Trial Outcomes & Findings for Comparative Evaluation of Albumin and Starch Effects in Acute Lung Injury (ALI) (NCT NCT00796419)

NCT ID: NCT00796419

Last Updated: 2017-04-28

Results Overview

Quantity of extravascular lung water (EVLW) measured by transpulmonary thermodilution. Higher measurements of EVLW per kilogram of body weight indicate increased lung injury. Normal values for EVLW are thought to be less than 10 mL/kg.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

31 participants

Primary outcome timeframe

Baseline to Day 5 (120 hours)

Results posted on

2017-04-28

Participant Flow

Critically ill, mechanically ventilated intensive care patients with Acute Lung Injury (ALI) or Acute Respiratory Distress Syndrome (ARDS) and low blood protein levels were recruited from four hospitals in the Southeast United States between May 1, 2009 and October 31, 2015.

Not all consented subjects were treated due to changes in eligibility between the consent and treatment periods or subject withdrawal from the study after consent but prior to treatment. 31 individuals gave consent to participate in the study, however, 4 did not begin the study intervention, resulting in 27 who started treatment.

Participant milestones

Participant milestones
Measure
Intravenous 5% Human Albumin
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250 milliliters (mL) 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250 milliliters (mL) 6% hetastarch every 8 hours for 5 days
Overall Study
STARTED
13
14
Overall Study
COMPLETED
13
13
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Intravenous 5% Human Albumin
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250 milliliters (mL) 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250 milliliters (mL) 6% hetastarch every 8 hours for 5 days
Overall Study
Death
0
1

Baseline Characteristics

Comparative Evaluation of Albumin and Starch Effects in Acute Lung Injury (ALI)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intravenous 5% Human Albumin
n=13 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
Total
n=27 Participants
Total of all reporting groups
Age, Continuous
49 years
STANDARD_DEVIATION 16 • n=5 Participants
50 years
STANDARD_DEVIATION 16 • n=7 Participants
49 years
STANDARD_DEVIATION 15 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
14 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
9 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants
14 participants
n=7 Participants
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to Day 5 (120 hours)

Quantity of extravascular lung water (EVLW) measured by transpulmonary thermodilution. Higher measurements of EVLW per kilogram of body weight indicate increased lung injury. Normal values for EVLW are thought to be less than 10 mL/kg.

Outcome measures

Outcome measures
Measure
Intravenous 5% Human Albumin
n=13 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
Change in Extravascular Lung Water (EVLW)
Baseline
18.5 mL/kg
Standard Deviation 7.1
17.7 mL/kg
Standard Deviation 5.9
Change in Extravascular Lung Water (EVLW)
Hour 120
16.0 mL/kg
Standard Deviation 7.3
15.1 mL/kg
Standard Deviation 3.6

SECONDARY outcome

Timeframe: Baseline, Day 1

Change in arterial oxygenation measured by arterial blood gas analysis. The partial pressure of O2 in arterial blood to fraction of inspired oxygen ratio (PaO2/FiO2) is a ratio of partial pressure arterial oxygen to fractional inspired inspired oxygen. This ratio is used as an indicator of hypoxemia (low blood oxygen). A PaO2/FiO2 ratio of 200-300 indicates mild ARDS, 100-200 indicates moderate ARDS, and less than 100 indicates severe ARDS.

Outcome measures

Outcome measures
Measure
Intravenous 5% Human Albumin
n=13 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
Change in Oxygenation (PaO2/FiO2 Ratio)
Baseline
191.3 mmHg
Standard Deviation 53.8
157.3 mmHg
Standard Deviation 63.0
Change in Oxygenation (PaO2/FiO2 Ratio)
Day 1
213.4 mmHg
Standard Deviation 95.5
165.4 mmHg
Standard Deviation 50.8

SECONDARY outcome

Timeframe: Day 30

The 'ventilator free survival days' in a 30-day period is a previously validated method of comparing groups with respect to mechanical ventilator requirements while adjusting for mortality. This variable represents the number of days in the 30-day period following baseline that the patient is alive and not requiring mechanical ventilation.

Outcome measures

Outcome measures
Measure
Intravenous 5% Human Albumin
n=13 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 Participants
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
Ventilator-free Days
23 days
Interval 0.0 to 24.0
23 days
Interval 0.0 to 24.0

Adverse Events

Intravenous 5% Human Albumin

Serious events: 4 serious events
Other events: 6 other events
Deaths: 1 deaths

Intravenous 6% Hetastarch

Serious events: 5 serious events
Other events: 6 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Intravenous 5% Human Albumin
n=13 participants at risk
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 participants at risk
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
General disorders
Re-hospitalization
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
General disorders
Shock
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
14.3%
2/14 • Number of events 2 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Renal and urinary disorders
Acute kidney injury
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Hepatobiliary disorders
Acute hepatic injury
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
General disorders
Bleeding
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Cardiac disorders
Cardiac arrest
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
General disorders
Focal weakness
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress/failure
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
General disorders
Death
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
21.4%
3/14 • Number of events 3 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.

Other adverse events

Other adverse events
Measure
Intravenous 5% Human Albumin
n=13 participants at risk
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 5% human albumin every 8 hours for 5 days
Intravenous 6% Hetastarch
n=14 participants at risk
Recipients of continuous infusion intravenous furosemide and administration of intravenous 250mL 6% hetastarch every 8 hours for 5 days
General disorders
Systemic hypotension
30.8%
4/13 • Number of events 7 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
21.4%
3/14 • Number of events 3 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
General disorders
Systemic hypertension
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Blood and lymphatic system disorders
Bleeding/coagulopathy
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
28.6%
4/14 • Number of events 6 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Respiratory, thoracic and mediastinal disorders
Worsening pulmonary edema or lung injury
15.4%
2/13 • Number of events 2 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Cardiac disorders
Myocardial ischemia
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Blood and lymphatic system disorders
Increase in serum amylase or lipase
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Infections and infestations
Secondary infection or sepsis
0.00%
0/13 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
7.1%
1/14 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Cardiac disorders
Pericardial effusion
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
Cardiac disorders
Tachycardia
7.7%
1/13 • Number of events 1 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.
0.00%
0/14 • Adverse events (AEs) will be determined daily from enrollment to 72 hours after the last dose of study drug or any study-related procedure. All deaths, unexpected serious adverse events (SAEs), and worsening renal function (as defined as creatinine greater than or equal to 3.0 mg/dL or urine output less than 500cc/24 hrs) will be followed until 30 days after enrollment in this study.
For purposes of this study, an AE is defined as any unfavorable or unintended change in structure, function, signs, or symptoms different from what is expected in the clinical course of an ALI patient and temporally associated with the use of any study drug (albumin, hetastarch or furosemide) or the performance of a study procedure, regardless of any causal relationship to the study.

Additional Information

Greg Martin, MD, MSc

Emory University

Phone: 404-616-0148

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place