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Trial registered on ANZCTR
Registration number
ACTRN12609000070235
Ethics application status
Approved
Date submitted
11/12/2008
Date registered
28/01/2009
Date last updated
12/11/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
The Nocturnal Enuresis Alarm Therapy (NEAT) Study
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Scientific title
A randomised controlled trial comparing the proportion of patients with nocturnal enuresis cured at 4 months by the code game alarm or with the standard enuresis alarm
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Secondary ID [1]
768
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None
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Universal Trial Number (UTN)
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Trial acronym
NEAT Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nocturnal enuresis
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Condition category
Condition code
Renal and Urogenital
4318
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A novel code game enuresis alarm which needs a code word for sensing wettness. The sensor is secured in a pad and can be worn inside the child's underpants. This alarm will emit an audio signal to wake the child. The participant will be using this alarm until cure or for a maximum of 4 months.
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Intervention code [1]
3832
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Treatment: Devices
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Comparator / control treatment
Commonly used standard enuresis alarm which will will emit an audio signal when wettness is detected to wake the child. The participant will be using this alarm until cure or for a maximum of 4 months.
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of patients cured at 4 months measured by a bladder diary
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Assessment method [1]
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Timepoint [1]
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Daily recordings of wet/dry nights collected every 2 weeks for 4 months
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Secondary outcome [1]
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Time to achieve cure measured by bladder diary
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Assessment method [1]
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Timepoint [1]
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Daily recordings of wet/dry nights collected every 2 weeks for 4 months
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Secondary outcome [2]
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Proportion of patients relapsed by 12 months. Relapse is defined as greater than 2 nights of wetting/fortnight after achieving cure.
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Assessment method [2]
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Timepoint [2]
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12 months
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Secondary outcome [3]
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Response to alarm stimulus will be measured by a bladder diary
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Assessment method [3]
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Timepoint [3]
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Daily recordings of wet/dry nights, waking to void and time to achieve cure will be collected every 2 weeks for 4 months
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Secondary outcome [4]
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Adverse outcomes (disturbed sleep) will be assessed daily by a bladder diary kept by the participants.
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Assessment method [4]
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Timepoint [4]
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Daily recordings of any adverse outcomes collected every 2 weeks for 4 months
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Secondary outcome [5]
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Overall response to treatment (cure rate) in both arms will be measured by a bladder diary
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Assessment method [5]
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Timepoint [5]
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Daily recordings of wet/dry nights, waking to void, time to achieve cure and any relapse will be collected every 2 weeks for 12 months
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Eligibility
Key inclusion criteria
Children >6 years with nocturnal enuresis for at least 3 nights per week for which enuresis alarm therapy is indicated
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Minimum age
6
Years
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Maximum age
18
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
Children with organic cause for nocturnal enuresis, defects of central nervous system or significant underlying urological abnormalities or those where alarm therapy is contraindicated.
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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)
National Health and Medical Research Council clinical trials centre central randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratify by centre, age and gender. Randomised sequence will be generated by permuted block randomisation or dynamic random allocation methods such as minimisation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
Analysis by intention to treat
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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
Completed
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Date of first participant enrolment
Anticipated
1/04/2009
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Actual
7/05/2009
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Date of last participant enrolment
Anticipated
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Actual
29/12/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
320
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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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Government body
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Name [1]
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National Health and Medical Research Council -Project grant
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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
Government body
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Name
National Health and Medical Research Council
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Address
GPO Box 1421
Canberra ACT 2601
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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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The Children's Hospital at Westmead
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Address [1]
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Locked Bag 4001
Westmead NSW 2145
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Country [1]
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Australia
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Secondary sponsor category [2]
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University
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Name [2]
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The University of Sydney
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Address [2]
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Sydney NSW 2000
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Country [2]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Mr Geoffrey Wickham
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Address [1]
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115 Jollys Hill Road
Smythes Creek VIC 3352
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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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The Children's Hospital at Westmead Ethics Committee
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Ethics committee address [1]
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Locked Bag 4001 Westmead NSW 2145
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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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19/07/2007
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Approval date [1]
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22/08/2008
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Ethics approval number [1]
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2007/063
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Summary
Brief summary
Bedwetting affects 10% school aged children and 2% adults. It impacts on sleep, concentration, learning and self esteem. First line treatment is with a bedwetting alarm. The Children’s Hospital at Westmead has designed a bedwetting alarm which is more effective, including in those who had previously failed alarm therapy. This alarm incorporates the latest technology with a new concept in treating bedwetting. The predicted success rate is 80-95% (compared with 65-75% for standard alarms).We aim to further refine the proof of concept alarm and compare it to standard alarms.
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Trial website
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Trial related presentations / publications
Oral Presentation (winner of PRSANZ award): Caldwell PHY, Sureshkumar P, Kerr M, Hamilton S, Craig JC. The NEAT (Nocturnal Enuresis Alarm Therapy) Study: a Randomized Controlled Trial of a Novel Alarm That Enhances Waking. RACP Congress. 2012. Brisbane. Oral presentation:(winner of best paper award): Caldwell PHY, Sureshkumar P, Kerr M, Hamilton S, Craig JC. The NEAT (Nocturnal Enuresis Alarm Therapy) Study: an RCT of a Novel Alarm That Enhances Waking. ICCS/ERIC/BAPU Joint Congress. 12-14/10/2012. Royal College of Physicians, London
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Public notes
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Contacts
Principal investigator
Name
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Dr Patrina Caldwell
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Address
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The Childrens Hospital at Westmead
Locked Bag 4001
WESTMEAD NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 3406
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Fax
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+61 2 9845 1491
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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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Sana Hamilton
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Address
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Centre for Kidney Research
The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 1471
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Fax
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+61 2 9845 1491
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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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Patrina Caldwell
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Address
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The Children's Hospital at Westmead
Locked Bag 4001
Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 9845 1462
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Fax
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+61 2 9845 1491
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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
Source
Title
Year of Publication
DOI
Embase
A randomised controlled trial of a code-word enuresis alarm.
2016
https://dx.doi.org/10.1136/archdischild-2015-308564
N.B. These documents automatically identified may not have been verified by the study sponsor.
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