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Trial registered on ANZCTR
Registration number
ACTRN12607000165482
Ethics application status
Approved
Date submitted
7/03/2007
Date registered
12/03/2007
Date last updated
30/01/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
An open lable pilot study of rimonabant
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Scientific title
An open label pilot study of rimonabant, a cannabinoid receptor type 1 antagonist, for over sixteen to thirty year old cannabis users with a history of psychosis, participating in a structured treatment program to assess whether relapse to dependant cannabis is reduced
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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:
Dependant cannabis usage
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Psychosis
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Condition category
Condition code
Mental Health
1775
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0
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Psychosis and personality disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
As the trial is a pilot study all 20 participants will be prescribed 20mg of Rimonabant (trade name Acomplia) in tablet form to be taken every morning before breakfast for three months, until day 84 follow up assessment. The client will then be followed up at day 168 after a 3 month period where they have not been taking the study medication.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The number of days the client used cannabis in the previous 28 days using the following measures: Drug use diary, Modified Opioid Treatment Index (OTI) and Urinalysis
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Assessment method [1]
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Timepoint [1]
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Measured at day 28, 84 and 168
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Primary outcome [2]
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Their retention in treatment using the measures: Clinical observation - follow up rates, Morisky Scale for medication compliance
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Assessment method [2]
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Timepoint [2]
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Measured at day 28, 84 and 168
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Secondary outcome [1]
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Clinical observations- including physical observations, Self report including adverse reactions.
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Assessment method [1]
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Timepoint [1]
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The frequency of side effects at day 2, 7, and 28, 84.
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Secondary outcome [2]
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Clinical observation, including weight, body mass index (BMI) and waist circumference
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Assessment method [2]
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Timepoint [2]
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Weight at day 28, 84 and 168
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Secondary outcome [3]
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Drug use diary, Modified Opioid Treatment Index (OTI) and Urinalysis.
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Assessment method [3]
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Timepoint [3]
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Other drug usage at day 28, 84, 168
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Secondary outcome [4]
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General Health Questionnaire, Brief Psychiatric Rating Scale (BPRS), Health Service Utilization Scale, Self report any medical illness since last review.
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Assessment method [4]
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Timepoint [4]
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Mental health status day 28, 84, 168
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Secondary outcome [5]
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Measures: Health Service Utilization Scale
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Assessment method [5]
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Timepoint [5]
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Utilisation of other health services at day 28, 84, 168
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Eligibility
Key inclusion criteria
1. Aged 16-30 years2.If the client is under 18, 2 medical officers will be required to assess them, to ensure their eligibility and safety in order to participate in the trial.3.History of cannabis dependence (DSM-IV criteria for cannabis dependence)4.Not in cannabis withdrawal 5.History of psychosis6.Satisfactory completion of pre-study screening7.Willing to comply with protocol8.Agree to sign informed consent
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Minimum age
16
Years
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Maximum age
30
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
1.Severe hepatic impairment 2.Severe renal impairment3.Taking potent CYP3A4 inhibitors (eg. ketoconazole, itraconoazole, ritonavir, clarithromycin) 4.Taking potent CYP3A4 inducers (eg. Rifampicin, phenytoin, phenobarbital, carbamazepine, St John’s wort)5.Known galactose intolerance 6.Known allergy to rimonabant 7.Pregnant or lactating8.Significant suicidal ideation9.Severe psychosis interfering with ability to give informed consent 10.Judged by research personnel to be unwilling, unable or unlikely to comply with protocol.
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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)
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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
Pilot study design
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Phase
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
15/02/2007
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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
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Mental Health, Drug and Alcohol Co-morbidity
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Address [1]
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North Sydney
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Langton Centre
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Address
South Dowling Street
Surry Hills NSW 2010
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Country
Australia
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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Mental Health, Drug and Alcohol Co-morbidity
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Address [1]
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Randwick
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Langton Centre
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Ethics committee address [1]
3581
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3581
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Approval date [1]
3581
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05/02/2007
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Ethics approval number [1]
3581
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06/270
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Ethics committee name [2]
3582
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Ted Noffs Foundation
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Ethics committee address [2]
3582
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
3582
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Approval date [2]
3582
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05/02/2007
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Ethics approval number [2]
3582
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06/270
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Ethics committee name [3]
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Eastern Suburbs Early Intervention Centre
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Ethics committee address [3]
3583
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Ethics committee country [3]
3583
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Australia
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Date submitted for ethics approval [3]
3583
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Approval date [3]
3583
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05/02/2007
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Ethics approval number [3]
3583
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06/270
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Summary
Brief summary
To trial the administration of a new drug “rimonabant”, a selective cannabinoid receptor type I antagonist, to young people between the ages of 16- 30 who have a history of psychosis and have undergone a period of cannabis detoxification, to assess whether relapse to dependant cannabis use is reduced It is hypothesised that: 1.Rimonabant will reduce the effects of cannabis intoxication after cannabis detoxification. 2.In turn, this would reduce psychosis and depression, and hence reduce utilization of health services including hospitalization. 3.Rimonabant will reduce other substance use disorders including tobacco use
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Anni Ryan
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Address
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The Langton Centre
591 South Dowling street
Surry Hills NSW 2010
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Country
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Australia
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Phone
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(02) 93328753
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Fax
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(02) 9332 8700
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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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Mark Montebello
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Address
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The Langton Centre
591 South Dowling street
Surry Hills 2010
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Country
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Australia
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Phone
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(02) 9332 8799
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Fax
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(02) 9332 8700
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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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