EUCTR2017-002138-22-IT
Active, not recruiting
Phase 1
Phase IV, multicenter, prospective, randomized, open-label, controlled study on Landiolol in patients with septic shock resident in an Intensive Care Unit (LANDI-SEP) - LANDI-SEP
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- AOP ORPHAN PHARMACEUTICALS AG
- Enrollment
- 200
- Status
- Active, not recruiting
- Last Updated
- 6 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •1\) Confirmed septic shock:
- •a. Confirmed or suspected infection
- •b. Acute increase of \=2 points on SOFA Score
- •c. Need for continuous vasopressor therapy to maintain a mean arterial pressure (MAP) of \>65 mmHg despite adequate fluid resuscitation
- •d. Blood lactate \>2mmol/L (18mg/dl)
- •Presence of blood lactate \>2mmol/L (18mg/dl) and increase of \=2 points on SOFA Score are only necessary for the diagnosis of septic shock but not at time of study inclusion
- •2\) Tachycardia and/or tachyarrhythmia with heart rate \=95 beats/min
- •3\) Norepinephrine infusion rate \=0\.2µg/kg/min at the time of study inclusion
- •4\) Patients must have undergone a hemodynamic optimization period of at least 24 hours but a maximum of 36 hours, during which period they received continuous vasopressor treatment and standard treatment for septic shock according to the SSCG 2016 guidelines
- •5\) Age \=18 years
Exclusion Criteria
- •1\.Any form of compensatory tachycardia
- •2\.ß\-blocker treatment within 7 days prior randomization
- •3\.Sick Sinus syndrome, or 2nd or 3rd degree AV block
- •4\.Patients with any form of cardiac pacing
- •5\.A known serious cardiovascular condition such as ischemic stroke or transient ischemic attack within last 6 months, or preexisting heart failure New York Heart Association Class III or IV
- •6\.Cardiogenic shock
- •7\.MAP \<65 mmHg
- •8\.Known pulmonary hypertension
- •9\.Known terminal illness other than septic shock with expected patient's survival \<28 days
- •10\.Known presence of an advanced condition to withhold life\-sustaining treatment
Outcomes
Primary Outcomes
Not specified
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