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Trial registered on ANZCTR
Registration number
ACTRN12616001119482
Ethics application status
Approved
Date submitted
7/02/2016
Date registered
17/08/2016
Date last updated
17/08/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Characterization of selenium and glutathione status in critically ill children.
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Scientific title
Characterization of selenium and glutathione status in critically ill children.
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Secondary ID [1]
288485
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Nil known
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Universal Trial Number (UTN)
U1111-1179-2507
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Critically ill
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Condition category
Condition code
Inflammatory and Immune System
297738
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Serum selenium concentration and glutathione status will be measured at admission and at day 5 in critically ill children and newborns.
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Intervention code [1]
293835
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Not applicable
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Comparator / control treatment
Healthy children set up for elective surgery will be sampled for serum Selenium concentration and glutathione status after induction of anesthesia.
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Control group
Active
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Outcomes
Primary outcome [1]
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Characterize serum Selenium concentration at admission to Intensive care and at day five.
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Assessment method [1]
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Timepoint [1]
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Day 5 compared to Admission (Day 1).
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Primary outcome [2]
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Investigate if Serum Glutathione status at Admission and day five is linked to serum Selenium concentration.
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Assessment method [2]
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Timepoint [2]
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Day 5 compared to admission (Day 1).
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Secondary outcome [1]
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Organ failure assessment according to PELOD Score at Admission and day five, and correlation to serum Selenium concentration.
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Assessment method [1]
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Timepoint [1]
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Day 5 compared to admission (Day 1).
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Eligibility
Key inclusion criteria
<18 years of age; BW >1000 grams; expected time in PICU >24 hours
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Minimum age
No limit
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Maximum age
18
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
BW <1000 grams; Age >= 18 years; Expected time in PICU <24 hours; moribund patient
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
T test, Mann-Withney U test, Wilcoxon, Kruskal-Wallis, one-way ANOVA, and Tukeys post hoc test.
At the time the study was planned there was no available data regarding the variation in selenium concentration in critically ill children. In addition, in Sweden there is no information of the selenium concentration in healthy children. Sixty healthy patients were used as controls/reference.. This information was crucial for the study and also important to know since the soil in Sweden has a low content of selenium and to evaluate if the selenium concentration was age dependent.
The main reason for choosing 100 critically ill patients was to generate a sufficient number of patients at day 5. In Scandinavian PICUs approximately 30 % of the patients have a PICU-stay > 5 days. The median stay is 2 days. We only included patients with an expected PICU-stay of > 2 days. Therefore, we expected 45/100 patients with a PICU-stay > 5 days.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
4/04/2014
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Date of last participant enrolment
Anticipated
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Actual
8/04/2015
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Date of last data collection
Anticipated
15/04/2015
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Actual
5/05/2015
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Sample size
Target
160
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Accrual to date
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Final
160
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Recruitment outside Australia
Country [1]
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Sweden
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State/province [1]
7576
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Karolinska University Hospital
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Address [1]
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FoUU-enheten
Karolinska Universitetssjukhuset/Karolinska University Hospital
17176 Stockholm
Sweden
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Country [1]
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Sweden
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Primary sponsor type
Hospital
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Name
Karolinska University Hospital
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Address
FoUU-enheten
Karolinska Universitetssjukhuset/Karolinska University Hopsital
17176 Stockholm
Sweden
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Country
Sweden
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
291574
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Other collaborator category [1]
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Individual
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Name [1]
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Prof Jan Wernerman
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Address [1]
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AnOpIVA Clinic
Plan 3 K32/B32
Karolinska University Hospital
141 86 Stockholm
Sweden
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Country [1]
278805
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Sweden
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Other collaborator category [2]
278806
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Individual
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Name [2]
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Prof Olav Rooyackers
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Address [2]
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Dept of Clinical Science, Intervention and Technology (CLINTEC), H9
Dept Anesthesia
Karolinska University Hospital, K32
141 86 Stockholm
Sweden
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Country [2]
278806
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Sweden
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Regional Ethical Review Board in Stockholm
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Ethics committee address [1]
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Nobels vag 9,D3
171 65 Solna
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Ethics committee country [1]
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Sweden
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Date submitted for ethics approval [1]
294338
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Approval date [1]
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04/02/2014
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Ethics approval number [1]
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EPN 2013/2110-31/3
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Summary
Brief summary
Reduced serum selenium concentration is common in adult critically ill patients and correlates to increased morbidity and mortality. Parallel supplementation has in a few studies shown reduced mortality rate and less infectious complications. Pediatric critically ill have not been studied and normal values for Scandinavian pediatric population is not known. Selenium supplementation in premature neonatal have shown less infectious complications. In this study we aim to characterize the normal serum concentration of selenium in healthy children to be commenced for elective surgery (n=60). In parallel pediatric critically ill including newborns (n=100) will be characterized concerning selenium- and glutathione status. This approach might reveal anti-oxidative capacity and mechanisms. Secondary aims are to investigate if the selenium- and glutathione profiles correlate to length of stay and severity of illness (PELOD, PIM2).
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Trial website
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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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Dr Urban Flaring
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Address
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Department of Pediatric Anaesthesia and Intensive Care
Astrid Lindgrens Childrens' Hospital
Karolinska University Hospital
17176 Stockholm
Sweden
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Country
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Sweden
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Phone
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+46 8 51770394
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Urban Flaring
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Address
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Department of Pediatric Anaesthesia and Intensive Care
Astrid Lindgrens Childrens' Hospital
Karolinska University Hospital
17176 Stockholm
Sweden
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Country
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Sweden
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Phone
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+46 8 51770394
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Urban Flaring
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Address
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Department of Pediatric Anaesthesia and Intensive Care
Astrid Lindgrens Childrens' Hospital
Karolinska University Hospital
17176 Stockholm
Sweden
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Country
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Sweden
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Phone
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+46 8 51770394
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Fax
63328
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Email
63328
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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