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Trial registered on ANZCTR
Registration number
ACTRN12608000161325
Ethics application status
Approved
Date submitted
25/03/2008
Date registered
3/04/2008
Date last updated
26/11/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Ultrasound Guided Transversus Abdominis Plane Block in Major Gynaecological Surgery – A randomised controlled Trial
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Scientific title
A randomised placebo-controlled double-blind trial assessing the analgesic efficacy of ultrasound guided transversus abdominis plane local anaesthetic block in major gyanae-oncological surgery
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Secondary ID [1]
288001
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Nil Known
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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:
Post-operative Pain
2955
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Condition category
Condition code
Anaesthesiology
3095
3095
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ultrasound guided transversus abdominis plane (TAP) local anaesthetic blockade. This involves two injections of 20ml 0.5% ropivicaine (total 40ml). The injections take around 10 minutes to perform.
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Intervention code [1]
2725
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Treatment: Drugs
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Comparator / control treatment
ultrasound guided TAP blockade with normal saline
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Pain Score (Visual Analogue Scale) > 50mm with forced expiration
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Assessment method [1]
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Timepoint [1]
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2 hours post-intervention
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Secondary outcome [1]
6701
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VAS >50mm with forced expiration
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Assessment method [1]
6701
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Timepoint [1]
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24 hours post-intervention
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Secondary outcome [2]
6702
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Total Morphine Consumption
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Assessment method [2]
6702
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Timepoint [2]
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2 and 24 hours post-intervention
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Eligibility
Key inclusion criteria
Adult females scheduled to undergo laparotomy via midline incision for known or suspected gynae-oncology
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
inability/unwillingness to provide informed consent, allergy/sensitivity to any of the protocol medications, patient or treating anaesthetist preference to use epidural (or other) analgesia
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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)
A randomisation table will allocate the 70 patients in the study to either treatment or placebo. The hospital pharmacy will make up syringes containing either local anaesthetic or placebo in accordance with the randomisation table. They will then be labelled with Study Patient 1, Study Patient 2, etc. but not the contents.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated random number table will be used for sequence generation (eg. www.random.org)
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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 4
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Type of endpoint/s
Efficacy
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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
1/10/2008
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Actual
3/12/2008
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Date of last participant enrolment
Anticipated
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Actual
7/10/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
70
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Accrual to date
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Final
72
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
3212
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Hospital
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Name [1]
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Department of Anaesthesia, Royal Women's Hospital
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Address [1]
3212
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Grattan St
Carlton Vic. 3053
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Country [1]
3212
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Australia
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Primary sponsor type
Individual
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Name
James Griffiths
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Address
Department of Anaesthesia
Royal Women's Hospital
Grattan St
Carlton Vic. 3053
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Country
Australia
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Secondary sponsor category [1]
2880
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Hospital
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Name [1]
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Department of Anaesthesia, Royal Women's Hospital
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Address [1]
2880
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Grattan St
Carlton Vic. 3053
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Country [1]
2880
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
5196
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Royal Women's Hospital Research and Ethics Committee
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Ethics committee address [1]
5196
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Grattan St, Parkville Vic 3052
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Ethics committee country [1]
5196
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Australia
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Date submitted for ethics approval [1]
5196
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07/05/2008
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Approval date [1]
5196
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01/11/2008
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Ethics approval number [1]
5196
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Summary
Brief summary
The project aims to demonstrate that transversus abdominis plane block is an effective adjunct to multi-modal analgesia in the setting of major gynaecological surgery via midline laparotomy. The project aims to demonstrate that the technique improves overall pain relief, reduces morphine consumption (and opioid side effects) and improves patient satisfaction.
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Trial website
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Trial related presentations / publications
Griffiths JD, Middle J, Barron F, Grant S, Popham P, Royse C. Transversus abdominis plane block does not provide additional benefit to multimodal analgesia in gynaecological cancer surgery. Anaesth Analg, 111(3): 797-801 (2010)
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Public notes
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Contacts
Principal investigator
Name
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Dr James Griffiths
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Address
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Department of Anaesthesia
Royal Women's Hospital
Grattan St
PARKVILLE Vic 3052
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Country
28459
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Australia
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Phone
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+61383452381
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr James Griffiths
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Address
11616
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Royal Women's Hospital
Grattan St
Carlton Vic. 3053
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Country
11616
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Australia
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Phone
11616
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+614 18306793
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Fax
11616
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+613 94971739
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Email
11616
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[email protected]
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Contact person for scientific queries
Name
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Dr James Griffiths
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Address
2544
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Royal Women's Hospital
Grattan St
Carlton Vic. 3053
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Country
2544
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Australia
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Phone
2544
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+61383452381
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Fax
2544
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+61383452379
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Email
2544
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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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