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Trial registered on ANZCTR
Registration number
ACTRN12617000197336
Ethics application status
Approved
Date submitted
19/01/2017
Date registered
6/02/2017
Date last updated
22/01/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Microbiology of the pars interarticularis in patients undergoing lumbar fusion surgery for chronic back pain and isthmic spondylolisthesis.
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Scientific title
Microbiology of the pars interarticularis in patients undergoing lumbar fusion surgery for chronic back pain and isthmic spondylolisthesis.
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Secondary ID [1]
290909
0
Nil Known
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Universal Trial Number (UTN)
U1111-1191-5260
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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:
Chronic Back Pain
301627
0
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Isthmic Spondylolisthesis
301628
0
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Low-grade infections
301629
0
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Condition category
Condition code
Musculoskeletal
301333
301333
0
0
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Other muscular and skeletal disorders
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Infection
301334
301334
0
0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Prospective investigation of patients from the Princess Alexandra Hospital Orthopaedic outpatients, undergoing conventional surgical management (lumbar fusion surgery) for chronic low back pain associated with isthmic spondylolithesis and corresponding pars defect. Samples of bilateral pars defects, ligamentum flavum, intervertebral disc, and para-spinal muscle tissue will be collected; tissue normally discarded during your lumbar fusion surgery. These samples will then be sent for microbiological analysis. Approximately 50 patients will be recruited over 2 years.
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Intervention code [1]
296862
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Not applicable
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Comparator / control treatment
Tissues samples from the ligamentum flavum, paraspinal muscles and intervertabral disc will act as control/comparator samples to exclude contamination in the study.
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Control group
Active
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Outcomes
Primary outcome [1]
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Proportion of patients with subacute infection identified at the pars defect
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Assessment method [1]
300750
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Timepoint [1]
300750
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At completion of study and statistical analysis of results
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Secondary outcome [1]
330781
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Proportion of control samples with positive culture results
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Assessment method [1]
330781
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Timepoint [1]
330781
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At completion of study and statistical analysis of results
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Eligibility
Key inclusion criteria
Patient age > 18 years
Radiologically confirmed isthmic spondylolisthesis
Planed for lumbar spinal fusion surgery
Patients of specific staff specialists, seen at the Princess Alexandra Hospital Orthopaedic Outpatient Department Spine Clinics.
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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
Age < 18 years
Previous lumbar spinal surgery
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Statistical analysis will performed at the completion of the study to evaluate the data collected (including regression analysis, Chi-squared and T-tests). Participant numbers are based on the sample size required to conduct appropriate statistical analysis while taking into account external constraints of participant availability in a public hospital. In study analysis will also be performed during the study to determine if the participant numbers are sufficient to calculate significance or a larger sample size is needed. Variables such as previous steroid injections, age, gender and other medical conditions will also be considered in correlation analysis.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
13/02/2017
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Actual
11/05/2017
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Date of last participant enrolment
Anticipated
2/11/2019
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Actual
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Date of last data collection
Anticipated
11/11/2019
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Actual
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Sample size
Target
50
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Accrual to date
2
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
7316
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Princess Alexandra Hospital - Woolloongabba
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Recruitment postcode(s) [1]
15091
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4102 - Woolloongabba
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Funding & Sponsors
Funding source category [1]
295341
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Commercial sector/Industry
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Name [1]
295341
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Prism Surgical Designs Pty Ltd (Financial funder)
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Address [1]
295341
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15/43 Lang Parade Milton QLD 4064
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Country [1]
295341
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Australia
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Primary sponsor type
Hospital
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Name
The Princess Alexandra Hospital Orthopaedic Department - Dr Kathleen Capehart & Dr Dihan Aponso (Principal Investigators)
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Address
199 Ipswich Rd Woolloongabba QLD 4102
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Country
Australia
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Secondary sponsor category [1]
294166
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None
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Name [1]
294166
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NONE
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Address [1]
294166
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None
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Country [1]
294166
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296677
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Metro South Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
296677
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Metro South Human Research Ethics Committee, Centres for Health Research Princess Alexandra Hospital, Metro South Health Metro South Hospital and Health Service, Queensland Government Level 7 TRI, 37 Kent Street WOOLLOONGABBA QLD 4102
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Ethics committee country [1]
296677
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Australia
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Date submitted for ethics approval [1]
296677
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04/11/2016
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Approval date [1]
296677
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11/11/2016
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Ethics approval number [1]
296677
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HREC/16/QPAH/501 - SSA/16/QPAH/502
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Summary
Brief summary
This study aims to investigate whether an underlying subacute infection at the pars defect is a possible cause of pain in patients requiring lumbar spinal fusion surgery. The study will perform microbiological analysis of the bone, ligamentous, muscle and disc tissue at/adjacent to the pars defect, taken from normally discarded material intraoperatively. The presence of infection will be determined by positive bacterial culture from these sites and results analysed for statistical significance. Detection of bacteria would support an infectious rationale, as a source of back pain, in this population. This research endeavors to clarify the source of back pain in isthmic spondylolithesis patients the search for suitable, reliable and reproducible conservative treatments.
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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 Kathleen Capehart
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Address
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The Princess Alexandra Hospital, Orthopaedic Department, 199 Ipswich Rd, Woolloongabba, QLD, 4102
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Country
71662
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Australia
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Phone
71662
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+61439761195
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Fax
71662
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Email
71662
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[email protected]
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Contact person for public queries
Name
71663
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Kathleen Capehart
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Address
71663
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The Princess Alexandra Hospital, Orthopaedic Department, 199 Ipswich Rd, Woolloongabba, QLD, 4102
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Country
71663
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Australia
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Phone
71663
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+61439761195
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Fax
71663
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Email
71663
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[email protected]
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Contact person for scientific queries
Name
71664
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Kathleen Capehart
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Address
71664
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The Princess Alexandra Hospital, Orthopaedic Department, 199 Ipswich Rd, Woolloongabba, QLD, 4102
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Country
71664
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Australia
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Phone
71664
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+61439761195
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Fax
71664
0
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Email
71664
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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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