ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients With Severe Sepsis

NCT ID: NCT00334828

Last Updated: 2017-07-25

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

2000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-06-30

Brief Summary

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The purpose of this study is to compare eritoran tetrasodium and placebo in patients with severe sepsis and to demonstrate a reduction of mortality from all causes.

Detailed Description

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Conditions

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Severe Sepsis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

Group Type EXPERIMENTAL

eritoran tetrasodium

Intervention Type DRUG

Intravenous infusion at a total dose of 105 mg.

2

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Matching placebo; intravenous infusion.

Interventions

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eritoran tetrasodium

Intravenous infusion at a total dose of 105 mg.

Intervention Type DRUG

Placebo

Matching placebo; intravenous infusion.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \>= 18 years
* Confirmed early-onset severe sepsis, defined as:

o---Objective evidence of infection likely to be caused by a bacterial or fungal pathogen

o---Presence of at least 3 of 4 systemic inflammatory response syndrome (SIRS) criteria

o---Sepsis-associated organ dysfunction
* Baseline Acute Physiology and Chronic Health Evaluation II (Apache II) Score of 21 to 37
* \< 12 hours between onset of the first qualifying organ dysfunction and expected administration of study drug
* A commitment to full patient support

Exclusion Criteria

* Pregnancy or breastfeeding
* Extensive (\>20% Body Surface Area) third-degree burns
* Weight \> 150 kg at admission
* Patients whose death from sepsis is considered imminent
* Patients not expected to survive for at least 2 months due to a pre-existing and uncorrectable medical condition, or those in a chronic vegetative state
* Patients with severe congestive heart failure
* Patients currently receiving immunosuppressive therapy such as cyclosporine, azathioprine, or cancer chemotherapy
* Patients with granulocyte counts \< 1000/mm\^3 unless the decreased count is believed to be due to sepsis
* Patients that required cardiopulmonary resuscitation in the 4 weeks prior to evaluation for enrollment
* Human immunodeficiency virus (HIV)-positive patients with CD4 count \<= 50/mm\^3 within 4 weeks of enrollment, or end-stage processes
* Patients with significant hepatic impairment, portal hypertension, or esophageal varices
* Patients who are expected to be treated with endotoxin-removal devices
* Patients with active cancer
* Patients receiving polymyxin B or colistin
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dan Rossignol

Role: STUDY_DIRECTOR

Eisai Inc.

Locations

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Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Mesa, Arizona, United States

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Loma Linda, California, United States

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Marysville, California, United States

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Orange, California, United States

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San Diego, California, United States

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Santa Barbara, California, United States

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Denver, Colorado, United States

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New Haven, Connecticut, United States

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Newark, Delaware, United States

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Washington D.C., District of Columbia, United States

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Atlantis, Florida, United States

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Clearwater, Florida, United States

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Gainesville, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Pensacola, Florida, United States

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Atlanta, Georgia, United States

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Decatur, Georgia, United States

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Idaho Falls, Idaho, United States

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Chicago, Illinois, United States

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Oak Park, Illinois, United States

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Peoria, Illinois, United States

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Indianapolis, Indiana, United States

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Des Moines, Iowa, United States

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Iowa City, Iowa, United States

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Kansas City, Kansas, United States

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Topeka, Kansas, United States

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Lexington, Kentucky, United States

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Louisville, Kentucky, United States

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Opelousas, Louisiana, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Boston, Massachusetts, United States

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Springfield, Massachusetts, United States

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Detroit, Michigan, United States

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Pontiac, Michigan, United States

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Kansas City, Missouri, United States

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St Louis, Missouri, United States

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Butte, Montana, United States

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Omaha, Nebraska, United States

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Englewood, New Jersey, United States

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Hackensack, New Jersey, United States

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Buffalo, New York, United States

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Mineola, 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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Rochester, New York, United States

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Durham, North Carolina, United States

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Greenville, North Carolina, United States

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Cleveland, Ohio, United States

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Columbus, Ohio, United States

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Toledo, Ohio, United States

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Danville, Pennsylvania, United States

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Hershey, Pennsylvania, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Providence, Rhode Island, United States

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Columbia, South Carolina, United States

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Memphis, Tennessee, United States

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Nashville, Tennessee, United States

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Fort Worth, Texas, United States

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Houston, Texas, United States

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Lubbock, Texas, United States

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Charlottesville, Virginia, United States

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Norfolk, Virginia, United States

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Roanoke, Virginia, United States

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Tacoma, Washington, United States

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Buenos Aires, , Argentina

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Córdoba, , Argentina

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Santa Fe, , Argentina

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New South Wales, New South Wales, Australia

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St Leonards, New South Wales, Australia

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Westmead, New South Wales, Australia

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Queensland, Queensland, Australia

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Southport, Queensland, Australia

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Adelaide, South Australia, Australia

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Woodville, South Australia, Australia

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Heidelberg, Victoria, Australia

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Melbourne, Victoria, Australia

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Parkville, Victoria, Australia

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Nedlands, Western Australia, Australia

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Perth, Western Australia, Australia

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Box Hill, , Australia

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Salzburg, , Austria

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Vienna, , Austria

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Braine-l'Alleud, , Belgium

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Brussels, , Belgium

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Ghent, , Belgium

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Liège, , Belgium

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Mons, , Belgium

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Ottignies, , Belgium

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Seraing, , Belgium

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Yvoir, , Belgium

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Belo Horizonte, , Brazil

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Curitba, , Brazil

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Fontaleza, , Brazil

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Joinville, , Brazil

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Porto Alegre, , Brazil

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Rio de Janeiro, , Brazil

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São Paulo, , Brazil

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Vancouver, British Columbia, Canada

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Victoria, British Columbia, Canada

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Winnipeg, Manitoba, Canada

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Saint John, New Brunswick, Canada

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Halifax, Nova Scotia, Canada

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Toronto, Ontario, Canada

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Windsor, Ontario, Canada

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Greenfield Park, Quebec, Canada

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Montreal, Quebec, Canada

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Québec, Quebec, Canada

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Santiago, , Chile

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Temuco, , Chile

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Valdivia, , Chile

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Viña del Mar, , Chile

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Brno, , Czechia

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Havlíčkův Brod, , Czechia

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Hradec Králové, , Czechia

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Plyzen, , Czechia

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Prague, , Czechia

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Amiens, , France

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Besançon, , France

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Colombes, , France

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Corbeil-Essonnes, , France

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Evry Courcouronnes, , France

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La Roche-sur-Yon, , France

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La Tronche, , France

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Le Chesnay, , France

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Limoges, , France

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Montauban, , France

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Nîmes, , France

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Paris, , France

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Saint-Michel, , France

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Tours, , France

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Aachen, , Germany

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Berlin, , Germany

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Bonn, , Germany

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Cologne, , Germany

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Erfurt, , Germany

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Erlangen, , Germany

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Frankfurt, , Germany

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Geißen, , Germany

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Hanover, , Germany

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Jena, , Germany

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Krefeld, , Germany

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Ludwigshafen, , Germany

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München, , Germany

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Hong Kong, , Hong Kong

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Afula, , Israel

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Hadera, , Israel

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Haifa, , Israel

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Holon, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Nahariya, , Israel

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Petah Tikva, , Israel

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Tel Litwinsky, , Israel

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Ẕerifin, , Israel

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Bari, , Italy

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Busto Arsizio, , Italy

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Cesana Torinese, , Italy

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Milan, , Italy

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Monza, , Italy

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Novara, , Italy

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Pavia, , Italy

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Trieste, , Italy

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Verona, , Italy

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Aichi, , Japan

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Bunkyō City, , Japan

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Chūō, , Japan

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Fukuoka, , Japan

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Fukushima, , Japan

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Hachiōji, , Japan

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Hamamatsu, , Japan

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Hirosaki, , Japan

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Hiroshima, , Japan

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Iizuka, , Japan

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Kagoshima, , Japan

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Kamagaya, , Japan

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Kanagawa, , Japan

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Kishiwada, , Japan

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Kobe, , Japan

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Kochi, , Japan

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Kumamoto, , Japan

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Kyoto, , Japan

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Morioka, , Japan

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Osaka, , Japan

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Saga, , Japan

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Sapporo, , Japan

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Sendai, , Japan

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Shinagawa City, , Japan

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Suita, , Japan

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tabashi City, , Japan

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Ube, , Japan

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Utsunomiya, , Japan

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Yonago, , Japan

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Yotsukaidou, , Japan

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Amsterdam, , Netherlands

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Apeldoorn, , Netherlands

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Ede, , Netherlands

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Groningen, , Netherlands

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Leeuwarden, , Netherlands

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Rotterdam, , Netherlands

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s'Hertogenbosch, , Netherlands

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Tilburg, , Netherlands

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Utrecht, , Netherlands

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Zwolle, , Netherlands

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Bielsko-Biala, , Poland

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Groszisk Mazowiecki, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Almada, , Portugal

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Amadora, , Portugal

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Lisbon, , Portugal

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Alberton, , South Africa

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Cape Town, , South Africa

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Centurion, , South Africa

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Johannesburg, , South Africa

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Kimberley, , South Africa

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Parow, , South Africa

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Pietermaritzburg, , South Africa

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Roodepoort, , South Africa

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Seoul, , South Korea

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Alcala de Henares Madrid, , Spain

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Barcelona, , Spain

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Burgos, , Spain

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Cataluna, , Spain

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Getafe, , Spain

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Madrid, , Spain

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Sabadell, , Spain

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Santiago de Compostela, , Spain

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Tarragona, , Spain

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Bern, , Switzerland

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Geneva, , Switzerland

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Lausanne, , Switzerland

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Taichung, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Yung Kang City, , Taiwan

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Birmingham, , United Kingdom

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Leeds, , United Kingdom

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Livingston, , United Kingdom

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London, , United Kingdom

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Nottingham, , United Kingdom

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Plymouth, , United Kingdom

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Southampton, , United Kingdom

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Countries

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United States Argentina Australia Austria Belgium Brazil Canada Chile Czechia France Germany Hong Kong Israel Italy Japan Netherlands Poland Portugal South Africa South Korea Spain Switzerland Taiwan United Kingdom

References

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Opal SM, Laterre PF, Francois B, LaRosa SP, Angus DC, Mira JP, Wittebole X, Dugernier T, Perrotin D, Tidswell M, Jauregui L, Krell K, Pachl J, Takahashi T, Peckelsen C, Cordasco E, Chang CS, Oeyen S, Aikawa N, Maruyama T, Schein R, Kalil AC, Van Nuffelen M, Lynn M, Rossignol DP, Gogate J, Roberts MB, Wheeler JL, Vincent JL; ACCESS Study Group. Effect of eritoran, an antagonist of MD2-TLR4, on mortality in patients with severe sepsis: the ACCESS randomized trial. JAMA. 2013 Mar 20;309(11):1154-62. doi: 10.1001/jama.2013.2194.

Reference Type DERIVED
PMID: 23512062 (View on PubMed)

Related Links

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Other Identifiers

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2005-005537-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

E5564-G000-301

Identifier Type: -

Identifier Source: org_study_id

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