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Trial registered on ANZCTR
Registration number
ACTRN12606000392561
Ethics application status
Approved
Date submitted
31/08/2006
Date registered
5/09/2006
Date last updated
21/10/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Opioid and ventilatory control during sleep
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Scientific title
Effect of morphine on arousal and ventilatory responses to hypoxia and hypercapnia during sleep on healthy men
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Secondary ID [1]
283425
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NIL
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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:
Healthy volunteers
1358
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Condition category
Condition code
Blood
1450
1450
0
0
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
We planned to test 11 healthy men on 4 randomly assigned nights including two active nights and two control nights. There will be at least one week interval between any two nights. Overnight polysomnography will be recorded for all the 4 nights. In the two active nights, 30mg controlled-release oral morphine (MS Contin) will be given to each subject 4 hours before sleep. Upper airway resistance will be measured prior to the first active night sleep and prior to the matching control night sleep. Arousal and ventilatory response tests are not performed during the sleep of the first active night nor on the matching control night. During the second active night and its matching control night, arousal and ventilatory responses to hypoxia and hypercapnia during stage 2 sleep (stable sleep) would be tested.
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Intervention code [1]
1341
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Treatment: Drugs
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Comparator / control treatment
Two control nights
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Control group
Active
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Outcomes
Primary outcome [1]
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Arousal and ventilatory responses to hypoxia and hypercapnia during sleep
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Assessment method [1]
2000
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Timepoint [1]
2000
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The responses would be tested during the second active night and its matching control night. During the 2 nights, the responses would be tested once for hypoxia and once for hypercapnia during stage 2 sleep (stable sleep).
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Secondary outcome [1]
3467
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Sleep-disordered breathing and Upper airway resistance
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Assessment method [1]
3467
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Timepoint [1]
3467
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Upper airway resistance would be tested just before bed time on the first active night and its matching control night.
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Secondary outcome [2]
3468
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Sleep-disordered breathing would be tested continuously throughout that two nights.
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Assessment method [2]
3468
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Timepoint [2]
3468
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Monitored continuously throughout the 2 study nights
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Eligibility
Key inclusion criteria
BMI<30 kg/m2.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. History of drug abuse. 2. History of symptomatic or known sleep apnea, heavy snoring, shift work sleep disorder or other sleep disorder. 3. Chronic insomnia and/or chronic pain for more than 6 months. 4. History of severe physiological or psychological illness. 5. Subjects with current physical complaints (such as flu or rhinitis) will not be included until symptoms are clear for a week.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
15/01/2007
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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
11
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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]
1587
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Other
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Name [1]
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Woolcock Institute of Medical Research
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Address [1]
1587
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431 Glebe Point Rd, Glebe, NSW 2037
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Country [1]
1587
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Australia
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Primary sponsor type
Other
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Name
Woolcock Institute of Medical Research
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Address
431 Glebe Point Rd, Glebe, NSW 2037
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Country
Australia
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Secondary sponsor category [1]
1394
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None
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Name [1]
1394
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Nil
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Address [1]
1394
0
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Country [1]
1394
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290066
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SSWAHS Ethics Review Committee
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Ethics committee address [1]
290066
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Level 8, Building 14, RPAH, Camperdown, 2050, NSW
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Ethics committee country [1]
290066
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Australia
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Date submitted for ethics approval [1]
290066
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Approval date [1]
290066
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13/11/2006
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Ethics approval number [1]
290066
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x06 0217
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Summary
Brief summary
Opioids are commonly used for acute and chronic pain management and as an adjunct to anaesthesia. Prescribed opioid-related deaths account for most of non-illicit drug poisoning deaths in America. Death from opioids is nearly always due to respiratory arrest. However, no study has assessed opioid effects on neural-chemical control of breathing during sleep, when respiratory drives are already naturally blunted and protective voluntary breathing is not possible. The present study may meet this gap in knowledge. In addition, this study may reveal whether the potential abnormalities in neural-chemical drive may progress to sleep-disordered breathing.
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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
27948
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Dr Dr David Wang
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Address
27948
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Centre for Respiratory Failure and Sleep Disorders, Level E11 Royal Prince Alfred Hospital Missenden Rd Camperdown NSW 2050
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Country
27948
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Australia
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Phone
27948
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+61 2 91140446
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Fax
27948
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Email
27948
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[email protected]
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Contact person for public queries
Name
10530
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Sarah Newton-John
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Address
10530
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PO Box M77
Missenden Road
Camperdown NSW 2050
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Country
10530
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Australia
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Phone
10530
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+61 2 95156578
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Fax
10530
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+61 2 95505865
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Email
10530
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[email protected]
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Contact person for scientific queries
Name
1458
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David Wang
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Address
1458
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Centre for Respiratory Failure and Sleep Disorders
Level E11
Royal Prince Alfred Hospital
Missenden Rd
Camperdown NSW 2050
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Country
1458
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Australia
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Phone
1458
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+61 2 95155048
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Fax
1458
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+61 2 95157196
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Email
1458
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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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