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Trial registered on ANZCTR
Registration number
ACTRN12606000503527
Ethics application status
Approved
Date submitted
27/11/2006
Date registered
5/12/2006
Date last updated
26/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of propofol or propofol plus midazolam and/or fentanyl on cognitive impairment following colonoscopy
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Scientific title
The effect of propofol or propofol plus midazolam and/or fentanyl on cognitive impairment following colonoscopy
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Secondary ID [1]
288008
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None
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Secondary ID [2]
288009
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None
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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:
Patients undergoing colonoscopy
1481
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Condition category
Condition code
Other
1575
1575
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
2. Sedation individually titrated for patient requirement for the duration of colonoscopy (10-60 minutes) with variable dose intravenous propofol (50-400 mg) plus variable dose intravenous midazolam (0.5-5 mg) and/or variable dose intravenous fentanyl (10-100 mcg)
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Intervention code [1]
1471
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Prevention
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Comparator / control treatment
1. Sedation individually titrated for patient requirement for the duration of colonoscopy (10-60 minutes) with a variable dose intravenous propofol (50-400 mg)
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Control group
Active
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Outcomes
Primary outcome [1]
2178
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Cognitive impairment
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Assessment method [1]
2178
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Timepoint [1]
2178
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At discharge from colonoscopy suite
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Secondary outcome [1]
3795
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1. Depth of sedation every 5 min during sedation
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Assessment method [1]
3795
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Timepoint [1]
3795
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Every 5 min while patients are sedated during colonoscopy.
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Secondary outcome [2]
3796
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2. Endoscopist satisfaction with intraoperative conditions
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Assessment method [2]
3796
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Timepoint [2]
3796
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Measured at the end of colonoscopy
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Secondary outcome [3]
3797
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3. Complications
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Assessment method [3]
3797
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Timepoint [3]
3797
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Recorded at the end of colonoscopy
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Secondary outcome [4]
3798
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4. Dreaming during sedation
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Assessment method [4]
3798
0
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Timepoint [4]
3798
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Recorded on emergence from sedation
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Eligibility
Key inclusion criteria
Patients who present for elective outpatient colonoscopy, not combined with other procedures and following full bowel preparation.
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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
Patients with cognitive deficits and without adequate English language comprehension.
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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)
Allocation will be concealed in opaque envelopes until after patient consent has been obtained
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by a computer software (ie. computerised sequence generation)
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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
Subjects, endoscopists, post-operative observers and data analysts will be blind to group allocation.
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Phase
Phase 4
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Type of endpoint/s
Pharmacodynamics
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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
1/02/2007
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Actual
6/12/2006
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Date of last participant enrolment
Anticipated
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Actual
22/02/2008
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
1719
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Hospital
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Name [1]
1719
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Royal Melbourne Hospital
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Address [1]
1719
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Grattan St Parkville VIC 3050
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Country [1]
1719
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Australia
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Primary sponsor type
Government body
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Name
Melbourne Health Research Directorate
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Address
Grattan St
Parkville Victoria 3050
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Country
Australia
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Secondary sponsor category [1]
1517
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None
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Name [1]
1517
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Nil
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Address [1]
1517
0
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Country [1]
1517
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3177
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Royal Melbourne Hospital
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Ethics committee address [1]
3177
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Grattan St Parkville VIC 3050
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Ethics committee country [1]
3177
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Australia
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Date submitted for ethics approval [1]
3177
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01/11/2006
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Approval date [1]
3177
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01/02/2007
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Ethics approval number [1]
3177
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2006.228
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Summary
Brief summary
Patients having colonoscopy under sedation may remain sedated for some hours afterwards. This may mean that they cannot return to work inside or outside the home. Our hypothesis is that patients who receive midazolam and fentanyl, as well as propofol, will be more sedated than those who receive propofol alone, at the time of hospital discharge.
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Trial website
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Trial related presentations / publications
Padmanabhan U, LESLIE K, Eer A, Maruff P, Silbert BS. Early cognitive impairment after sedation for colonoscopy: the effect of adding midazolam and/or fentanyl to propofol. Anesth Analg 2009; 109:1448-55
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Public notes
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Contacts
Principal investigator
Name
27405
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Prof Kate Leslie
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Address
27405
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Department of Anaesthesia and Pain Management
Royal Melbourne Hospital
Parkville VIC 3050
Australia
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Country
27405
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Australia
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Phone
27405
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+61-3-93427540
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Fax
27405
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Email
27405
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[email protected]
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Contact person for public queries
Name
10660
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Kate Leslie
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Address
10660
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Department of Anaesthesia and Pain Management
Royal Melbourne Hospital
Parkville VIC 3050
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Country
10660
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Australia
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Phone
10660
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+61 3 93427540
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Fax
10660
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+61 3 93428623
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Email
10660
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[email protected]
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Contact person for scientific queries
Name
1588
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Kate Leslie
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Address
1588
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Department of Anaesthesia and Pain Management
Royal Melbourne Hospital
Parkville VIC 3050
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Country
1588
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Australia
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Phone
1588
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+61 3 93427540
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Fax
1588
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+61 3 93428623
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Email
1588
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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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