Selenium Replacement and Serum Selenium Level in Severe Sepsis and Septic Shock Patients

NCT ID: NCT01601938

Last Updated: 2016-03-04

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2012-09-30

Study Completion Date

2014-05-31

Brief Summary

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This study will be performed to determine whether selenium replacement reduces 28-day mortality of severe sepsis and septic shock patients, and to investigate whether selenium replacement contributes differently to the mortality reduction of the patients according to their initial serum selenium level.

Detailed Description

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This study is a single center, randomized, double-blind, placebo controlled trial.

After the diagnosis of severe sepsis and septic shock, enrolled patients will be randomized. Then, selenium or placebo will be intravenously administered to them for 7 days. Hemodynamic and laboratory data will be recorded for 7 days and additional serum samples will be obtained at 0, 24, 72, and 168 hours post-treatment and stored. Mortality will be observed for 28 days.

An interim analysis will be conducted by the independent data safety monitoring board.

Serum selenium levels will be measured from the stored serum samples after the study completion.

Conditions

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Sepsis Shock, Septic

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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Selenium

500 mcg of selenium (10mL) daily for 7 days

Group Type EXPERIMENTAL

selenium replacement

Intervention Type DIETARY_SUPPLEMENT

Selenium 500 mcg (10 mL) mixed to 230 mL of normal saline will be infused continuously per day (10 mL/hour). Study drugs will be infused for 7 days.

Placebo

Placebo 10 mL (delivered from biosyn) for 7 days

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

placebo (10 mL) mixed to 230 mL of normal saline will be infused continuously per day (10 mL/hour). Study drugs will be infused for 7 days.

Interventions

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selenium replacement

Selenium 500 mcg (10 mL) mixed to 230 mL of normal saline will be infused continuously per day (10 mL/hour). Study drugs will be infused for 7 days.

Intervention Type DIETARY_SUPPLEMENT

Placebo

placebo (10 mL) mixed to 230 mL of normal saline will be infused continuously per day (10 mL/hour). Study drugs will be infused for 7 days.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Selenase T pro injectione Normal saline

Eligibility Criteria

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Inclusion Criteria

* age 18 or older
* clinical diagnosis of severe sepsis or septic shock

Exclusion Criteria

* pregnancy or breast feeding
* age younger than 18
* advanced directive state to withhold treatment
* known allergy to selenium
* CPR or death within 24 hours after the diagnosis of severe sepsis or septic shock
* advanced malignancy without further treatment plan
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Biosyn

INDUSTRY

Sponsor Role collaborator

Boryung Pharmaceutical Co., Ltd

INDUSTRY

Sponsor Role collaborator

Gil Joon Suh

OTHER

Sponsor Role lead

Responsible Party

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Gil Joon Suh

Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Gil Joon Suh, professor

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Angstwurm MW, Engelmann L, Zimmermann T, Lehmann C, Spes CH, Abel P, Strauss R, Meier-Hellmann A, Insel R, Radke J, Schuttler J, Gartner R. Selenium in Intensive Care (SIC): results of a prospective randomized, placebo-controlled, multiple-center study in patients with severe systemic inflammatory response syndrome, sepsis, and septic shock. Crit Care Med. 2007 Jan;35(1):118-26. doi: 10.1097/01.CCM.0000251124.83436.0E.

Reference Type BACKGROUND
PMID: 17095947 (View on PubMed)

Andrews PJ, Avenell A, Noble DW, Campbell MK, Croal BL, Simpson WG, Vale LD, Battison CG, Jenkinson DJ, Cook JA; Scottish Intensive care Glutamine or seleNium Evaluative Trial Trials Group. Randomised trial of glutamine, selenium, or both, to supplement parenteral nutrition for critically ill patients. BMJ. 2011 Mar 17;342:d1542. doi: 10.1136/bmj.d1542.

Reference Type BACKGROUND
PMID: 21415104 (View on PubMed)

Forceville X, Laviolle B, Annane D, Vitoux D, Bleichner G, Korach JM, Cantais E, Georges H, Soubirou JL, Combes A, Bellissant E. Effects of high doses of selenium, as sodium selenite, in septic shock: a placebo-controlled, randomized, double-blind, phase II study. Crit Care. 2007;11(4):R73. doi: 10.1186/cc5960.

Reference Type BACKGROUND
PMID: 17617901 (View on PubMed)

Other Identifiers

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SNUHEM-SEREAL-12-0001

Identifier Type: -

Identifier Source: org_study_id

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