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Clinical Trials/NCT04359862
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)
Registry
clinicaltrials.gov
Start Date
April 16, 2020
End Date
March 31, 2021
Last Updated
4 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Sponsor
Fundación para la Investigación del Hospital Clínico de Valencia
Responsible Party
Sponsor

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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