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Trial registered on ANZCTR
Registration number
ACTRN12608000497303
Ethics application status
Not yet submitted
Date submitted
30/07/2008
Date registered
30/09/2008
Date last updated
30/09/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
Steroids prevent nausea and vomiting after open gynaecological surgery, but do they harm the immune system?
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Scientific title
The influence of antiemetic doses of dexamethasone on postoperative lymphocyte sub-populations after open gynaecological surgery
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Secondary ID [1]
655
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Nil
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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:
Postoperative immune function
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Condition category
Condition code
Anaesthesiology
3641
3641
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Dexamethasone 4 mg or 8 mg (as determined by randomisation sequence)given intravenously once at induction of anaesthesia
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Intervention code [1]
3209
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Treatment: Drugs
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Comparator / control treatment
Active control (Droperidol 625 mcg) given intravenously once at the induction of anaesthesia. Single dose only
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Control group
Active
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Outcomes
Primary outcome [1]
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An alteration in T- and B-lymphocyte sub-populations as measured by blood sample analysis
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Assessment method [1]
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Timepoint [1]
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Preoperative; 24 hours postoperatively, 48 hours postoperatively, 72 hours postoperatively, 96 hours postoperatively, and one blood test taken between 4 and 6 weeks postoperatively
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Secondary outcome [1]
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None
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Assessment method [1]
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Timepoint [1]
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None
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Eligibility
Key inclusion criteria
Females undergoing open gynaecologic surgery
American Society of Anesthesiologists (ASA) classification 1-3 patients
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Current drug therapy with antiemetic or systemic steroidal activity
Known or suspected metastatic disease
Recent treatment with chemotherapeutic agents
Patients involving implants, such as mesh repairs
Opioid-tolerance
Hypertension
Diabetes mellitus
Peptic ulceration
Intolerance to non-steroidal anti-inflammatory drugs
Hypersensitivity to dexamethasone, granisetron or droperidol
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Study design
Purpose of the study
Prevention
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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)
Allocations will be concealed in sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-generated random number 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
Not Applicable
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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
1/09/2008
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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
75
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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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Hospital
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Name [1]
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Royal Perth Hospital
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Address [1]
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Department of Anaesthesia
Royal Perth Hospital
GPO Box Z2213
Perth, WA 6001
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Country [1]
3662
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Australia
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Primary sponsor type
Individual
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Name
Professor Michael Paech
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Address
Dept of Anaesthesia and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco, WA 6008
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Neil Muchatuta
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Address [1]
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Dept of Anaesthesia and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco, WA 6008
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Country [1]
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Australia
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Other collaborator category [1]
351
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Individual
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Name [1]
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Dr Tomas Corcoran
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Address [1]
351
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Dept of Anaesthesia
Royal Perth Hospital
GPO Box Z2213
Perth, WA 6001
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Country [1]
351
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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]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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09/06/2008
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Approval date [1]
5716
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Ethics approval number [1]
5716
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Summary
Brief summary
Postoperative nausea and vomiting remains a significant problem in modern anaesthetic practice. One of the most effective anti-sickness agents (antiemetics) available is a steroid drug: dexamethasone. Steroids are also used to supress the immune system and inflammation in the body. This immune supression can also predispose to the development of infection. We wish to investigate whether the small doses of dexamethasone used in anaesthesia affects the nature and function of important immune system cells known as lymphocytes.
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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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Professor Michael Paech, Research Fellow, or Research Nurses
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Address
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Dept of Anaesthesia and Pain Medicine
King Edward Memorial Hospital for Women
374 Bagot Road
Subiaco, WA 6008
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Country
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Australia
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Phone
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09 9340 2222 pager 3223 (Prof Paech), 3226 (Reasearch Fellow), or 3433 (Research Nurses)
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Fax
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08 9340 2260
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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 Tomas Corcoran
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Address
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Dept of Anaesthesia
Royal Perth Hospital
GPO Box Z2213
Perth, WA 6001
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Country
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Australia
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Phone
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08 9224 1038
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Fax
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08 9224 1111
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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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