evaluating the Inhibition of Stress Erosions (REVISE): a protocol for pilot randomized controlled trial. Ann Saudi Med. 2016 Nov-Dec;36(6):427-433. doi: 10.5144/0256-4947.2016.427.
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Public notes
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Contacts
Principal investigator
Name
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Waleed Alhazzani, MD,FRCPC,MSc
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Address
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McMaster University
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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/NCT02290327
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