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Trial registered on ANZCTR
Registration number
ACTRN12607000245493
Ethics application status
Approved
Date submitted
11/04/2007
Date registered
8/05/2007
Date last updated
27/02/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Montelukast for mild OSA in children
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Scientific title
In children with mild obstructive sleep apnoea, is montelukast more effective than placebo in reducing the mixed and obstructive apnoea/hypopnoea index
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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:
Mild obstructive sleep apnoea (OSA) in children
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Condition category
Condition code
Respiratory
1870
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0
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Sleep apnoea
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention: Montelukast 4mg for children 2-5 years and 5 mg for children older than 5 years, given once in the evening as a chewable tablet for 8 weeks.
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Intervention code [1]
1697
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Treatment: Drugs
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Comparator / control treatment
The control is a placebo chewable tablet given in the evening for 8 weeks.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Mixed & obstructive apnoea/hypopoea index (MOAHI) as measured by polysomnography (PSG)
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Assessment method [1]
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Timepoint [1]
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At the end of the 8 week treatment period.
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Secondary outcome [1]
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Quality of life, measures of behaviour, attention, and cognition.
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Assessment method [1]
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Timepoint [1]
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Measured at baseline and at the end of the 8 week treatment period.
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Eligibility
Key inclusion criteria
History of habitual snoring >= 4 nights per week for at least 6 months, Mixed Obstructive Apnoea-Hypopnoea Index (MOAHI) >1 and = 5 events per hour, Parents give written informed consent.
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Minimum age
2
Years
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Maximum age
10
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
MOAHI outside the inclusion range, Craniofacial, Neuromuscular, syndromic, developmental or genetic abnormalities, Current or past use of montelukast, Current upper respiratory tract infection, Use of any inhaled or systemic corticosteroids or antibiotics in the past 4 weeks, Previous surgical treatment for OSA or adenotonsillectomy.
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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)
Allocation concealed by central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software (i.e., 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
The subjects are blinded as are the people assessing the outcomes
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
14/04/2007
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Actual
14/04/2007
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Date of last participant enrolment
Anticipated
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Actual
30/11/2007
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Date of last data collection
Anticipated
14/12/2007
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Actual
14/12/2007
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Sample size
Target
40
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Accrual to date
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Final
15
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
2017
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Charities/Societies/Foundations
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Name [1]
2017
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Sydney Children's Hospital Foundation
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Address [1]
2017
0
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Country [1]
2017
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Australia
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Primary sponsor type
University
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Name
School of Women's and Children's Health, University of New South Wales
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Address
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Sleep Unit, Sydney Children's Hospital
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Address [1]
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney Children's Hospital
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Ethics committee address [1]
3744
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Ethics committee country [1]
3744
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Australia
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Date submitted for ethics approval [1]
3744
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Approval date [1]
3744
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27/03/2007
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Ethics approval number [1]
3744
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07/074
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Summary
Brief summary
Obstructive sleep apnoea (OSA) is a relatively common condition in children with a peak incidence between 2-6 years, coincident with the maximal size of adenotonsillar tissue relative to the upper airway. OSA has effects on neurocognition and behaviour which may be reversed by adenotonsillectomy. However, surgical treatment carries risks which are increased in children with OSA and children under the age of 3 years. Recent studies have suggested that anti-inflammatory treatment with nasal corticosteroids or with anti-leukotriene agents may be an alternative to surgery. Montelukast is an anti-leukotriene receptor antagonist with minimal risk of adverse effects. A randomised double-blind placebo-controlled trial of montelukast for the treatment of OSA related to adenotonsillar hypertrophy in children is proposed. Following a sleep study (PSG) showing mild OSA, children will be randomised to a once daily dose of Montelukast or placebo for 8 weeks. At the end of treatment a repeat sleep study will be performed as well as measures of disease-specific quality of life, behaviour, attention and cognition.
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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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David McNamara
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Address
10886
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Sleep Unit
Level 3
Sydney Children's Hospital
High St
Randwick NSW 2031
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Country
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Australia
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Phone
10886
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+61 2 93821210
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Fax
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Email
10886
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[email protected]
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Contact person for scientific queries
Name
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David McNamara
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Address
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Sleep Unit
Level 3
Sydney Children's Hospital
High St
Randwick NSW 2031
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Country
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Australia
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Phone
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+61 2 93821210
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Fax
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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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