NCT04359862
Terminated
Phase 4
Sedation With Sevoflurane Versus Propofol in Patients With Acute Respiratory Distress Syndrome Caused by COVID19 Infection
Fundación para la Investigación del Hospital Clínico de Valencia5 sites in 1 country19 target enrollmentApril 16, 2020
Overview
- Phase
- Phase 4
- Intervention
- Sevoflurane
- Conditions
- Acute Respiratory Distress Syndrome
- Sponsor
- Fundación para la Investigación del Hospital Clínico de Valencia
- Enrollment
- 19
- Locations
- 5
- Primary Endpoint
- PaO2/FiO2
- Status
- Terminated
- Last Updated
- 4 years ago
Overview
Brief Summary
It is a multicenter, national, randomized 1:1 ratio, controlled, parallel, open study.
Patients with severe ARDS-CoVid19 will be included in the trial within the first 24 hours.
Patients will be randomized to one of the treatment groups:
- SEV group: 25 patients with Sevoflurane sedation by inhalation, starting at 6 ml/h and changing every 15 minutes until an adequate level of sedation is achieved (BIS 40-50)
- PRO group: 25 patients standard sedation with intravenous propofol, starting with 2 mg/kg/h and changing every 15 minutes until an adequate level of sedation is achieved ( BIS 40-50)
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age 18 years or more.
- •Diagnosis of Acute Respiratory Distress Syndrome caused by COVID19 infection.
- •Signature of Patient's Consent or Verbal Consent of Legal Representative
Exclusion Criteria
- •Intracranial hypertension
- •Hypersensitivity to the active ingredient (propofol or sevoflurane) or to any of the excipients
- •Current volume \< 250ml
- •History of malignant hyperthermia
- •Liver failure
- •Neutropenia (\<0.5x109)
- •Pregnant or lactating women
- •Have received chemotherapy in the last month since their inclusion in the study
Arms & Interventions
SEVOFLURANE Group
Intervention: Sevoflurane
PROPOFOL Group
Intervention: Propofol
Outcomes
Primary Outcomes
PaO2/FiO2
Time Frame: Day 2
To evaluate the effect of 48-hour treatment with inhaled sevoflurane on arterial oxygenation, assessed by PaO2/FiO2 on day two, in patients with ARDS-CoVid19
Secondary Outcomes
- IL-1b(Day 2)
- Mortality(Day 30)
- IL-6(Day 2)
- IL-8(Day 2)
- TNFα(Day 2)
Study Sites (5)
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