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临床试验/EUCTR2012-001650-26-DE
EUCTR2012-001650-26-DE进行中(未招募)1 期

A randomised, placebo-controlled, double-blind, monocentre study on the application of physostigminsalicylate (Anticholium®) as adjunctive measure in perioperative sepsis/septic shock - Anticholium per Se

Ruprecht-Karls-University Heidelberg, Med Faculty represented by Universitätsklinikum Heidelberg and its Commercial D0 个研究点目标入组 20 人开始时间: 2012年8月14日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
20

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

  • Up for inclusion are all patients who fulfil all of the following criteria
  • 1. Age at least 18 and not more than 85 years
  • 2. APACHE II-Score < 34
  • 3. intraabdominal infection (less than 24 hours existing)
  • finding of a diffuse peritonitis or
  • of a localised abscess
  • 4. perioperative sepsis and
  • verified evidence of an infection
  • clinically verified or
  • microbiologically verified
  • and at least two of the following four criteria
  • - fever = 38,0 °C or
  • hypothermia = 36,0 °C verified through rectal or intravesical or intravasal measurement
  • - tachycardia = 90/min
  • - tachypnoea = 20/min or
  • hyperventilation verified through taking of an arterial blood gas analysis with PaCO2 = 4,3 kPa or 33 mmHg or
  • mechanical/artificial ventilation
  • - leukocytosis = 12.000/mm3 or
  • leukopenia = 4.000/mm3 or
  • = 10 % immature neutrophils in the differential blood count
  • 5. shock (less than 24 hours existing)
  • necessary use of vasopressors* despite sufficient fluid administration** to keep (the systolic arterial pressure = 90 mmHg or) the mean arterial pressure = 70 mmHg
  • 6. no more than one scheduled and/or one emergency procedure since admission (no repeated revisions)
  • 7. no infaust prognosis of a underlying or concomitant disease that gives reason to expect the death within the follow-up period
  • 8. no do-not-resuscitate order
  • 9. written consent of the full aged patient/her/his legal representative to participation (written consent (according to AMG [German drug law] §40 (1) 3B))
  • 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 10
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 10

排除标准

  • Up for exclusion are all patients who fulfil at least one of the following criteria:
  • 1. known oversensitivity towards physostigminsalicylate, sodiummetabisulphite, sodiumethylenediaminetetraacetic acid or one of the remaining ingridients of Anticholium®
  • 2. known contraindications* against Anticholium®
  • - gangrene
  • - coronary heart disease
  • 3. known absolute contraindications* against Anticholium®
  • - myotonic dytrophy
  • - depolarization block after depolarising muscle relaxants
  • - intoxications through irreversible acting” cholinesterase inhibitors
  • - closed traumatic brain injuries
  • - obstructions in the gastrointestinal tract (mechanic constipation)
  • - obstructions in the urinary tract (mechanic urinary retention)
  • 4. known relative contraindications* against Anticholium®
  • - bronchial asthma
  • - bradycardia
  • - AV-conduction disorders
  • 5. status post splenectomy
  • 6.status post organ transplantation
  • 7. positive pregnancy test, pregnancy and breastfeeding
  • 8. participation in another clinical trial according to AMG or the follow-up period of another trial according to the AMG

研究者

发起方
Ruprecht-Karls-University Heidelberg, Med Faculty represented by Universitätsklinikum Heidelberg and its Commercial D

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