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Trial registered on ANZCTR
Registration number
ACTRN12606000165583
Ethics application status
Approved
Date submitted
27/04/2006
Date registered
9/05/2006
Date last updated
26/08/2024
Date data sharing statement initially provided
26/08/2024
Date results provided
26/08/2024
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised clinical trial of two types of chronic indwelling venous access devices used for the for the delivery of chemotherapy to patients with non-haematological malignancy - peripherally inserted central venous catheter (PICC) versus subcutaneoulsy implanted port catheters (PORT)
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Scientific title
A randomised clinical trial of two types of chronic indwelling venous access devices used for the for the delivery of chemotherapy to patients with non-haematological malignancy - peripherally inserted central venous catheter (PICC) versus subcutaneoulsy implanted port catheters (PORT)
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Universal Trial Number (UTN)
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Trial acronym
PICC Versus PORT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Non haematalogic patients requiring chronic indwelling venous access device for chemotherapy
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Condition category
Condition code
Other
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Comparison of peripherally inserted central venous catheter (PICC) versus subcutaneoulsy implanted port catheters (PORT) Both these Central venous catheters (CVC) can be removed at the end of chemotherapy. Chemotherapy duration can range from 6 weeks to 6 months.
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Intervention code [1]
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None
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Comparator / control treatment
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Control group
Active
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Outcomes
Primary outcome [1]
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Central Venous Catheter (CVC) related serious complications as defined below:
-any complication that requires the removal of the CVC
-catheter related thrombosis requiring thrombolytic or anticoagulant therapy
-catheter related infection requiring systemic antibiotics
-pneumothorax
-accidental complete dislodgment of the CVC
-blockage or disruption of the CVC that renders the catheter useless
-other complications perceived as serious by the treating physician
-failure of insertion of CVC for whatever reason
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Assessment method [1]
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Timepoint [1]
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Complications will be assessed for the following time periods:
0 - 6 weeks after CVC insertion.
6 - 12 weeks after CVC insertion.
Overall period of CVC requirement for chemotherapy administration.
(Failure of insertion of CVC for whatever reason will be recorded as a serious complication occurring on day 1.)
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Primary outcome [2]
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A comparison of all serious complications between the two arms will be performed.
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Assessment method [2]
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Timepoint [2]
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Complications will be assessed for the following time periods:
0 - 6 weeks after CVC insertion.
6 - 12 weeks after CVC insertion.
Overall period of CVC requirement for chemotherapy administration.
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Primary outcome [3]
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A comparison of the incidence of thrombosis between the 2 arms will be performed.
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Assessment method [3]
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Timepoint [3]
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Complications will be assessed for the following time periods:
0 - 6 weeks after CVC insertion.
6 - 12 weeks after CVC insertion.
Overall period of CVC requirement for chemotherapy administration.
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Primary outcome [4]
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A comparison of the incidence of infection (requiring antibiotic treatment) will be performed.
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Assessment method [4]
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Timepoint [4]
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Complications will be assessed for the following time periods:
0 - 6 weeks after CVC insertion.
6 - 12 weeks after CVC insertion.
Overall period of CVC requirement for chemotherapy administration.
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Secondary outcome [1]
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All other CVC related events.
1.Minor complications
The following events will be classified as minor complications:
- minor superficial inflammation treated conservatively or with topical measures
- pain over the insertion site that is controlled with analgesics
- partial dislodgment of the CVC
- blockage of one or more CVC lumen that does not require anticoagulant therapy or render the CVC useless
- other CVC-related events considered non-serious by the treating physician
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Assessment method [1]
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Timepoint [1]
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Time points are at 0-6 weeks, 6-12 weeks after CVC insertion, and overall duration of chemotherapy
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Eligibility
Key inclusion criteria
1.All patients with cancer (excluding leukaemia and myeloma) who require chemotherapy administration through a CVC2.Minimum anticipated duration of CVC directed therapy is 1 month (30 days).3. Patients should have a projected life expectancy of at least 3 months5.Written informed consent.
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Minimum age
18
Years
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Maximum age
Not stated
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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
1.Inability to provide informed consent2.Any contraindication to insertion of either PICC or PORT catheter3.Anticipated inability to follow-up patient for CVC care4.Previous participation in this trial (ie the same patient cannot be entered twice into the trial in the event that the original CVC is removed and another CVC is to be inserted).5.Patient to receive high dose chemotherapy and stem cell or bone marrow transplantation.
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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)
concealed envelope randomisations
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomised controlled trial, using a computer generated randomisation table which has been placed in opaque envelopes by a non research team individual
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
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Type of endpoint/s
Safety/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
1/12/2004
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Actual
10/12/2004
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Date of last participant enrolment
Anticipated
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Actual
30/11/2005
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Date of last data collection
Anticipated
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Actual
30/11/2005
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Sample size
Target
70
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Accrual to date
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Final
75
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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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Flinders Medical Centre
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Flinders Medical Centre
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Address
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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]
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Nil
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Flinders Medical Centre
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Ethics committee address [1]
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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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01/06/2004
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Approval date [1]
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01/06/2004
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Ethics approval number [1]
2676
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Ethics committee name [2]
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Monash Medical Centre
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Ethics committee address [2]
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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01/06/2004
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Approval date [2]
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01/06/2004
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Ethics approval number [2]
2677
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Ethics committee name [3]
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Queen Elizabeth Hospital
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Ethics committee address [3]
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
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01/06/2004
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Approval date [3]
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01/06/2004
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Ethics approval number [3]
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Summary
Brief summary
Patients receiving intravenous chemotherapy may require a central venous catheter (CVC) to enable effective delivery of the cytotoxic treatment. This is usually because of either difficult peripheral venous access or prolonged infusional chemotherapy schedules. This study is a randomised clinical trial comparing two types of CVC, the peripherally inserted central venous catheter (PICC) and the subcutaneously implanted port catheter (PORT catheter). The primary end point is CVC related complications. Background The last three decades have seen an increase in the use of chronic indwelling central venous catheter devices (CVC) in the setting of cancer treatment. CVCs enable effective delivery of chemotherapy into the venous system, and are particularly useful when peripheral venous access is otherwise difficult or when prolonged infusions of chemotherapy are required. The CVC also facilitates outpatient based therapy.
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Trial website
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Trial related presentations / publications
Comparison of peripherally inserted central venous catheters (PICC) versus subcutaneously implanted port-chamber catheters by complication and cost for patients receiving chemotherapy for non-haematological malignancies. Published 05 September 2013 Support Care in Cancer Volume 22, pages 121-128 (2014)
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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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Ms Alison Richards
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Address
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Department of Medical Oncology
Flinders Medical Centre
Bedford Park SA 5042
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Country
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Australia
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Phone
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+61 8 8204 8997
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Fax
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+61 8 8204 4997
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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 Chris Karapetis
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Address
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Clinical Trials Unit
Department of Medical Oncology
Flinders Medical Centre
Bedford Park SA 5042
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Country
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Australia
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Phone
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+61 8204 8997
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Fax
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+61 8 8 204 4997
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
If required, data can be retrieved from archive
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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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