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Trial registered on ANZCTR
Registration number
ACTRN12610000277044
Ethics application status
Approved
Date submitted
25/03/2010
Date registered
7/04/2010
Date last updated
24/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Observational, prospective drug administration and physiological data collection during anaesthesia
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Scientific title
Real time drug administration and physiological data collection during anaesthesia: observational study to evaluate the validity of current response surface models available in the literature
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Secondary ID [1]
1542
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A+4639
Auckland District Health Board
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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:
Validation of current response surface models (for anaesthetic drug interactions) available in the literature
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Condition category
Condition code
Anaesthesiology
257189
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This is a prospective, observational study. We will collect physiological and anaesthetic data prospectively for anaesthetics completed at Auckland City Hospital in the next two years. Electronic anaesthetic records will be collected and physiological data, patient demographics, and any other routinely collected information will be extracted. Data from all physiological monitoring will be directly downloaded during the procedure. Please note: this will not alter standard patient care. Use of all standard and additional monitoring will remain at the discretion of the anaesthetist. In addition, software designed to accurately read and log drug infusion rates from automated Total Intravenous Anaesthesia (TIVA) pumps will collect drug bolus and infusion rate data directly.
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Intervention code [1]
256204
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Not applicable
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The data will be used to evaluate the current response surface models available in the literature, pertaining to drug effect as measured by Bispectral Index Monitoring (BIS). Drug administrations observed in the clinical data will be used as model inputs, and predicted BIS outputs calculated. Predicted BIS will be compared with observed BIS (from the clinical data).
Measures of model performance will include predictive performance (BISobserved - BISpredicted) x 100) , bias and inaccuracy. Diagnostic plots (including predicted and observed effects over time) will also be used to evaluate model performance.
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Assessment method [1]
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Timepoint [1]
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Evaluation of models will be performed upon completion of data collection from 160 anaesthetic cases at Auckland City Hospital. We expect this will be fully completed April 2012
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Secondary outcome [1]
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Nil
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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
Patients receiving general anaesthesia from six demographic groups will be studied:
* Healthy Adults: 18 - 65 years; body mass index 18.5 - 25 (as defined by the World Health Organisation)
* Cardiac bypass patients
* Elderly, defined as age > 70 years
* Overweight, body mass index > 30
* Those who receive total intravenous anaesthesia
* American Society of Anesthesiologists (ASA) grade 3-4 patients undergoing emergency surgery
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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
Patients with neurological dysfunction, head trauma, opioid dependence and renal or hepatic co-morbidities will not be studied
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Study design
Purpose
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Duration
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
19/04/2010
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Actual
23/04/2010
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Date of last participant enrolment
Anticipated
23/04/2011
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Actual
1/10/2010
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
160
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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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]
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Country [1]
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Primary sponsor type
University
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Name
Department of Anaesthesiology, University of Auckland
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Address
Level 12 Support Building
Auckland City Hospital
2 Park Road
Grafton
Auckland 1023
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Country
New Zealand
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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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Other collaborator category [1]
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Hospital
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Name [1]
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Department of Anaesthesia, Auckland City Hospital
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Address [1]
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2 Park Road,
Grafton,
Auckland
1061
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Y Regional Ethics Committee
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Ethics committee address [1]
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3rd floor, BNZ building 354 Victoria St PO Box 1031 Hamilton 3204
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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04/02/2010
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Ethics approval number [1]
258718
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Summary
Brief summary
Pharmacological models have a variety of applications, including automated drug infusion pumps and human patient simulators. These applications often extrapolate models beyond the datasets in which they were developed, and the uses for which they were designed. As such, models require validation in new datasets to ensure adequate performance. Collection of drug administration and effect data can be used to validate drug dose – effect models. We will prospectively collect data from surgical cases at Auckland City Hospital. This will allow construction of an observational dataset from which current pharmacological models can be validated in our patient population.
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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 Timothy Short
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Address
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Dept Anaesthesia
Auckland City Hospital
Park Road
Grafton
Auckland
1023
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Country
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New Zealand
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Phone
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+643737599 ext 98308
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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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Jacqueline Amy Hannam
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Address
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Dept of Anaesthesiology
University of Auckland
2 Park Road
Grafton
Auckland
1023
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Country
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New Zealand
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Phone
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+64 9 3737 599 ext 89300
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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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Jacqueline Amy Hannam
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Address
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Dept of Anaesthesiology
University of Auckland
2 Park Road
Grafton
Auckland
1023
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Country
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New Zealand
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Phone
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+64 9 3737 599 ext 89300
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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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