- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05155202
Clinical Relevance of Nicardipine Induced Hypoxemia in the Intensive Care Unit (ECRHIN-ICU)
Clinical Relevance of Nicardipine Induced Hypoxemia in the Intensive Care Unit. A Multicenter Prospective Observational Study Comparing Nicardipine and Urapidil
In the context of postoperative hypertension in the intensive care units, or after resusitation of hypertensive patients, intravenous antihypertensive drugs are often used. Among those drugs, Nicardipine is an effective drug, but with side effects such as inhibition of pulmonary vasoconstriction. Only preclinical studies have investigated the pathophysiology of this mechanism, and no clinical study have proven its clinical relevance.
The aim of this study is to establish the incidence of Nicardipine induced hypoxemia and to compare it to another antihypertensive agent, Urapidil.
Study Overview
Status
Intervention / Treatment
Detailed Description
Prospective observational study in 4 intensive care units in one general hospital and one university hospital.
Once Nicardipine or Urapidil infusion is started, data collection of respiratory related information such as type of ventilation, arterial partial pressure of oxygen, blood pressure, cardiac frequency.
Statistical analysis for two qualitative variables: Group (Nicardipine or Urapidil) and occurrence or worsening of hypoxemia. Secondary outcoumes analysed such as maximal drop of blood pressure, evolution of the PaO2/FiO2 ratio, length of hospital stay, duration of mechanical ventilation in the ventilated patients.
Analysis for different subgroups : Patients with known atelectasis, postoperative of cardiac surgery, neuro-intensive care.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Contact
- Name: Richard DESCAMPS, MD
- Phone Number: +33231063106
- Email: descamps-r@chu-caen.fr
Study Locations
-
-
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Caen, France
- CHU caen
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Major patient
- With acute arterial systolic hypertension over 140mmHg
- Requiring intravenous administration of one of the two following drugs : Urapidil or Nicardipine
Exclusion Criteria:
- Patient ventilated Under Nitrogen Monoxyde
- Contraindication to Nicardipine or Urapidil
- Refusal of the patient or his relatives
- Patient treated for pulmonary hypertension
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Nicardipine
Major patients hospitalized in intensive care unit, with systolic hypertension, requiring administration of intravenous Nicardipine.
|
Administration of intravenous Nicardipine or Urapidil
|
Urapidil
Major patients hospitalized in intensive care unit, with systolic hypertension, requiring administration of intravenous Urapidil.
|
Administration of intravenous Nicardipine or Urapidil
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hypoxemia
Time Frame: During the twelve hours following start of drug infusion
|
Occurrence of worsening of hypoxemia
|
During the twelve hours following start of drug infusion
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of antihypertensive action
Time Frame: During the twelve hours following start of drug infusion
|
Time before the drop of arterial systolic blood pressure below 140mmHg
|
During the twelve hours following start of drug infusion
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ID2885
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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