Trial Outcomes & Findings for Study of Sedative Medications in Patients With Severe Infection and Respiratory Failure (NCT NCT02203019)

NCT ID: NCT02203019

Last Updated: 2020-03-02

Results Overview

Number of days patient requires mechanical ventilation

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

36 participants

Primary outcome timeframe

Up to 28 days

Results posted on

2020-03-02

Participant Flow

Participant milestones

Participant milestones
Measure
Propofol
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Overall Study
STARTED
19
17
Overall Study
COMPLETED
19
17
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Sedative Medications in Patients With Severe Infection and Respiratory Failure

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Propofol
n=19 Participants
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
n=17 Participants
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
59.0 years
STANDARD_DEVIATION 15.4 • n=5 Participants
62.5 years
STANDARD_DEVIATION 9.6 • n=7 Participants
60.75 years
STANDARD_DEVIATION NA • n=5 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
13 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=5 Participants
5 Participants
n=7 Participants
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 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
Region of Enrollment
United States
19 participants
n=5 Participants
17 participants
n=7 Participants
36 participants
n=5 Participants
BMI
30.1 kg/m2
STANDARD_DEVIATION 6.5 • n=5 Participants
29.7 kg/m2
STANDARD_DEVIATION 8.2 • n=7 Participants
29.9 kg/m2
STANDARD_DEVIATION NA • n=5 Participants

PRIMARY outcome

Timeframe: Up to 28 days

Number of days patient requires mechanical ventilation

Outcome measures

Outcome measures
Measure
Propofol
n=19 Participants
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
n=17 Participants
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Duration of Mechanical Ventilation
5 days
Interval 3.0 to 13.0
3 days
Interval 2.75 to 5.75

SECONDARY outcome

Timeframe: Up to 28 Days

Number of days patient stays in the MICU

Outcome measures

Outcome measures
Measure
Propofol
n=19 Participants
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
n=17 Participants
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Duration of MICU Stay
6 days
Interval 4.0 to 14.0
5 days
Interval 3.0 to 8.0

SECONDARY outcome

Timeframe: Up to 28 Days

Number of days the patient requires intravenous vasopressors

Outcome measures

Outcome measures
Measure
Propofol
n=19 Participants
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
n=17 Participants
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Duration of Vasopressor Support
0 days
Interval 0.0 to 3.3
2 days
Interval 0.0 to 3.0

SECONDARY outcome

Timeframe: Up to 28 Days

Number of patients who die within 28 days after randomization

Outcome measures

Outcome measures
Measure
Propofol
n=19 Participants
Propofol will be administered for sedation. Propofol: Propofol will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Dexmedetomidine
n=17 Participants
Dexmedetomidine will be administered for sedation Dexmedetomidine: Dexmedetomidine will be administered for sedation in mechanically ventilated patients with sepsis using a titration based on level of agitation. Fentanyl: Fentanyl will be administered for analgesia in mechanically ventilated patients with sepsis. The use of Fentanyl is not an intervention "of interest".
Mortality
8 Participants
9 Participants

Adverse Events

Propofol

Serious events: 0 serious events
Other events: 0 other events
Deaths: 8 deaths

Dexmedetomidine

Serious events: 0 serious events
Other events: 0 other events
Deaths: 9 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Kenneth Nugent

Texas Tech University

Phone: 18067436847

Results disclosure agreements

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