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Heart Rate Control With Esmolol in Septic Shock

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01231698
Recruitment Status : Completed
First Posted : November 1, 2010
Last Update Posted : January 24, 2013
Information provided by (Responsible Party):
Andrea Morelli, University of Roma La Sapienza

Brief Summary:
The purpose of this study is investigate the effects on systemic hemodynamics and organ function of esmolol when used to maintain heart rate below a predefined threshold in patients with septic shock.

Condition or disease Intervention/treatment Phase
Septic Shock Drug: esmolol Other: control Phase 2

Detailed Description:
154 septic shock patients with heart rate > of 95 bpm and requiring vasopressor support to maintain mean arterial pressure between 65 and 75 mmHg despite adequate volume resuscitation, will be enrolled in the study. Patients will be randomly allocated to be treated with either a) a continuous esmolol infusion at any doses to maintain heart rate between 95 and 80 bpm b)to a standard treatment without heart rate control(control; each n = 77). In both groups, norepinephrine will be titrated to achieve a mean arterial pressure (MAP) between 65 and 75 mmHg. Data from right heart catheterization,data from organ function as well as norepinephrine requirements will be obtained at baseline and after 24, 48, 72, and 96 hours. The protocol will require that esmolol be infused continuously at any doses to maintain the predefined heart rate threshold until one the following events occur: the patient die, a serious adverse effect attributed to the study drug infusion, or the patient has been discharged from ICU.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 154 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Strict Heart Rate Control With Esmolol in Septic Shock: a Randomized, Controlled, Clinical Pilot Study
Study Start Date : December 2010
Actual Primary Completion Date : July 2012
Actual Study Completion Date : July 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Shock

Arm Intervention/treatment
Experimental: esmolol Drug: esmolol
Strict heart rate control: esmolol at any dose to maintain heart rate between 95 and 80 bpm.

control Other: control
standard treatment without strict heart rate control

Primary Outcome Measures :
  1. heart rate [ Time Frame: over a period of 96 hrs ]

Secondary Outcome Measures :
  1. systemic hemodynamics [ Time Frame: over a period of 96 hours ]
    systemic hemodynamics,norepinephrine requirements,organ functions,adverse effects.

Other Outcome Measures:
  1. ICU Mortality [ Time Frame: 28 days ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • septic shock criteria
  • presence of heart rate > 95 bpm.

Exclusion Criteria:

  • Pregnancy
  • age < 18

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01231698

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Department of Anesthesiology and Intensive care of the University of Rome La Sapienza
Rome, Italy
Sponsors and Collaborators
Andrea Morelli
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Principal Investigator: Andrea Morelli, MD University of Roma La Sapienza
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Andrea Morelli, MD, University of Roma La Sapienza Identifier: NCT01231698    
Other Study ID Numbers: 2048
First Posted: November 1, 2010    Key Record Dates
Last Update Posted: January 24, 2013
Last Verified: November 2011
Keywords provided by Andrea Morelli, University of Roma La Sapienza:
septic shock
Additional relevant MeSH terms:
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Shock, Septic
Pathologic Processes
Systemic Inflammatory Response Syndrome
Adrenergic beta-1 Receptor Antagonists
Adrenergic beta-Antagonists
Adrenergic Antagonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs