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Trial registered on ANZCTR
Registration number
ACTRN12620000934943
Ethics application status
Approved
Date submitted
21/07/2020
Date registered
18/09/2020
Date last updated
18/09/2020
Date data sharing statement initially provided
18/09/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Quinidine therapy in Brugada Syndrome
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Scientific title
Investigating non-invasive markers to determine the effect of quinidine treatment in patients with Brugada Syndrome.
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Secondary ID [1]
302098
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None
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Universal Trial Number (UTN)
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Trial acronym
QUIET BrS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Brugada Syndrome
317825
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Condition category
Condition code
Cardiovascular
315884
315884
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hydroquinidine 300mg, oral capsule, twice daily
For 2 weeks
Adherence will be monitored by patient report and tablet return. Serum quinidine levels will also be performed.
This is a non-randomised trial.
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Intervention code [1]
317797
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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]
324228
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Epicardial activation time by ECGi
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Assessment method [1]
324228
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Timepoint [1]
324228
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Following 14+/- 7 days of quinidine therapy.
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Primary outcome [2]
324868
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Epicardial recovery time by ECGi
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Assessment method [2]
324868
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Timepoint [2]
324868
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Following 14+/- 7 days of quinidine therapy.
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Primary outcome [3]
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Temporal burden of type 1 Brugada pattern ECG on 12-lead Holter
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Assessment method [3]
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Timepoint [3]
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Following 14+/- 7 days of quinidine therapy.
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Secondary outcome [1]
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Reported tolerability of quinidine therapy as assessed by medication questionnaire (designed for this study) and self-reported adverse events.
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Assessment method [1]
384120
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Timepoint [1]
384120
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Following 14+/- 7 days of quinidine therapy.
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Eligibility
Key inclusion criteria
Diagnosis of Brugada Syndrome
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Minimum age
18
Years
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Maximum age
No limit
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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
Current treatment with drug known to prolong QT interval
Baseline QTc >450msec for men, > 460msec for women
Baseline QRS > 130msec
Baseline PR >200msec
Patients taking medications known to interact with quinidine
Known hypersensitivity to quinidine
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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)
Not applicable
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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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
Phase 4
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
This is an open-label, exploratory pilot study looking to compare electrophysiological characteristics on and off quinidine. Being an exploratory pilot study, this protocol does not have predetermined endpoints but is rather designed to assess the utility of multiple non-invasive parameters and their feasibility for use in future trials. The results of this initial pilot study may inform the magnitude of effect and provide data for power calculations in future clinical trials of Quinidine therapy.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
5/10/2020
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Actual
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Date of last participant enrolment
Anticipated
5/04/2021
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Actual
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Date of last data collection
Anticipated
5/07/2021
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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 in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
16860
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
30509
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2050 - Camperdown
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Funding & Sponsors
Funding source category [1]
305933
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Charities/Societies/Foundations
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Name [1]
305933
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Heart Foundation of Australia
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Address [1]
305933
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PO Box 2222
Strawberry Hills NSW 2012
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Country [1]
305933
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Australia
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Primary sponsor type
Government body
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Name
Sydney Local Health District
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Address
Level 11, KGV Building
Missenden Road
CAMPERDOWN NSW 2050
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Country
Australia
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Secondary sponsor category [1]
306502
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None
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Name [1]
306502
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Address [1]
306502
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Country [1]
306502
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306180
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Sydney Local Health District Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
306180
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Research Ethics and Governance Office (REGO) Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
306180
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Australia
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Date submitted for ethics approval [1]
306180
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01/07/2019
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Approval date [1]
306180
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28/05/2020
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Ethics approval number [1]
306180
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Summary
Brief summary
Quinidine is the only drug shown to reduce the risk of dangerous irregular heart rhythms in Brugada Syndrome. While studies have shown invasive electrophysiology studies can be useful in assessing response to quinidine in Brugada Syndrome, currently, there is no definitive way to monitor drug effect in an individual. The QUIET BrS Study will investigate the effect of quinidine on a variety of clinical parameters in patients with Brugada syndrome. We seek to identify non-invasive markers of quinidine effect in patients with Brugada Syndrome which could be used to develop a non-invasive strategy for monitoring medical therapy in these patients and reduce the need for invasive procedures.
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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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A/Prof Raymond Sy
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Address
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Department of Cardiology
Royal Prince Alfred Hospital
Missenden Road
CAMPERDOWN NSW 2050
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Country
102990
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Australia
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Phone
102990
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+61 2 9515 8063
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Fax
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Email
102990
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[email protected]
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Contact person for public queries
Name
102991
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Julia Isbister
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Address
102991
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Agnes Ginges Centre for Molecular Cardiology
Centernary Institute
Building 93, RPAH grounds,
John Hopkins Dr,
CAMPERDOWN NSW 2050
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Country
102991
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Australia
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Phone
102991
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+61 2 9565 6187
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Fax
102991
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Email
102991
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[email protected]
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Contact person for scientific queries
Name
102992
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Julia Isbister
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Address
102992
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Agnes Ginges Centre for Molecular Cardiology
Centernary Institute
Building 93, RPAH grounds,
John Hopkins Dr,
CAMPERDOWN NSW 2050
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Country
102992
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Australia
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Phone
102992
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+61 2 9565 6187
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Fax
102992
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Email
102992
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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