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Trial registered on ANZCTR
Registration number
ACTRN12610000156088
Ethics application status
Approved
Date submitted
11/02/2010
Date registered
16/02/2010
Date last updated
12/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Neurological risk factors in infants having non-cardiac surgery, and their relationship to growth and neurodevelopmental outcome
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Scientific title
A non-randomised study assessing the neurological risk factors in infants having non-cardiac surgery, and their relationship to growth and neurodevelopmental outcome.
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Secondary ID [1]
1411
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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:
Congenital diaphragmatic hernia
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Oesophageal Atresia
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Anterior abdominal wall defect (Gastroschisis or exomphalos)
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Condition category
Condition code
Neurological
256953
256953
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0
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Other neurological disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Assessment will be with a combination of neurobehavioural assessment, amplitude integated electroencephalography (aEEG) and magnetic resonance imaging (MRI). Neurobehavioural assessment will be conducted by the Bayley III at 1 year and 2 years corrected gestational age. This assessment takes approximately two hours. MRI will be acquired at two time points- pre-operatively and post-operatively. Participants will have aEEG placed in the post-operative period. The type of surgery that the participants in this study will undergo are congenital diaphragmatic hernia repair, oesophageal atresia repair or anterior abdominal wall defect repair.
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Intervention code [1]
256008
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Not applicable
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Comparator / control treatment
Abnormalities of cerebral development associated with preterm birth will be identified by comparison of MRI and aEEG data from healthy, late-born infants, as well as comparison with a cohort of late preterm infants with gestational ages 32-36 weeks who are being studied elsewhere. Specifically these 'healthy' late preterm infants are currently being recruited into a study of cerebral development using MRI being performed at the Royal Women's Hospital by a co-investigator Dr Jeanie Cheong. This study commenced in 2010.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Neurodevelopmental outcome measured by the Bayley-III
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Assessment method [1]
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Timepoint [1]
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Participants will be tested at 24 months of age.
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Secondary outcome [1]
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Evidence of cerebral structural derangement from advanced magnetic resonance (MR) analysis
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Assessment method [1]
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Timepoint [1]
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Preoperatively and post-operatively (4 weeks after surgery)
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Secondary outcome [2]
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Evidence of peri-operative disturbance in cerebral function measured by analysis of background pattern on aEEG, or presence of seizures.
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Assessment method [2]
263247
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Timepoint [2]
263247
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Immediately after surgery until sleep wake cycling resumes.
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Eligibility
Key inclusion criteria
All infants born after 31 completed weeks gestation with either congenital diaphragmatic hernia, oesophageal atresia or anterior abdominal wall defect.
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Minimum age
1
Days
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Maximum age
1
Months
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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
None.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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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
1/03/2010
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Actual
25/04/2011
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Date of last participant enrolment
Anticipated
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Actual
25/07/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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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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Recruitment hospital [1]
2079
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The Royal Childrens Hospital - Parkville
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Recruitment postcode(s) [1]
7771
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3052 - Parkville
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Melbourne University
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Address [1]
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The University of Melbourne
Victoria 3010
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Country [1]
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Australia
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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Centres of Clinical Research Excellence (CCRE) in Newborn Medicine
Murdoch Childrens Research Institute
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Address [2]
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Flemington Road
Parkville Vic 3052
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Country [2]
288712
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Australia
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Primary sponsor type
Hospital
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Name
Royal Children's Hospital
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Address
Flemington Road,
Parkville
Victoria 3052
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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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Address [1]
255820
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Country [1]
255820
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
258558
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Royal Children's Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Flemington Road Parkville Victoria, 3052
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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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15/02/2010
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Approval date [1]
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29/04/2010
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Ethics approval number [1]
258558
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Summary
Brief summary
The primary purpose of this study is the examine the cerebral injury and changes in cerebral structure in late preterm and term infants undergoing surgery using neurobehvavioural, electrophysiology and MR imaging. Our study hypothesis is that childhood survivors of infants undergoing surgery in the newborn period for conditions including oesophageal atresia, congenital diaphragmatic hernia and gastroschisis will have impaired neurodevelopment.
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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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A/Prof Rod Hunt
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Address
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Neonatal Research
Murdoch Childrens Research Institute
Royal Children's Hospital
Flemington Road
Parkville VIC 3052
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Country
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Australia
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Phone
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+613934 55008
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Fax
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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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Rod Hunt
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Address
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Department of Neonatal Medicine
Royal Children's Hospital
Flemington Road
Parkville
Victoria, 3052
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Country
14078
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Australia
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Phone
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+61 3 9345 5008
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Fax
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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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Rod Hunt
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Address
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Department of Neonatal Medicine
Royal Children's Hospital
Flemington Road
Parkville
Victoria, 3052
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Country
5006
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Australia
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Phone
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+61 3 9345 5008
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Fax
5006
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Email
5006
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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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