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Trial registered on ANZCTR
Registration number
ACTRN12608000156381
Ethics application status
Approved
Date submitted
27/03/2008
Date registered
2/04/2008
Date last updated
2/04/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Arginine and wound healing in patients recovering from a lower limb amputation
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Scientific title
The effectiveness of an Arginine-enriched diet in patients with a lower-limb amputation. Does it reduce healing time and faciliate earlier prosthetic fitting?
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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:
Lower-limb amputations
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Condition category
Condition code
Surgery
2934
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Standard hospital diet plus two tetrapaks of a commercially available Arginie-enriched oral nutrition supplement (9g Arginine/day). The intervention will commence on entry to the study and will cease on the day that prosthetic casting occurs.
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Intervention code [1]
2539
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Treatment: Other
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Comparator / control treatment
Standard hospital diet plus two tetrapaks of a commercially available oral nutrition supplement which is matched in terms of nutritional composition to the intervention except for the Arginine
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Control group
Active
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Outcomes
Primary outcome [1]
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Time to wound healing.
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Assessment method [1]
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Timepoint [1]
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Day 0 (surgery) to day it is determined that wound is healed
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Primary outcome [2]
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Time to prosthetic casting and fitting
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Assessment method [2]
3816
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Timepoint [2]
3816
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Day 0 (surgery) to day of casting and fitting
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Primary outcome [3]
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Length of stay
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Assessment method [3]
3817
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Timepoint [3]
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Day 0 (surgery) to hospital discharge
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Secondary outcome [1]
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Quality of life measured by the AQoL
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Assessment method [1]
6432
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Timepoint [1]
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Baseline (entrance to the study) and discharge
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Secondary outcome [2]
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Change in nutritional health as determined by change in weight, Body Mass Index (BMI), corrected arm muscle area (CAMA) and nutritional intake
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Assessment method [2]
6433
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Timepoint [2]
6433
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Baseline and at 3 day intervals until discharge from hospital
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Eligibility
Key inclusion criteria
All patients admitted to the Vascular unit at the Repatriation General Hospital for a trans-tibial or trans-femoral amputation.
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Minimum age
18
Years
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Maximum age
100
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
Patients who have not had a rigid removable dressing fitted within 24 hours of surgery. Patients receiving palliative care and ICU patients. Patients who are nil by mouth or who require enteral feeding or parenteral nutrition. Patients who are unable to fulfill the requirements of the study due to impaired cognition
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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)
Research personnel will provide each potential participant with a patient information sheet outlining the study requirements. Patients willing to participate will sign an informed consent document, have all baseline measures performed and then be randomised. Treatment allocation will be sealed in foil lined envelopes by a person external ot the study. The allocation of participants to the trial will be maintained by the Pharmacy dept at the Repatriation General Hospital.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computerised number generator will be used to generate the randomisation sequence.
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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
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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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
1/05/2008
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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
20
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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]
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Charities/Societies/Foundations
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Name [1]
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Foundation Daw Park
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Address [1]
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Repatriation General Hospital
Daws Road
Daw Park SA 5041
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Country [1]
3228
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
Block G4
Flinders Medical Centre (FMC) Flats
Flinders Drive
Bedford Park SA 5042
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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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Repatriation General Hospital
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Address [1]
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Daws Road
Daw Park SA 5041
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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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Repatriation General Hospital HREC
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Ethics committee address [1]
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Repatriation General Hospital Daws Road Daw Park SA 5041
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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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20/03/2008
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Ethics approval number [1]
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11/08
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Summary
Brief summary
Patients admitted to RGH for a lower-limb amputation will be invited to participate in a study investigating the effect of a diet that is enriched with arginine on the time taken for the amputation wound to heal, and the time taken to have a prosthetic limb fitted. Participants will be allocated at random to receive either a standard hospital diet with 2 Arginine-enriched supplements or a standard hospital diet with 2 standard nutritional supplements, that are equal in energy, protein, vitamins and minerals. In addition to the time taken for the wound to heal, participants will also have their nutritional health measured via body weight, dietary intake and arm muscle stores. Quality of life will also be measured.
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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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Jolene Thomas
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Address
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Department Nutrition and Dietetics
Flinders University
Block G4
FMC Flats
Flinders Drive
Bedford Park SA 5042
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Country
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Australia
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Phone
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+61 8 82044715
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Fax
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+61 8 82046406
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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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Jolene Thomas
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Address
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Department Nutrition and Dietetics
Flinders University
Block G4
FMC Flats
Flinders Drive
Bedford Park SA 5042
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Country
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Australia
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Phone
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+61 8 82044715
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Fax
2440
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+61 8 82046406
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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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