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Trial registered on ANZCTR
Registration number
ACTRN12614000688684
Ethics application status
Not yet submitted
Date submitted
14/06/2014
Date registered
30/06/2014
Date last updated
30/06/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Treatment of 1-2cm renal stones: a pilot randomised trial comparing shock wave lithotripsy, ureterorenoscopic stone removal and percutaneous nephrolithotomy.
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Scientific title
Comparison of stone free-rate following shock wave lithotripsy, ureterorenoscopic stone removal or percutaneous nephrolithotomy in a randomised pilot trial for adult renal stones with a maximum diameter of between 10 and 20 mm
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Secondary ID [1]
284799
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Nil
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Universal Trial Number (UTN)
U1111-1158-0622
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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:
Renal stones
292175
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Condition category
Condition code
Surgery
292515
292515
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0
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Surgical techniques
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Renal and Urogenital
292591
292591
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Shock wave lithotripsy - approximately 3000 shock waves focussed onto stone from an external energy source. Can be performed without any anaesthetic taking about 50 minutes.
Ureterorenoscopic stone removal - insertion of a fine flexible telescope into the renal tract through the urethra and destruction of stone with a laser. Requires general anaesthetic and takes about 90 minutes.
Percutaneous nephrolithotomy - creating a tract through the skin to the kidney through which a telescope is inserted, the stone broken up with various energy sources and the fragments removed. Requires a general anaesthetic and takes about 1 hour.
Patients may undergo repeated treatment or offered one of the other alternatives until they are free of stones.
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Intervention code [1]
289590
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Treatment: Surgery
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Intervention code [2]
289591
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Treatment: Devices
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Comparator / control treatment
There is no consensus on which of these treatments is the best for these patients
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Control group
Active
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Outcomes
Primary outcome [1]
292370
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Stone free rate determined using CT scan
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Assessment method [1]
292370
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Timepoint [1]
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4-6 weeks post final treatment
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Secondary outcome [1]
308806
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Cost analysis - by way of cost framework derived for previous studies within our unit. Includes staff, utility, building, drug, equipment and disposable costs.
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Assessment method [1]
308806
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Timepoint [1]
308806
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Post final treatment
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Eligibility
Key inclusion criteria
Adult patients. Renal stones 10-20mm.
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Minimum age
18
Years
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Maximum age
90
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
Contraindications to one/all potential treatments. Pregnant women.
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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)
All patients encountered with inclusion criteria will be invited into trail with information sheet. If enrolled will be randomly allocated into one of the 3 arms
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated randomisation overseen by our statistician who will be "off-site" as a means of allocation concealment.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
Stone free rates will be assessed by a radiologist blinded to the actual treatment
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Mixture of parametric and non-parametric analyses depending on data variability. All statistics to be designed and performed by university affiliated independent statistician
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2014
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Actual
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Date of last participant enrolment
Anticipated
31/03/2015
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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
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
2626
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Casey Hospital - Berwick
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Recruitment postcode(s) [1]
8291
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3806 - Berwick
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Funding & Sponsors
Funding source category [1]
289413
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Hospital
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Name [1]
289413
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Monash Health
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Address [1]
289413
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62 Kangan Drive, Berwick, Vic 3806
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Country [1]
289413
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Australia
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Primary sponsor type
Hospital
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Name
Monash Health
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Address
62 Kangan Drive, Berwick, Vic 3806
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Country
Australia
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Secondary sponsor category [1]
288095
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None
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Name [1]
288095
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Address [1]
288095
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Country [1]
288095
0
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
291173
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Monash Health Human Ethics Committee
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Ethics committee address [1]
291173
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Monash Medical Centre 246 Clayton Road Clayton Vic 3168
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Ethics committee country [1]
291173
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Australia
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Date submitted for ethics approval [1]
291173
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01/08/2014
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Approval date [1]
291173
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Ethics approval number [1]
291173
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Summary
Brief summary
A randomised pilot study to assess which of the currently used treatments for 10-20mm renal stones provides the best stone free rate
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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
49198
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Mr Philip McCahy
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Address
49198
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Dept Urology
Casey Hospital
62 Kangan Drive
Berwick
Vic 3806
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Country
49198
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Australia
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Phone
49198
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+61 3 87681200
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Fax
49198
0
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Email
49198
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[email protected]
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Contact person for public queries
Name
49199
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Philip McCahy
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Address
49199
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Dept Urology
Casey Hospital
62 Kangan Drive
Berwick
Vic 3806
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Country
49199
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Australia
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Phone
49199
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+61 3 87681200
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Fax
49199
0
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Email
49199
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[email protected]
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Contact person for scientific queries
Name
49200
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Philip McCahy
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Address
49200
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Dept Urology
Casey Hospital
62 Kangan Drive
Berwick
Vic 3806
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Country
49200
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Australia
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Phone
49200
0
+61 3 87681200
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Fax
49200
0
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Email
49200
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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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