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Trial registered on ANZCTR
Registration number
ACTRN12611000767909
Ethics application status
Approved
Date submitted
20/07/2011
Date registered
21/07/2011
Date last updated
1/07/2021
Date data sharing statement initially provided
17/01/2019
Date results provided
28/01/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of thrombolysis on communication and swallowing outcomes following stroke
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Scientific title
The effects of thrombolysis on communication and swallowing recovery in patients with an ischaemic stroke compared with non-thrombolysed patients
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Secondary ID [1]
262661
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Nil
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Universal Trial Number (UTN)
U1111-1123-0259
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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:
stroke
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Condition category
Condition code
Stroke
268501
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0
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Ischaemic
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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
The study will investigate the effects of thrombolysis using recombinant tissue plasminogen activators (rt-PA) on communication and swallowing recovery after ischaemic stroke. During the study we will record patient communication and swallowing outcomes through observational measures at different time points along the recovery continuum (the first week post-stroke, and then 3 and 6 months later). We will compare the recovery patterns between patients who are lysed and patients who are not lysed. No thrombolytic drugs will be administered during the study (ie. Participants will be lysed on admission to hospital by the hsopital medical team as per the hospital thrombolysis guidelines prior to entry into the study).
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Intervention code [1]
267022
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Not applicable
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Comparator / control treatment
The control group will consist of patients who were not thrombolysed on admission to hospital. During the study we will record patient communication and swallowing outcomes through observational measures at different time points along the recovery continuum (the first week post-stroke, and then 3 and 6 months later).
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in communication and cognitive function as measured by standardised assessments (Western Aphasia Battery, Measure of Cognitive-Linguistic Abilities, and CogniSTAT) for participants according to study group (thrombolysis vs. control) and according to stroke site (left vs. right stroke)
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Assessment method [1]
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Timepoint [1]
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First week post-stroke, 3 and 6 months post-stroke
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Primary outcome [2]
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Change in swallowing function as measured by the RBHOMS for participants according to study group (thrombolysis vs. control) and according to stroke site (left vs. right stroke)
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Assessment method [2]
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Timepoint [2]
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First week post-stroke, 3 and 6 months post-stroke
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Secondary outcome [1]
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Change in general physical function as measured by observational measures (Functional Independence Measure, Motor Assessment Scale) for participants according to study group (thrombolysis vs. control) and according to stroke site (left vs. right stroke)
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Assessment method [1]
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Timepoint [1]
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First week post-stroke, 3 and 6 months post-stroke
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Eligibility
Key inclusion criteria
Participants will have been admitted to hospital following an ischaemic stroke. Participants will have English as their primary language and will not have previously received thrombolysis.
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Minimum age
18
Years
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Maximum age
80
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
Any individuals with other neurological conditions, a hisotry of previous stroke or head injury, or a NIHSS score of greater than 22 will be excluded
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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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
15/01/2011
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Actual
25/07/2011
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Date of last participant enrolment
Anticipated
31/12/2019
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Actual
17/09/2019
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Date of last data collection
Anticipated
20/03/2020
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Actual
20/03/2020
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Sample size
Target
80
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Accrual to date
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Final
69
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Princess Alexandra Hospital - Woolloongabba
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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]
267485
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Country [1]
267485
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Primary sponsor type
Individual
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Name
Emma Finch
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Address
Speech Pathology Department
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Kathy Clark
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Address [1]
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Speech Pathology Department
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country [1]
266526
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Kathryn Hayward
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Address [1]
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School of Health and Rehabilitation Sciences
Building 84A (Therapies building)
The University of Queensland
St Lucia QLD 4072
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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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Metro South Health Services District Human Research Ethics Committee
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Ethics committee address [1]
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Centres for Health Research Princess Alexandra Hospital Ipswich Road Woolloongabba QLD 4102
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
269451
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Approval date [1]
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13/01/2011
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Ethics approval number [1]
269451
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HREC/10/QPAH/293
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Summary
Brief summary
Stroke is currently the second highest cause of death in Australia and a leading source of disability (National Stroke Foundation, 2010). Some strokes are caused by a blockage in a blood vessel within the brain. Evidence suggests that thrombolysis (i.e., administering a drug to dissolve the blockage) shortly after a stroke may reduce some of the neurological damage (Wardlaw, Murray, Berge, & del Zoppo, 2009; Williams et al., 2009). One such drug is called recombinant tissue plasminogen activator (rt-PA). Very little is known about the effects of rt-PA on the recovery of communication or swallowing function. This has significant implications for patient rehabilitation, as it is unknown whether patients who receive rt-PA will respond differently to traditional behavioural rehabilitation methods post-stroke or improve at different rates. It is also unknown whether the effects of rt-PA on post-stroke recovery differ according to stroke location. As a result, the proposed study will investigate the effects of thrombolysis on the recovery of communication and swallowing function after stroke. Increasing our knowledge in this area will assist in the development of effective patient rehabilitation programs to maximise quality of life post-stroke. Aims The overall aim of the project is to investigate the effects of thrombolysis on the recovery of communication and swallowing function after ischaemic stroke. Specifically, the project will investigate whether patients who receive rt-PA following an ischaemic stroke differ from patients who do not receive the drug with respect to language, speech and swallowing function. The project will also investigate whether these communication and swallowing recovery patterns differ following rt-PA over the first 6 months post-stroke. Finally, given the difference in communication disorders resulting from stroke location, the study will investigate whether there is a difference in the effects of rt-PA on communication and swallowing outcomes according to whether patients experienced a left or right sided stroke.
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Trial website
Nil
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Trial related presentations / publications
Finch, E., Fleming, J., Clark, K., & Hayward, K. (in press). Interdisciplinary rehabilitation outcomes following thrombolysis for acute ischaemic stroke: A case series. Neurorehabilitation: An interdisciplinary journal Finch, E., Hayward, K., Fleming, J., & Copland, D. (2013). Identifying implications of thrombolysis for stroke rehabilitation: Knowledge gaps in current research. Disability and Rehabilitation.
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Public notes
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Contacts
Principal investigator
Name
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Dr Emma Finch
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Address
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Speech Pathology Department
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
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Australia
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Phone
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+61 7 3896 3133
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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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Emma Finch
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Address
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Speech Pathology Department
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
16142
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Australia
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Phone
16142
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+61 7 3896 3133
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Fax
16142
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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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Emma Finch
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Address
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Speech Pathology Department
Princess Alexandra Hospital
Ipswich Road
Woolloongabba QLD 4102
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Country
7070
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Australia
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Phone
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+61 7 3896 3133
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Fax
7070
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
As the data are health data about individuals no individual patient data will be shared
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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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