Hemodynamic and Perfusion Response to Drotrecogin Alfa (Activated) in Patients With Septic Shock
This study has been completed.
Sponsor:
Eli Lilly and Company
Information provided by:
Eli Lilly and Company
ClinicalTrials.gov Identifier:
NCT00279214
First received: December 15, 2005
Last updated: August 26, 2009
Last verified: August 2009
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Purpose
The study will evaluate the vasopressor requirement, hemodynamic response and measures of tissue perfusion in patients with septic shock receiving an infusion of drotrecogin alfa (activated) compared to patients not receiving drotrecogin alfa (activated).
| Condition | Intervention | Phase |
|---|---|---|
|
Sepsis Septic Shock |
Drug: drotrecogin alfa (activated) |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Evaluation of Vasopressor Requirement, Hemodynamic Response and Measures of Tissue Perfusion With the Administration of Drotrecogin Alfa (Activated) as Part of Physician-Directed Therapy in Patients With Septic Shock |
Resource links provided by NLM:
Further study details as provided by Eli Lilly and Company:
Primary Outcome Measures:
- Cumulative Vasopressor Index (CVI) [ Time Frame: baseline to 24 hours ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Change From Baseline to 96 Hour Endpoint in Cumulative Vasopressor Index (CVI) [ Time Frame: Baseline, 96 hours ] [ Designated as safety issue: No ]
- Mean Arterial Pressure [ Time Frame: baseline to 24 hours ] [ Designated as safety issue: No ]
- Cardiovascular Performance Measures Obtained With a Pulmonary Artery Catheter - Cardiac Index [ Time Frame: Baseline to 24 Hours ] [ Designated as safety issue: No ]
- Lactate Level [ Time Frame: Baseline to 6 Hours ] [ Designated as safety issue: No ]
- Microcirculatory Measures From Sidestream Darkfield (SDF) Microscopy - Small Vessel Microvascular Flow Index (MFI) [ Time Frame: Baseline to 24 Hours ] [ Designated as safety issue: No ]
- Sequential Organ Failure Assessment (SOFA) Score at Baseline and 24 Hours [ Time Frame: Baseline and 24 Hours ] [ Designated as safety issue: No ]
- Change From Baseline in Creatinine Clearance (CrCl) at 24 Hours [ Time Frame: Baseline and 24 hours ] [ Designated as safety issue: No ]
- 7 Day All-cause In-hospital Mortality [ Time Frame: baseline to 7 days ] [ Designated as safety issue: No ]
- Endogenous Protein C Level [ Time Frame: Baseline to 24 Hours ] [ Designated as safety issue: No ]
- Mixed Venous Oxygen Saturation [ Time Frame: Baseline to 24 Hours ] [ Designated as safety issue: No ]
| Enrollment: | 43 |
| Study Start Date: | November 2005 |
| Study Completion Date: | November 2007 |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion:
- 18 years of age or older with a diagnosis of septic shock
- presence of a pulmonary artery catheter (or central venous catheters)
- requiring vasopressor support despite adequate fluid resuscitation
- an intravenous steroid administered for septic shock, except for those patients who were tested and are responders to a corticotropin stimulation test, or patients who do not receive a steroid due to the clinical judgment of the treating physician, based on an alternate assessment (e.g. normal baseline cortisol).
Exclusion:
- Onset of first-sepsis induced organ dysfunction is greater than 24 hours from the time of informed consent
- Baseline measurements of pulmonary artery occlusive pressure (PAOP) < 12 mmHg or a central venous pressure (CVP) < 8 mmHg
- Patient requires continuous oxygen therapy by face-mask
- The presence of an advanced directive to withhold life-sustaining treatment, with the exception of a directive to withhold chest compressions only
- Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry
- Weight > 200 kg
- Are moribund (not expected to survive 24 hours)
- Are pregnant or are lactating and the milk is to be ingested by the infant (pregnancy status must be verified by urine or serum testing)
- Have not completed written informed consent signed by the patient or the patient's legal representative.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00279214
Locations
| United States, New Jersey | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Camden, New Jersey, United States, 08103 | |
| United States, Ohio | |
| For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. | |
| Akron, Ohio, United States, 44307 | |
Sponsors and Collaborators
Eli Lilly and Company
Investigators
| Study Director: | Call 1-877-CTLILLY (1-877-285-4559) or 1-317-651-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST) | Eli Lilly and Company |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00279214 History of Changes |
| Other Study ID Numbers: | 9944, F1K-US-EVDA |
| Study First Received: | December 15, 2005 |
| Results First Received: | October 31, 2008 |
| Last Updated: | August 26, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Sepsis Shock Shock, Septic Infection Systemic Inflammatory Response Syndrome Inflammation Pathologic Processes Drotrecogin alfa activated Protein C |
Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Anticoagulants Hematologic Agents Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 19, 2013