Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis

NCT ID: NCT00049764

Last Updated: 2007-11-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

474 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-11-30

Study Completion Date

2005-04-30

Brief Summary

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The purposes of this study are to determine:

1. Whether drotrecogin alfa (activated) helps children with severe sepsis survive their condition more often or recover faster than children who do not receive drotrecogin alfa (activated).
2. Whether drotrecogin alfa (activated) minimizes long term disabilities associated with severe sepsis.
3. The side effects that might be associated with drotrecogin alfa (activated) administration to children with severe sepsis.

Detailed Description

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The primary objective was to demonstrate that drotrecogin alfa (activated) compared with placebo reduced severe-sepsis-induced organ dysfunction as assessed by time to complete resolution of a composite of cardiovascular, respiratory, and renal organ failure in pediatric patients with severe sepsis.

Secondary objectives included: (1) to assess whether treatment with drotrecogin alfa (activated) reduced 28-day all-cause mortality in pediatric patients with severe sepsis compared with placebo patients, (2) to evaluate the effects of drotrecogin alfa (activated) on individual organ dysfunction (cardiovascular, respiratory, renal, hepatic, hematologic, neurologic, and cutaneous), (3) to demonstrate that drotrecogin alfa (activated) improved patient outcome as assessed by the Pediatric Overall Performance Category (POPC) scale, (4) to demonstrate that drotrecogin alfa (activated) reduced major amputations (at or above the wrist, at or above the ankle, face, and genitals) in pediatric patients with Neisseria meningitidis (proven or suspected) and/or purpura fulminans, (5) to demonstrate that drotrecogin alfa (activated) had antithrombotic and anti-inflammatory properties. The safety objective was to evaluate whether drotrecogin alfa (activated) had an acceptable safety profile when administered to pediatric patients with severe sepsis.

Conditions

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Sepsis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

24 microgram/kg/hr for 96 hours (+ or - 1 hour)

Group Type EXPERIMENTAL

Drotrecogin alfa (activated)

Intervention Type DRUG

2

0.9% sodium chloride

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Drotrecogin alfa (activated)

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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LY203638 Xigris

Eligibility Criteria

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Inclusion Criteria

* Suspected or proven acute infection.
* Abnormally high or low core body temperature
* Cardiovascular dysfunction which requires the use of vasoactive drugs (such as, dopamine, dobutamine, epinephrine) and is the result of severe sepsis.
* Respiratory dysfunction which requires the use of mechanical ventilation and is the result of severe sepsis.

Exclusion Criteria

* Patients at increased risk of bleeding.
* Patients at high risk for an intracranial bleed.
* Patients who have undergone a bone marrow transplant.
* Patients with end-stage renal disease.
* Patients whose family or primary care physician is unwilling to allow transfusion of blood products.
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Principal Investigators

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Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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Birmingham, Alabama, United States

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Tucson, Arizona, United States

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Tuscon, Arizona, United States

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Madera, California, United States

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San Diego, California, United States

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Boise, Idaho, United States

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Chicago, Illinois, United States

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Oak Lawn, Illinois, United States

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Park Ridge, Illinois, United States

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Indianapolis, Indiana, United States

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Ann Arbor, Michigan, United States

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Kansas City, Missouri, United States

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Albany, New York, United States

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Oklahoma City, Oklahoma, United States

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Hershey, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Charleston, South Carolina, United States

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Santiago, , Chile

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Amiens, , France

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Bordeaux, , France

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Le Kremlin-Bicêtre, , France

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Lyon, , France

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Marseille, , France

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Nantes, , France

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Toulouse, , France

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Erlangen, , Germany

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Magdeburg, , Germany

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Würzburg, , Germany

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Milan, , Italy

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Mexico City, Benito Juarez, Mexico

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Lublin, , Poland

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Banska, Bystrica, Slovakia

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Bratislava, , Slovakia

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Zurich, , Switzerland

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Southhampton, Hants, United Kingdom

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Bloomsbury, London, United Kingdom

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Paddington, London, United Kingdom

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Birmingham, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Southhampton, , United Kingdom

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Countries

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United States Australia Chile France Germany Italy Mexico Poland Slovakia Switzerland United Kingdom

References

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Farris RW, Weiss NS, Zimmerman JJ. Functional outcomes in pediatric severe sepsis: further analysis of the researching severe sepsis and organ dysfunction in children: a global perspective trial. Pediatr Crit Care Med. 2013 Nov;14(9):835-42. doi: 10.1097/PCC.0b013e3182a551c8.

Reference Type DERIVED
PMID: 24108117 (View on PubMed)

Nadel S, Goldstein B, Williams MD, Dalton H, Peters M, Macias WL, Abd-Allah SA, Levy H, Angle R, Wang D, Sundin DP, Giroir B; REsearching severe Sepsis and Organ dysfunction in children: a gLobal perspective (RESOLVE) study group. Drotrecogin alfa (activated) in children with severe sepsis: a multicentre phase III randomised controlled trial. Lancet. 2007 Mar 10;369(9564):836-843. doi: 10.1016/S0140-6736(07)60411-5.

Reference Type DERIVED
PMID: 17350452 (View on PubMed)

Other Identifiers

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F1K-MC-EVBP

Identifier Type: -

Identifier Source: secondary_id

6716

Identifier Type: -

Identifier Source: org_study_id