Effects of Voluven on Hemodynamics and Tolerability of Enteral Nutrition in Patients With Severe Sepsis

NCT ID: NCT00464204

Last Updated: 2012-01-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

196 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-07-31

Study Completion Date

2010-12-31

Brief Summary

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The rapidity and the quality of fluid resuscitation in patients with severe sepsis are important factors for the prevention of secondary multi-organ failure. Vascular filling may also have an impact on tolerability of enteral nutrition. The earliness and quantity of calories provided by enteral nutrition may have an impact on morbidity and mortality. This study will asses the effects of volume expansion on hemodynamics and tolerability of enteral nutrition in patients with severe sepsis. A Data Monitoring Committee will review regularly safety data of the study.

Detailed Description

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Conditions

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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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Voluven® Arm

Group Type EXPERIMENTAL

6 % Hydroxyethylstarch 130/0.4 = "Voluven®"

Intervention Type DRUG

Voluven® was administered intravenously. Voluven® rates were not to exceed 50 mL/kg/day on the first day and 25 mL/kg/day on the second to fourth days, according to patient needs.

0.9 % NaCl

Group Type ACTIVE_COMPARATOR

0.9 % NaCl

Intervention Type DRUG

NaCl 0.9 % was administered intravenously. NaCl 0.9% rates were not to exceed 50 mL/kg/day on the first day and 25 mL/kg/day from the second to the fourth day, according to patient needs.

Interventions

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6 % Hydroxyethylstarch 130/0.4 = "Voluven®"

Voluven® was administered intravenously. Voluven® rates were not to exceed 50 mL/kg/day on the first day and 25 mL/kg/day on the second to fourth days, according to patient needs.

Intervention Type DRUG

0.9 % NaCl

NaCl 0.9 % was administered intravenously. NaCl 0.9% rates were not to exceed 50 mL/kg/day on the first day and 25 mL/kg/day from the second to the fourth day, according to patient needs.

Intervention Type DRUG

Other Intervention Names

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Voluven®

Eligibility Criteria

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Inclusion Criteria

* Severe sepsis
* Requirement for fluid resuscitation

Exclusion Criteria

* serum creatinine \> 300µmol/L
* Chronic renal failure
* Anuria lasting more than 4 hours
* Requirement for renal support
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Kabi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bertrand Guidet, Prof., MD

Role: STUDY_CHAIR

Hôpital St Antoine, Réanimation Médicale

Locations

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Hôpital Sud, Unité de Réanimation Médicale

Amiens, , France

Site Status

Centre Hospitalier d'Avignon, Service de Réanimation Polyvalente

Avignon, , France

Site Status

Centre Hospitalier de Belfort-Montbéliard, Service de Réanimation et Maladies Infectieuses, Site de Belfort

Belfort, , France

Site Status

CHU de Bicêtre, Dpt d'Anesthésie Réanimation Chir.

Bicêtre, , France

Site Status

Hôpital Avicenne, Service de Réanimation

Bobigny, , France

Site Status

Centre Hospitalier Fleyriat, Service de Réanimation Polyvalente

Bourg-en-Bresse, , France

Site Status

CH Manchester, Service de Réanimation Polyvalente

Charleville-Mézières, , France

Site Status

CH Sud Francilien, Site Gilles de Corbeil, Réanimation Polyvalente

Corbeil-Essonnes, , France

Site Status

CHU de Dijon - Hôpital du Bocage Service de Réanimation Médicale

Dijon, , France

Site Status

CH Meaux, Service de Réanimation

Meaux, , France

Site Status

Centre Hospitalier de Metz, Réa Polyvalente

Metz, , France

Site Status

Hôpital Lapeyronie / CHU Montpellier, Département d'Anesthésie Réanimation

Montpellier, , France

Site Status

Hôpital Central, Service Anesthésie-Réanimation, Chirurgicale CHU

Nancy, , France

Site Status

CHU Nîmes, Service de Réanimation, Division Anesthésie-Réa Douleur Urgence, Groupe Hospitalo-Universitaire Caremeau,

Nîmes, , France

Site Status

Hôpital de la Source, Réanimation Polyvalente

Orléans, , France

Site Status

Hôpital St Louis, Département Anesthésie et Réanimation Chirurgicale

Paris, , France

Site Status

Hôpital Saint-Joseph, Service de Réanimation Polyvalente

Paris, , France

Site Status

Hôpital St Antoine, Réanimation Médicale

Paris, , France

Site Status

CH Roanne, Service de Réanimation

Roanne, , France

Site Status

CHI Poissy - St Germain en Laye, Site de St Germain en Laye

Saint-Germain-en-Laye, , France

Site Status

Hôpital Civil de Strasbourg, Service de Réanimation Médicale

Strasbourg, , France

Site Status

Klinik und Poliklinik für Anästhesiologie und Intensivtherapie - Universitätsklinikum Leipzig AöR

Leipzig, , Germany

Site Status

Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin der Westf. Wilhelms-Universität

Münster, , Germany

Site Status

Universitätsklinikum Tübingen, Klinik für Anästhesiologie und Intensivmedizin

Tübingen, , Germany

Site Status

Countries

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France Germany

References

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Guidet B, Martinet O, Boulain T, Philippart F, Poussel JF, Maizel J, Forceville X, Feissel M, Hasselmann M, Heininger A, Van Aken H. Assessment of hemodynamic efficacy and safety of 6% hydroxyethylstarch 130/0.4 vs. 0.9% NaCl fluid replacement in patients with severe sepsis: the CRYSTMAS study. Crit Care. 2012 May 24;16(3):R94. doi: 10.1186/cc11358.

Reference Type DERIVED
PMID: 22624531 (View on PubMed)

Other Identifiers

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2006-004350-25

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

06-HE06-01

Identifier Type: -

Identifier Source: org_study_id

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