JPRN-jRCT2051230173招募中2 期
Single center, open-label Phase-IIa trial of tocilizumab in patients with sepsis or septic shock
Jun Oda0 个研究点目标入组 60 人开始时间: 2024年1月26日最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 60
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- >= 18age old 至 < 85age old(—)
- 性别
- All
入选标准
- •1) Patients who have obtained consent for participation in the clinical trial from the patient or the patient's surrogate through the consent document
- •2) Japanese patients who are at least 18 years old and less than 85 years old at the time of consent
- •3) Patients diagnosed with sepsis or septic shock based on Sepsis-3
- •4) Patients with infection or suspected infection in the lungs, abdomen, urinary tract, etc.
- •5) Patients with acute organ failure within 48 hours of ICU admission
- •6) Patients with lactate levels greater than 2 mmol/L (18 mg/dL) at screening
- •7) Patients with blood IL-6 level >100 pg/mL at screening
排除标准
- •1) Patients who are judged by the investigator (subinvestigator) to die within 48 hours with or without treatment.
- •2) Patients with organic brain disorder.
- •3) Patients with cardiopulmonary arrest before admission to the ICU.
- •4) Patients chronically receiving dialysis.
- •5) Patients with uncontrolled coagulopathy requiring blood transfusion or with active bleeding.
- •6) Patients with shock for reasons other than sepsis.
- •7) Patients requiring surgical drainage. However, catheter drainage is acceptable.
- •8) Patients with no intention to prolong life or resuscitation.
- •9) Patients who have suffered serious trauma or burns within 36 hours prior to ICU admission.
- •10) Patients with soft tissue skin infections.
- •11) Patients who require laparotomy during the study period or who have undergone laparotomy,craniotomy,or thoracotomy within 24 hours prior to ICU admission.
- •12) Patients with active carcinoma requiring active treatment such as surgery,radiotherapy,or anticancer therapy.
- •13) Patients with a history of severe allergic reaction to tocilizumab or other monoclonal antibodies.
- •14)Patients with active tuberculosis infection at the time of enrollment.
- •15) Patients with chronic hepatitis B or C at the time of enrollment.
- •16) Patients who have received drug therapy (oral or immunomodulatory) for rejection in the 3 months prior to enrollment.
- •17) Patients who received anti-IL-6 therapy (including tocilizumab) in the 3 months prior to enrollment.
- •18) Patients with ALT or AST greater than 10 times the upper reference limit at screening.
- •19) Patients with hepatic encephalopathy.
- •20) Patients who meet the following laboratory criteria at screening.
- •Platelet count < 5 x10^4 /uL
- •White blood cell count less than 3500/uL
- •Neutrophil count less than 1000/uL
- •Lymphocyte count less than 500/uL
- •21) Patients with COVID-19 infection.
- •22) Patients who have been previously enrolled in this study and have received an investigational drug.
- •23) Pregnant or lactating women, or women of childbearing potential with a positive pregnancy test on screening.
- •24) Patients who have received a live vaccine or attenuated live vaccine within 4 weeks prior to screening.
- •25) Patients who received any other investigational drug within 30 days prior to enrollment or within 5 times the half-life of the other investigational drug, whichever is longer.
- •26) Patients who are judged by the investigator (subinvestigator) to be incompetent to comply with the study protocol.
- •27) Patients who are judged by the investigator to be incapable of abstinence or contraception for a certain period of time. In addition, male patients who are judged by the investigator to be unable to abstain from sperm donation during the same period.
- •28) Patients who are judged by the investigator or subinvestigator to be unsuitable for participation in the clinical trial for any reason.
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