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临床试验/EUCTR2006-004350-25-FR
EUCTR2006-004350-25-FR进行中(未招募)1 期

Crystalloids or colloids in patients with severe sepsis: effects on hemodynamics and tolerability of enteral nutrition - CRYSTMAS protocol (CRYSTalloids Morbidity Associated with severe Sepsis)

Fresenius Kabi Deutschland GmbH0 个研究点目标入组 180 人开始时间: 2006年12月29日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
180

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • a) Written informed consent b) Male or female patients aged 18 years or over c) Presence of severe sepsis d) Requirement for fluid resuscitation
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • a) Volume expansion with >1 L of fluids (crystalloids and/or colloids) during the period between admission to Intensive Care Unit and Screening b) Participation in another clinical study with an investigational drug or an investigational medical device within 30 days before Screening or during the study c) Known pregnancy; Female patients must be surgically sterile; or postmenopausal for at least two years; or if of childbearing potential must have a negative serum pregnancy test (if a test result is not available at the time of randomization, a patient may be randomized and treated initially, however, has to be withdrawn immediately from the study as soon as the test result becomes available and is positive) d) Known hypersensitivity to HydroxyEthylStarch e) Known serum creatinine > 300 µmol/L, corresponding to 3.4 mg/dL (if a serum creatinine value is not available at the time of randomization or an available value is older than 24 hours, a patient may be randomized and treated initially, however, has to be withdrawn immediately from the study as soon as the value becomes available and is > 300 µmol/L) f) Known history of chronic renal failure (hemodialysis) g) Anuria lasting more than 8 hours despite fluid resuscitation prior to randomization h) Requirement for renal support (either continuous or discontinuous techniques, including intermittent hemodialysis, hemofiltration and hemodiafiltration) i) History of known hemostatic disorders with clinical bleeding (hemophilia and known or suspected Willebrand disease) j) Burns >20% of body surface k) State of brain death l) Therapeutic limitations (see appendix 11, section 2, ‘Definitions’: …the non-introduction or non-optimisation of one or several curative or organ failure support treatments, the consequence of which may be to bring forward the time of death.”) m) Known co-morbidities: Hematologic malignant disorders, neutropenia (polymorphonuclear leukocytes < 500/mm3), proven cirrhosis, AIDS n) Contraindication to early Enteral Nutrition o) Requirement for concomitant cancer therapy (e.g. chemotherapy, radiotherapy or surgery) p) Fluid overload q) Subject with fluid restriction r) Septic shock defined as severe sepsis with hypotension unresponsive to adequate fluid resuscitation, along with the presence of hypoperfusion and organ dysfunction. Patients treated with vasopressors are not excluded providing they are responsive to fluid resuscitation. s) Intracranial bleeding

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