- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00049764
Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis
The purposes of this study are to determine:
- Whether drotrecogin alfa (activated) helps children with severe sepsis survive their condition more often or recover faster than children who do not receive drotrecogin alfa (activated).
- Whether drotrecogin alfa (activated) minimizes long term disabilities associated with severe sepsis.
- The side effects that might be associated with drotrecogin alfa (activated) administration to children with severe sepsis.
연구 개요
상세 설명
The primary objective was to demonstrate that drotrecogin alfa (activated) compared with placebo reduced severe-sepsis-induced organ dysfunction as assessed by time to complete resolution of a composite of cardiovascular, respiratory, and renal organ failure in pediatric patients with severe sepsis.
Secondary objectives included: (1) to assess whether treatment with drotrecogin alfa (activated) reduced 28-day all-cause mortality in pediatric patients with severe sepsis compared with placebo patients, (2) to evaluate the effects of drotrecogin alfa (activated) on individual organ dysfunction (cardiovascular, respiratory, renal, hepatic, hematologic, neurologic, and cutaneous), (3) to demonstrate that drotrecogin alfa (activated) improved patient outcome as assessed by the Pediatric Overall Performance Category (POPC) scale, (4) to demonstrate that drotrecogin alfa (activated) reduced major amputations (at or above the wrist, at or above the ankle, face, and genitals) in pediatric patients with Neisseria meningitidis (proven or suspected) and/or purpura fulminans, (5) to demonstrate that drotrecogin alfa (activated) had antithrombotic and anti-inflammatory properties. The safety objective was to evaluate whether drotrecogin alfa (activated) had an acceptable safety profile when administered to pediatric patients with severe sepsis.
연구 유형
등록 (실제)
단계
- 3단계
연락처 및 위치
연구 장소
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Erlangen, 독일
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Magdeburg, 독일
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Wurzburg, 독일
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Benito Juarez
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Mexico City, Benito Juarez, 멕시코
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Alabama
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Birmingham, Alabama, 미국
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Arizona
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Tucson, Arizona, 미국
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Tuscon, Arizona, 미국
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California
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Madera, California, 미국
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San Diego, California, 미국
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District of Columbia
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Washington DC, District of Columbia, 미국
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Idaho
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Boise, Idaho, 미국
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Illinois
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Chicago, Illinois, 미국
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Oak Lawn, Illinois, 미국
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Park Ridge, Illinois, 미국
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Indiana
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Indianapolis, Indiana, 미국
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Michigan
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Ann Arbor, Michigan, 미국
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Missouri
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Kansas City, Missouri, 미국
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New York
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Albany, New York, 미국
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New Hyde Park, New York, 미국
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New York, New York, 미국
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Oklahoma
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Oklahoma City, Oklahoma, 미국
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Pennsylvania
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Hershey, Pennsylvania, 미국
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Pittsburgh, Pennsylvania, 미국
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South Carolina
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Charleston, South Carolina, 미국
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Tennessee
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Nashville, Tennessee, 미국
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Texas
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San Antonio, Texas, 미국
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Virginia
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Falls Church, Virginia, 미국
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Zurich, 스위스
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Bratislava, 슬로바키아
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Bystrica
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Banska, Bystrica, 슬로바키아
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Birmingham, 영국
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London, 영국
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Manchester, 영국
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Southhampton, 영국
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Hants
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Southhampton, Hants, 영국
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London
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Bloomsbury, London, 영국
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Paddington, London, 영국
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Milano, 이탈리아
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Santiago de Chile, 칠레
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Lublin, 폴란드
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Amiens, 프랑스
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Amiens Cedex, 프랑스
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Bordeaux, 프랑스
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Le Kremlin-Bicetre, 프랑스
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Lyon, 프랑스
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Lyon Cedex 03, 프랑스
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Marseille, 프랑스
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Nantes, 프랑스
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Toulouse, 프랑스
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New South Wales
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Westmead, New South Wales, 호주
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Tasmania
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Hobart, Tasmania, 호주
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Suspected or proven acute infection.
- Abnormally high or low core body temperature
- Cardiovascular dysfunction which requires the use of vasoactive drugs (such as, dopamine, dobutamine, epinephrine) and is the result of severe sepsis.
- Respiratory dysfunction which requires the use of mechanical ventilation and is the result of severe sepsis.
Exclusion Criteria:
- Patients at increased risk of bleeding.
- Patients at high risk for an intracranial bleed.
- Patients who have undergone a bone marrow transplant.
- Patients with end-stage renal disease.
- Patients whose family or primary care physician is unwilling to allow transfusion of blood products.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: 1
96시간 동안 24마이크로그램/kg/시간(+ 또는 - 1시간)
|
다른 이름들:
|
|
위약 비교기: 2
0.9% 염화나트륨
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
|
That drotrecogin alfa (activated) compared with placebo reduces severe-sepsis-induced organ dysfunction
기간: 3 Years
|
3 Years
|
2차 결과 측정
결과 측정 |
기간 |
|---|---|
|
All cause mortality data
기간: 3 Years
|
3 Years
|
|
The effects of drotrecogin alfa (activated) on individual organ dysfunction
기간: 3 Years
|
3 Years
|
|
Amputation reduction (at or above the wrist, at or above the ankle, face, and genitals)in pediatric patients with Neisseria meningitidis
기간: 3 Years
|
3 Years
|
|
Demonstrate that drotrecogin alfa (activated) has antithrombotic and anti-inflammatory properties.
기간: 3 Years
|
3 Years
|
공동 작업자 및 조사자
간행물 및 유용한 링크
일반 간행물
- Farris RW, Weiss NS, Zimmerman JJ. Functional outcomes in pediatric severe sepsis: further analysis of the researching severe sepsis and organ dysfunction in children: a global perspective trial. Pediatr Crit Care Med. 2013 Nov;14(9):835-42. doi: 10.1097/PCC.0b013e3182a551c8.
- Nadel S, Goldstein B, Williams MD, Dalton H, Peters M, Macias WL, Abd-Allah SA, Levy H, Angle R, Wang D, Sundin DP, Giroir B; REsearching severe Sepsis and Organ dysfunction in children: a gLobal perspective (RESOLVE) study group. Drotrecogin alfa (activated) in children with severe sepsis: a multicentre phase III randomised controlled trial. Lancet. 2007 Mar 10;369(9564):836-843. doi: 10.1016/S0140-6736(07)60411-5.
연구 기록 날짜
연구 주요 날짜
연구 시작
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- 6716
- F1K-MC-EVBP
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .