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Trial registered on ANZCTR
Registration number
ACTRN12613000699763
Ethics application status
Approved
Date submitted
20/06/2013
Date registered
26/06/2013
Date last updated
26/06/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Nicotinamide and innate immunity in patients with bronchiectasis
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Scientific title
Enhanced innate immunity and killing of respiratory pathogens by nicotinamide in patients with bronchiectasis
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Secondary ID [1]
282707
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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:
Bronchiectasis
289421
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Condition category
Condition code
Respiratory
289750
289750
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will take oral nicotinamide capsules twice daily in one of the 4 dosage groups for a total duration of 2 weeks:- 1500mg twice daily
2000mg twice daily
2500mg twice daily
3000mg twice daily
compliance will be ensured by capsules count at every follow up visit, blood will be collected for nicotinamide level prior to start of nicotinamide taking and then at every follow up visit.
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Intervention code [1]
287368
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Prevention
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Intervention code [2]
287403
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Treatment: Drugs
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Comparator / control treatment
Nil
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
289835
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Dose of nicotinamide required to achieve serum level of 1 mM, this will be assessed by collecting blood samples for serum nicotinamide level analysis at each follow up visits from visit 2 to visit 5
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Assessment method [1]
289835
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Timepoint [1]
289835
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two weeks
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Secondary outcome [1]
303348
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Counts of surviving bacterial colony-forming units after inoculation of the pathogen with nicotinamide treated blood
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Assessment method [1]
303348
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Timepoint [1]
303348
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two weeks
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Secondary outcome [2]
303349
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Serum Level of C/EBPe expression
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Assessment method [2]
303349
0
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Timepoint [2]
303349
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two weeks
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Secondary outcome [3]
303438
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serum lactoferrin level
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Assessment method [3]
303438
0
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Timepoint [3]
303438
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two weeks
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Secondary outcome [4]
303439
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serum cathelicidin level
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Assessment method [4]
303439
0
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Timepoint [4]
303439
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two weeks
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Eligibility
Key inclusion criteria
- Male or female aged between 18 to 80 years old
- able to provide written consent form
- Patients with confirmed bronchiectasis by High resolution
CT scan
- history of at least one pulmonary exacerbation in the
past 12 months
- healthy volunteers should be never smoker with no
underlying acute or chronic medical conditions and not
taking regular medications
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Minimum age
18
Years
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Maximum age
80
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
- Pregnant or lactating women
- patients with significant medical conditions other than
bronchiectasis
- patients with significant abnormal liver function or with
liver cirrhosis
- patients with a history of non-adherence with medications
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Study design
Purpose of the study
Prevention
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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)
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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
Other
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Other design features
One volunteer and one bronchiectasis patient will be allocated to each of the 4 dosing groups by sequence.
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Phase
Phase 1
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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Statistical methods / analysis
The primary outcome nicotinamide levels will be described and analysed at baseline, 48hours, 1 week and 2 weeks.
Descriptives will be produced for all other study outcomes at each time point.
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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
8
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
5154
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New Zealand
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State/province [1]
5154
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Auckland
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Funding & Sponsors
Funding source category [1]
287478
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Hospital
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Name [1]
287478
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Respiratory Research Fund, Middlemore Hospital
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Address [1]
287478
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Middlemore Hospital
Private Bag 93311
Otahuhu
Auckland 1640
New Zealand
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Country [1]
287478
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New Zealand
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Primary sponsor type
Hospital
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Name
Dr Conroy Wong, Middlemore Hospital
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Address
Middlemore Hospital
Private Bag 93311
Otahuhu
Auckland 1640
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
286220
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Charities/Societies/Foundations
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Name [1]
286220
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Centre for Clinical Research and effective practice
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Address [1]
286220
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Centre for Clinical Research and effective practice
Private Bag 93311
Otahuhu
Auckland 1640
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Country [1]
286220
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289453
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
289453
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Ministry of Health 1 the Terrace PO Box 5013 Wellington 6011
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Ethics committee country [1]
289453
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New Zealand
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Date submitted for ethics approval [1]
289453
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26/02/2013
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Approval date [1]
289453
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15/03/2013
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Ethics approval number [1]
289453
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13/NTA/28
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Summary
Brief summary
We aim to determine the dose of nicotinamide (NAM) that achieves a serum level of at least 1 mM, and also to assess the effect of nicotinamide on upregulation of neutrophil function and bacterial killing in both patients with bronchiectasis and healthy volunteers. We want to prove if nicotinamide may augment neutrophil function and enhance the killing of respiratory pathogens in patients with bronchiectasis
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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
40922
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Dr Conroy Wong
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Address
40922
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Respiratory Services
Middlemore Hospital
Private bag 93311
Otahuhu
Auckland 1640
New Zealand
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Country
40922
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New Zealand
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Phone
40922
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+64 9 276 0000
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Fax
40922
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+64 9 270 9737
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Email
40922
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[email protected]
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Contact person for public queries
Name
40923
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Cecilia Tong
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Address
40923
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Centre for Clinical Research and effective practice
Private bag 93311
Otahuhu
Auckland 1640
New Zealand
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Country
40923
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New Zealand
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Phone
40923
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+64 9 276 0000
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Fax
40923
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+64 9 270 9737
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Email
40923
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[email protected]
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Contact person for scientific queries
Name
40924
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Conroy Wong
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Address
40924
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Respiratory Services
Middlemore Hospital
Private bag 93311
Otahuhu
Auckland 1640
New Zealand
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Country
40924
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New Zealand
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Phone
40924
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+64 9 276 0000
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Fax
40924
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+64 9 270 9737
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Email
40924
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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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