Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 474
- 试验地点
- 1
- 主要终点
- That drotrecogin alfa (activated) compared with placebo reduces severe-sepsis-induced organ dysfunction
研究概览
简要总结
The purposes of this study are to determine:
- Whether drotrecogin alfa (activated) helps children with severe sepsis survive their condition more often or recover faster than children who do not receive drotrecogin alfa (activated).
- Whether drotrecogin alfa (activated) minimizes long term disabilities associated with severe sepsis.
- The side effects that might be associated with drotrecogin alfa (activated) administration to children with severe sepsis.
详细描述
The primary objective was to demonstrate that drotrecogin alfa (activated) compared with placebo reduced severe-sepsis-induced organ dysfunction as assessed by time to complete resolution of a composite of cardiovascular, respiratory, and renal organ failure in pediatric patients with severe sepsis.
Secondary objectives included: (1) to assess whether treatment with drotrecogin alfa (activated) reduced 28-day all-cause mortality in pediatric patients with severe sepsis compared with placebo patients, (2) to evaluate the effects of drotrecogin alfa (activated) on individual organ dysfunction (cardiovascular, respiratory, renal, hepatic, hematologic, neurologic, and cutaneous), (3) to demonstrate that drotrecogin alfa (activated) improved patient outcome as assessed by the Pediatric Overall Performance Category (POPC) scale, (4) to demonstrate that drotrecogin alfa (activated) reduced major amputations (at or above the wrist, at or above the ankle, face, and genitals) in pediatric patients with Neisseria meningitidis (proven or suspected) and/or purpura fulminans, (5) to demonstrate that drotrecogin alfa (activated) had antithrombotic and anti-inflammatory properties. The safety objective was to evaluate whether drotrecogin alfa (activated) had an acceptable safety profile when administered to pediatric patients with severe sepsis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- — 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Suspected or proven acute infection.
- •Abnormally high or low core body temperature
- •Cardiovascular dysfunction which requires the use of vasoactive drugs (such as, dopamine, dobutamine, epinephrine) and is the result of severe sepsis.
- •Respiratory dysfunction which requires the use of mechanical ventilation and is the result of severe sepsis.
排除标准
- •Patients at increased risk of bleeding.
- •Patients at high risk for an intracranial bleed.
- •Patients who have undergone a bone marrow transplant.
- •Patients with end-stage renal disease.
- •Patients whose family or primary care physician is unwilling to allow transfusion of blood products.
研究组 & 干预措施
1
24 microgram/kg/hr for 96 hours (+ or - 1 hour)
干预措施: Drotrecogin alfa (activated) (Drug)
2
0.9% sodium chloride
干预措施: Placebo (Drug)
结局指标
主要结局
That drotrecogin alfa (activated) compared with placebo reduces severe-sepsis-induced organ dysfunction
时间窗: 3 Years
次要结局
- Amputation reduction (at or above the wrist, at or above the ankle, face, and genitals)in pediatric patients with Neisseria meningitidis(3 Years)
- Demonstrate that drotrecogin alfa (activated) has antithrombotic and anti-inflammatory properties.(3 Years)
- All cause mortality data(3 Years)
- The effects of drotrecogin alfa (activated) on individual organ dysfunction(3 Years)