Citrulline in Severe Sepsis

NCT ID: NCT01474863

Last Updated: 2017-06-05

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

PHASE2

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2016-03-31

Brief Summary

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This is a randomized, double-blind, placebo-controlled, phase 2 study to evaluate biochemical, clinical, and safety effects of 2 doses of intravenous L-citrulline compared to placebo in patients with severe sepsis at risk for or with acute lung injury. The hypothesis is that intravenous L-citrulline will decreased the development or progression of acute lung injury in patients with severe sepsis compared to placebo.

Detailed Description

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Conditions

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Severe Sepsis Acute Lung Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Low Dose Citrulline

Low Dose Citrulline

Group Type ACTIVE_COMPARATOR

Low Dose Citrulline

Intervention Type DRUG

Initial intravenous bolus of 10mg/kg (to a maximum of 1500mg) L-citrulline over 10 minutes. Immediately after the initial bolus, a continuous intravenous infusion of L-citrulline at 4.5mg/kg (max 350mg) per hour will be administered through a dedicated intravenous line or port of a multilumen catheter for 4 days.

Placebo

Placebo IV infusion

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

D5W IV fluids at isovolumetric rate (about 15ml/hr)

High Dose Citrulline

High Dose Citrulline

Group Type ACTIVE_COMPARATOR

High Dose Citrulline

Intervention Type DRUG

Initial intravenous bolus of 20mg/kg (to a maximum of 1500mg) L-citrulline over 10 minutes. Immediately after the initial bolus, a continuous intravenous infusion of L-citrulline at 9mg/kg (max 700mg) per hour will be administered through a dedicated intravenous line or port of a multilumen catheter for 4 days

Interventions

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High Dose Citrulline

Initial intravenous bolus of 20mg/kg (to a maximum of 1500mg) L-citrulline over 10 minutes. Immediately after the initial bolus, a continuous intravenous infusion of L-citrulline at 9mg/kg (max 700mg) per hour will be administered through a dedicated intravenous line or port of a multilumen catheter for 4 days

Intervention Type DRUG

Placebo

D5W IV fluids at isovolumetric rate (about 15ml/hr)

Intervention Type DRUG

Low Dose Citrulline

Initial intravenous bolus of 10mg/kg (to a maximum of 1500mg) L-citrulline over 10 minutes. Immediately after the initial bolus, a continuous intravenous infusion of L-citrulline at 4.5mg/kg (max 350mg) per hour will be administered through a dedicated intravenous line or port of a multilumen catheter for 4 days.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Severe Sepsis

Exclusion Criteria

* No Consent
* Malignant or other irreversible condition
* Moribund and not expected to survive 48 hours
* End Stage Liver Disease
* Enrolled in another IND study
* Pregnant or breast feeding female
* Age\<13 years old
* Allergy to citrulline or arginine
Minimum Eligible Age

13 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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Todd Rice

Assistant Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Todd Rice, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Locations

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Vanderbilt University

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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111435

Identifier Type: -

Identifier Source: org_study_id

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