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Trial registered on ANZCTR
Registration number
ACTRN12611000818932
Ethics application status
Not yet submitted
Date submitted
3/08/2011
Date registered
4/08/2011
Date last updated
4/08/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A controlled trial of Acamprosate to reduce the severity of neurocognitive impairment during alcohol with
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Scientific title
Among Australians who have Diagnostic and Statistical Manual Fourth Edition(DSM IV) alcohol dependence , does acamprosate reduce cognitive impairment during withdrawal treatment when compared to placebo thus achieving the planned outcome of reducing the risk of neuro cognitive impairment during alcohol withdrawal
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Secondary ID [1]
262774
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None
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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:
Cognitive impairment in heavy alcohol drinking persons
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Condition category
Condition code
Neurological
270634
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0
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Dementias
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Mental Health
270638
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0
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Addiction
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Acamprosate (calcium acetyl-homotaurinate) , two tablets of 333mg three times a day for four days during alcohol withdrawal
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Intervention code [1]
267110
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Treatment: Drugs
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Intervention code [2]
267113
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Prevention
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Comparator / control treatment
Placebo capsules containing sucrose
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Computerized cognitive testing at day four of treatment to measure Verbal Memory,Visual Memory and Executive Function
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Assessment method [1]
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Timepoint [1]
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Day 4 of treatment
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Secondary outcome [1]
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The Nine Hole Peg Test a measure of ataxia to determine the time this test takes for completion
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Assessment method [1]
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Timepoint [1]
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Day four of treatment
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Eligibility
Key inclusion criteria
1. Aged 30 years or greater.
2. Have a diagnosis of DSM IV Alcohol Dependence.
3. Drinking alcohol >80gm daily in males and 60gms daily in females
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Minimum age
30
Years
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Maximum age
100
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
1. Opiate, Stimulant, Cannabis, Inhalant or Benzodiazepine dependence.
2. History of dementia or severe brain injury resulting in a mini mental score less than or equal to 26 out of 30
3. Diagnosis of Wernicke’s Encephalopathy or Korsakoff’s Encephalopathy
4. Receiving Acamprosate medication in the 28 days prior to admission
5. Any history, clinical or biochemical indication of renal function impairment
6. Pregnancy
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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)
During routine presentation of clients to Withdrawal Unit Joslin (WSJ) successive clients will be recruited to this study. All clients admitted to WSJ for alcohol withdrawal who for fill the Selection Criteria will be informed of the study. At arrival for assessment they will be provided with information on the study by a nurse or medical officer. Subjects will be informed that their participation status in the study will have no impact on their admission status or treatment, other than that as a potential result of the trial medication. Subjects will then be asked to consent to participate in the study and sign a consent form to confirm this. The person who determines if a subject is eligible for inclusion in the trial will be unaware, when this decision is made, to which group the subject would be allocated. This will be concealed as the medication will be dispenced from a numbered container. Each container will be randomly allocated medication or placebo at an off site pharmacy
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computor generated randomisation on the basis of order of presentation
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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
Cognitive testing will be conducted on computor touch screens with no direct involvement of researchers.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2011
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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
80
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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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Self funded/Unfunded
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Name [1]
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Dr Philip Crowley
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Address [1]
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Eastern Service
Community Based Treatment Interventions
Drug and Alcohol Services South Australia
92 Osmond Terrace
Norwood SA 5067
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Drug and Alcohol Services South Australia
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Address
92 Osmond Terrace
Norwood SA 5067
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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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Royal Adelaide Hospital
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Address [1]
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North Tce
Adelaide SA 5000
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Country [1]
266627
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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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Dr Carolyn Edmonds
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Address [1]
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Drug and Alcohol Services South Australia
92 Osmond Tce
Norwood
SA 5067
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Country [1]
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Royal Adelaide Hospital Human Research Ethics Committee
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Ethics committee address [1]
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Level 3, Hanson Institute (IMVS Building) Royal Adelaide Hospital North Tce Adelaide 5000
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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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23/07/2011
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Approval date [1]
269545
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Ethics approval number [1]
269545
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Summary
Brief summary
This study seeks to compare the prevalence of cognitive impairment in a population of alcohol dependent patients randomly allocated to have either Acamprosate or a Placebo during inpatient alcohol withdrawal. Acamprosate is thought to stabilise Glutamate mediated NMDA receptors and reduce hyper excitatory neurotoxicity in the neurons on which they occur. These neurons are thought to play an important part in neuroplasticity and working memory. Sensitive computerised psychological testing which has been shown to detect neurocognitive impairment in patients during medicated alcohol withdrawal will be used to compare the response in the test and placebo groups. A standard measure of ataxia will also be used to compare the two groups.
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Trial website
nil
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Trial related presentations / publications
nil
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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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Dr Philip Crowley
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Address
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Eastern Service
Community Based Treatment Interventions
Drug and Alcohol Services South Australia
92 Osmond Terrace
Norwood SA 5067
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Country
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Australia
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Phone
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+61 8 81307500
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Fax
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+61 8 81307575
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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 Philip Crowley
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Address
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Eastern Service
Community Based Treatment Interventions
Drug and Alcohol Services South Australia
92 Osmond Terrace
Norwood SA 5067
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Country
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Australia
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Phone
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+61 8 81307500
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Fax
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+61 8 81307575
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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
No additional documents have been identified.
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