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Trial registered on ANZCTR
Registration number
ACTRN12613000182796
Ethics application status
Approved
Date submitted
13/02/2013
Date registered
15/02/2013
Date last updated
26/06/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
Tonsil Dressing Feasibility Study assessing the use of an Oral Wound Dressing in Adults
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Scientific title
Feasibility Study Assessing 14 days of Postoperative Pain after a single direct application of an Oral Wound Dressing in Post-Tonsillectomy Adults
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Secondary ID [1]
281946
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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:
tonsil hyperplasia
288361
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tonsillitis
288390
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Condition category
Condition code
Surgery
288709
288709
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0
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Other surgery
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Oral and Gastrointestinal
288737
288737
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Tonsil Dressing
This oral wound dressing in powder form is applied immediately post-tonsillectomy as a single intervention on the tonsillectomy wound. The powder binds to the wound becoming a gel and forms a protective barrier.
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Intervention code [1]
286509
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Treatment: Devices
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Comparator / control treatment
Control: standard treatment
Participants enrolled and randomized to the standard treatment arm will receive a tonsillectomy with standard post-operative care and no wound dressing.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary purpose of this study is to measure the differences in postoperative pain in subjects undergoing electrodissection monopolar diathermy tonsillectomy who are treated with the Tonsil Dressing (treatment cohort) compared to those undergoing the same procedure who do not receive the Tonsil Dressing (control cohort).
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Assessment method [1]
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Timepoint [1]
288853
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Pain is measured by the study participant twice daily for 14 days using a visual analogue scale from 0 to 10.
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Secondary outcome [1]
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A secondary objective is to measure the differences in postoperative recovery time (i.e. return to normal activity and return to normal nutritional intake) in the treatment cohort compared to the control cohort.
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Assessment method [1]
301150
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Timepoint [1]
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Postoperative recovery time is measured by the study participant twice daily for 14 days using a questionnaire in a subject notebook.
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Secondary outcome [2]
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Safety data will be collected categorized and evaluated.
Postoperative complications and events will be recorded daily by the participant in a Subject Notebook (diary) and/or reported directly to the clinic. Adverse events will be assessed by the investigator during study procedures (e.g. surgery or discharge) and with an oral cavity examination at the follow-up visit (day 15-25) and upon review of the Subject Notebook. Adverse events will be recorded on specific case report forms.
Potential Adverse events include the following:
Allergic reaction,
Post-operative bleeding,
Laryngospasm,
Dehydration,
Nausea,
Vomiting,
Foreign Body Response,
Referred Ear Pain,
Oedema,
Erythema,
Infection,
Surgical Pain,
Prolonged Surgical Pain,
Abnormal or Impaired Wound Healing,
Permanent change in voice,
Nasal regurgitation.
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Assessment method [2]
301151
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Timepoint [2]
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Safety data will be collected by the study participants daily for 14 days postoperatively and by the investigator at the follow-up visit occurring at day 15 - 25 postoperatively.
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Eligibility
Key inclusion criteria
18 – 50 years of age
Indicated for tonsillectomy due to obstructive breathing tonsil hyperplasia, tonsillitis or other chronic throat-related illness
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Minimum age
18
Years
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Maximum age
50
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
Prior tonsillectomy or tonsillotomy
Concurrent surgical procedures (including adenoidectomy)
Subject has a known shellfish allergy
Body Mass Index (BMI) greater than 35
Known bleeding disorder or prescribed anticoagulants
Cranial facial abnormalities that may interfere with access to the tonsils
Subject is immunocompromised (e.g., taking immunosuppressive medication)
Chronic or frequent use of pain medications
Subject has a serious comorbid condition that may interfere with the conduct or results of the clinical study
Subject is currently participating in another clinical study and has not been approved for concurrent enrolment by the Study Sponsor.
Subject is pregnant or breast-feeding
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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)
Subjects will be recruited from the practices and clinics of the participating Study Investigators. The potential subject will be assessed for preliminary eligibility, and subsequently interviewed for their interest in the study and willingness to comply with the study protocol. Potential candidates will be provided the Participant Information Sheet, and will be given ample opportunity to ask questions and receive further information from the study personnel before deciding whether or not they will participate in the study. If the candidate agrees to participate, he/she will be asked to sign the Informed Consent Form.
Once the Informed Consent Form is signed, the subject will be considered enrolled in the study.
Allocation is concealed through the use of central randomization by a computer system.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization will be assigned through a computer database associated with the electronic case report form system. Once the preliminary participant information has been entered into the system the computer program will select the randomization assignment for that subject.
Simple randomisation using a randomisation table created by computer software (i.e. computerized sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
As this is a feasibility study, and the endpoints do not require a quantified definition of success, no statistical analysis will be undertaken. The data resulting from this study will be summarized and interpreted by the Sponsor using interim assessments; in addition, a final report will be generated after all data are collected.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/03/2013
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Actual
18/04/2013
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Date of last participant enrolment
Anticipated
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Actual
3/06/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
36
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
568
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Cairns Base Hospital - Cairns
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Recruitment hospital [2]
569
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Mona Vale Hospital - Mona Vale
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Recruitment hospital [3]
570
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Caloundra Private Hospital - Caloundra
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Recruitment hospital [4]
571
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Noosa Hospital - Noosaville
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Recruitment hospital [5]
3971
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Pittwater Day Surgery - Mona Vale
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Recruitment postcode(s) [1]
6310
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4870 - Cairns City
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Recruitment postcode(s) [2]
6311
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1660 - Mona Vale
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Recruitment postcode(s) [3]
6312
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4551 - Caloundra
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Recruitment postcode(s) [4]
6313
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4566 - Noosaville
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Recruitment postcode(s) [5]
9875
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2103 - Mona Vale
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Funding & Sponsors
Funding source category [1]
286725
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Commercial sector/Industry
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Name [1]
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Medtronic Surgical Technologies
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Address [1]
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6743 Southpoint Drive North; Jacksonville, FL USA 32216
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Country [1]
286725
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Medtronic Australasia Pty Ltd.
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Address
97 Waterloo Road
North Ryde, NSW 2113
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Country
Australia
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Secondary sponsor category [1]
285500
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Commercial sector/Industry
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Name [1]
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Medtronic Surgical Technologies
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Address [1]
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6743 Southpoint Drive North; Jacksonville, FL 32216
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Country [1]
285500
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Greenslopes Research and Ethics Committee
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Ethics committee address [1]
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Greenslopes Private Hosp Newdegate Street Greenslopes QLD 4120
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Ethics committee country [1]
288797
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Australia
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Date submitted for ethics approval [1]
288797
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Approval date [1]
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11/12/2012
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Ethics approval number [1]
288797
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EC00161
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Summary
Brief summary
This is a prospective, randomized, single-blinded study to observe subject safety and measure efficacy of the Tonsil Dressing in the treatment of subjects post-tonsillectomy. Up to 36 subjects will be enrolled at up to 6 Australian investigational sites. Subjects will be randomized 2:1 (test:control). Tonsillectomy performed using electrodissection monopolar diathermy (10-15W). Subjects will complete self-assessments of pain (2x/day), activity and nutrition levels for 14 days. Clinic follow-up visit between days 15-25.
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Trial website
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Trial related presentations / publications
Final Report 31/10/2014 Publications are pending
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Public notes
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Contacts
Principal investigator
Name
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Dr Peter Gochee, MD
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Address
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Department of Surgery
Cairns Base Hospital
The Esplanade
Cairns 4870 QLD
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Country
37822
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Australia
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Phone
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+61 7 42268085
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Fax
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+61 7 42266519
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Email
37822
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[email protected]
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Contact person for public queries
Name
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Henri Heijnen, PhD.
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Address
37823
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8 Benambra Dr.
Lower Templestowe, VIC 3107
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Country
37823
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Australia
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Phone
37823
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+61 (0) 435 771 943
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Fax
37823
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Email
37823
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[email protected]
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Contact person for scientific queries
Name
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David Hodge
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Address
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6743 Southpoint Drive North
Jacksonville, FL 32216
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Country
37824
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United States of America
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Phone
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+1 904 2812774
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Fax
37824
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+1 763 3674106
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Email
37824
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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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