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Trial registered on ANZCTR
Registration number
ACTRN12609000376246
Ethics application status
Approved
Date submitted
6/05/2009
Date registered
28/05/2009
Date last updated
12/09/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Randomised controlled trial of adjuvant promethazine for the relief of the pain of renal colic.
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Scientific title
Randomised controlled trial of adjuvant promethazine for the relief of the pain of renal colic.
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Secondary ID [1]
281216
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Promethazine in renal colic
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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:
Renal colic
4727
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Condition category
Condition code
Renal and Urogenital
237054
237054
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0
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Other renal and urogenital disorders
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Renal and Urogenital
237214
237214
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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
Randomised to adjuvant promethazine 25mg IV single dose or not, in addition to non-steroidal anti-inflammatory drug [NSAID] [indomethacin 100mg oral or per rectum [PR]] and morphine 2.5mg intravenous [IV], with additional 2.5mg increments at 10 minutely intervals as required.
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Intervention code [1]
4498
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Treatment: Drugs
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Comparator / control treatment
NSAID [indomethacin 100mg oral or PR] and morphine 2.5mg IV with additioanl increments of 2.5mg at 10 minute intervals as required
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Control group
Active
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Outcomes
Primary outcome [1]
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Difference in median visual analogue pain score [VAS score] for the degree of pain experienced at enrolment, 10, 20, 30 and 60 minutes post treatment
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Assessment method [1]
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Timepoint [1]
5895
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enrolment, 10, 20, 30 and 60 minutes post treatment
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Secondary outcome [1]
241938
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Total dose of intravenous [IV] morphine required within 1st hour
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Assessment method [1]
241938
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Timepoint [1]
241938
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Morphine requirement within the 1 hour period after initial druag administration
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Secondary outcome [2]
241939
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Proportion with >50% reduction in initial VAS for the degree of pain being experienced
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Assessment method [2]
241939
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Timepoint [2]
241939
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10, 20, 30 and 60 minutes post treatment
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Secondary outcome [3]
241940
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Proportion with VAS pain score <30mm at each time point
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Assessment method [3]
241940
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Timepoint [3]
241940
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10, 20, 30 and 60 minutes post treatment
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Eligibility
Key inclusion criteria
Adults aged 18-60 with clinical diagnosis of renal colic, confirmed by computed tomography scan within 48 hours of presentation
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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
Allergy to anti-histamines, NSAIDS, morphine
Unable to consent
Hypotension bllod pressure [BP] <100
Active peptic ulcer 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)
Identification by clinician.
Sequential numbered randomsiation envelopes.
Drug drawn up by nurse not involved in clinical care.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-based randomisation tool
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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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
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
1/07/2009
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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
100
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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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Self funded/Unfunded
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Name [1]
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Address [1]
4908
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Country [1]
4908
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Australia
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Primary sponsor type
Hospital
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Name
Western Health
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Address
Gordon St, Footscray VIC 3011
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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]
4438
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Address [1]
4438
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Country [1]
4438
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
6972
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Melbourne Health Human Research Ethics Committee
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Ethics committee address [1]
6972
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Royal Melbourne Hospital, Royal Parade, Parkville VIC 3050
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Ethics committee country [1]
6972
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Australia
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Date submitted for ethics approval [1]
6972
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01/06/2009
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Approval date [1]
6972
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Ethics approval number [1]
6972
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Summary
Brief summary
Kidney stones [renal colic] can be a very painful condition. Current recommendations suggest non-steroidal anti-inflammatory agents [e.g. ketorolac, indomethacin] as first line treatment, although it is recognised that many patients also need strong painkillers such as morphine. A recent report has suggested that anti-histamine drugs [such as promethazine] may also be effective. The aim of this study is to compare the combination of promethazine/ indomethacin/ morphine against indomethacin/ morphine on the amount of pain reported and total dose of morphine needed for patients with kidney stone pain.
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Trial website
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Trial related presentations / publications
not applicable
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Public notes
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Contacts
Principal investigator
Name
29576
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Address
29576
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Country
29576
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Phone
29576
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Fax
29576
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Email
29576
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Contact person for public queries
Name
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Anne-Maree Kelly
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Address
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Joseph Epstein Centre for Emergency Medicine Research at Western Health, Sunshine Hospital, Furlong ROad, St Albans VIC 3021
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Country
12823
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Australia
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Phone
12823
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+ 61 [0]3 8345 1024
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Fax
12823
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Email
12823
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[email protected]
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Contact person for scientific queries
Name
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Anne-Maree Kelly
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Address
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JECEMR, Sunshine Hospital, Furlong ROad, St Albans VIC 3021
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Country
3751
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Australia
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Phone
3751
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+ 61 [0]3 8345 1024
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Fax
3751
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Email
3751
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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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