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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00911391
Registration number
NCT00911391
Ethics application status
Date submitted
28/05/2009
Date registered
1/06/2009
Date last updated
29/11/2011
Titles & IDs
Public title
Randomised Trial of Doppler-Optimised Fluid Balance in Elective Colectomy
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Scientific title
Prospective, Double-Blinded, Randomised Controlled Trial of Doppler-Optimised Fluid Balance in Elective Colectomy Within an ERAS Protocol
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Secondary ID [1]
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GDFT RCT
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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:
Colorectal Cancer
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Colectomy
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Surgery
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Perioperative Care
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Condition category
Condition code
Cancer
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Bowel - Back passage (rectum) or large bowel (colon)
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Oesophageal Doppler
Treatment: Surgery - Intraoperative fluid restriction
Active comparator: Fluid restriction - Current best practice of intraoperative fluid restriction
Experimental: Oesophageal Doppler - Oesophageal Doppler-guided fluid administration
Treatment: Devices: Oesophageal Doppler
Non-invasive measurement of doppler-derived cardiovascular variables (CO, aortic flow rate). Used safely over 800, 000 times
Treatment: Surgery: Intraoperative fluid restriction
Current best practice of avoiding fluid overload by intraoperative fluid restriction
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Intervention code [1]
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Treatment: Devices
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Intervention code [2]
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Treatment: Surgery
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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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Post-operative functional recovery
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Assessment method [1]
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Timepoint [1]
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7 day
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Secondary outcome [1]
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Perioperative Complications
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Assessment method [1]
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As defined using trial by Buzby et al Am J Nutr 1989 and graded according to Clavien-Dindo classification
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Timepoint [1]
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30 day
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Eligibility
Key inclusion criteria
* consecutive patients undergoing open/ laparoscopic colonic resection at Manukau surgical Centre (MSC)or North Shore Hospital, Auckland.
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Minimum age
18
Years
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Maximum age
90
Years
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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
* severe oesophageal disease
* recent oesophageal or upper airway surgery
* moderate or severe aortic valve disease as proven by echocardiogram
* documented bleeding diathesis
* preoperative steroid use
* cognitive impairment
* ASA>3
* patient choice.
* rectal tumour (defined as less an 15cm from anal verge on preop investigations)
* creation of stoma
* difficulty in obtaining reliable measurements from ODM
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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
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
1/11/2009
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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
1/10/2011
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Sample size
Target
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Accrual to date
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Final
85
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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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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Counties Manukau Health
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Address [1]
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Other collaborator category [2]
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Government body
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Name [2]
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Waitemata District Health Board
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Perioperative fluid management has been historically dictated by outdated, contradictory concepts. Excessive or inadequate fluid administration around surgery is deleterious and hence goal-directed fluid therapy using Oesophageal Doppler-derived cardiac indices is preferable to optimize tissue perfusion. Previous studies in this area have been hampered by lack of standardization in other aspects of perioperative care and none have explored the impact of individualized fluid therapy on post-operative fatigue.The investigators proposed a study involving 80 patients having open/ laparoscopic colonic surgery to investigate the effect of Oesophageal Doppler guided fluid administration intraoperatively compared to current best practice of fluid restriction. The investigators have an optimized peri-operative care pathway established at the Manukau Surgical Centre (MSC), Middlemore Hospital. All patients will be cared for under the Enhanced Recovery After Surgery (ERAS) multimodal care plan therefore ensuring that all other aspects of care besides intraoperative fluid administration remain homogenous. Outcomes will include post-operative recovery, clinical outcomes as well as physiological data with follow-up to 30 days.
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Trial website
https://clinicaltrials.gov/study/NCT00911391
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Trial related presentations / publications
Srinivasa S, Taylor MH, Singh PP, Yu TC, Soop M, Hill AG. Randomized clinical trial of goal-directed fluid therapy within an enhanced recovery protocol for elective colectomy. Br J Surg. 2013 Jan;100(1):66-74. doi: 10.1002/bjs.8940. Epub 2012 Nov 6.
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Public notes
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Contacts
Principal investigator
Name
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Andrew G Hill, MBChB MD FRACS
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Address
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South Auckland Clinical School, University of Auckland
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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/NCT00911391
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