Vasopressor Agents in Pulmonary Hypertension Crisis
Comparison of the Efficacy and Safety of Dopamine, Norepinephrine and Epinephrine in the Treatment of Pulmonary Hypertensive Crisis Under Hemodynamic Monitoring
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Qing Gu,MD
- Telefonnummer: +86 010-88392814
- E-mail: guqingfw@126.com
Studiesteder
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Beijing Municipality
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Beijing, Beijing Municipality, Kina, 10037
- Chinese Academy of Medical Sciences, Fuwai Hospital
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Kontakt:
- Qing Gu,MD
- Telefonnummer: +86 010-88392814
- E-mail: guqingfw@126.com
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Guangdong
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Guangzhou, Guangdong, Kina, 510180
- Guangdong Provincial People's Hospital
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Kontakt:
- Li Huang
- Telefonnummer: +86 020-83827812
- E-mail: huangli1991ly@126.com
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Wuhan
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Wuhan, Wuhan, Kina, 430072
- Zhongnan Hospital of Wuhan University
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Kontakt:
- Gangcheng Zhang
- Telefonnummer: +86 027-68756878
- E-mail: zgcsir@163.com
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Age > 18 years old;
- Signed informed consent form;
- Confirmed diagnosis of arterial pulmonary hypertension (PAH) and/or chronic thromboembolic pulmonary hypertension (CTEPH);
- Presenting with manifestations of pulmonary hypertensive crisis;
- Receiving both diagnosis and treatment in-hospital;
- No intravenous administration of the vasopressor drugs (including dopamine, norepinephrine, and epinephrine) under study at enrollment.
Exclusion Criteria:
- At SCAI stage D or stage E ;
- Patients who only receive a diagnosis but no treatment in the hospital;
- Uncontrolled hyperthyroidism;
- Complicated with angle-closure glaucoma;
- Hypersensitivity to the study drug;
- Ongoing use of halogenated hydrocarbon general anesthetics such as cyclopropane and halothane;
- Ongoing use of monoamine oxidase inhibitor (MAOI) antidepressants or anti-Parkinson drugs (phenelzine, tranylcypromine, isocarboxazid, moclobemide);
- Pregnancy;
- Already receiving the vasopressor drugs (dopamine, norepinephrine, epinephrine) under study at enrollment.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Norepinephrine group
The initial dose is 0.02 mg/kg/min of norepinephrine; each dose adjustment (increase or decrease) is 0.02 mg/kg/min of norepinephrine; the maximum dose of norepinephrine is 0.2 mg/kg/min.
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The initial dose is 0.02 mg/kg/min of norepinephrine; each dose adjustment (increase or decrease) is 0.02 mg/kg/min of norepinephrine; the maximum dose of norepinephrine is 0.2 mg/kg/min.
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Eksperimentel: Dopamine group
The initial dose is 2 μg/kg/min of dopamine; each dose adjustment (increase or decrease) is 2 μg/kg/min of dopamine; the maximum dose of dopamine is 20 μg/kg/min.
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The initial dose is 2 μg/kg/min of dopamine; each dose adjustment (increase or decrease) is 2 μg/kg/min of dopamine; the maximum dose of dopamine is 20 μg/kg/min
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Eksperimentel: Epinephrine group
The initial dose is 0.02 μg/kg/min of epinephrine; each adjustment (increase or decrease) is 0.02 μg/kg/min of epinephrine; the maximum dose of epinephrine is 0.2 μg/kg/min
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The initial dose is 0.02 μg/kg/min of epinephrine; each adjustment (up or down) is 0.02 μg/kg/min of epinephrine; the maximum dose of epinephrine is 0.2 μg/kg/min
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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All-cause mortality within 28 days
Tidsramme: 28 days after enrolment
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28 days after enrolment
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Haemodynamic parameters
Tidsramme: Haemodynamic parameters at H0, H6, H24, H48 and H72
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Haemodynamic parameters at H0, H6, H24, H48 and H72
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Severe arrhythmia (ventricular tachycardia, ventricular fibrillation)
Tidsramme: Time of onset of severe arrhythmia
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Time of onset of severe arrhythmia
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Adverse effects of vasopressors
Tidsramme: Time at which adverse effects occur
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Time at which adverse effects occur
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Arterial Blood Gas Analysis
Tidsramme: H0, H6, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a test must be performed on the day of discharge)
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H0, H6, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a test must be performed on the day of discharge)
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Vital Signs
Tidsramme: Record at H0, H2, H4, H6, H12, H24, H48 and H72 after administration of medication; thereafter, record once every 24 hours until the day of discharge
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Record at H0, H2, H4, H6, H12, H24, H48 and H72 after administration of medication; thereafter, record once every 24 hours until the day of discharge
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BNP or NT-proBNP
Tidsramme: H0, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a test must be performed on the day of discharge)
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H0, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a test must be performed on the day of discharge)
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Echocardiographic parameters
Tidsramme: H0, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a measurement must be taken on the day of discharge)
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H0, H24, H48, H72, Day 7, Day 14, Day 21, Day 28 (if the length of hospital stay is between 7 and 28 days, a measurement must be taken on the day of discharge)
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Hjertesygdomme
- Luftvejssygdomme
- Lungesygdomme
- Forhøjet blodtryk
- Pulmonal arteriel hypertension
- Hjertefejl
- Hjerte-kar-sygdomme
- Karsygdomme
- Hypertension, lunge
- Organiske kemikalier
- Kulbrinter
- Kulbrinter, cyklisk
- Kulbrinter, aromatisk
- Aminer
- Catechols
- Fenoler
- Benzenderivater
- Alkoholer
- Aminoalkoholer
- Ethanolaminer
- Biogene monoaminer
- Biogene aminer
- Catecholamines
- Noradrenalin
- Adrenalin
- Dopamin
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2024ZD0526703
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
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