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Trial registered on ANZCTR
Registration number
ACTRN12614000246684
Ethics application status
Approved
Date submitted
1/03/2014
Date registered
7/03/2014
Date last updated
7/03/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Clinical Efficacy of Spasmofen Suppository in the Emergency Treatment of Renal Colic
A randomized, double blind, double dummy comparative trial
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Scientific title
Spasmofen suppository (Ketoprofen combined with Hyoscine-butylbromide) versus Ketorolac intravenous injection in emergency treatment of renal colic
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Secondary ID [1]
284181
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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:
Acute renal colic
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Condition category
Condition code
Renal and Urogenital
291633
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
One Spasmofen (Registered Trademark) rectal suppository containing ketoprofen 100 mg and hyoscine butylbromide 10 mg, a brand of Amirya Pharmaceutical Company, Alexandria, Egypt.
Plus 2 mls of Normal saline solution intravenous (IV)
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Intervention code [1]
288879
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Treatment: Drugs
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Comparator / control treatment
One ketorolac 30 mg/2ml ampoule IV plus one placebo suppository (paraffin wax)
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Control group
Active
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Outcomes
Primary outcome [1]
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Treatment success, defined as a change in the Verbal Rating Scale (VRS) for pain from severe or moderate pain to none or mild at 60 minutes after the dose
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Assessment method [1]
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Timepoint [1]
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at 60 minutes after the dose
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Primary outcome [2]
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Percent reductions of Visual Pain Analog Scale (VPAS) scores at 15, and 60 minutes after the dose
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Assessment method [2]
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Timepoint [2]
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15, and 60 minutes after the dose
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Secondary outcome [1]
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Incidence of Adverse events in both groups:
Any adverse event reported spontaneousely by the patients and we asked about dry mouth, giddiness, decrease alertness, nausea, vomiting, agitation, itchiness or nervousness.
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Assessment method [1]
307082
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Timepoint [1]
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after the dose for 60 minutes
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Eligibility
Key inclusion criteria
typical moderate to severe unilateral abdominal or flank pain that the treating emergency physician clinically diagnosed it as renal colic with or without a positive imaging picture suggestive of renal calculi
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Minimum age
18
Years
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Maximum age
60
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
pregnancy or breast-feeding;
patient size or weight far from the average for adult dose;
history of allergy to an anticholinergic or any NSAID; and history of peptic ulcer disease, gastrointestinal bleeding, perforation, or inflammatory bowel disease
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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)
Eligible patients who signed the informed consent were randomly assigned into 2 treatment groups. An experimental group (Spasmofen group) who received one Spasmofen rectal suppository plus an intravenous injection of 2 ml of normal saline solution and a control group (Ketorolac group) who received one ketorolac 30 mg/2ml ampoule IV plus one placebo suppository.
The study drugs were administered by study assistants according to the randomization scheme dictated centrally by the statistician through a telephone call.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomization sequence was carried out centrally by a statistician independent from the study team through a computer generated block randomization scheme
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
double dummy
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2007
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Actual
1/03/2007
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Date of last participant enrolment
Anticipated
31/10/2007
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Actual
31/10/2007
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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 outside Australia
Country [1]
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Egypt
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State/province [1]
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Alexandria
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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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Address [1]
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Country [1]
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Egypt
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Primary sponsor type
Individual
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Name
Mostafa Yakoot
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Address
27 Green Street, Alexandria 21121, Egypt
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Country
Egypt
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Amirya Pharmaceutical Company, Alexandria, Egypt
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Address [1]
287504
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Km 25 Alexandria Cairo Desert Road 11843, Alexandria
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Country [1]
287504
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Green Clinic and Research Center IRB#1
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Ethics committee address [1]
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27 Green Street, Alexandria 21121
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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Approval date [1]
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05/02/2007
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Ethics approval number [1]
290653
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Summary
Brief summary
Background: Renal colic is typically characterized by the sudden onset of severe pain radiating from the flank to the groin and its acute management in emergency departments essentially aims at rapid pain relief. Spasmofen (Registered Trademark) is a brand of Amirya Pharmaceutical Company, Alexandria, Egypt. It is in the form of rectal suppositories containing ketoprofen 100 mg and hyoscine butylbromide 10 mg. This combination is intended for the rapid relief of severe colicky pain in renal system, hepatobiliary or gastrointestinal tract. This trial aims to compare a single-dose of Spasmofen suppository to a single IV ketorolac dose in patients with acute renal colic. Methods: A total of 80 eligible consecutive patients presenting to the emergency departments of 2 medical centers with acute renal colic were included in the study. Eligible patients who signed the informed consent were randomly assigned into 2 treatment groups. An experimental group (Spasmofen group) who received one Spasmofen rectal suppository plus an intravenous injection of 2 ml of normal saline solution and a control group (Ketorolac group) who received one ketorolac 30 mg/2ml ampoule IV plus one placebo suppository. Treatment success, defined as a change in the verbal rating score (VRS) from severe or moderate pain to none or mild at 60 minutes after the dose, was compared between groups using Chi-Square/Fisher Exact test. Percent reductions of visual pain analog scale (VPAS) scores at 15, and 60 minutes after the dose were compared between groups using Z test for proportions.
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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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Dr Mostafa Yakoot
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Address
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Green Clinic and Research Center,
27 Green Street, Alexandria 21121
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Country
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Egypt
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Phone
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+201223927561
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Fax
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+2033913725
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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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Mostafa Yakoot
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Address
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Green Clinic and Research Center
27 Green Street, Alexandria 21121
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Country
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Egypt
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Phone
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+201223927561
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Fax
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+2033913725
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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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Mostafa Yakoot
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Address
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Green Clinic and Research Center
27 Green Street, Alexandria 21121
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Country
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Egypt
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Phone
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+201223927561
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Fax
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+2033913725
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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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