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Trial registered on ANZCTR
Registration number
ACTRN12619001063101
Ethics application status
Approved
Date submitted
1/07/2019
Date registered
31/07/2019
Date last updated
31/07/2019
Date data sharing statement initially provided
31/07/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of caloric vestibular stimulation on pain levels in phantom limb sensations
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Scientific title
The effect of caloric vestibular stimulation on pain levels in phantom limb sensations
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Secondary ID [1]
298232
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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
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Health condition
Health condition(s) or problem(s) studied:
Phantom limb pain
312831
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Condition category
Condition code
Physical Medicine / Rehabilitation
311329
311329
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0
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Other physical medicine / rehabilitation
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Neurological
312152
312152
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
For the intervention group, ice cold water will be delivered via a plastic cannula to the external ear canal of the right ear, for 3 minutes. Water will be delivered continuously by gravity feed and under direct visual observation. After a 5 minute interval, this will be repeated for the contralateral (left) ear. Timing will be monitored by a digital stopwatch. The procedure will be performed by a medical officer. The intervention will be delivered in a single session at a rehabilitation facility.
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Intervention code [1]
314474
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Treatment: Other
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Comparator / control treatment
For the first comparator group, ice cold water will be delivered via a plastic cannula to the external ear canal of the right ear, for 30 seconds. Water will be delivered continuously by gravity feed and under direct visual observation. After a 5 minute interval, this will be repeated for the contralateral (left) ear. Timing will be monitored by a digital stopwatch. The procedure will be performed by a medical officer. The intervention will be delivered in a single session at a rehabilitation facility.
For the second comparator group, ice cold water will be delivered via a plastic cannula to the pinna of the right ear, for 30 seconds. Water will be delivered continuously by gravity feed and under direct visual observation. After a 5 minute interval, this will be repeated for the contralateral (left) ear. Timing will be monitored by a digital stopwatch. The procedure will be performed by a medical officer. The intervention will be delivered in a single session at a rehabilitation facility.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain scored on visual analog scale
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Assessment method [1]
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Timepoint [1]
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1 hour, 6 hours, 24 hours (primary timepoint), 3 days, 7 days, post-procedure
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Secondary outcome [1]
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Phantom limb experience (normal/natural, deformed or painful) using a study-specific questionnaire
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Assessment method [1]
372094
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Timepoint [1]
372094
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1 hour, 6 hours, 24 hours, 3 days, 7 days, post-procedure
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Secondary outcome [2]
372095
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Size of phantom hand/foot (normal, enlarged or shrunken) using a study-specific questionnaire
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Assessment method [2]
372095
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Timepoint [2]
372095
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1 hour, 6 hours, 24 hours, 3 days, 7 days, post-procedure
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Secondary outcome [3]
372096
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Length of phantom hand/foot (normal, longer or shorter) using a study-specific questionnaire
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Assessment method [3]
372096
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Timepoint [3]
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1 hour, 6 hours, 24 hours, 3 days, 7 days, post-procedure
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Eligibility
Key inclusion criteria
Amputees (upper and/or lower limb, unilateral or bilateral, due to any cause
Painful phantom limb(s)
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Minimum age
18
Years
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Maximum age
65
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
Cognitive impairment
Difficulties with speech or communication
Ongoing or history of ear perforation
Active otitis externa or otitis media
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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)
Central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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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 analysing the results/data
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Intervention assignment
Parallel
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Other design features
N/A
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Regression methods will be used to determine the influence of intervention/comparator (indicator variable) on pain score at the time endpoints.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2019
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Actual
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Date of last participant enrolment
Anticipated
31/12/2020
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Actual
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Date of last data collection
Anticipated
7/01/2021
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Hampstead Rehabilitation Centre - Northfield
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Recruitment postcode(s) [1]
26922
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5085 - Northfield
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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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Department of Rehabilitation Medicine - Hampstead Rehabilitation Centre
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Address [1]
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207-235 Hampstead Rd, Northfield SA 5085
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Minh-Son To
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Address
Flinders Medical Centre
Flinders Dr
Bedford Park SA 5042
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Country
Australia
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Secondary sponsor category [1]
303163
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None
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Name [1]
303163
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Address [1]
303163
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Country [1]
303163
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303367
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Central Adelaide Local Health Network HREC
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Ethics committee address [1]
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CALHN Research Office Level 3, Royal Adelaide Hospital Port Road ADELAIDE SA 5000
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
303367
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Approval date [1]
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28/02/2019
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Ethics approval number [1]
303367
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R20180813
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Summary
Brief summary
Phantom limb sensations are well-known phenomena, occurring in up to 55-80% of amputees. A subset of these individuals experience a neuropathic pain syndrome known as phantom limb pain (PLP), which can occur from days to years after amputation. This can be both psychological and physically draining for amputees. The vestibular (balance) system is widely integrated within the somatosensory system and is thought to modulate the perception of neuropathic pain. The aim of this study is to investigate the use of caloric vestibular stimulation (CVS) for alleviating PLP. Activation of the vestibular system by CVS may represent a novel, safe and alternative therapy for patients suffering from PLP.
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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 Minh-Son To
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Address
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Flinders Medical Centre
Flinders Dr
Bedford Park, SA 5042
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Country
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Australia
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Phone
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+61 8 82045511
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Fax
93426
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Email
93426
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[email protected]
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Contact person for public queries
Name
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Minh-Son To
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Address
93427
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Flinders Medical Centre
Flinders Dr
Bedford Park, SA 5042
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Country
93427
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Australia
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Phone
93427
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+61 8 82045511
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Fax
93427
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Email
93427
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[email protected]
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Contact person for scientific queries
Name
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Minh-Son To
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Address
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Flinders Medical Centre
Flinders Dr
Bedford Park, SA 5042
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Country
93428
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Australia
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Phone
93428
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+61 8 82045511
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Fax
93428
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Email
93428
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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)?
Yes
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What data in particular will be shared?
Patient demographics and pain scores pre-/post-procedure
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When will data be available (start and end dates)?
Following trial completion (estimated 2021), available for 5 years after publication
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Available to whom?
On request to Principal Investigator on case by case at the discretion of the Principal Investigator
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
By email contact with Principal Investigator (
[email protected]
)
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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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