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临床试验/ISRCTN11401066
ISRCTN11401066已完成4 期

VACIRISS: pneumococcal Vaccination to ACcelerate Immune Recovery In Sepsis Survivors: a randomized placebo-controlled trial

Guy's and St Thomas' NHS Foundation Trust0 个研究点目标入组 214 人开始时间: 2018年12月10日最近更新:
适应症

试验速览

阶段
4 期
状态
已完成
入组人数
214

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Aged 18 years or older at screening
  • 2. Registered with a General Practitioner
  • 3. Admitted to intensive care unit or high dependence unit for sepsis (sepsis is defined as suspected or proven infection with a total Sepsis-related Organ Failure Assessment (SOFA) score of at least 2 points)
  • 4. Improved clinical condition
  • 5. Ready for step down to high dependence unit or ward-based care in the next 24-48 hours
  • 6. Patient or their legal representative is able to provide written informed consent

排除标准

  • 1. Core temperature 38.0 °C or higher within the past 24 hours prior to study investigational medicinal product (IMP) administration
  • 2. Hypersensitivity reaction (i.e. anaphylaxis) to any component of Prevnar 13 or any diphtheria toxoid-containing vaccine
  • 3. Vaccination administered to patient within 7 days of enrolment
  • 4. Pregnant or lactating women
  • 5. Limitations of care set, including not for resuscitation, not for readmission to critical care
  • 6. Resident of nursing home, long-term care facility or other institution, or requirement of semi-skilling nursing care
  • 7. Coagulopathy, defined as at least one of the following:
  • 7.1. Platelet count less than 50 x 109/L
  • 7.2. International normalized ratio (INR) greater than 1.3
  • 8. APACHE II score-defined immune deficiency or supression, defined as at least one of the following conditions:
  • 8.1. Documented human immunodeficiency virus (HIV) infection at any timepoint prior to the trial (if previous results are not available and/or current admission is not due to HIV infection, these patients do not need new testing and are considered eligible for the trial)
  • 8.2. Leukaemia, defined as having been treated by or been eligible for treatment by radiotherapy and/or chemotherapy within the last 5 years
  • 8.3. Lymphoma, defined as having been treated by or been eligible for treatment by radiotherapy and/or chemotherapy within the last 5 years
  • 8.4. Hodgkin disease, defined as having been treated by or been eligible for treatment by radiotherapy and/or chemotherapy within the last 5 years
  • 8.5. Multiple myeloma, defined as having been treated by or been eligible for treatment by radiotherapy and/or chemotherapy within the last 5 years
  • 8.6. Malignancy, defined as presence of any malignancy that had been treated by or had been eligible for treatment by radiotherapy and/or chemotherapy within the last 5 years
  • 8.7. Chronic renal failure (defined as receipt of renal dialysis or transplant) or nephrotic syndrome
  • 8.8. Receipt of immunosuppressive therapy, including steroids, within 3 months of study vaccine administration (For corticosteroids, prednisone or equivalent 0.5 mg/kg/day for 14 days or longer. Inhaled, intra- articular, and topical steroids are not considered immunosuppressive)

研究者

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