Early Albumin Resuscitation During Septic Shock
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Purpose
Objective: To determine whether the early administration of albumin as an expander and antioxidant would improve survival on the 28th day for septic shock patients.
Design: Prospective, multicenter, randomized, controlled versus saline, stratified on nosocomial infection and center.
Setting: 27 Intensive Care Units (ICU) in France
Coordinator: Pr J.P. Mira and Dr J. Charpentier - Cochin Hospital- Paris
Patients: 800 patients could be included during the first 6 hours of their septic shock.
| Condition | Intervention | Phase |
|---|---|---|
|
Septic Shock |
Drug: albumin Drug: saline |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Multicenter, Prospective, Randomized, Controlled Open Study Albumin 20% Versus Saline |
- Mortality, any cause, during the 28 day period after randomization [ Time Frame: day 28 ] [ Designated as safety issue: No ]
- Evaluation of sequential organ failure assessment (SOFA) score [ Time Frame: ICU period ] [ Designated as safety issue: No ]
- catecholamine free days [ Time Frame: day 28 ] [ Designated as safety issue: No ]
- incidence of nosocomial infection [ Time Frame: ICU period ] [ Designated as safety issue: No ]
- mortality at 90 days [ Time Frame: day 90 ] [ Designated as safety issue: No ]
- length of ICU hospitalisation [ Time Frame: ICU discharge ] [ Designated as safety issue: No ]
- length of total hospitalisation [ Time Frame: hospital discharge ] [ Designated as safety issue: No ]
| Enrollment: | 794 |
| Study Start Date: | July 2006 |
| Study Completion Date: | January 2011 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Albumin |
Drug: albumin
albumin 20% 100 ml/8 hours for 3 days
Other Name: Vialebex
|
| Placebo Comparator: Saline |
Drug: saline
saline 100 ml/8hours for 3 days
|
Detailed Description:
The primary outcome: Mortality during the 28 day period after randomization. The secondary outcomes: Evaluation of SOFA score, ventilator-free days, dialysis free days, catecholamine free days, days of hospitalisation, incidence of nosocomial infections.
The albuminemia of all patients is requested before the treatment until Day 4 post treatment.
The treatment is: Vialebex 20% 100ml every 8 hours during 3 days versus saline 100ml every 8 hours during 3 days.
The first patient will be in July 2006, the last patient expected is on July 2009.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Over 18 years old
- Septic shock < 6 hours
- Agreement of patients
Exclusion Criteria:
- Allergy to albumin
- Weight > 120 kg
- Non septic shock
- Burned
- Cirrhosis
- Albumin perfusion 48 hours before randomization
- Pregnant women
- Cardiac dysfunction New York Heart Association (NYHA) 3 or 4
- Patients with therapeutic limitation
Contacts and Locations| France | |
| Cochin Hospital | |
| Paris, France, 75 014 | |
| Study Chair: | Jean P Mira, Professor | Cochin Hospital |
| Study Director: | Julien Charpentier, Doctor | Cochin Hospital Paris |
More Information
No publications provided
| Responsible Party: | Jean-Paul MIRA, Professor, Cochin Hospital, Paris France |
| ClinicalTrials.gov Identifier: | NCT00327704 History of Changes |
| Other Study ID Numbers: | LFB N°ALBU-0503 |
| Study First Received: | May 17, 2006 |
| Last Updated: | April 5, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Laboratoire français de Fractionnement et de Biotechnologies:
|
Septic Shock |
Additional relevant MeSH terms:
|
Shock Shock, Septic Pathologic Processes Sepsis |
Infection Systemic Inflammatory Response Syndrome Inflammation |
ClinicalTrials.gov processed this record on May 22, 2013