ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients With Severe Sepsis

July 21, 2017 updated by: Eisai Inc.
The purpose of this study is to compare eritoran tetrasodium and placebo in patients with severe sepsis and to demonstrate a reduction of mortality from all causes.

Study Overview

Status

Completed

Conditions

Study Type

Interventional

Enrollment (Actual)

2000

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Buenos Aires, Argentina
      • Cordoba, Argentina
      • Santa Fe, Argentina
      • Box Hill, Australia
      • New South Wales, Australia
      • Queensland, Australia
    • New South Wales
      • St. Leonards, New South Wales, Australia
      • Westmead, New South Wales, Australia
    • Queensland
      • Southport, Queensland, Australia
    • South Australia
      • Adelaide, South Australia, Australia
      • Woodville, South Australia, Australia
    • Victoria
      • Heidelberg, Victoria, Australia
      • Melbourne, Victoria, Australia
      • Parkville, Victoria, Australia
    • Western Australia
      • Nedlands, Western Australia, Australia
      • Perth, Western Australia, Australia
      • Salzburg, Austria
      • Wien, Austria
      • Braine-l'Alleud, Belgium
      • Brussels, Belgium
      • Gent, Belgium
      • Liege, Belgium
      • Mons, Belgium
      • Ottignies, Belgium
      • Seraing, Belgium
      • Yvoir, Belgium
      • Belo Horizonte, Brazil
      • Curitba, Brazil
      • Fontaleza, Brazil
      • Joinville, Brazil
      • Porto Alegro, Brazil
      • Rio de Janeiro, Brazil
      • Sao Paulo, Brazil
    • Alberta
      • Calgary, Alberta, Canada
      • Edmonton, Alberta, Canada
    • British Columbia
      • Vancouver, British Columbia, Canada
      • Victoria, British Columbia, Canada
    • Manitoba
      • Winnipeg, Manitoba, Canada
    • New Brunswick
      • Saint John, New Brunswick, Canada
    • Nova Scotia
      • Halifax, Nova Scotia, Canada
    • Ontario
      • Toronto, Ontario, Canada
      • Windsor, Ontario, Canada
    • Quebec
      • Greenfield Park, Quebec, Canada
      • Montreal, Quebec, Canada
      • Quebec City, Quebec, Canada
      • Santiago, Chile
      • Temuco, Chile
      • Valdivia, Chile
      • Vina del Mar, Chile
      • Brno, Czechia
      • Havlickuv Brod, Czechia
      • Hradec Kralove, Czechia
      • Plyzen, Czechia
      • Praha, Czechia
      • Amiens, France
      • Besancon, France
      • Colombes, France
      • Corbeil Essonnes, France
      • Evry Courcouronnes, France
      • La Roche sur Yon, France
      • La Tronche, France
      • Le Chesnay, France
      • Limoges, France
      • Montauban, France
      • Nimes, France
      • Paris, France
      • Saint-Michel, France
      • Tours, France
      • Aachen, Germany
      • Berlin, Germany
      • Bonn, Germany
      • Erfurt, Germany
      • Erlangen, Germany
      • Frankfurt, Germany
      • Geissen, Germany
      • Hannover, Germany
      • Jena, Germany
      • Koln, Germany
      • Krefeld, Germany
      • Ludwigshafen, Germany
      • Munchen, Germany
      • Hong Kong, Hong Kong
      • Afula, Israel
      • Hadera, Israel
      • Haifa, Israel
      • Holon, Israel
      • Jerusalem, Israel
      • Kfar Saba, Israel
      • Nahariya, Israel
      • Petah-Tikva, Israel
      • Tel Hashomer, Israel
      • Zerifin, Israel
      • Bari, Italy
      • Busto Arsizio, Italy
      • Cesana, Italy
      • Milan, Italy
      • Monza, Italy
      • Novara, Italy
      • Pavia, Italy
      • Trieste, Italy
      • Verona, Italy
      • Aichi, Japan
      • Bunkyo, Japan
      • Chuo, Japan
      • Fukuoka, Japan
      • Fukushima, Japan
      • Hachioji, Japan
      • Hamamatsu, Japan
      • Hirosaki City, Japan
      • Hiroshima, Japan
      • Iizuka, Japan
      • Itabashi, Japan
      • Kagoshima, Japan
      • Kamagaya, Japan
      • Kanagawa, Japan
      • Kishiwada, Japan
      • Kobe, Japan
      • Kochi, Japan
      • Kumamoto, Japan
      • Kyoto, Japan
      • Morioka, Japan
      • Osaka, Japan
      • Saga, Japan
      • Sapporo, Japan
      • Sendai, Japan
      • Shinagawa, Japan
      • Suita, Japan
      • Ube, Japan
      • Utsunomiya, Japan
      • Yonago, Japan
      • Yotsukaidou, Japan
      • Seoul, Korea, Republic of
      • Amsterdam, Netherlands
      • Apeldoorn, Netherlands
      • Ede, Netherlands
      • Groningen, Netherlands
      • Leeuwarden, Netherlands
      • Rotterdam, Netherlands
      • Tilburg, Netherlands
      • Utrecht, Netherlands
      • Zwolle, Netherlands
      • s'Hertogenbosch, Netherlands
      • Bielsko Biala, Poland
      • Groszisk Mazowiecki, Poland
      • Krakow, Poland
      • Lodz, Poland
      • Poznan, Poland
      • Warsaw, Poland
      • Almada, Portugal
      • Amadora, Portugal
      • Lisbon, Portugal
      • Alberton, South Africa
      • Cape Town, South Africa
      • Centurion, South Africa
      • Johannesburg, South Africa
      • Kimberley, South Africa
      • Parow, South Africa
      • Pietermaritzburg, South Africa
      • Roodepoort, South Africa
      • Alcala de Henares Madrid, Spain
      • Barcelona, Spain
      • Burgos, Spain
      • Cataluna, Spain
      • Getafe, Spain
      • Madrid, Spain
      • Sabadell, Spain
      • Santiago de Compostela, Spain
      • Tarragona, Spain
      • Bern, Switzerland
      • Geneva, Switzerland
      • Lausanne, Switzerland
      • Taichung, Taiwan
      • Taipei, Taiwan
      • Taoyuan, Taiwan
      • Yung Kang City, Taiwan
      • Birmingham, United Kingdom
      • Leeds, United Kingdom
      • Livingston, United Kingdom
      • London, United Kingdom
      • Nottingham, United Kingdom
      • Plymouth, United Kingdom
      • Southampton, United Kingdom
    • Alabama
      • Birmingham, Alabama, United States
      • Mobile, Alabama, United States
    • Arizona
      • Mesa, Arizona, United States
    • California
      • Loma Linda, California, United States
      • Marysville, California, United States
      • Orange, California, United States
      • San Diego, California, United States
      • Santa Barbara, California, United States
    • Colorado
      • Denver, Colorado, United States
    • Connecticut
      • New Haven, Connecticut, United States
    • Delaware
      • Newark, Delaware, United States
    • District of Columbia
      • Washington, D.C., District of Columbia, United States
    • Florida
      • Atlantis, Florida, United States
      • Clearwater, Florida, United States
      • Gainesville, Florida, United States
      • Miami, Florida, United States
      • Orlando, Florida, United States
      • Pensacola, Florida, United States
    • Georgia
      • Atlanta, Georgia, United States
      • Decatur, Georgia, United States
    • Idaho
      • Idaho Falls, Idaho, United States
    • Illinois
      • Chicago, Illinois, United States
      • Oak Park, Illinois, United States
      • Peoria, Illinois, United States
    • Indiana
      • Indianapolis, Indiana, United States
    • Iowa
      • Des Moines, Iowa, United States
      • Iowa City, Iowa, United States
    • Kansas
      • Kansas City, Kansas, United States
      • Topeka, Kansas, United States
    • Kentucky
      • Lexington, Kentucky, United States
      • Louisville, Kentucky, United States
    • Louisiana
      • Opelousas, Louisiana, United States
      • Shreveport, Louisiana, United States
    • Maryland
      • Baltimore, Maryland, United States
    • Massachusetts
      • Boston, Massachusetts, United States
      • Springfield, Massachusetts, United States
    • Michigan
      • Detroit, Michigan, United States
      • Pontiac, Michigan, United States
    • Missouri
      • Kansas City, Missouri, United States
      • Saint Louis, Missouri, United States
    • Montana
      • Butte, Montana, United States
    • Nebraska
      • Omaha, Nebraska, United States
    • New Jersey
      • Englewood, New Jersey, United States
      • Hackensack, New Jersey, United States
    • New York
      • Buffalo, New York, United States
      • Mineola, New York, United States
      • New Hyde Park, New York, United States
      • New York, New York, United States
      • Rochester, New York, United States
    • North Carolina
      • Durham, North Carolina, United States
      • Greenville, North Carolina, United States
    • Ohio
      • Cleveland, Ohio, United States
      • Columbus, Ohio, United States
      • Toledo, Ohio, United States
    • Pennsylvania
      • Danville, Pennsylvania, United States
      • Hershey, Pennsylvania, United States
      • Philadelphia, Pennsylvania, United States
      • Pittsburgh, Pennsylvania, United States
    • Rhode Island
      • Providence, Rhode Island, United States
    • South Carolina
      • Columbia, South Carolina, United States
    • Tennessee
      • Memphis, Tennessee, United States
      • Nashville, Tennessee, United States
    • Texas
      • Fort Worth, Texas, United States
      • Houston, Texas, United States
      • Lubbock, Texas, United States
    • Virginia
      • Charlottesville, Virginia, United States
      • Norfolk, Virginia, United States
      • Roanoke, Virginia, United States
    • Washington
      • Tacoma, Washington, United States

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

INCLUSION CRITERIA:

  • Age >= 18 years
  • Confirmed early-onset severe sepsis, defined as:

    o---Objective evidence of infection likely to be caused by a bacterial or fungal pathogen

    o---Presence of at least 3 of 4 systemic inflammatory response syndrome (SIRS) criteria

    o---Sepsis-associated organ dysfunction

  • Baseline Acute Physiology and Chronic Health Evaluation II (Apache II) Score of 21 to 37
  • < 12 hours between onset of the first qualifying organ dysfunction and expected administration of study drug
  • A commitment to full patient support

EXCLUSION CRITERIA:

  • Pregnancy or breastfeeding
  • Extensive (>20% Body Surface Area) third-degree burns
  • Weight > 150 kg at admission
  • Patients whose death from sepsis is considered imminent
  • Patients not expected to survive for at least 2 months due to a pre-existing and uncorrectable medical condition, or those in a chronic vegetative state
  • Patients with severe congestive heart failure
  • Patients currently receiving immunosuppressive therapy such as cyclosporine, azathioprine, or cancer chemotherapy
  • Patients with granulocyte counts < 1000/mm^3 unless the decreased count is believed to be due to sepsis
  • Patients that required cardiopulmonary resuscitation in the 4 weeks prior to evaluation for enrollment
  • Human immunodeficiency virus (HIV)-positive patients with CD4 count <= 50/mm^3 within 4 weeks of enrollment, or end-stage processes
  • Patients with significant hepatic impairment, portal hypertension, or esophageal varices
  • Patients who are expected to be treated with endotoxin-removal devices
  • Patients with active cancer
  • Patients receiving polymyxin B or colistin

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: QUADRUPLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
PLACEBO_COMPARATOR: 2
Matching placebo; intravenous infusion.
EXPERIMENTAL: 1
Intravenous infusion at a total dose of 105 mg.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
All-cause mortality at Day 28.
Time Frame: 28 days
28 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Dan Rossignol, Eisai Inc.

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2006

Primary Completion (ACTUAL)

January 1, 2011

Study Registration Dates

First Submitted

June 6, 2006

First Submitted That Met QC Criteria

June 6, 2006

First Posted (ESTIMATE)

June 8, 2006

Study Record Updates

Last Update Posted (ACTUAL)

July 25, 2017

Last Update Submitted That Met QC Criteria

July 21, 2017

Last Verified

July 1, 2017

More Information

Terms related to this study

Other Study ID Numbers

  • E5564-G000-301
  • 2005-005537-35 (EUDRACT_NUMBER)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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