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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00706771
Registration number
NCT00706771
Ethics application status
Date submitted
26/06/2008
Date registered
30/06/2008
Date last updated
30/06/2014
Titles & IDs
Public title
Bicarbonate and Lipocalin in Systemic Inflammatory Response Syndrome (SIRS) Study
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Scientific title
A Randomized Double-blind Controlled Pilot Feasibility and Safety Trial of NGAL-directed Sodium Bicarbonate to Protect Renal Function in Patients With the Systemic Inflammatory Response Syndrome, Oliguria and Elevated Lipocalin Levels
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Secondary ID [1]
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TNH 18/08
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Universal Trial Number (UTN)
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Trial acronym
BLISS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Systemic Inflammatory Response Syndrome
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Oliguria
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Renal Impairment
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Condition category
Condition code
Renal and Urogenital
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Kidney disease
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Other
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Sodium bicarbonate
Treatment: Drugs - Sodium chloride
Active comparator: Sodium bicarbonate - sodium bicarbonate: loading of 0.5 mmol/kg and the continuous infusion o f0.2 mmol/kg/hr
Active comparator: Sodium chloride - sodium chloride: loading of 0.5 mmol/kg and the continuous infusion o f0.2 mmol/kg/hr
Treatment: Drugs: Sodium bicarbonate
Sodium bicarbonate: loading dose of 0.5 mmol/Kg and then continuous infusion of 0.2 mmol/Kg/hr
Treatment: Drugs: Sodium chloride
0.9% sodium chloride: loading dose of 0.5 mmol/Kg and then continuous infusion of 0.2 mmol/Kg/hr
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The ability to deliver the study protocol safely and rapidly with a trend to improved renal outcomes
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Assessment method [1]
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Timepoint [1]
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28 days
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Secondary outcome [1]
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Attenuation in lipocalin levels
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Assessment method [1]
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Timepoint [1]
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28 days
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Secondary outcome [2]
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Decrease in the magnitude in serum creatinine rise
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Assessment method [2]
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Timepoint [2]
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28 days
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Secondary outcome [3]
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Ability to deliver the study protocol without significant biochemical side effects
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Assessment method [3]
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Timepoint [3]
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28 days
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Eligibility
Key inclusion criteria
* Consent obtained
* Diagnosis of SIRS. Requires any TWO of:
temperature > 38°C or < 36°C OR heart rate > 90 beats/min OR respiratory rate > 20 breaths/min. PaCO2 < 32 mm Hg OR alteration of white blood cell count > 12,000 cells/mm3, < 4,000 cells/mm3, or the presence of > 10% immature neutrophils
* elevated lipocalin level
* Arterial line already in place
* Central venous catheter already in place
* Age = 18 years
* Within 24 hours of admission to the ICU
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Unlikely to remain in ICU for >72 hours
* Moribund patient
* Pre-existing CKD, transplant or ESRD
* Receiving (or about to receive) continuous renal replacement therapy for acute renal failure at time of enrolment
* Diagnosis of acute GN, AIN, vasculitis or post-renal aetiology
* Known/suspected study allergy to sodium bicarbonate
* Enrolling physician concern about patient enrolment
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2010
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2012
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Sample size
Target
70
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Austin Hospital - Heidelberg, Melbourne
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Recruitment hospital [2]
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Royal Melbourne Hospital - Melbourne
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Recruitment postcode(s) [1]
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3084 - Heidelberg, Melbourne
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Recruitment postcode(s) [2]
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3154 - Melbourne
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Funding & Sponsors
Primary sponsor type
Government body
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Name
Austin Health
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The investigators will determine the feasibility, safety and efficacy of intravenous sodium bicarbonate in reducing progression to overt acute renal failure in patients with the systemic inflammatory response syndrome, and low urine output or early acute renal impairment as defined by serum neutrophil gelatinase-associated lipocalin (NGAL).
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Trial website
https://clinicaltrials.gov/study/NCT00706771
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Michael C Reade, MBBS DPhil
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Address
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Austin & Northern Hospitals, University of Melbourne
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00706771
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