Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis
NCT ID: NCT00049764
Last Updated: 2007-11-20
Study Results
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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COMPLETED
PHASE3
474 participants
INTERVENTIONAL
2002-11-30
2005-04-30
Brief Summary
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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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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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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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1
24 microgram/kg/hr for 96 hours (+ or - 1 hour)
Drotrecogin alfa (activated)
2
0.9% sodium chloride
Placebo
Interventions
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Drotrecogin alfa (activated)
Placebo
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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 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.
17 Years
ALL
No
Sponsors
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Eli Lilly and Company
INDUSTRY
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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Washington D.C., District of Columbia, 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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New Hyde Park, New York, United States
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New York, 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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Nashville, Tennessee, United States
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San Antonio, Texas, United States
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Falls Church, Virginia, United States
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Westmead, New South Wales, Australia
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Hobart, Tasmania, Australia
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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
Countries
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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.
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.
Other Identifiers
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F1K-MC-EVBP
Identifier Type: -
Identifier Source: secondary_id
6716
Identifier Type: -
Identifier Source: org_study_id