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Trial registered on ANZCTR
Registration number
ACTRN12607000286448
Ethics application status
Approved
Date submitted
5/10/2005
Date registered
29/05/2007
Date last updated
29/05/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
A double blind randomised control trial on the effects of mirtazapine during the acute withdrawal in patients attending a cannabis dependency program with focus on anxiety, depression and sleep disturbances.
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Scientific title
A double blind randomised control trial on the effects of mirtazapine during the acute withdrawal in patients attending a cannabis dependency program with focus on anxiety, depression and sleep disturbances.
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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:
Cannabis Dependency
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Condition category
Condition code
Mental Health
1919
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0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention: oral mirtazapine 30mg taken daily at night for up to 4 weeks, 4-5 , 1 hour sessions in 4 weeks for structured cognitive-behavioural therapy for cannabis dependency plus sleep diary for the first two weeks.
Monitoring cannabis withdrawal especially sleep disturbance with a sleep diary for the first two weeks.
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Intervention code [1]
697
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Treatment: Drugs
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Comparator / control treatment
Control intervention: 4-5 sessions in 4 weeks of structured cognitive-behavioural therapy for cannabis dependency plus sleep diary for the first two weeks.
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Control group
Active
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Outcomes
Primary outcome [1]
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Cannabis use (self report, urine testing).
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Assessment method [1]
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Timepoint [1]
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Assessed at days 1, 28 and 56
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Primary outcome [2]
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Other drug use (self report, urine testing).
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Assessment method [2]
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Timepoint [2]
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Assessed at days 1, 28 and 57
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Secondary outcome [1]
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Retention in counselling
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Assessment method [1]
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Timepoint [1]
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Over 4 weeks
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Eligibility
Key inclusion criteria
Cannabis dependence.
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Minimum age
16
Years
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Maximum age
69
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
On any antidepressant including mirtazapine; Unstable medical and psychiatric disorder; Pregnant or breastfeeding.
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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)
Sealed envelopes containing group allocation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by selecting a sealed envelope from a box
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Researchers (outcome assessors and data analysts), clinicians and participants were blinded to group allocation
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Phase
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Type of endpoint/s
Efficacy
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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
8/01/2004
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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
72
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Organon
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Address [1]
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Country [1]
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Primary sponsor type
Hospital
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Name
The Langton Centre
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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nil
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Address [1]
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Country [1]
1870
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Langton Centre approved by South Eastern Sydney & Illawarra Area Health Service HREC
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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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21/09/2001
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Ethics approval number [1]
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01/157
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Summary
Brief summary
The wider trial aims to investigate whether the addition of mirtazapine improves the outcome and retention of patients undertaking a cognitive behavioural based intervention for cannabis dependency. In parallel, this project will give specific attention to the effects of mirtazapine on the severity of depression, anxiety and sleep disturbance during the acute withdrawal phase. Hypothesis 1: Participants on active medication will experience milder withdrawal symptoms, (less anxiety, less depression and less symptoms of sleep disturbance) during the acute withdrawal phase from cannabis compared to those on placebo. Hypothesis 2: Participants withdrawing from cannabis will show an improvement in sleep quality and quantity in the withdrawal stage from cannabis use, with symptoms significantly improving in the first 4 weeks post quit day. Hypothesis 3: Mirtazapine leads to improved rate of abstinence following cannabis withdrawal by reducing anxiety, depression & sleep disturbance in the withdrawal phase. Researchers, clinicians and participants were blinded to treatment allocation. A randomisation list was prepared prior to study commencement and kept off site At Sydney Hospital Pharmacy. Randomisation was carried out by the chief pharmacist at Sydney Hospital. As each participant was enrolled, the staff at the Langton Centre faxed Sydney Hospital with patient details and a request for randomisation. Study medication was dispensed by pharmacy staff. All active and placebo medication was identical in appearance and packaging.
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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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Ms. Amie Frewen
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Address
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The Langton Centre
591 South Dowling Street
Surry Hills NSW 2010
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Country
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Australia
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Phone
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+61 2 93328777
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Fax
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+61 2 93328700
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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. Mark Montebello
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Address
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The Langton Centre
591 South Dowling Street
Surry Hills NSW 2010
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Country
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Australia
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Phone
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+61 2 93328777
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Fax
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+61 2 93328700
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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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