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Trial registered on ANZCTR
Registration number
ACTRN12609000445279
Ethics application status
Approved
Date submitted
10/03/2009
Date registered
12/06/2009
Date last updated
29/05/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial of ondansetron to prevent shivering in women undergoing combined spinal epidural anaesthesia for elective caesarean section
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Scientific title
Women undergoing combined spinal epidural for elective caesarean section, ondansetron 8mg versus placebo to prevent perioperative shivering.
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Secondary ID [1]
280576
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Nil
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Universal Trial Number (UTN)
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Trial acronym
OSCAR Trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Shivering during combined spinal epidural anaesthesia
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Condition category
Condition code
Anaesthesiology
4713
4713
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0
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Anaesthetics
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Reproductive Health and Childbirth
237301
237301
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ondansetron 8mg intravenously over 5 - 10 seconds
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Intervention code [1]
4190
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Prevention
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Comparator / control treatment
4 ml saline intravenously over 5 - 10 seconds
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Incidence of shivering using the validated Wrench scoring scale of 0 - 4, as assessed visually by the treating anaesthetist.
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Assessment method [1]
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Timepoint [1]
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Continuously assessed during the following three time periods: Post combined-spinal epidural, During surgery, In Recovery room. Monitoring will cease when the patient is discharged to the ward.
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Secondary outcome [1]
9408
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Itch: Assessed by verbal questioning of the patient as either present or not present.
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Assessment method [1]
9408
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Timepoint [1]
9408
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Continuously assessed in the following three time periods: After combined spinal epidural, During surgery, In recovery room. Monitoring will cease when the patient is discharged to the ward
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Secondary outcome [2]
9409
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Nausea: Assessed by verbal questioning of the patient as either present or not present.
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Assessment method [2]
9409
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Timepoint [2]
9409
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Continuously assessed in the following three time periods: After combined spinal epidural, During surgery, In recovery room. Monitoring will cease when the patient is discharged to the ward
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Eligibility
Key inclusion criteria
American Society of Anesthesiologists (ASA) Score 1 or 2
18 years of age or older
Elective caeasarean section under combined spinal epidural anaesthesia
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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
Preoperative use of ondansetron, clonidine, pethidine or tramadol
Contraindication to combined spinal epidural anaesthesia
Preoperative shivering
Intolerance or allergy to ondansetron
Failure to find subarachnoid space during combined spinal epidural anaesthesia
Conversion to general anaesthesia
Adminstration of intrathecal or epidural morphine
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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)
Sealed opaque envelope
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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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 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
15/06/2009
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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
120
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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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Fremantle Hospital
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Address [1]
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Alma Street
Fremantle
Western Australia
6160
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Country [1]
4637
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Australia
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Funding source category [2]
237128
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Self funded/Unfunded
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Name [2]
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Address [2]
237128
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Country [2]
237128
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Australia
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Primary sponsor type
Individual
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Name
Dr Roger Browning
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Address
Department Anaesthesia and Pain Medicine
Fremantle Hospital
P.O. Box 480
Fremantle WA 6959
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
4181
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Address [1]
4181
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Country [1]
4181
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6675
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South Metropolitan Area Health Service Human Research Ethics Committee
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Ethics committee address [1]
6675
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Ethics committee country [1]
6675
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Australia
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Date submitted for ethics approval [1]
6675
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24/03/2009
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Approval date [1]
6675
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Ethics approval number [1]
6675
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Summary
Brief summary
In Australia Caesarean section is most commonly performed under regional anaesthesia, usually spinal or epidural. These techniques are associated with a significant incidence of shivering which can cause the mother significant distress, prevent her from holding her baby & interfere with monitoring of blood pressure and other vital signs. Ondansetron is a widely used anti – nausea drug, with a good safety profile and very few adverse effects. It has been shown to reduce the incidence & severity of shivering in non obstetric patients undergoing regional or general anaesthesia. We plan to investigate whether the prophylactic administration of ondansetron prior to regional anaesthesia will decrease the incidence and severity of shivering in women undergoing elective caesarean section.
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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
29372
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Country
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Phone
29372
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Fax
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Email
29372
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Contact person for public queries
Name
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Dr Roger Browning
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Address
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Department of Anaesthesia and Pain Medicine
Fremantle Hospital
P.O. Box 480
Fremantle WA 6959
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Country
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Australia
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Phone
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+ 61 8 94312551
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Fax
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Email
12619
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[email protected]
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Contact person for scientific queries
Name
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Dr Roger Browning
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Address
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Dept Anaesthesia and Pain Medicine
Fremantle Hospital
P.O. Box 480
Fremantle WA 6959
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Country
3547
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Australia
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Phone
3547
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+ 61 8 94312551
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Fax
3547
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Email
3547
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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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