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Trial registered on ANZCTR
Registration number
ACTRN12609000080224
Ethics application status
Approved
Date submitted
9/12/2008
Date registered
3/02/2009
Date last updated
7/04/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
Desmopressin for the Treatment of Orthostatic Hypotension and Excessive Nighttime Urination in Parkinson’s Disease
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Scientific title
A Double-Blind, Placebo-controlled Crossover Clinical Trial of Desmopressin for the Treatment of Orthostatic Hypotension and Nocturia in Parkinson’s Disease
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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:
Nocturia
4107
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Parkinson's Disease
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Orthostatic Hypotension
4109
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Condition category
Condition code
Neurological
4301
4301
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0
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Other neurological disorders
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Renal and Urogenital
4302
4302
0
0
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Other renal and urogenital disorders
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Neurological
4303
4303
0
0
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Parkinson's disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Subjects will start with either nightly placebo or oral desmopressin for three weeks. After a washout period of one week of no medication, they will then switch to the therapy they have not tried for another three weeks.
Subjects taking desmopressin will begin with a 100 mcg nightly dose. If this is tolerated, after one week they will increase to 200 mcg nightly, which they will take for two weeks.
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Intervention code [1]
3819
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Treatment: Drugs
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Comparator / control treatment
Oral microcellulose capsule taken nightly for three weeks
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Improvement of at least 2 points on the COMPASS-OD survey, which assesses for symptoms of low blood pressure.
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Assessment method [1]
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Timepoint [1]
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Assessed at day 21 and 49
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Primary outcome [2]
5194
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Number of nocturnal bladder voids as measured by a diary
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Assessment method [2]
5194
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Timepoint [2]
5194
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Assessed at day 21 and 49
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Secondary outcome [1]
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Improvement in sleep as measured by a survey (Epworth Sleepiness Scale)
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Assessment method [1]
8745
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Timepoint [1]
8745
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Assessed at day 21 and 49
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Eligibility
Key inclusion criteria
Parkinson's disease
Orthostatic hypotension (blood pressure drop with standing)
A need to empty the bladder 2 or more times at night
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Minimum age
30
Years
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Maximum age
85
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
History of renal failure, congestive heart failure, or cirrhosis
A history of low blood sodium
Dementia
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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)
Subjects will be enrolled by a convenience sample through our clinic. Treatment allocation will be done using numbered containers, with numbers assigned by a person otherwise uninvolved in the trial.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomization table created by a computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
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Phase
Phase 2
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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
6/04/2009
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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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Hospital
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Name [1]
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Royal Brisbane & Women's Hospital
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Address [1]
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Butterfield St., Herston, QLD, 4029
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
John O'Sullivan
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Address
RBWH, Butterfield St., Herston, QLD, 4029
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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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Melinda Burnett
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Address [1]
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RBWH, Butterfield St., Herston, QLD, 4029
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Country [1]
3841
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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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Royal Brisbane & Women's Hospital Human Research Ethics Committee
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Ethics committee address [1]
6321
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RBWH, Butterfield St., Herston, QLD, 4029
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Ethics committee country [1]
6321
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Australia
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Date submitted for ethics approval [1]
6321
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01/10/2008
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Approval date [1]
6321
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Ethics approval number [1]
6321
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2008/103
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Summary
Brief summary
We plan to study 20 patients with idiopathic Parkinson's disease with complications of orthostatic hypotension and nocturia. In an 8 week double-blinded, crossover study design, we will study the effects of oral desmopressin (or matching placebo) on orthostatic hypotension, nocturia, and sleep.
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Trial website
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Trial related presentations / publications
Schoffer, K.L., Henderson, R. D., O'Maley, K. O'Sullivan, J. D. Nonpharmacological treatment, fludrocortisone, and domperidone for orthostatic hypotension in Parkinson's disease. Mov Disord, 2007. 22(11): p. 1543-9.
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Public notes
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Contacts
Principal investigator
Name
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Address
35026
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Country
35026
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Phone
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Fax
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Email
35026
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Contact person for public queries
Name
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Melinda Burnett
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Address
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RBWH, Butterfield St., Herston, QLD, 4029
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Country
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Australia
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Phone
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+61 7 3636 8111
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Fax
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Email
12373
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[email protected]
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Contact person for scientific queries
Name
3301
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Melinda Burnett
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Address
3301
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RBWH, Butterfield St., Herston, QLD, 4029
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Country
3301
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Australia
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Phone
3301
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+61 7 3636 8111
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Fax
3301
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Email
3301
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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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