Early Albumin Resuscitation During Septic Shock
Study Details
Study Description
Brief Summary
Objective: To determine whether the early administration of albumin as an expander and antioxidant would improve survival on the 28th day for septic shock patients.
Design: Prospective, multicenter, randomized, controlled versus saline, stratified on nosocomial infection and center.
Setting: 27 Intensive Care Units (ICU) in France
Coordinator: Pr J.P. Mira and Dr J. Charpentier - Cochin Hospital- Paris
Patients: 800 patients could be included during the first 6 hours of their septic shock.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
The primary outcome: Mortality during the 28 day period after randomization. The secondary outcomes: Evaluation of SOFA score, ventilator-free days, dialysis free days, catecholamine free days, days of hospitalisation, incidence of nosocomial infections.
The albuminemia of all patients is requested before the treatment until Day 4 post treatment.
The treatment is: Vialebex 20% 100ml every 8 hours during 3 days versus saline 100ml every 8 hours during 3 days.
The first patient will be in July 2006, the last patient expected is on July 2009.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Albumin
|
Drug: albumin
albumin 20% 100 ml/8 hours for 3 days
Other Names:
|
Placebo Comparator: Saline
|
Drug: saline
saline 100 ml/8hours for 3 days
|
Outcome Measures
Primary Outcome Measures
- Mortality, any cause, during the 28 day period after randomization [day 28]
Secondary Outcome Measures
- Evaluation of sequential organ failure assessment (SOFA) score [ICU period]
- catecholamine free days [day 28]
- incidence of nosocomial infection [ICU period]
- mortality at 90 days [day 90]
- length of ICU hospitalisation [ICU discharge]
- length of total hospitalisation [hospital discharge]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Over 18 years old
-
Septic shock < 6 hours
-
Agreement of patients
Exclusion Criteria:
-
Allergy to albumin
-
Weight > 120 kg
-
Non septic shock
-
Burned
-
Cirrhosis
-
Albumin perfusion 48 hours before randomization
-
Pregnant women
-
Cardiac dysfunction New York Heart Association (NYHA) 3 or 4
-
Patients with therapeutic limitation
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cochin Hospital | Paris | France | 75 014 |
Sponsors and Collaborators
- Laboratoire français de Fractionnement et de Biotechnologies
Investigators
- Study Chair: Jean P Mira, Professor, Cochin Hospital
- Study Director: Julien Charpentier, Doctor, Hôpital Cochin
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LFB N°ALBU-0503