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Trial registered on ANZCTR
Registration number
ACTRN12609000988257
Ethics application status
Approved
Date submitted
10/07/2008
Date registered
17/11/2009
Date last updated
17/11/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
A trial of position control therapy for
treatment of infantile gastrooesophageal
reflux.
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Scientific title
A trial to investigate the effects of position control therapy on gastrooesophageal reflux episodes and gastric emptying in infants with gastrooesophageal reflux disease
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Universal Trial Number (UTN)
U1111-1111-9553
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Trial acronym
PCT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
infantile gastrooesophageal
reflux (GOR) disease
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Condition category
Condition code
Oral and Gastrointestinal
3544
3544
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Infants will be randomised to either a side position applied by specially desighned cushions or an elevation of the head of the cot. Positioning will be applied every day for the total of 14 treatment days.
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Intervention code [1]
3123
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Treatment: Other
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Intervention code [2]
241319
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Treatment: Drugs
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Comparator / control treatment
Infants will be also be randomised to either a conventional drug reflux treatment (omeprazole 1mg/kg, oral solution) or placebo (Mylanta 1mg/kg, oral solutuion). Therapy will be given every day for the total of 14 treatment days in conjuction with positioning (see above).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Number of GOR episodes as recorded by 24h ph/impadance.
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Assessment method [1]
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Timepoint [1]
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14 days after randomisation
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Secondary outcome [1]
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the gastric emptying rate will be asessed using the 13-C octanoate breath test.
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Assessment method [1]
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Timepoint [1]
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14 days after randomisation
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Eligibility
Key inclusion criteria
Symptoms considered to be related to GOR such as crying, irritablility, feed refusal, vomiting/spilling, gagging.
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Minimum age
0
Months
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Maximum age
6
Months
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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
History of acute life threatening events or resectional surgery of the gastrointestinal tract or any condition that may require surgery during the length of the study, environmental exposure to cigarette smoke
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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)
Patient will be rectruited by a study nurse. A trail investigator will determine if patient is eligible to be randomised after analysis of baseline study results. Position therapy will be assigned by study nurse after opening sealed opaque envelopes and drug therapy will be assigned by hospital pharamcist according to randomisation plan.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomisation computer programme
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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
Double blind randomised controlled trial. Each patient will receive one position AND one drug only.
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
12/07/2008
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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
200
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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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Recruitment postcode(s) [1]
997
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5000
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Recruitment postcode(s) [2]
998
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4029
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Children Women Youth Health Service
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Address
72 King William Rd
North Adelaide SA 5006
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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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Royal Children's Hospital
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Address [1]
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Herston Road, Herston
QLD 4029
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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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Women's & Children's Hospital Research Ethics
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Ethics committee address [1]
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Children's Youth & Women's Health Service 72 King William Rd North Adelaide SA 5006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
5625
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Approval date [1]
5625
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16/01/2008
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Ethics approval number [1]
5625
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REC 2018
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Summary
Brief summary
Gastro-oesophageal reflux (GOR) is a very common condition that interrupts feeding and sleep routine in up to 30% of newborn infants. GOR disease affects 3-5% of newborns and is defined when more serious complications are associated with GOR. Typical GOR disease symptoms include vomiting, failure to thrive, pain, irritability/crying/back-arching), oesophagitis and respiratory disorders (apnoea/coughing). The diagnosis and treatment of GOR disease in infants is fraught with difficulty due to the wide range of clinical presentations and the lack of diagnostic modalities and appropriate diagnostic criteria. These issues lead to failure to accurately diagnose reflux disease, allowing more severe problems to manifest, or alternatively, over-diagnosis of reflux disease leading to the prescription of unnecessary and costly acid suppression therapies and surgical interventions. This research project will evaluate positioning as a simple, non-pharmacological approach to the treatment of GOR related symptoms in infants 0-6months of age. We believe that position control therapy (PCT) is simple for parents to perform and can be safely combined with pharmacological therapy for added efficacy.
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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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Dr Taher Omari
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Address
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Gastroenterology Unit, CYWHS
72 King William Rd, North Adelaide SA 5006
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Country
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Australia
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Phone
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+61881616880
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Fax
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+61881616088
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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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Dr Taher Omari
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Address
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Gastroenterology Unit, CYWHS
72 King William Rd, North Adelaide SA 5006
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Country
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Australia
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Phone
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+61881616880
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Fax
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+61881616088
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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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