MedPath

Acquired Methemoglobinemia Observational Registry

Completed
Conditions
Methemoglobinemia, Acquired
Methemoglobinemia
Interventions
Registration Number
NCT03542760
Lead Sponsor
Hospital Quality Foundation
Brief Summary

This prospective, observational registry aims to collect real-world data regarding the safety and efficacy of ProvayBlue® (methylene blue 0.5%) used according to normal standard of care for the treatment of acquired methemoglobinemia. Methylene blue has been used for decades as a rescue medication for the treatment of methemoglobinemia, a rare and potentially life-threatening condition in which elevated levels of methemoglobin impede the delivery of oxygen from blood to body tissues. However, consistent prospective data about the safety and efficacy of this medication are sparse, simply because of the rarity of the disorder. ProvayBlue® received accelerated FDA approval for treatment of acquired methemoglobinemia in 2016. This large, prospective, multi-center observational registry has been initiated to gain more information on the use of methylene blue in the treatment of acquired methemoglobinemia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • Adult or pediatric patients diagnosed with acquired methemoglobinemia and receiving treatment with ProvayBlue® (methylene blue 0.5%) as per the treating physician's diagnosis and the acute care facility's standard of care
  • Those acquired methemoglobinemia patients whose diagnosis is aided by measurement of methemoglobin and whose ongoing treatment is guided by re-measurement of methemoglobin ~1h post-treatment with ProvayBlue® in accordance with the US FDA Label prescribing information
Exclusion Criteria
  • Refusal of consent (in those subjects approached for consent where required by local institutional procedures)
  • Treatment of methemoglobinemia with another methylene blue product

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Secondary Treated GroupMethylene BlueSubjects who are administered methylene blue for treatment of acquired methemoglobinemia with measured methemoglobin levels ≤ 30 and lack of clinical symptoms
Primary Treated GroupMethylene BlueSubjects who are administered methylene blue for treatment of acquired methemoglobinemia that is symptomatic (eg, exhibiting sleepiness, cyanosis, dizziness, etc) or with measured methemoglobin levels \> 30%.
Primary Outcome Measures
NameTimeMethod
Reduction of Methemoglobin 1h after Administration of ProvayBlue1h post-treatment

Level of methemoglobin 1h after administration of ProvayBlue for treatment of acquired methemoglobinemia compared to pre-treatment level of methemoglobin.

Secondary Outcome Measures
NameTimeMethod
Time to Normalization of Respiratory RateIndex Hospitalization

Time to normalization of respiratory rate after administration of ProvayBlue for treatment of acquired methemoglobinemia.

Time to Normalization of Heart RateIndex Hospitalization

Time to normalization of heart rate after administration of ProvayBlue for treatment of acquired methemoglobinemia.

Prevalence and Nature of Adverse EventsWithin 10 days of Treatment

Prevalence and nature of any adverse events occurring within 10 days of the administration of ProvayBlue

Time to Normalization of Blood PressureIndex Hospitalization

Time to normalization of blood pressure after administration of ProvayBlue for treatment of acquired methemoglobinemia.

Trial Locations

Locations (32)

UT Southwestern

🇺🇸

Dallas, Texas, United States

University of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

University of Kansas Health System

🇺🇸

Kansas City, Kansas, United States

Hartford Hospital

🇺🇸

Hartford, Connecticut, United States

Henry Ford Health System

🇺🇸

Detroit, Michigan, United States

Bridgeport Hospital

🇺🇸

Bridgeport, Connecticut, United States

St John Medical Center

🇺🇸

Detroit, Michigan, United States

Medical College of Wisconsin

🇺🇸

Milwaukee, Wisconsin, United States

UMass Memorial Medical Center

🇺🇸

Worcester, Massachusetts, United States

University of Nebraska

🇺🇸

Omaha, Nebraska, United States

University of Tennessee Health Science Center

🇺🇸

Memphis, Tennessee, United States

University of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Oregon Health & Sciences University

🇺🇸

Portland, Oregon, United States

UC Davis Health

🇺🇸

Sacramento, California, United States

Baylor College of Medicine

🇺🇸

Houston, Texas, United States

University of Washington

🇺🇸

Seattle, Washington, United States

HealthPartners Regions

🇺🇸

Saint Paul, Minnesota, United States

Partners Healthcare; Brigham and Women's

🇺🇸

Boston, Massachusetts, United States

University of Iowa

🇺🇸

Iowa City, Iowa, United States

Cedars Sinai

🇺🇸

Los Angeles, California, United States

IU Health

🇺🇸

Indianapolis, Indiana, United States

Tampa General

🇺🇸

Tampa, Florida, United States

Palmetto General

🇺🇸

Palm Beach Gardens, Florida, United States

University of Maryland

🇺🇸

Baltimore, Maryland, United States

Washington University

🇺🇸

Saint Louis, Missouri, United States

Holy Name Medical Center

🇺🇸

Teaneck, New Jersey, United States

Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

New York Methodist

🇺🇸

New York, New York, United States

Mercy Health

🇺🇸

Youngstown, Ohio, United States

Einstein Medical Center

🇺🇸

Philadelphia, Pennsylvania, United States

University Hospitals

🇺🇸

Cleveland, Ohio, United States

Houston Methodist

🇺🇸

Houston, Texas, United States

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