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Trial registered on ANZCTR
Registration number
ACTRN12622000934741
Ethics application status
Approved
Date submitted
9/06/2022
Date registered
30/06/2022
Date last updated
30/06/2022
Date data sharing statement initially provided
30/06/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Rectal concentrations of thioguanine after enema administration
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Scientific title
Tissue concentrations of thioguanine in rectal tissue samples in patients administered thioguanine rectally
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Secondary ID [1]
307320
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Nil known
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Universal Trial Number (UTN)
U1111-1279-1171
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Trial acronym
Inflammatory Bowel Disease
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Oral and gastrointestinal
326609
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Condition category
Condition code
Oral and Gastrointestinal
323853
323853
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will self administer a rectal enema preparation of Pentasa enema 500mg combined with thioguanine 20mg daily for 7 days. This will be followed by a single 5-hour visit to the study clinic during which participants will have a flexible sigmoidoscopy performed by a registered gastroenterologist and rectal biopsies taken to determine tissue thioguanine concentration. Immediately following the flexible sigmoidoscopy, participants will have one further rectal enema with Pentasa and thioguanine and 4 blood samples taken over 4 hours to determine thioguanine concentration.
Adherence will be determined by daily medication record and pill return count.
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Intervention code [1]
323765
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Thioguanine concentrations in rectal tissue assessed by flexible sigmoidoscopy and rectal biopsies.
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Assessment method [1]
331668
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Timepoint [1]
331668
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7 days post intervention
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Secondary outcome [1]
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Plasma thioguanine concentrations for 4 hours after rectal administration, at steady state.
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Assessment method [1]
410691
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Timepoint [1]
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4 samples will be taken 7 days post intervention, immediately before the dose and 1, 2, and 4 hours post-final dose
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Eligibility
Key inclusion criteria
Patients previously treated with Pentasa/thioguanine enemas for proctitis
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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 provide informed consent
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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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
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Phase
Phase 0
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
Two participants will be enrolled. Analysis will be descriptive for thioguanine concentrations in rectal tissue.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2022
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Actual
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Date of last participant enrolment
Anticipated
31/08/2022
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Actual
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Date of last data collection
Anticipated
31/08/2022
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Actual
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Sample size
Target
2
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
24829
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New Zealand
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State/province [1]
24829
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Funding & Sponsors
Funding source category [1]
311613
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Commercial sector/Industry
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Name [1]
311613
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Douglas Pharmaceuticals Ltd
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Address [1]
311613
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2 Te Pai Place, Henderson, Auckland 0610
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Country [1]
311613
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Douglas Pharmaceuticals Ltd
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Address
2 Te Pai Place, Henderson, Auckland 0610
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Country
New Zealand
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Secondary sponsor category [1]
313047
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None
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Name [1]
313047
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Address [1]
313047
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Country [1]
313047
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
311055
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Northern A Health and Disabilities Ethics Committee
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Ethics committee address [1]
311055
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133 Molesworth Street, Wellington 6011
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Ethics committee country [1]
311055
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New Zealand
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Date submitted for ethics approval [1]
311055
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Approval date [1]
311055
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27/05/2022
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Ethics approval number [1]
311055
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Summary
Brief summary
A controlled release oral formulation of thioguanine is being developed by Douglas Pharmaceuticals for treatment of IBD. As part of the development program it is planned to measure mucosal tissue concentrations of the drug after administration. This study is to develop the methodology for measuring tissue concentrations of thioguanine in rectal biopsy tissue after thioguanine rectal administration. The patients have previously been treated successfully with thioguanine 20mg dissolved in 50ml of Pentasa enema. Two of these patients will have daily treatment for 7 days before flexible sigmoidoscopy to obtain rectal biopsy samples to measure thioguanine.
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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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Prof Murray Barclay
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Address
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Barclay Gastroenterology
53 Straven Road, Christchurch 8011
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Country
119838
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New Zealand
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Phone
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+64 272127334
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Fax
119838
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Email
119838
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[email protected]
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Contact person for public queries
Name
119839
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Murray Barclay
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Address
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Barclay Gastroenterology
53 Straven Road, Christchurch 8011
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Country
119839
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New Zealand
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Phone
119839
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+64 272127334
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Fax
119839
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Email
119839
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[email protected]
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Contact person for scientific queries
Name
119840
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Murray Barclay
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Address
119840
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Barclay Gastroenterology
53 Straven Road, Christchurch 8011
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Country
119840
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New Zealand
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Phone
119840
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+64 272127334
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Fax
119840
0
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Email
119840
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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)?
No
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No/undecided IPD sharing reason/comment
This study is for commercial development of a new product only
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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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