High Dose of Vitamin C on Mechanically Ventilated Septic Patients in Intensive Care Unit

NCT ID: NCT04029675

Last Updated: 2020-07-21

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

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-15

Study Completion Date

2020-02-15

Brief Summary

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Prospective, Randomized clinical trial study will be carried out in intensive care unit in Ain Shams University Hospitals on 40 forty septic patients admitted to ICU and mechanically ventilated.

Detailed Description

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This study will be carried out in intensive care unit in Ain Shams University Hospitals , Cairo,Egypt on 40 patients admitted to ICU that are septic patients and mechanically ventilated which will be recruited into the study . After approval from ethical committee, an informed consent will be obtained from relatives of all patients. All data of patients will be confidential with secret codes and private file for each patient. Each patient's relative will receive an explanation for the purpose of the study. The study design will be prospective , randomized clinical trial.

Methodology:

All patients will be subjected to:

1. Complete history taking.
2. Full clinical examination
3. Evaluation and monitoring of(pulse oximetry , ECG, NIBP, temperature)
4. CBC , Blood gas (for determination of (PaO2/FiO2), Blood cultures,serum Creatinine and total bilirubin were recorded daily for the first 7 days.
5. Severity scores by calculating Acute physiology and chronic health evaluation (APACHE II)score

Conditions

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Ventilator Associated Pneumonia ( VAP) Sepsis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Double blinded ,Prospective, Randomized clinical trial
Primary Study Purpose

OTHER

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Study Group ( High dose vitamin C group )

They will receive 1.5 gm intravenous (IV) Vitamin C in 100 ml dextrose 5% (D5W) administered as an infusion over 30 to 60 minutes every 6 hours daily for 4 days or until ICU discharge.

Group Type EXPERIMENTAL

Vitamin C

Intervention Type DIETARY_SUPPLEMENT

Vitamin C is a strong antioxidant and has been shown to regenerate other antioxidants such as vitamin E, vitamin C also play an important role in immune function

Control Group (Daily requirements vitamin C Group )

They will receive standard daily requirements of Vitamin C intravenously which is 75-90 mg in 100 ml dextrose 5% (D5W) administered as an infusion over 30 to 60 minutes daily for 4 days or until ICU discharge

Group Type ACTIVE_COMPARATOR

Vitamin C

Intervention Type DIETARY_SUPPLEMENT

Vitamin C is a strong antioxidant and has been shown to regenerate other antioxidants such as vitamin E, vitamin C also play an important role in immune function

Interventions

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Vitamin C

Vitamin C is a strong antioxidant and has been shown to regenerate other antioxidants such as vitamin E, vitamin C also play an important role in immune function

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Male or Female
* Age from age≄18 years
* Septic patient admitted to ICU and mechanically ventilated diagnosed by sepsis criteria proposed by the American College of Chest Physicians/Society of Critical Care Medicine
* Expected to survive and remain in the ICU for at least 96 hours after study entry

Exclusion Criteria

* Age\<18 years
* Pregnant females
* Patients with history of aspiration before intubation
* Respiratory distress syndrome
* Ischemic reperfusion injury
* Cancer as the cause of SIRS or sepsis
* Chronic kidney diseases
* Ongoing shock
* Allergy from interventional drug on the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ain Shams University

OTHER

Sponsor Role lead

Responsible Party

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Wessam Adel El Sayed Abdel Aziz El Driny

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sara M. Shahen, MD

Role: STUDY_CHAIR

Ain Shams University

Ibrahim E. Mamdoh, MD

Role: STUDY_CHAIR

Ain Shams University

Locations

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Ain Shams University Hospitals

Cairo, EL Abbasia, Egypt

Site Status

Countries

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Egypt

References

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El Driny WA, Esmat IM, Shaheen SM, Sabri NA. Efficacy of High-Dose Vitamin C Infusion on Outcomes in Sepsis Requiring Mechanical Ventilation: A Double-Blind Randomized Controlled Trial. Anesthesiol Res Pract. 2022 Jul 15;2022:4057215. doi: 10.1155/2022/4057215. eCollection 2022.

Reference Type DERIVED
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Other Identifiers

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Faculty of Pharmacy_AinShamsU

Identifier Type: -

Identifier Source: org_study_id

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