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Trial registered on ANZCTR
Registration number
ACTRN12605000052639
Ethics application status
Approved
Date submitted
27/07/2005
Date registered
29/07/2005
Date last updated
29/07/2005
Type of registration
Retrospectively registered
Titles & IDs
Public title
Headaches after lumbar puncture
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Scientific title
The frequency and functional impact of post lumbar puncture headache in children with cancer: a randomised cross over trial of 22 gauge versus 25 gauge lumbar puncture needles.
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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:
Post lumbar puncture headache in children receiving treatment for cancer requiring general anaesthesia.
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Condition category
Condition code
Cancer
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Children's - Brain
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a double blind, randomised crossover trial. A single experienced doctor will perform all of the lumbar punctures (LP) under general anaesthesia. A standard LP needle (PORTLAND) will be used. Orientation of the bevel will be parallel to the long axis of the dural fibres. The doctor cannot be blinded to the needle type. All children will be given a sequence of 4 LP's during their treatment for cancer. Twice with each of the 22g and 25g LP needles. Following each procedure, parents will be given a 1 page questionnaire by the RA. The same RA will phone interview them on days 1, 3, and 7 with the same questions. On day 7 more detailed questions will be asked if the patient experiences any headache. These questions will look into issues such as, timing of headache, analgesia required and functional impact on the family.
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Intervention code [1]
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Diagnosis / Prognosis
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Comparator / control treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Presence or absence of headache with postural characteristics as reported by parents
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Assessment method [1]
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Timepoint [1]
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On days 1, 3 and 7.
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Primary outcome [2]
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Presence or absence of headache with postural characteristics when using 22g needle versus 25g needle
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Assessment method [2]
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Timepoint [2]
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Measured by log linear modelling or generalised estimating equation (GEE) at project conclusion by professional services.
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Primary outcome [3]
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Functional impact on family
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Assessment method [3]
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Timepoint [3]
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Data provided via phone interview at day 7.
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Primary outcome [4]
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Reduction in function impact if 25g needle is used
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Assessment method [4]
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Timepoint [4]
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Phone interview at day 7.
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Primary outcome [5]
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Time of procedure, needle insertion and removal from skin
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Assessment method [5]
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Timepoint [5]
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Timed with a stop watch by an anaesthesia technician in the operating theatre.
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Secondary outcome [1]
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Presence or absence of any headache
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Assessment method [1]
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Timepoint [1]
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Reported by parents at days 1, 3 and 7.
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Secondary outcome [2]
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Presence of headaches from use of 22g and 25g needles.
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Assessment method [2]
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Timepoint [2]
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Outcome to be measured by log linear modelling or GEE at project conclusion by professional services.
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Secondary outcome [3]
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Time required for collection of CSF.
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Assessment method [3]
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Timepoint [3]
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Timed by an anaesthesia technician with stop watch during the lumbar puncture.
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Eligibility
Key inclusion criteria
Children having LP's as standard treatment for malignancies, requiring general anaesthesia, in the day surgery unit.
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Minimum age
4
Years
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Maximum age
15
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
Families requiring interpreters. Patients requiring bone marrow aspirate and trephines on the same day. Unavailability of designated experienced doctor. Patients requiring emergency LP's in other anaesthetising locations.Patients with existing lumbar puncture headaches.
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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)
One large envelope with patient study number, containing four smaller sealed opaque envelopes with study number and procedure A,B,C,D. Research Assistant (RA) provides envelope to proceduralist in order. Needle size concealed from both patient and RA. Staff in theatre are specifically instructed not to discuss needle size allocation with RA or patients.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated block randomisation (using randomly permuted block sizes). This provides optimal design for most purposes.
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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
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
5/03/2005
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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
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Fundraising by researchers
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Address [1]
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Country [1]
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Primary sponsor type
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Name
None
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Address
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Country
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Secondary sponsor category [1]
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None
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Name [1]
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None
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Children's Hospital Ethics Committee
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
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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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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 public queries
Name
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Jenny Fuller
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Address
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Department of Anaesthesia
Royal Children's Hospital
Flemington Road
Parkville Melbourne VIC 3052
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Country
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Australia
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Phone
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+61 3 93455233
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Fax
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+61 3 93456003
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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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Dr Catherine Crock
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Address
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Adolescent Health/Laboratory Service
Royal Children's Hospital
Flemington Road
Parkville Melbourne VIC 3052
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Country
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Australia
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Phone
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+61 3 93455522
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Fax
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+61 3 93491819
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Email
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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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