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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00216736
Registration number
NCT00216736
Ethics application status
Date submitted
14/09/2005
Date registered
22/09/2005
Date last updated
30/04/2015
Titles & IDs
Public title
Oral Dexamethasone for Treatment of Migraine
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Scientific title
Does a Single Oral Dose of Dexamethasone After Successful Emergency Treatment of Migraine Reduce the Incidence or Severity of Rebound Headache Within 48 Hours?
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Secondary ID [1]
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2004.221
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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:
Migraine
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Condition category
Condition code
Neurological
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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
Treatment: Drugs - Dexamethasone
Treatment: Drugs - placebo
Placebo comparator: 1 - This group received intravenous phenothiazine treatment for migraine (dosing at physician discretion) plus placebo. Patients and clinicians were blinded.
Experimental: 2 - This group received intravenous phenothiazine migraine treatment (dosage at physician discretion) plus oral dexamethasone 8mg at time of emergency department discharge. Patients and clinicians were blinded.
Treatment: Drugs: Dexamethasone
Single dose oral dexamethasone 8mg at time of ED discharge
Treatment: Drugs: placebo
Single dose oral placebo at ED discharge
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of Patients Who Were Discharged Pain Free That Have a Recurrence of Headache Within 48 Hours.
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Assessment method [1]
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Proportion of patients who were discharged pain free who report recurrence of headache within 48 hours, on telephone followup.
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Timepoint [1]
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48 hours
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Primary outcome [2]
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Proportion of Patients With Recurrent Headache Within 48 Hours.
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Assessment method [2]
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Proportion of patients who report recurrent headache within 48 hours, on telephone followup.
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Timepoint [2]
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48 hours
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Secondary outcome [1]
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Proportion of Patients Requiring Additional Analgesia Within 48 Hours for Headache.
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Assessment method [1]
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Proportion of patients reporting a requirement for additional analgesia within 48 hours of treatment for headache, by telephone followup.
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Timepoint [1]
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48 hours
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Eligibility
Key inclusion criteria
* Consenting adult patients [age >17 years] with physician-diagnosed migraine treated in the ED who are willing and able to be contacted between 48-72 hours after discharge for follow-up
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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
* Failure to consent
* Pregnancy
* Allergy to study medication
* Findings inconsistent with migraine
* Patients requiring hospital admission for further investigation and treatment
* Patients with active peptic ulcer disease
* Patients with Type 1 diabetes
* Patients taking corticosteroids for another condition within 7 days
* Active systemic fungal infection
* Patients previously enrolled in the study
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Study design
Purpose of the study
Prevention
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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?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/04/2005
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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
1/07/2007
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Sample size
Target
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Accrual to date
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Final
63
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Department of Emergency Medicine, Western Health - Melbourne
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Recruitment postcode(s) [1]
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3011 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
The Joseph Epstein Centre for Emergency Medicine Research
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this project is to determine if a single dose of oral dexamethasone at the time of discharge from the emergency department (ED) \[after successful treatment\] prevents rebound headache. Hypothesis: That single dose oral dexamethasone 8mg reduces the proportion of patients who suffer rebound headache after treatment for migraine in the ED.
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Trial website
https://clinicaltrials.gov/study/NCT00216736
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Trial related presentations / publications
Kelly AM, Kerr D, Clooney M. Impact of oral dexamethasone versus placebo after ED treatment of migraine with phenothiazines on the rate of recurrent headache: a randomised controlled trial. Emerg Med J. 2008 Jan;25(1):26-9. doi: 10.1136/emj.2007.052068.
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Public notes
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Contacts
Principal investigator
Name
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Anne-Maree Kelly, MB BS
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Address
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The Joseph Epstein Centre for Emergency Medicine Research
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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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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 scientific queries
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
Type
Citations or Other Details
Journal
Kelly AM, Kerr D, Clooney M. Impact of oral dexame...
[
More Details
]
Results are available at
https://clinicaltrials.gov/study/NCT00216736
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