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Trial registered on ANZCTR
Registration number
ACTRN12607000362493
Ethics application status
Not yet submitted
Date submitted
4/07/2007
Date registered
6/07/2007
Date last updated
6/07/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
A placebo-controlled, randomized clinical trial of vigabatrin in the management of acute alcohol withdrawal
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Scientific title
A placebo-controlled, randomized clinical trial of vigabatrin in the management of acute alcohol withdrawal
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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:
alcohol withdrawal
1920
0
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Condition category
Condition code
Mental Health
2012
2012
0
0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients entered into the trial will be randomized to receive either vigabatrin 500mg x 4 tablets (=2 gram total per dose) statim, and then vigabatrin 500mg x 4 tablets (=2 gram) each morning for 3 days, or placebo 4 tablets statim and then 4 tablets each morning for 3 days. The trial will examine the effect of vigabatrin versus placebo on the outcome of conventional treatment of alcohol withdrawal which all subjects will receive benzodiazepines prescribed as needed according to the severity of alcohol withdrawal as measured by the Clinical Institute Withdrawal Assessment for Alcohol - revised (CIWA-Ar) alcohol withdrawal scale
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Intervention code [1]
1872
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Treatment: Drugs
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Comparator / control treatment
Placebo
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Number (%) of patients in each treatment arm requiring administration of diazepam or another benzodiazepine over initial 3 days of hospital admission
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Assessment method [1]
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Timepoint [1]
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Assessed at the end of the initial 3 days of hospital admission.
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Primary outcome [2]
2862
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Number (%) of patients in each treatment arm requiring administration of diazepam or another benzodiazepine over initial 3 days of hospital admission.
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Assessment method [2]
2862
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Timepoint [2]
2862
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Assessed at the end of the initial 3 days of hospital admission.
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Secondary outcome [1]
4785
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Total dose of diazepam or benzodiazepine equivalent administered over the first three days of hospital admission.
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Assessment method [1]
4785
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Timepoint [1]
4785
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Assessed at the end of the initial 3 days of hospital adminssion.
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Secondary outcome [2]
4786
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Intensity and duration of alcohol withdrawal as measured by area under curve from Clinical Institute Withdrawal Assessment for Alcohol - revised (CIWA-Ar) alcohol withdrawal scale for the first three days of hospital admission.
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Assessment method [2]
4786
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Timepoint [2]
4786
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Assessed at the end of the initial 3 days of hospital adminssion.
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Secondary outcome [3]
4824
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Total dose of diazepam or benzodiazepine equivalent administered over the first three days of hospital admission
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Assessment method [3]
4824
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Timepoint [3]
4824
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Assessed at the end of the initial 3 days of hospital adminssion.
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Secondary outcome [4]
4825
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Intensity and duration of alcohol withdrawal as measured by area under curve from Clinical Institute Withdrawal Assessment for Alcohol - revised (CIWA-Ar) alcohol withdrawal scale for the first three days of hospital admission
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Assessment method [4]
4825
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Timepoint [4]
4825
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Assessed at the end of the initial 3 days of hospital adminssion.
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Eligibility
Key inclusion criteria
Patients admitted to either residential treatment unit for alcohol withdrawal or both male and female patients attending emergency department who have alcohol intake of 6 or more drinks per day over at least the past 3 months.
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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
Inability to take oral medication.pregnancy or breast feeding.known allergy to vigabatrin.already receiving vigabatrin.previous treatment for alcohol withdrawal within the past 7 days.
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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 concealment numbered containers, off-site allocation schedule
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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
All of the following will be blinded as to active or placebo treatment. The people receiving the treatment (subjects), the people administering the treatment (clinicians), the people assessing the outcomes (assessors) and the people analysing the results/data (data analysts) up to the time that the randomisation code is broken/revealed.
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Phase
Phase 3
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Type of endpoint/s
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/09/2007
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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
120
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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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Hospital
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Name [1]
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Department of Addiction Medicine, St Vincent's Hospital, Melbourne
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Address [1]
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Country [1]
2154
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Australia
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Funding source category [2]
2178
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Hospital
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Name [2]
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Department of Addiction Medicine, St Vincent's Hospital
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Address [2]
2178
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Country [2]
2178
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Australia
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Primary sponsor type
Individual
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Name
Professor Jon Currie
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Address
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Country
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Secondary sponsor category [1]
1966
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Hospital
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Name [1]
1966
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St Vincent's Hospital, Melbourne
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Address [1]
1966
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Country [1]
1966
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
3948
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St Vincent's Hospital
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Ethics committee address [1]
3948
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Melbourne
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Ethics committee country [1]
3948
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Australia
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Date submitted for ethics approval [1]
3948
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Approval date [1]
3948
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Ethics approval number [1]
3948
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Ethics committee name [2]
3975
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St Vincent's Hospital
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Ethics committee address [2]
3975
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Melbourne
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Ethics committee country [2]
3975
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Australia
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Date submitted for ethics approval [2]
3975
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Approval date [2]
3975
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Ethics approval number [2]
3975
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Summary
Brief summary
The purpose of this project is to assess a new treatment for alcohol withdrawal in patients who are admitted to hospital. Alcohol withdrawal can be a severe condition. Usually it is treated with benzodiazepines such as diazepam, but these medications can have dangerous side-effects such as excessive sedation and depression of respiration. The new treatment uses a medication called vigabatrin. Vigabatrin is usually used for treating epilepsy, but it has been found in preliminary studies to also be useful in treating alcohol withdrawal because it reduces the severity of alcohol withdrawal symptoms, shortens the duration of alcohol withdrawal and may also prevent alcohol withdrawal seizures, without causing sedation or depressing respiration.
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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
27686
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Country
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Phone
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Fax
27686
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Email
27686
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Contact person for public queries
Name
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Professor Jon Currie
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Address
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St Vincent's Health Melbourne
PO Box 2900
38 Fitzroy Street
Fitzroy VIC 3065
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Country
11061
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Australia
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Phone
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+61 3 92883467
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
1989
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Professor Jon Currie
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Address
1989
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St Vincent's Health Melbourne
PO Box 2900
38 Fitzroy Street
Fitzroy VIC 3065
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Country
1989
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Australia
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Phone
1989
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+61 3 92883467
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Fax
1989
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Email
1989
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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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