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Trial registered on ANZCTR
Registration number
ACTRN12607000376448
Ethics application status
Approved
Date submitted
10/06/2007
Date registered
16/07/2007
Date last updated
16/07/2007
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluating the effect of new remedy IMOD (Imunomodulating Drug)in the treatment of adult patients with sever sepsis
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Scientific title
Evaluating the effect of new remedy IMOD(Imunomodulating Drug) on the mortality of adult patients with sever sepsis in Sina Hospital
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Universal Trial Number (UTN)
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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:
Severe sepsis
1956
0
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Condition category
Condition code
Blood
2053
2053
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0
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention group received mentioned treatments plus (Imunomodulating Drug)IMOD (only 10 mililitre/day infusion once over 1 hour for 14 days) IMOD is a new remedy drug which increases CD4 lymphocytes significantly in patients with AIDS. IMOD has strong anti-inflammatory effects and induces immune system without any significant side effects.Patients recieved standard treatment for the time needed,for example DVT prophylaxy upto time the patientis is immobilized or lung protective strategies until patints needmechanical ventilatory support.
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Intervention code [1]
1818
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Treatment: Drugs
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Comparator / control treatment
Control group receives the following treatments: 1.early goal directed resuscitation 2.appropriate diagnostic study 3.early broad spectrum antibiotics 4.narrowing antibiotics based on clinical and microbial data 5.stress dose steroid for septic shock 6.target Hg(Hemoglubine) value of 7-9 g/dl(gram/decilitre) in absence of CAD(coronary artery disease) or acute haemorrhage 7.lung protective ventilation for ALI(Acute lung injury)
8.Avoidance of neuromuscular blockade 9.blood glucose less than 140 mg/dl 10.DVT(Deeo vein thrombosis)/Stress ulcer prophylaxis 11.Appropriate metabolic and nutritional support.
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Control group
Active
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Outcomes
Primary outcome [1]
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Mortality
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Assessment method [1]
2880
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Timepoint [1]
2880
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At 28 days
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Secondary outcome [1]
4860
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Mortality
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Assessment method [1]
4860
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Timepoint [1]
4860
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At 90 days
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Secondary outcome [2]
4861
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Morbidity measured using the following scores:
SOFA:(Sequential Organ Function Assessment)
ADL:(Activity of Daily Living)
TISS:(Therapeutic Intervention Scoring System)
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Assessment method [2]
4861
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Timepoint [2]
4861
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At 28 days
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Eligibility
Key inclusion criteria
1.severe sepsis2.APACHE(Acute physiologic and chronic health evaluation) Score>203.Less than 24 hours from the diagnosis of sepsis.
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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
1.Pregnant patients2.lactating women3.age<18 years old4.>24 hours from the diagnosis of sepsis
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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)
Numbered containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by using a randomization table creatd by a computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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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
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/08/2007
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Actual
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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
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Sample size
Target
25
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Accrual to date
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Final
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Funding & Sponsors
Funding source category [1]
2196
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University
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Name [1]
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Faculty of Pharmacy (Tehran University of Medical Sciences)
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Address [1]
2196
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Country [1]
2196
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Iran, Islamic Republic Of
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Funding source category [2]
2197
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Commercial sector/Industry
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Name [2]
2197
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Pars Company
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Address [2]
2197
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Country [2]
2197
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Primary sponsor type
University
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Name
Tehran University of Medical Sciences,faculty of pharmacy
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Address
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
1984
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Commercial sector/Industry
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Name [1]
1984
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Pars Company
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Address [1]
1984
0
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Country [1]
1984
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3994
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Ethics committee of Tehran University of Medical Sciences
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Ethics committee address [1]
3994
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Ethics committee country [1]
3994
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
3994
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Approval date [1]
3994
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04/07/2007
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Ethics approval number [1]
3994
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425/421
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Summary
Brief summary
Sepsis is one of the greatest medical problems in over the worlds. Unfortunately nowadays despite all technical and therapeutic progresses (mechanical ventilation, nutritional support, antimicrobial therapies, hemodialysis, vasopressor support, surgical ways,...) mortality due to sepsis is not changed. IMOD(Imunomodulating Drug) is a new remedy drug which increases(count differentiation) CD4 significantly in patients with AIDS(Acquired immunodefiency syndrome).IMOD has strong anti inflammatory effects and induces immune system without any significant side effect. So we decided to evaluate the effect of this drug in improvement of patients with severe sepsis. In this study 30 patients with severe sepsis(Acute Physiologic And Chronic Health Evaluation score>20) were randomized to two 15 patients group, which receive standard treatment of sepsis including early goal directed resuscitation, appropriate diagnostic study, early broad spectrum antibiotics, narrowing antibiotic based on microbial and clinical data, stress dose steroid for septic shock, target Hemoglubin value of 7-9 gram/dlit in absence of CAD(coronary Artey Disease) or acute hemorrhage, Lung protective ventilation for ALI(Acute Lung Injury), avoidance of neuromuscular blockade, blood glucose<140,DVT(Deep Vein Thrombosis)/Stress ulcer prophylaxis. Routine lab exams and monitoring was performed for all patients daily till 14 days. Demographic data were noted. IMOD group received IMOD with the dosage of 10mililitre/day(infusion during one hour) via Central venous line in addition to standard treatment for 14 days. Biomarker levels were measured on the 1st, 2nd, 3rd, 5th and 14th days. These biomarkers are TNF(Tumor necrosis Fator), IL-1(Interleukin-1),IL-6(Interleukin-6),nitrite and nitrate, PAI-I(Plasminogen Activator Inhibitor), Total neutrophil count, Total antioxidant power, D dimer. In the IMOD group mean time between initiation of the signs of sepsis and initiation of IMOD was noted (with 6 hours interval) in order to see whether early infusion of drug decrease mortality or not. patients observed for 28 days(672 hours after initiation of IMOD)or till death. Mortality due to any causes after 28 days and also mortality during 90 days were determined. We determined morbidity of patient during study with using following scoring system: TISS score(Therapeutic Intervention Scoring System) for evaluating the intensity of ICU9Intensive Care Unit) care, SOFA score(Sequential Organ Failure Assessment) for determining organ dysfunction, ADL score(Activity of Daily Living) for determining activities of daily living. These scoring system were performed on the recovered patients in each group.
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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
27632
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Address
27632
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Country
27632
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Phone
27632
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Fax
27632
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Email
27632
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Contact person for public queries
Name
11007
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AtaMahmoodpour
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Address
11007
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General ICU
Sina Hospital
Imam Khomeini Street
Tehran
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Country
11007
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Iran, Islamic Republic Of
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Phone
11007
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00989141160888
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Fax
11007
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Email
11007
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[email protected]
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Contact person for scientific queries
Name
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Ata Mahmoodpour
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Address
1935
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General ICU
Sina Hospital
Imam Khomeini Street
Tehran
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Country
1935
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Iran, Islamic Republic Of
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Phone
1935
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00989141160888
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Fax
1935
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Email
1935
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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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