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Trial registered on ANZCTR
Registration number
ACTRN12614000151639
Ethics application status
Approved
Date submitted
30/01/2014
Date registered
7/02/2014
Date last updated
28/01/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
A study to determine serum periostin levels over a six month period in adult patients, following a fracture
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Scientific title
A study to determine serum periostin levels over a six month period in adult patients, following a short or long bone fracture, or undergoing hip or knee joint replacement, or open reduction internal fixation surgery
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Secondary ID [1]
284006
0
Nil known
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Universal Trial Number (UTN)
U1111-1150-0576
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Trial acronym
PER04
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Serum Periostin levels, following a fracture
291042
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Serum periostin levels, following planned knee or hip joint replacement
291075
0
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Serum periostin levels, following open reduction internal fixation (ORIF) surgery
291076
0
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Condition category
Condition code
Injuries and Accidents
291382
291382
0
0
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Fractures
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Musculoskeletal
291418
291418
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Serum Periostin levels
Serum Periostin levels will be measured at 7 time points: Baseline (within 48 hours of fracture occuring), Week 1, Week 2, Week 4, Week 8, Week 12 and 6 months post baseline, via a specific periostin laboratory assay.
For patients undergoing planned knee or hip joint replacement, an additional pre-operative sample will be taken at up to 3 months prior to Baseline
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Intervention code [1]
288692
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Not applicable
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Comparator / control treatment
N/A - observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
291373
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Serum periostin levels over a six month period following a fracture
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Assessment method [1]
291373
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Timepoint [1]
291373
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Serum periostin will be measured at: Baseline (within 48 hours post fracture or surgery), week 1, week 2, week 4 , week 8, week 12 and 6 months post baseline.
For patients undergoing planned knee or hip joint replacement, an additional pre-operative sample will be taken at up to 3 months prior to Baseline
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Secondary outcome [1]
306621
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Investigation of potential associations between serum periostin and non-asthmatic health conditions (as captured by general health questionnaire e.g. diabetes)
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Assessment method [1]
306621
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Timepoint [1]
306621
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Baseline visit (within 48 hours of fracture occuring)
For patients undergoing planned knee or hip joint replacement, the questionnaire will be administered at the pre-operative time point (up to 3 months prior to Baseline)
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Eligibility
Key inclusion criteria
Aged between 18 to 75 years
Able to provide informed consent
Experienced a fracture to short or long bone less than 48 hours prior, or undergoing hip or knee joint replacement, or or open reduction internal fixation (ORIF) surgery
Participants will be enrolled to the following groups:
34 participants with a short-bone or phalangeal fracture
34 participants with a long bone fracture
34 participants undergoing hip or knee joint replacement surgery, or open reduction internal fixation (ORIF) surgery
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Minimum age
18
Years
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Maximum age
75
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
Doctor’s diagnosis of Asthma, Bronchitis or COPD
Wheezing or use of respiratory inhalers in the past 12 months
Known pregnancy
Significant co morbidities (determined at investigator discretion)
Hospital admission within last 3 months
Surgery within last 3 months, determined at investigator discretion (this includes all major surgery requiring general anaesthetic, dental extractions and root canal procedures. This does not include minor procedures, including but not limited to mole or wart removal, dental fillings etc).
Systemic Corticosteroids within the last 3 months
Any other safety concern at the investigator’s discretion
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
34 participants are sufficient to detect a paired difference in periostin of 0.5 of a standard deviation with 80% power. The conventional interpretation of an effect size of 0.5 of a standard deviation is of a medium effect size. For a comparison between large and small bone fractures a sample size of 68 has 90% power to detect a 0.8 standard deviation difference, a large effect size difference.
For analysis purposes the periostin levels will be plotted against time and a non-parametric scatter plot smoother will be used to determine if there is a pattern of variation with time that might be usefully explored with parametric regression (e.g. linear, quadratic, cubic time terms). Paired t-test and mixed linear models will be used to compare the six month periostin level with measurements at the other times to formally compare the change with time.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
17/02/2014
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Actual
21/05/2014
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Date of last participant enrolment
Anticipated
31/12/2014
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Actual
23/04/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
102
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Accrual to date
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Final
102
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Recruitment outside Australia
Country [1]
5788
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New Zealand
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State/province [1]
5788
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Wellington
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Funding & Sponsors
Funding source category [1]
288630
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Commercial sector/Industry
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Name [1]
288630
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Genentech, Inc.
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Address [1]
288630
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Genentech, Inc.
1 DNA Way, South San Francisco,
CA 94080-4990
USA
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Country [1]
288630
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United States of America
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Primary sponsor type
Charities/Societies/Foundations
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Name
Medical Research Institute of New Zealand
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Address
Medical Research Institute of New Zealand
Level 7 CSB, Wellington Hospital
Riddiford Street
Newtown
Wellington 6021
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
287337
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None
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Name [1]
287337
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Address [1]
287337
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Country [1]
287337
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290487
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Northern B HDEC
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Ethics committee address [1]
290487
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Health and Disability Ethics Committees Ministry of Health C/- MEDSAFE, Level 6, Deloitte House 10 Brandon Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
290487
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New Zealand
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Date submitted for ethics approval [1]
290487
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Approval date [1]
290487
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15/01/2014
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Ethics approval number [1]
290487
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13/NTB/186
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Summary
Brief summary
Levels of POSTN (a protein-coding gene, also known as osteoblast specific factor) gene expression and periostin have been measured in a number of tissues and disease states and periostin has been shown to be present in the periosteum and periodontal ligament being critical for the formation and maintenance of bone and teeth. Levels of POSTN gene expression following fracture have been measured but as serum periostin levels have not been measured following bone fractures it is difficult to determine the clinical significance of increased POSTN gene expression. This study endeavours to measure the serum periostin levels in participants with small bone and large bone fractures and in participants undergoing hip or knee joint replacements to determine if there are clinically significant changes in periostin levels following a fracture.
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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
38582
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Prof Richard Beasley
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Address
38582
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Medical Research Institute of New Zealand Private Bag 7902, Wellington 6242
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Country
38582
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New Zealand
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Phone
38582
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+64 4 805 0147
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Fax
38582
0
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Email
38582
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[email protected]
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Contact person for public queries
Name
38583
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Rachel Caswell-Smith
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Address
38583
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Medical Research Institute of New Zealand Private Bag 7902, Wellington 6242
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Country
38583
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New Zealand
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Phone
38583
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+64 4 805 0247
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Fax
38583
0
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Email
38583
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[email protected]
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Contact person for scientific queries
Name
38584
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Rachel Caswell-Smith
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Address
38584
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Medical Research Institute of New Zealand Private Bag 7902, Wellington 6242
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Country
38584
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New Zealand
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Phone
38584
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+64 4 805 0247
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Fax
38584
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Email
38584
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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
Source
Title
Year of Publication
DOI
Embase
Serum periostin levels following small bone fractures, long bone fractures and joint replacements: An observational study.
2018
https://dx.doi.org/10.1186/s13223-018-0254-9
N.B. These documents automatically identified may not have been verified by the study sponsor.
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