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Trial registered on ANZCTR
Registration number
ACTRN12616001672448p
Ethics application status
Not yet submitted
Date submitted
1/12/2016
Date registered
5/12/2016
Date last updated
3/04/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Use of sucralfate as an analgaesic adjunct in paediatric tonsillectomy
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Scientific title
Effectiveness of the use of sucralfate as an analgaesic adjunct in paediatric tonsillectomy using the Parents Postoperative Pain Measure to assess pain
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Secondary ID [1]
290666
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
ACTRN12615001354572
Pilot study assessing feasability and tolerability of same compound
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Health condition
Health condition(s) or problem(s) studied:
Management of post tonsillectomy pain in paediatric populations
301198
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Condition category
Condition code
Surgery
300952
300952
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0
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Other surgery
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Anaesthesiology
300953
300953
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0
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Pain management
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Oral and Gastrointestinal
300954
300954
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Both control and experimental subjects will receive the standard pain management protocol (paracetamol 15 mg/kg QID, ibuprofen 5 mg/kg QID). In addition, the patients
will be provided with sucralfate (or placebo). The sucralfate solution will be made up to 2 grams in 50 mL of a 1:1 combination of ORA-Sweet and ORA-Plus (a proprietary drug suspension solution) while the placebo will consist of a 1:1 combination of ORA Sweet and ORA-Plus with no further additives.
After each set of doses of ibuprofen and paracetamol (four times a day), 5 mL of the study mixture will be gargled and swallowed by the child for the first seven days post-operatively.
Parents will be asked to report frequency of provision of each drug.
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Intervention code [1]
296547
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Treatment: Drugs
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Comparator / control treatment
Drug suspension vehicle with no additives (ORA-Sweet/ORA-Plus 1:1)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Parent's Postoperative Pain Measure
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Assessment method [1]
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Timepoint [1]
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Assessed daily for 7 days postoperatively
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Primary outcome [2]
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Functional Limitation Scale
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Assessment method [2]
300373
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Timepoint [2]
300373
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Assessed daily for 7 days postoperatively
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Secondary outcome [1]
329809
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FACES Pain Scale - Revised
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Assessment method [1]
329809
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Timepoint [1]
329809
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Assessed daily for 7 days postoperatively
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Secondary outcome [2]
329810
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Requirement for unplanned contact with medical practitioners, assessed by parent report at phone interview
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Assessment method [2]
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Timepoint [2]
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Within the first 7 days post-operatively
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Secondary outcome [3]
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Incidence of known side effects of sucralfate such as constipation, nausea, dry mouth, headache, vomiting, urticarial rash, dizziness, back pain, gastric bezoar, aluminium toxicity or hypophosphataemia and any other previously unidentified side effects. These will be assessed based on parental report.
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Assessment method [3]
329811
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Timepoint [3]
329811
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Assessed daily for 7 days postoperatively
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Secondary outcome [4]
329812
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Parent’s rating of child’s sleep quality
Parents will be asked whether their child slept normally the previous night
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Assessment method [4]
329812
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Timepoint [4]
329812
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Assessed daily for 7 days postoperatively
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Secondary outcome [5]
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Tolerability of mixture
This will be judged based on the number of doses refused by children as assessed by parent report
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Assessment method [5]
329813
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Timepoint [5]
329813
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Assessed daily for 7 days postoperatively
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Secondary outcome [6]
329814
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Analgesia given
This will be judged based on parent report of number of doses of each type of analgesia provided to their children
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Assessment method [6]
329814
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Timepoint [6]
329814
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Assessed daily for 7 days postoperatively
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Eligibility
Key inclusion criteria
Children aged 4-12
Undergoing tonsillectomy at Casey Hospital or Monash Medical Centre
ASA 1/2 or 3 if solely due to severe obstructive sleep apnoea with no sequalae
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Minimum age
4
Years
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Maximum age
12
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
Have known renal impairment with eGFR less than 60 mls/min/1.73m2
Are concurrently taking exogenous thyroid hormones
Have a cognitive impairment, an intellectual disability or a mental illness that would impair communication
Undergo tonsillectomy by cold methods or by coblation
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2 / Phase 3
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Type of endpoint/s
Efficacy
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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
15/01/2018
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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
170
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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]
7037
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Casey Hospital - Berwick
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Recruitment hospital [2]
7038
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Monash Medical Centre - Clayton campus - Clayton
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Recruitment postcode(s) [1]
14769
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3806 - Berwick
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Recruitment postcode(s) [2]
14770
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3168 - Clayton
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Funding & Sponsors
Funding source category [1]
295097
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Hospital
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Name [1]
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Casey Hospital
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Address [1]
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62-70 Kangan Drive
Berwick 3806 VIC
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Country [1]
295097
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Australia
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Primary sponsor type
Hospital
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Name
Casey Hospital
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Address
62-70 Kangan Drive
Berwick 3806 VIC
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Country
Australia
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Secondary sponsor category [1]
293915
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None
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Name [1]
293915
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None
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Address [1]
293915
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None
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Country [1]
293915
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
296446
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The Monash Health Human Research Ethics Committee
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Ethics committee address [1]
296446
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246 Clayton Rd, Clayton VIC 3168
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Ethics committee country [1]
296446
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Australia
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Date submitted for ethics approval [1]
296446
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18/01/2017
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Approval date [1]
296446
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Ethics approval number [1]
296446
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Summary
Brief summary
Sucralfate has some weak evidence of being effective in the management of posttonsillectomy pain in paediatric populations. However, the current literature is limited. For this trial, 170 children will be recruited preoperatively and randomised to either receive sucralfate or placebo solution. This will be in addition to the standard Monash Health posttonsillectomy analgaesia protocol. The children will gargle and swallow 5 mLs of the study mixture four times a day. Parents will be provided with a set of questionnaires to complete for each postoperative day, consisting of the parents’ postoperative pain measure, the functional limitation scale and the FACES pain scale – revised. They will also be asked about their child’s quality of sleep, how much analgaesia the child has received, any contact with medical practitioners required, whether their child tolerates the study mixture and any side effects they notice.
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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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Dr Anna Englin
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Address
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Anaesthetics Department
Monash Medical Centre
246 Clayton Road
Clayton, 3168 VIC
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Country
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Australia
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Phone
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+61395946666
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Fax
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Email
70894
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[email protected]
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Contact person for public queries
Name
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Anna Englin
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Address
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Anaesthetics Department
Monash Medical Centre
246 Clayton Road
Clayton, 3168 VIC
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Country
70895
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Australia
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Phone
70895
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+61395946666
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Fax
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Email
70895
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[email protected]
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Contact person for scientific queries
Name
70896
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Anna Englin
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Address
70896
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Anaesthetics Department
Monash Medical Centre
246 Clayton Road
Clayton, 3168 VIC
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Country
70896
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Australia
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Phone
70896
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+61395946666
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Fax
70896
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Email
70896
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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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