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Trial registered on ANZCTR
Registration number
ACTRN12610000362099
Ethics application status
Approved
Date submitted
30/04/2010
Date registered
6/05/2010
Date last updated
12/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Postoperative sleep disturbances and quality of sleep after Remifentanil or Fentanyl –based anaesthesia
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Scientific title
Postoperative sleep disturbances and quality of sleep after Remifentanil or Fentanyl –based anaesthesia in patients undergoing elective surgery
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Secondary ID [1]
251684
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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:
Long-term postoperative sleep disturbances
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Condition category
Condition code
Anaesthesiology
257419
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients receive remifentanil-based anaesthesia during their elective operation. This is a one off treatment. Remifentanil is continuously infused intravenously at a rate of 0.15 - 0.3 mcg/kg/min. The infusion starts on induction of anaesthesia and finishes after the surgical procedure before emergence. Approximate duration of anaesthesia is between 45 and 120 minutes.
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Intervention code [1]
256390
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Treatment: Drugs
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Comparator / control treatment
Patients receive fentanyl-based anaesthesia during their elective operation. For induction of anaesthesia, patients receive 0.5 - 1.5 mcg / kg fentanyl for induction of anaesthesia. During the procedure, repetitive doses of 0.5 - 1 mcg / kg, as clinically appropiate. Duration of anaesthesia is between 45 and 120 minutes.
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Control group
Active
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Outcomes
Primary outcome [1]
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Changes in postoperative quality of sleep 3 months postoperatively are assessed using the Pittsburgh Sleep Quality Quality Index (PSQI).
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Assessment method [1]
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Timepoint [1]
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3 months postoperatively
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Secondary outcome [1]
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Changes in postoperative quality of sleep 6 months postoperatively are assessed using the Pittsburgh Sleep Quality Quality Index (PSQI).
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Assessment method [1]
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Timepoint [1]
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6 months postoperatively
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Eligibility
Key inclusion criteria
Surgery under general anaesthesia
Perioperative Anaesthesia Risk Status according to American Association of Anesthesiology (ASA) I-III
Estimated anaesthesia time > 60 minutes
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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
Age< 18, Head Injury, Cardiac Surgery, Alcohol addiction, Other drug addictions, ASA > III, incapacity to consent, medication with drugs known to potentially interact with sleep quality (e.g. benzodiazepines, ketamine, beta-receptor-blockers), previous and continueing use of opioids.
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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)
Identified from theatre list. Written informed consent as per ethical guidelines. Allocation concealment by sealed opaque envelopes. Patients blinded to intervention
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randon number generator using computerized sequence generation
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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
Safety
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
7/05/2010
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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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Manuel Wenk
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Address [1]
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Royal Perth Hospital
Wellington Street Campus
Perth 6000
WA
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Manuel Wenk
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Address
Royal Perth Hospital
Wellington Street Campus
Perth 6000
WA
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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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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Perth Ethics Committee
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Ethics committee address [1]
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Royal Perth Hospital Wellington Street Campus Perth 6000 WA
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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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Approval date [1]
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23/04/2010
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Ethics approval number [1]
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EC 2010/019
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Summary
Brief summary
Modern anaesthesia incorporates the use of short-acting opioids such as remifentanil. Lately, there has been emerging evidence in the literature that some opioids might influence postoperative sleep quality for up to many months. We aim to compare sleep quality after exposure to 2 opioids regularly used in the clinical routine at Royal Perth Hospital.
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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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Dr Manuel Wenk
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Address
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Department of Anaesthesia and Pain Medicine
Royal Perth Hospital
Wellington Street Campus
Perth 6000
WA
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Country
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Australia
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Phone
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+ 61 8 93841036
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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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Dr Manuel Wenk
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Address
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Department of Anaesthesia and Pain Medicine
Royal Perth Hospital
Wellington Street Campus
Perth 6000
WA
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Country
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Australia
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Phone
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+ 61 8 93841036
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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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