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Trial registered on ANZCTR
Registration number
ACTRN12607000592448
Ethics application status
Approved
Date submitted
14/11/2007
Date registered
19/11/2007
Date last updated
23/06/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
Is cotrimoxazole safe and efficacious for treatment of skin sores in Aboriginal children: a pilot study
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Scientific title
In Aboriginal children in remote communities, is oral cotrimoxazole as safe and efficacious as intramuscular benzathine penicillin, in achieving resolution of skin sores?
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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:
Impetigo
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Condition category
Condition code
Infection
2653
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Oral cotrimoxazole 4+20 mg/kg (up to 160/800mg) twice daily for 5 days
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Intervention code [1]
2284
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Treatment: Drugs
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Comparator / control treatment
Intramuscular benzathine penicillin 45mg/kg (up to 900mg) as a single dose
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Control group
Active
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Outcomes
Primary outcome [1]
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Successful treatment (healed or improved) of skin sores
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Assessment method [1]
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Timepoint [1]
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Day 7 after commencement of treatment
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Secondary outcome [1]
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Bacterial resolution of skin sores
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Assessment method [1]
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Timepoint [1]
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Day 4 and 7
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Secondary outcome [2]
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Evidence of allergy or other adverse effect to study medications
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Assessment method [2]
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Timepoint [2]
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Up till day 7
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Eligibility
Key inclusion criteria
Diagnosis of purulent or crusted impetigo.
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Minimum age
2
Months
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Maximum age
16
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
1. Receipt of any antibiotic in the previous seven days, or receipt of benzathine penicillin in the previous 30 days.
2. The presence of impetigo lesions that are only “flat-dry” (i.e. lesions that are not purulent or crusted)
3. Known allergy to penicillin, sulphonamide drugs or trimethoprim, or other constituents of study medications.
4. Immunocompromised.
5. Acute or chronic dermatosis.
6. Evidence of sepsis, cellulitis, bullous impetigo, boils or carbuncles.
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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)
We will recruit children from households in a remote Aboriginal community. Households will be screened for children with skin sores. Eligible children with impetigo, and their parents/guardians, will be approached for written, informed consent.
Eligible children will be randomised by the use of sealed, sequentially marked,
opaque envelopes in accordance with the CONSORT statements. Randomisation will be by permuted block randomisation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2008
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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
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
322
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0810
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Menzies School of Health Research
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Address [1]
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PO Box 41096
Casuarina NT 0811
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Menzies School of Health Research
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Address
PO Box 41096
Casuarina NT 0811
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Northern Territory Department of Health and Community Services and Menzies School of Health Research
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Ethics committee address [1]
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Menzies School of Health Research
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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14/11/2007
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Approval date [1]
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12/12/2007
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Ethics approval number [1]
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07/84
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Summary
Brief summary
We aim to conduct a pilot study to determine the efficacy and safety of oral cotrimoxazole compared to benzathine penicillin (BPG), for the treatment of skin sores(also known as impetigo) in children living in a remote Aboriginal community in the Northern Territory. Cotrimoxazole may be a much more acceptable oral alternative compared to the uncomfortable and poorly received intramuscular benzathine penicillin which is the current standard of care.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Steven Tong
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Address
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PO Box 41096
Casuarina NT 0811
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Country
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Australia
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Phone
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+61 8 89228196
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Steven Tong
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Address
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PO Box 41096
Casuarina NT 0811
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Country
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Australia
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Phone
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+61 8 89228196
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Fax
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Email
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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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