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Trial registered on ANZCTR
Registration number
ACTRN12614000554662
Ethics application status
Approved
Date submitted
27/11/2008
Date registered
23/05/2014
Date last updated
23/05/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Prospective Study of the Effects of Pregabalin versus Placebo on the incidence and intensity of pain after video-assisted thoracoscopic surgery.
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Scientific title
A Prospective Study of the Effects of Pregabalin versus Placebo on the incidence and intensity of pain after thoracoscopic surgery
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Secondary ID [1]
762
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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:
post thoracotomy pain syndrome
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Condition category
Condition code
Anaesthesiology
4240
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
prevention of long term pain following thorocotomy operation. Intervention involves using 300mg oral pregabalin administered prior to commencement of thoracoscopic surgery (day 1) and continued for a further 5 postoperative days (day 6). Both preoperative pregabalin and postoperative pregabalin are compared with oral placebo. Blinded nursing staff in hospital administering pregabalin/placebo will sign medication chart to confirm that the pregabalin/placebo has been taken by the participant.
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Intervention code [1]
3757
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Prevention
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Intervention code [2]
289388
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Treatment: Drugs
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Comparator / control treatment
Control treatment is oral placebo, taken twice daily for 6 days. Placebo is a salt tablet
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Average Visual Analogue Scale (VAS) rating with deep breathing versus time for the period of 0 to 9 months after initial video assisted thoracoscopic surgery (VATS). The VAS will be measured postoperatively, at 6 weeks, , and at 3, 6, and 9 months: these scores will be summed then divided by 5 to give the average pain intensity score over the 0 to 9 month post-operative period.
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Assessment method [1]
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Timepoint [1]
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from completion of surgery to 9 months after surgery.
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Secondary outcome [1]
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Quantity of opioid use in oral morphine equivalent in milligrams over
i) the first 5 post-operative days
ii) from day 6 (after completion of pregabalin) until 9 months.
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Assessment method [1]
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Timepoint [1]
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from commencement of surgery to 9 months after surgery
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Secondary outcome [2]
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Short form McGill questionnaire score change on discharge from hospital and at 9 months after surgery
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Assessment method [2]
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Timepoint [2]
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prior to surgery, day 6 after commencment of pregabalin, 6 weeks after surgery, 3 months after surgery, , 6 months after surgery, 9 months after surgery
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Secondary outcome [3]
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SPF-12 score change at hospital admission and at 9 months after surgery
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Assessment method [3]
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Timepoint [3]
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from immediately prior to surgery until 9 months after surgery
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Secondary outcome [4]
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change in spirometric lung function
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Assessment method [4]
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Timepoint [4]
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from prior to surgery, on day 6 after commencement pregabalin/placebo
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Secondary outcome [5]
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Quality of recovery score
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Assessment method [5]
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Timepoint [5]
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before surgery and at 24 hours after surgery
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Eligibility
Key inclusion criteria
Patients having video assisted thoracoscopic surgery (VATS)
Conscious
Able to understand use of "PCA" ( Patient Controlled Analgesia)
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Minimum age
18
Years
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Maximum age
65
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
Morphine or paracetamol contraindication or allergy
Allergy to pregabalin
History of chronic pain
Evolving myocardial infarction, arrhythmias at time of surgery
Preoperative respiratory function tests showing a forced vital capacity<60% predicted, forced expiratory volume 1s <60%, or both
Renal insufficiency (creatinine >15mg/dL)
Liver dysfunction (aspartate aminotransferase, alanine aminotransferase, or both >40u/L)
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Study design
Purpose of the study
Prevention
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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)
Patients are located via the operating room list or via pre admission clinic prior to their surgery. Allocation of treatment group is random. That is they receive the next kit number containg the trial medications, that is numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random randomisation assignments
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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 administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
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
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/10/2007
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Actual
10/10/2007
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Date of last participant enrolment
Anticipated
1/03/2013
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Actual
23/04/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
95
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
1317
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3004
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Recruitment outside Australia
Country [1]
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Hong Kong
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State/province [1]
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Hong Kong
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Pfizer Pharmaceuticals Investigator initiated funding
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Address [1]
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235 East 42nd Street, New York. New York 10017 USA
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Country [1]
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United States of America
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Primary sponsor type
Individual
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Name
Dr Alex Konstantatos
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Address
C/o Alfred Hospital, Commercial Rd, Melbourne, Victoria Australia 3004
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Alfred Hospital Research and Ethics Committee
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Address [1]
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Alfred Hosptial.55 Commercial Road, Melbourne, Victoria, Australia, 3004
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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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ALFRED HOSPITAL ETHICS COMMITTEE
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Ethics committee address [1]
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55 Commercial Road, Melbourne. Victoria 3004
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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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11/05/2006
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Approval date [1]
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12/07/2007
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Ethics approval number [1]
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169 / 06
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Summary
Brief summary
The study proposes to investigate whether a drug with specific effects which damp excessive nerve mediated activity can prevent the long term occurence of pain after chest surgery.
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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 Alex konstantatos
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Address
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Alfred Hospital
Commercial Rd Melbourne, Victoria, Australia 3004
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Country
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Australia
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Phone
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+61 3 90762000
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Fax
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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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Ms. Dana Boyd
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Address
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Anaesthetic Department. Alfred Hospital, 55 Commercial Road Melbourne. Victoira 3004
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Country
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Australia
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Phone
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+61 3 90762648
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Fax
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+61 3 90768076
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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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Dr. Alex Konstantatos
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Address
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Anaesthetic Department. Alfred Hospital, 55 Commercial Road Melbourne. Victoria 3004
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Country
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Australia
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Phone
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+61 3 90762854
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Fax
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+61 3 90762813
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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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