A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 46
- 试验地点
- 6
- 主要终点
- Elevation in Average Mean Arterial Pressure
研究概览
简要总结
This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
详细描述
PURPOSE OF THE STUDY This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
STUDY TREATMENT Sepsis is a serious condition resulting from the presence of harmful microorganisms in the blood or other tissues and the body's response to their presence, leading to the malfunctioning of various organs. When hypotension due to sepsis cannot be reversed with the infusion of fluids the patient is in a state of septic shock. Septic shock is therefore an acute medical emergency and delayed therapy can lead to organ injury. VBI-S is intended to raise blood pressure in patients with septic shock.
Randomization and blinding: This is a randomized, controlled, open-label study and blinding is not applicable to this study.
Data Safety Monitoring Board: A Data Safety Monitoring Board (DSMB) will review the study data.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male or female at least 18 years of age.
- •Evidence of bacterial infection demonstrated by positive blood culture and/or a known source of infection and/or an elevated procalcitonin of ≥ 2 ng/ml.
- •Patient has a mean blood pressure < 65 mmHg that is unresponsive to fluids currently available on the market.
- •Sequential Organ Failure Assessment (SOFA) score ≥ 5
- •Sepsis diagnosis: The presence of infection which can be proven or suspected by 2 or more of the following criteria:
- •Lactate > 2 mmol/L
- •Fever > 38.3°C, or 101°F
- •Hypothermia < 36°C core temperature (<96.8°F)
- •Heart rate > 90
- •Tachypnea (respiratory rate ≥ 20/min)
- •White blood cell count >12,000 or less than 4,000, or with >10% "bands" (immature forms)
- •Elevated procalcitonin in serum (≥ 2ng/ml)
- •Arterial hypoxemia (PaO2/FiO2 < 300)
- •Creatinine increase > 0.5 mg/dL since hospital admission
- •INR > 1.5 or aPTT > 60 seconds
- •Documented dysregulated host response to an infection as indicated by an increase in SOFA score by ≥ 2 points after an infection per the SEPSIS 3 guideline.
- •Receiving vasopressors to maintain the target MAP of 65 mmHg.
排除标准
- •Patients with a ventricular assist device
- •Acute coronary syndrome
- •Acute bronchospasm
- •Acute Mesenteric ischemia
- •Emergency major surgery
- •Diagnosis of acute Hepatitis B or C.
- •Hematologic or coagulation disorders including thrombocytopenia (platelet count <50,000) and associated with hemodynamically significant active bleeding that causes a decrease in blood pressure.
- •White blood cell count of < 1000 mm3
- •Current participation or participation in another experimental or device study within the last 30 days before the start of this study. Patient may be included if on other drugs are for COVID-
- •Patients with a known allergy to soybeans or eggs
- •Patient is hypervolemic with assessment by physician or physician extender ultrasound 12 hours before infusion of VBI-S if hypervolemia is suspected.
- •Patient expected to expire within 12 hours.
- •Patients with disturbances in normal fat metabolism such as pathologic hyperlipemia, lipid nephrosis, or acute pancreatitis with hyperlipidemia.
研究组 & 干预措施
VBI-S
Treatment with VBI-S
干预措施: VBI-S (Drug)
结局指标
主要结局
Elevation in Average Mean Arterial Pressure
时间窗: 12 months
The primary endpoint is defined as an elevation in average mean arterial pressure by at least 10 mmHg from baseline within 3 hours of initiation of study treatment on Day 1
次要结局
- Serum Procalcitonin(12 months)
- Serum Creatinine(12 months)
- Dose of Pressor Drugs(12 months)
- Sequential Organ Failure Assessment (SOFA) Score(12 months)
- Ratio of Arterial Partial Pressure of Oxygen/Fraction of Inspired Oxygen(12 months)
- Arterial Oxygen Saturation(12 months)
- Partial Pressure of Oxygen(12 months)
- Post-treatment Survival(12 months)