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Clinical Trials/DRKS00000156
DRKS00000156CompletedPhase 2

ACE inhibitor for lung protection during mechanical Ventilation for acute lung injury - pilot trial - ACEmeVENT-Pilot

niversität Leipzig0 sites61 target enrollmentStarted: October 24, 2011Last updated:
Conditions

Trial Snapshot

Phase
Phase 2
Status
Completed
Sponsor
Enrollment
61

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional
Allocation
Randomized controlled study
Masking
Blinded (masking used)

Eligibility Criteria

Ages
18 Years to 80 Years (—)
Sex
All

Inclusion Criteria

  • 1. intubated patients on mechanical ventilation and onset of ventilation not longer than 60h ago
  • 2. Present (acute lung injury (ALI) / acute respiratory distress syndrome (ARDS)) defined by:
  • a. sudden onset
  • b.PaO2/FiO2 = 300 mmHg (ARDS: PaO2/FiO2 = 200 mmHg)
  • c.bilateral pulmonary infiltrates on a chest radiograph consistent with the presence of edema,
  • d. no clinical evidence of left atrial hypertension (e.g. as in heart failure); if measured, pulmonary-capillary wedge pressure of 18 mm Hg or less.
  • 3.Age not less than18 years
  • 4. Written informed consent of patient, person in charge or legal representative or acknowledgement of emergency situation by medical consultant

Exclusion Criteria

  • 1. positive pregnancy test in women with childbearing potential
  • 2. nursing women
  • 3. unsuggestive of elevatetd intracraniell pressure
  • 4. unsuggestive of neuromuscular diseases, if they are likely to affect spontaneous breathing
  • 5. known sickle cell anaemia
  • 6. severe chronic respiratory insufficiency in pre-existing pulmonary disease
  • 7. severe adiposity > 45 kg/m2
  • 8. burns of more than 30% of the body surface area
  • 9. other medical conditions with an expected 6-months mortality >50%
  • 10. Patients
  • a. after bone marrow- or stem cell transplant during the last 12 months
  • b. after lung transplant
  • 11. liver cirrhosis Child Pugh C
  • 12. contraindications following the SmPC
  • 13. Participation in another interventional clinical trials in the last 30 days
  • 14. advanced relations to investigator
  • 15. known nephrotic syndrome with proteinuira of >1g/day
  • 16. clinical relevant electrolyte disorder in the assessment of the investigator
  • 17. known immun disorder or collagen disease (i.e. lupus erythematodes, sklerodermia)
  • 18. concomitant systemic therapy with immunsuppressives (i.e. corticosteroids, cytostatic agents, antimetabolite, allopurinol, procainamid or lithium) expect treatments of preexisting diseases or sepsis with glukokortikoids according to the respective guidelines.

Investigators

Sponsor
niversität Leipzig

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