- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01705808
Administration of Protein C Concentrates in Adult Critically Ill Septic Patients
December 14, 2015 updated by: Giovanni Landoni, Università Vita-Salute San Raffaele
Severe sepsis and septic shock are life threatening medical emergencies and are among the most significant challenges in critical care.
Case reports and case series suggest that plasma-derived protein C concentrate may improve the outcome of patients with acquired protein C deficiency.
Evidence has accumulated on the clinical relevance of the PC pathway in modulating overwhelming inflammation and preventing coagulation derangements, two key mediators of organ damage, and thus of mortality and morbidity, in sepsis.
The experience collected through these studies shows that PC is safe, in that it is not associated with bleeding or severe allergic complications,and possibly useful, at least to improve the coagulation abnormalities brought about by sepsis.
Unfortunately, however, all we know comes from case series or case reports or an underpowered randomized controlled study.
A randomized clinical trial, adequately powered for mortality or clinically relevant outcome, is necessary to confirm PC efficacy.The aim of this study is to demonstrate that Protein C zymogen has clinically relevant implications in terms of reduction of thromboembolic events, 30 days mortality, length of intensive care and hospital stay, time on mechanical ventilation, length of ICU and hospital stay.
The study will also confirm that there is no bleeding concern with the use of Protein C concentrates.The study drug will be administered in the Intensive Care Unit for 72 hours and the patients observed till ICU discharge.
Telephone followup will be performed at 30 days and at one year.
Study Overview
Study Type
Interventional
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
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Milano, Italy, 20132
- Ospedale San Raffaele di Milano, Italy
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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:
- Written informed consent
- Age > 18 years
At least one of the following 3 criteria:
- venous-venous extra corporeal membrane oxygenation (ECMO) for septic adult respiratory distress syndrome (ARDS)
- septic disseminated intravascular coagulopathy (DIC)
- sepsis induced organ dysfunction associated with a clinical assessment of high risk of death
Exclusion Criteria:
- Previous unusual response to PC or any of their components (murine proteins and heparin)
- PC administration or inclusion in other randomized protocols in the previous 30 days
- Do not resuscitate orders
- Refractory cardiogenic shock
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 Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Placebo Comparator: Placebo
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Experimental: Protein C concentrate
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Composite endpoint of number of participant with mortality and/or prolonged ICU stay
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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
September 1, 2012
Primary Completion (Actual)
June 1, 2014
Study Completion (Actual)
October 1, 2014
Study Registration Dates
First Submitted
July 25, 2012
First Submitted That Met QC Criteria
October 11, 2012
First Posted (Estimate)
October 12, 2012
Study Record Updates
Last Update Posted (Estimate)
December 15, 2015
Last Update Submitted That Met QC Criteria
December 14, 2015
Last Verified
December 1, 2015
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- OSR/40/04/12
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.
Clinical Trials on Sepsis
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University of Kansas Medical CenterUniversity of KansasRecruitingSepsis | Septic Shock | Sepsis Syndrome | Sepsis, Severe | Sepsis Bacterial | Sepsis BacteremiaUnited States
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Jip GroenInBiomeRecruitingMicrobial Colonization | Neonatal Infection | Neonatal Sepsis, Early-Onset | Microbial Disease | Clinical Sepsis | Culture Negative Neonatal Sepsis | Neonatal Sepsis, Late-Onset | Culture Positive Neonatal SepsisNetherlands
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The University of QueenslandRoyal Brisbane and Women's HospitalUnknown
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Karolinska InstitutetÖrebro University, SwedenCompletedSepsis | Sepsis Syndrome | Sepsis, SevereSweden
-
Ohio State UniversityCompletedSepsis, Severe Sepsis and Septic ShockUnited States
-
Indonesia UniversityCompletedSevere Sepsis With Septic Shock | Severe Sepsis Without Septic ShockIndonesia
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University of LeicesterUniversity Hospitals, Leicester; The Royal College of AnaesthetistsCompletedSepsis | Septic Shock | Severe Sepsis | Sepsis SyndromeUnited Kingdom
-
Beckman Coulter, Inc.Biomedical Advanced Research and Development AuthorityRecruitingSevere Sepsis | Severe Sepsis Without Septic ShockUnited States
-
Weill Medical College of Cornell UniversityNational Heart, Lung, and Blood Institute (NHLBI); New York Presbyterian Hospital and other collaboratorsCompletedSepsis | Septic Shock | Severe Sepsis | Infection | Sepsis SyndromeUnited States
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Inverness Medical InnovationsCompletedSepsis | Systemic Inflammatory Response Syndrome | Severe Sepsis | Sepsis SyndromeUnited States
Clinical Trials on Protein C concentrate
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University of LimerickMarigot Ltd.; Enterprise IrelandCompletedBioavailability of Amino Acids Following Oral Ingestion of Plant-Based Proteins in Young, Healthy MenIreland
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TakedaActive, not recruitingCongenital Protein C DeficiencyJapan
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Baxalta now part of ShireAmerican Thrombosis and Hemostasis Network; UDC Rare Bleeding and Clotting...CompletedProtein C DeficiencyUnited States, United Kingdom, Germany, Italy, Netherlands, Austria
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Baxalta now part of ShireCompleted
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Baxalta now part of ShireCompletedProtein C DeficiencyUnited States
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University of Roma La SapienzaCompletedSepsis | Septic ShockItaly
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University of the Incarnate WordEnrolling by invitation
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Wageningen University and ResearchCompleted
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Wageningen University and ResearchCompleted