Methylene Blue in Severe Sepsis and Septic Shock

NCT ID: NCT01797978

Last Updated: 2015-11-18

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

354 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2017-03-31

Brief Summary

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This study is to see whether the intravenous administration of methylene blue improves the outcome in severe sepsis and septic shock.

Detailed Description

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The mortality of septic shock is still high ranging from 30 to 50%. Vasopressor is the main part in managing septic shock, but the choice of vasopressor is still under-investigated, and area of uncertainty.

The response to vasopressor is sometimes unsatisfactory, and in that case, the outcome of the patients is poor.

Recently, small size clinical trial has investigated the effect of methylene blue (MB), and showed promising results. However, large sized phase III trial has not been performed yet.

Large sized phase III clinical trial is needed to establish the effect of MB in septic shock.

Conditions

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Severe Sepsis Septic Shock

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Intravenous methylene blue administration

2mg/kg IV bolus followed by 0.5mg/kg/hr slow infusion for 6hrs

Group Type EXPERIMENTAL

Intravenous methylene blue administration

Intervention Type DRUG

Initial history taking and physical examination --\> enrollment --\> 2mg/kg IV bolus followed by 0.5mg/kg/hr slow infusion of methylene blue for 6hrs

Placebo

Normal saline administration instead of methylene blue

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Intravenous methylene blue administration

Initial history taking and physical examination --\> enrollment --\> 2mg/kg IV bolus followed by 0.5mg/kg/hr slow infusion of methylene blue for 6hrs

Intervention Type DRUG

Placebo

Intervention Type DRUG

Other Intervention Names

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methylene blue administration MB administration

Eligibility Criteria

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Inclusion Criteria

* Septic shock meeting the criteria of 2012 surviving sepsis campaign
* Need the norepinephrine of over 0.2microgram/kg/min

Exclusion Criteria

* Pregnancy
* Less than 18 years old
* Terminal cancer patients
* Declined consents
* glucose-6-phosphate dehydrogenase deficiency
* Medication of Serotonin modulator
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kyuseok Kim, MD

Role: STUDY_DIRECTOR

Professor, department of emergency medicine

Locations

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Seoul National University Bundang Hospital

Seongnam-si, Kyeongi-do, South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

SMG - SNU Boramae Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Kyuseok Kim, MD

Role: CONTACT

+82-31-787-7572

Chanjong Park, MD

Role: CONTACT

+82-10-3902-3291

Facility Contacts

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Kyuseok Kim, MD

Role: primary

+82-31-787-7572

Kyuseok Kim

Role: primary

+82-31-787-7572

Kyuseok Kim

Role: primary

+82-31-787-7572

Other Identifiers

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B-1210/173-002

Identifier Type: -

Identifier Source: org_study_id