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Trial registered on ANZCTR
Registration number
ACTRN12613000535774
Ethics application status
Not yet submitted
Date submitted
12/05/2013
Date registered
14/05/2013
Date last updated
14/05/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of remote ischaemic preconditioning on the late immune response and nervous system
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Scientific title
The effect of remote ischaemic preconditioning on the second window immune response and parasympathetic nervous system in healthy volunteers
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Secondary ID [1]
282482
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None
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Universal Trial Number (UTN)
U1111-1142-8797
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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:
Remote ischaemic preconditioning is primarily intended for use in cardiac surgery patients
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Condition category
Condition code
Cardiovascular
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0
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Coronary heart disease
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Surgery
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0
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Surgical techniques
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Remote ischaemic preconditioning will be performed at the start of the study. A blood pressure cuff will be placed on the non-dominant upper arm and inflated to 200 mmHg for five minutes, then deflated for five minutes. This cycle will be performed three times immediately one after the other, taking a total of thirty minutes. Follow-up will take place up to 24 hours post-treatment.
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Intervention code [1]
287131
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Other interventions
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Comparator / control treatment
The difference between the baseline and post-treatment measurements will be used to determine the effects of the intervention.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Inflammatory cytokine levels in serum, and leukocyte cultures, quantified using a cytometric bead array and flow cytometry
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Assessment method [1]
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Timepoint [1]
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Baseline and 24 hours post-treatment
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Primary outcome [2]
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Changes in heart rate variability, assessed using standard power spectral analysis approaches
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Assessment method [2]
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Timepoint [2]
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Baseline and 24 hours post-treatment
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Secondary outcome [1]
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Changes in the size and activation state of leukocyte populations, as determined using flow cytometry
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Assessment method [1]
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Timepoint [1]
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Baseline and 24 hours post-treatment
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Secondary outcome [2]
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Changes in apoptosis of peripheral leukocytes, as determined by flow cytometry
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Assessment method [2]
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Timepoint [2]
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Baseline and 24 hours post-treatment
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Eligibility
Key inclusion criteria
Healthy volunteers
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Minimum age
18
Years
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Maximum age
30
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Peripheral vascular disease
Smoking
Regular use of medication
Acute illness (within 1 week of the study visits)
Any cardiac rhythm abnormality
Any condition affecting the autonomic nervous system (eg diabetes, autonomic neuropathy)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Potential participants will be sent an information sheet about the study and informed consent will be obtained prior to treatment on the day of the first study visit. All participants will receive the same treatment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
At present there is no data on which to perform a statistical power calculation for this study; however, based on the experience with our previous study and the endpoints being used, it is expected that 10 or more participants will provide sufficient power to detect the magnitude of effect required to be of clinical interest. Changes in endpoints between the baseline and 24 hour post-RIPC samples will be assessed using two-tailed t-tests.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2013
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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
15
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Wellington Medical Research Foundation
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Address [1]
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PO Box 51 211
Wellington 6140
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Jenni Williams
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Address
School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country
New Zealand
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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]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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A/Prof Anne La Flamme
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Address [1]
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School of Biological Sciences
Victoria University of Wellington
PO Box 600
Wellington 6140
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Country [1]
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New Zealand
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Other collaborator category [2]
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Individual
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Name [2]
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Prof Richard Beasley
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Address [2]
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Medical Research Institute of New Zealand
Private Bag 7902
Wellington 6242
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Country [2]
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New Zealand
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Other collaborator category [3]
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Individual
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Name [3]
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A/Prof Peter Larsen
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Address [3]
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Department of Surgery & Anaesthesia
University of Otago, Wellington
PO Box 7343
Wellington South
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Country [3]
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New Zealand
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
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PO Box 5013 Wellington 6145
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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16/05/2013
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Approval date [1]
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Ethics approval number [1]
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Summary
Brief summary
Remote ischaemic preconditioning (RIPC) is the phenomenon where brief periods of ischaemia (reduced oxygen delivery) in one organ can have a protective effect against subsequent ischaemia in other organs. There are two periods of protection provided by RIPC. The first occurs within minutes and lasts between two and four hours, whereas the second presents 24 hours after the conditioning and persists for up to 72 hours. The exact mechanisms through which RIPC exerts these protective periods are unclear; however, there is evidence to support the involvement of both immune and nervous pathways. This study will investigate the effect of RIPC on the immune response during the late phase of protection, and on the immediate parasympathetic nervous response. This will be achieved by recruiting 15 healthy male volunteers and collecting blood samples and electrocardiogram traces of the electrical activity of the heart before, and 24 hours after, RIPC. The blood samples will be used to measure the effect of RIPC on inflammatory biomarker levels and the function of circulating white blood cells. The ECGs will be used to determine if the RIPC stimulates the parasympathetic nervous system.
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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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Miss Jenni Williams
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Address
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School of Biological Sciences,
Victoria University of Wellington,
PO Box 600,
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 463 6559
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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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Jenni Williams
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Address
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School of Biological Sciences,
Victoria University of Wellington,
PO Box 600,
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 463 6559
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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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Jenni Williams
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Address
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School of Biological Sciences,
Victoria University of Wellington,
PO Box 600,
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 463 6559
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Fax
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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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