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Trial registered on ANZCTR
Registration number
ACTRN12610000884000
Ethics application status
Approved
Date submitted
15/10/2010
Date registered
19/10/2010
Date last updated
9/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Backup rate selection during neonatal assist control volume guarantee ventilation: A randomised crossover trial
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Scientific title
Backup rate selection during neonatal assist control volume guarantee ventilation: A randomised crossover trial
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Secondary ID [1]
252877
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None
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Universal Trial Number (UTN)
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Trial acronym
AC/VG BUR Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neonatal ventilation
258408
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Condition category
Condition code
Respiratory
258574
258574
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0
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Other respiratory disorders / diseases
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Reproductive Health and Childbirth
258611
258611
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Ventilator back-up rates 30, 40 and 50 /min will be compared in random order. The intervention periods (epochs) will last for 20 mins. Each epoch will be preceded by a 10 minute washout period. Infants will be ventilated using assist control volume guarantee mode with the Drager Babylog 8000plus ventilator throughout the study
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Intervention code [1]
257404
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Treatment: Devices
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Comparator / control treatment
See description of interventions
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of ventilator inflations triggered by the the infant identified from the ventilator waveforms/trigger data
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Assessment method [1]
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Timepoint [1]
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These data are measured continually. The outcome is defined as the number of triggered inflations / total number of inflations over the epoch
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Secondary outcome [1]
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Ventilator parameters determined from the ventilator data including:
Rate, mean airway pressure, peak inflating pressure
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Assessment method [1]
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Timepoint [1]
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The data are measure continually over the epoch. Epoch averages will be compared
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Secondary outcome [2]
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Measures of cardiorespiratory stability including:
FiO2, SpO2, TcCO2, HR and BP assessed using the ventilator data, Masimo Radical pulse oximeter, and Philips Intellivue series monitor with transcutaneous module
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Assessment method [2]
265967
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Timepoint [2]
265967
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These data are recorded every minute. The change over the epoch will be measured (average data from last 2 mins of epoch minus average data from last 2 mins of run in period prior to epoch)
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Eligibility
Key inclusion criteria
Stable ventilated infants, ventilated using assist control volume guarantee (AC/VG) for previous 24 hours.
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Minimum age
24
Hours
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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
Ventilator changes in previous 4 hours, pH < 7.2, pCO2>80 mmHg, FiO2 > 0.8, acute pneumothoax/pulmonary interstitial emphysema, significant congenital abnormality, severe PVH, receiving muscle relaxants or morphine infusion > 20 ug/kg/hr
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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)
Randomised crossover trial.
Allocation of order of interventions using sequentially numbered opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated random number sequence
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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
Safety/efficacy
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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
30/09/2008
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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
26
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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]
257842
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Government body
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Name [1]
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NMHRC
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
257842
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Australia
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Primary sponsor type
Hospital
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Name
Royal Women's Hospital
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Address
Locked Bag 300
Cnr Grattan Street/Flemington Road
Parkville
Vic 3052
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Country
Australia
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Secondary sponsor category [1]
257049
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None
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Name [1]
257049
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Address [1]
257049
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Country [1]
257049
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259878
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The Royal Womens Hospital Research and Ethics Committees
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Ethics committee address [1]
259878
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Locked Bag 300 Cnr Grattan St/Flemington Road Parkville Vic 3052
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Ethics committee country [1]
259878
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Australia
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Date submitted for ethics approval [1]
259878
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29/11/2007
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Approval date [1]
259878
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10/01/2008
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Ethics approval number [1]
259878
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Project 07/33
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Summary
Brief summary
The purpose of this project is to study how ventilators (breathing machines) support babies. We are investigating how we use the ventilator with the aim of better matching the babies' natural breathing patterns. The backup rate is the speed at which the ventilator works if your baby does not breathe fast enough. Previous experience has suggests that higher backup rates do not give your baby as much chance to breathe for themselves. Slower backup rates give your baby more change to breathe naturally, but when the ventilator takes over it works more slowly.
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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
31776
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Address
31776
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Country
31776
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Phone
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Fax
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Email
31776
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Contact person for public queries
Name
15023
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Kevin Wheeler
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Address
15023
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Newborn Research
Royal Women's Hospital
Locked Bag 300
Cnr Grattan Street/Flemington Road
Parkville
Vic 3052
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Country
15023
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Australia
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Phone
15023
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+61 3 8345 2000
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Fax
15023
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Email
15023
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[email protected]
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Contact person for scientific queries
Name
5951
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Kevin Wheeler
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Address
5951
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Newborn Research
Royal Women's Hospital
Locked Bag 300
Cnr Grattan Street/Flemington Road
Parkville
Vic 3052
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Country
5951
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Australia
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Phone
5951
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+61 3 8345 2000
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Fax
5951
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Email
5951
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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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