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Trial registered on ANZCTR
Registration number
ACTRN12607000477426
Ethics application status
Approved
Date submitted
5/09/2007
Date registered
21/09/2007
Date last updated
21/09/2007
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of aspirin and a blood pressure medicine on the blood concentrations of allopurinol, a common treatment for gout
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Scientific title
The effect of low-dose aspirin and/ or hydrochlorothiazide (HCT) on the pharmacokinetics and pharmacodynamics of allopurinol in healthy volunteers
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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:
Potential drug interaction(s) between low-dose aspirin, hydrochlorothiazide (HCT) and allopurinol
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Condition category
Condition code
Musculoskeletal
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Healthy volunteers not taking any regular medication, including herbal medicines, will be will be treated in a randomised order with a single dose of allopurinol (control; 600 mg), and with allopurinol combined with a single dose of aspirin (100 mg), with a single dose of HCT (25 mg) and with the combination, aspirin and HCT.
All drugs will be administered orally.
Urine (3 x 2 h sequential collections) and blood samples (3 mid-point blood samples) will be collected over 6 h. Blood and urine will be analysed for uric acid and plasma and urinary oxypurinol concentrations.
There will be a washout period of 1 week between each treatment.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Allopurinol alone (600 mg (control)), administered orally.
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Control group
Active
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Outcomes
Primary outcome [1]
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To determine whether taking aspirin and HCT concomitantly with allopurinol will affect the pharmacokinetics of allopurinol as determined by oxypurinol clearance and/or the pharmacodynamic endpoint, the plasma and urinary concentrations of urate.
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Assessment method [1]
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Timepoint [1]
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4 study days, each with 3 timepoints for the collection of urine and blood for analysis. i.e. 12 blood and urines will be collected per subject over the entire trial.
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Secondary outcome [1]
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n/a
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Assessment method [1]
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Timepoint [1]
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n/a
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Eligibility
Key inclusion criteria
Inclusion Criteria:
1) Male or female with Body Mass Index (BMI) between 20 and 30 kg/ m 2) Healthy, as determined by a medical examination, medical history and normal biochemical and haematological values.
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1) Medical condition or abnormality that, in the opinion of the investigators would preclude him or her from participation, 2) History of cardiovascular disease, diabetes or renal disease, 3) On medications likely to affect urate clearance, including Non Steriodal Anti Inflammatory Drugs (NSAIDs), Angiotensin Converting Enzyme (ACE) inhibitors and lipid lowering drugs, 4) A diet which has the potential to interfere with the study outcomes, e.g. raise uric acid concentrations, and is unwilling to discontinue consuming such food/ drink for the duration of the study, 5) History of substance abuse or drug addiction or consumes more than 21 standard drinks per week, 6) Abnormal laboratory test results (outside 2 standard deviations from the mean)
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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)
Subjects undergo a phone screen and if elegible, they attend a screening visit where a physical examination is conducted. Blood and urine samples are collected and if all results are normal, the subject is enrolled into the study.
No explicit attempt was made to conceal allocation of subjects to a particular sequence for the treatments.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A series of possible sequences was placed in a bag and then matched for each subject.
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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
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Pharmacokinetics / pharmacodynamics
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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
18/07/2007
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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
8
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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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Hospital
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Name [1]
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St Vincent?s Clinical Trials Account and Professor Richard Day General Purpose Fund
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Address [1]
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St Vincent's Hospital
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Country [1]
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Australia
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Funding source category [2]
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Hospital
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Name [2]
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St Vincent's Hospital Sydney Ltd
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Address [2]
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Victoria Street
Darlinghurst NSW 2010
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Professor Richard Day
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Address
Clinical Pharmacology and Toxicology
Xavier Level 2, St Vincent’s Hospital
Victoria Street, Darlinghurst NSW 2010
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Country
Australia
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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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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Hospital Research Ethics Committee, Sydney
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Ethics committee address [1]
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St Vincent's Hospital Victoria Street, Darlinghurst NSW 2010
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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18/06/2007
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Approval date [1]
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25/06/2007
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Ethics approval number [1]
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H 07/037
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Summary
Brief summary
Gout is an inflammatory condition caused by the deposition of urate crystals in tissues/joints. Allopurinol is a common and effective treatment to prevent gout. Gout predominantly affects the older population who are at risk for cardiovascular disease such as hypertension and heart attack. Low-dose aspirin and hydrochlorothiazide are used for the prevention of such cardiovascular events. Therefore, co-administration of allopurinol and aspirin and/or hydrochlorothiazide is common in older individuals. However, there has been no investigation of this combination of drugs with respect to control of urate concentrations in the body. This study will examine the interaction between allopurinol and aspirin and hydrochlorothiazide.
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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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Professor Richard Day
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Address
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Clinical Pharmacology and Toxicology
Xavier Level 2, St Vincent’s Hospital
Victoria Street, Darlinghurst NSW 2010
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Country
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Australia
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Phone
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83822304
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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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Professor Richard Day
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Address
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Clinical Pharmacology and Toxicology
Xavier Level 2, St Vincent’s Hospital
Victoria Street, Darlinghurst NSW 2010
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Country
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Australia
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Phone
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83822304
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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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