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Trial registered on ANZCTR
Registration number
ACTRN12612001075875
Ethics application status
Approved
Date submitted
10/09/2012
Date registered
8/10/2012
Date last updated
8/10/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of clonidine on heart rate variability analysis in patients undergoing key-hole surgery to remove gallbladder
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Scientific title
A prospective study to validate the effect of clonidine on Analgesia Nociceptive Index in patients undergoing laparoscopic cholecystectomy
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Secondary ID [1]
281199
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NIL
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Universal Trial Number (UTN)
U1111-1134-4651
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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:
Intraoperative pain relief during cholecystectomy
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Condition category
Condition code
Anaesthesiology
287712
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients will receive a standardised protocol for induction of anaesthesia with fentanyl, propofol and rocuronium. . A standard IV paracetamol 1g and IV Parecoxib 40mg (if no contraindication) are also given. Analgesia Nociception Index (ANI) will be recorded at every 5 minute intervals. IV Clonidine 1mcg/kg will be given 5 mins following pneumoperitoneum. Any further dose of fentanyl given will be recorded
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Intervention code [1]
285666
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Treatment: Drugs
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Comparator / control treatment
the patient acts as his own control whereby the ANI of pre-clonidine is compared against post clonidine
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Effect of clonidine on ANI, whether it increases, decreases or no change; a mean 10 point change being accepted as significant
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Assessment method [1]
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Timepoint [1]
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ANI, BP and HR recorded pre surgical incison, at surgical incison, pre carbon dioxide insufflation into peritoneum, 5 minutes after CO2 insufflation when clonidine is given, and every 5 minutes thereafter for 30 minutes
total about 60 minutes
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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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NIL
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Eligibility
Key inclusion criteria
Laparoscopic cholecystectomy
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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
unable to consent
below 18 years old
Established arrhythmias
Allergy/sensitivity to clonidine
diabetes mellitus and autonomic neuropathy
sepsis/ emodynamic instability
chronic pain
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients who fulfill the inclusion and exclusion criteria will be identified from the surgical operating list (emergency and elective). Informed written consent will be obtained by the research team or the anaesthetist/anaestetic registrar. There is no randomization involved.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NIL
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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
Single group
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Other design features
NIL
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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
Recruiting
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Date of first participant enrolment
Anticipated
17/09/2012
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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
44
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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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Hospital
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Name [1]
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Fremantle Hospital
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Address [1]
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Alma Street
Fremantle
WA 6160
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
fremantle Hospital
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Address
Alma Street
Fremantle
WA 6160
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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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Human Research Ethics Committee, Fremantle Hospital
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Ethics committee address [1]
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Fremantle Hospital and Health Service Alma Street fremantle WA 6160
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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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07/08/2012
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Approval date [1]
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Ethics approval number [1]
288017
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1/12/0244
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Summary
Brief summary
Clonidine has been effectively used as a non-opioid (morphine-like) pain killer and sedative in a variety of clinical settings for many years. The Analgesia Nociceptive Index (ANI) monitor is a novel anaesthetic monitor that has been developed for use with opioid based pain killers. It works by assessing (primarily) heart rate variability to generate a score which gives an indication of nociceptive (painful) inputs. This study aims to examine the effects of clonidine on the ANI under general anaesthesia for laparoscopic cholecystectomy, as part of the pain relieving strategy
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Trial website
NIL
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Trial related presentations / publications
NIL
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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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Anisa Abu Baker
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Address
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Department of Anaesthetics
Fremantle Hospital and Health Service
Alma Street
Fremantle
Western Australia 6160
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Country
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Australia
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Phone
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+61894312551
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Fax
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+61894312171
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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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Anisa Abu Baker
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Address
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Department of Anaesthetics
Fremantle Hospital and Health Service
Alma Street
Fremantle
Western Australia 6160
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Country
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Australia
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Phone
8869
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+61894312551
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Fax
8869
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+61894312171
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Email
8869
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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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