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Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis

2007년 11월 15일 업데이트: Eli Lilly and Company

The purposes of this study are to determine:

  1. 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).
  2. Whether drotrecogin alfa (activated) minimizes long term disabilities associated with severe sepsis.
  3. 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

중재적

등록 (실제)

474

단계

  • 3단계

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연구 장소

      • Erlangen, 독일
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      • Magdeburg, 독일
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      • Wurzburg, 독일
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    • Benito Juarez
      • Mexico City, Benito Juarez, 멕시코
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    • Alabama
      • Birmingham, Alabama, 미국
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    • Arizona
      • Tucson, Arizona, 미국
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      • Tuscon, Arizona, 미국
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    • California
      • Madera, California, 미국
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      • San Diego, California, 미국
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    • District of Columbia
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    • Idaho
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    • Illinois
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      • Oak Lawn, Illinois, 미국
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      • Park Ridge, Illinois, 미국
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    • Indiana
      • Indianapolis, Indiana, 미국
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    • Michigan
      • Ann Arbor, Michigan, 미국
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    • Missouri
      • Kansas City, Missouri, 미국
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    • New York
      • 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
      • Oklahoma City, Oklahoma, 미국
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    • Pennsylvania
      • Hershey, Pennsylvania, 미국
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      • Pittsburgh, Pennsylvania, 미국
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    • South Carolina
      • Charleston, South Carolina, 미국
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    • Tennessee
      • Nashville, Tennessee, 미국
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    • Texas
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    • Virginia
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      • Zurich, 스위스
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      • Bratislava, 슬로바키아
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    • Bystrica
      • 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
      • Southhampton, Hants, 영국
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    • London
      • 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
      • Westmead, New South Wales, 호주
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    • Tasmania
      • Hobart, Tasmania, 호주
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참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

17년 이하 (어린이)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

모두

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

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

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:
  • LY203638
  • 시그리스
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

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

간행물 및 유용한 링크

연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2002년 11월 1일

연구 완료 (실제)

2005년 4월 1일

연구 등록 날짜

최초 제출

2002년 11월 13일

QC 기준을 충족하는 최초 제출

2002년 11월 13일

처음 게시됨 (추정)

2002년 11월 14일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2007년 11월 20일

QC 기준을 충족하는 마지막 업데이트 제출

2007년 11월 15일

마지막으로 확인됨

2007년 11월 1일

추가 정보

이 연구와 관련된 용어

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. .

구독하다