TREC2 - Rapid tranquillisation for agitated patients in emergency psychiatric rooms in Rio de Janeiro. A randomised trial of intramuscular Haloperidol versus intramuscular Haloperidol + Promethazine.

ISRCTN ISRCTN83261243
DOI https://doi.org/10.1186/ISRCTN83261243
Secondary identifying numbers N/A
Submission date
31/08/2005
Registration date
13/09/2005
Last edited
01/11/2007
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Study website

Contact information

Dr Gisele Huf
Scientific

INCQS-FIOCRUZ
Av. Brasil 4365 Manguinhos
Cx. Postal: 926
Rio de Janeiro
21045-900
Brazil

Phone +55 21 3865 5112
Email gisele@ensp.fiocruz.br

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study acronymTREC - Rapid Tranquillisation Clinical Trial (Tranquilização Rápida-Ensaio Clínico)
Study objectivesThe trial was undertaken to test the risks and benefits of adding promethazine to haloperidol for rapid intramuscular tranquillisation.
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSerious mental illnesses combined with overt aggression or violence
Intervention1. Haloperidol (up to 10 mg intramuscular [IM])
2. Haloperidol (up to 10 mg IM) with promethazine (up to 50 mg IM)
Doses are not fixed and are at the discretion of the attending doctors.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Promethazine, haloperidol
Primary outcome measureTranquil or asleep by 20 minutes after medication is given
Secondary outcome measures1. Asleep by 20 minutes
2. Tranquil or asleep by 40, 60 and 120 minutes
3. Physically restrained or given additional medication within 2 hours
4. Severe adverse events during the subsequent 24 hours
5. Another episode of agitation/aggression during the subsequent 24 hours
6. Needing additional visits from the doctor during the subsequent 24 hours
7. Overall antipsychotic load in the first 24 hours
8. Still in hospital after 2 weeks
Overall study start date06/01/2004
Completion date01/07/2004

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants600
Key inclusion criteriaPeople are eligible for trial entry if:
1. It is clear that they need acute intramuscular sedation because of disturbed and dangerous behaviour thought to be due to serious mental illness
2. The clinician is uncertain about the benefits and risks of the comparator
medications
Key exclusion criteriaPeople are not eligible for trial entry if the clinician believes that one treatment represents an additional risk for the patient
Date of first enrolment06/01/2004
Date of final enrolment01/07/2004

Locations

Countries of recruitment

  • Brazil

Study participating centre

INCQS-FIOCRUZ
Rio de Janeiro
21045-900
Brazil

Sponsor information

National School of Public Health (ENSP), Oswaldo Cruz Foundation (FIOCRUZ) (Brazil)
Charity

Rua Leopoldo Bulhões 4036/816 Manguinhos
Rio de Janeiro
21041-210
Brazil

Website http://www.ensp.fiocruz.br
ROR logo "ROR" https://ror.org/04jhswv08

Funders

Funder type

Research council

The National Council for Research and Development (Consejo Nacional de Desarrollo Cientifico y Tecnologico [CNPq]) (Brazil)

No information available

Regional Health Authorities (Brazil) - donated drugs

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article Results 27/10/2007 Yes No