UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000037052
Receipt number R000042178
Scientific Title verify the effect of blood purification in septic shock
Date of disclosure of the study information 2019/06/16
Last modified on 2023/06/11 20:52:50

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Basic information

Public title

verify the effect of blood purification in septic shock

Acronym

blood purification in septic shock

Scientific Title

verify the effect of blood purification in septic shock

Scientific Title:Acronym

blood purification in septic shock

Region

Japan


Condition

Condition

sepsis

Classification by specialty

Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose is to verify the effect of blood purification therapy for septic shock. For septic shock, supportive care with surgical drainage and catecholamine is the common treatment. However there often happens complications of acute kidney injury, such as hyperkalemia or metabolic acidosis and blood purification therapy (RRT: renal replacement therapy) is often required. We have experienced many cases that showed improvement in general condition after RRT introduction, but when and how to initiate RRT is not clarified yet. A treatment protocol was developed for septic shock after gastrointestinal surgery. In order to remove inflammatory cytokines and anti-inflammatory cytokines, it was decided to use HDF (hemodiafiltration). We will evaluate whether the prognosis will be better compared to the predicted mortality rate by APACHE (acute physiology and chronic health evaluation) II score.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

90-day mortality

Key secondary outcomes

28-day mortality, 180-day mortality, SOFA score


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. postoperative abdominal surgery
2. Patients with septic shock who require noradrenaline at least 0.1 mcg/kg/min
3. Patients diagnosed with AKI according to KDIGO diagnostic criteria

Key exclusion criteria

1. Patients with end-stage renal failure
2. Patients with obstructed urinary tract
3. Patients who have a history of emergency dialysis
4. Patients already undergoing renal replacement therapy
5. Patients for whom " do not attempt resuscitation " has been acquired
6. Patients judged to be inappropriate for this study

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Tatsuro
Middle name
Last name Yokoyama

Organization

Ogaki Municipal Hospital

Division name

Anesthesiology

Zip code

503-8502

Address

4-86, Minaminokawa, Ogaki, Gifu, Japan

TEL

0584-81-3341

Email

tyinnagoyauniversity@gmail.com


Public contact

Name of contact person

1st name Tatsuro
Middle name
Last name Yokoyama

Organization

Ogaki Municipal Hospital

Division name

Anesthesiology

Zip code

503-8502

Address

4-86, Minaminokawa, Ogaki, Gifu, Japan

TEL

0584-81-3341

Homepage URL


Email

tyinnagoyauniversity@gmail.com


Sponsor or person

Institute

Ogaki Municipal Hospital

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ogaki Municipal Hospital

Address

4-86, Minaminokawa, Ogaki, Gifu, Japan

Tel

0584-81-3341

Email

clinical-trial@omh.ogaki.gifu.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2019 Year 06 Month 16 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2019 Year 05 Month 08 Day

Date of IRB

2019 Year 05 Month 23 Day

Anticipated trial start date

2019 Year 05 Month 28 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Blood purification therapy is performed with high volume HDF (Qb 150 mL/min, Qd 300 mL/min, Qf 1000 mL/h, dewatering 0 mL/h) for 10 hours, and then CHDF with AN69ST membrane ( Qb 100 mL / min, Qd 300 mL / min, Qf 600 mL / h).


Management information

Registered date

2019 Year 06 Month 13 Day

Last modified on

2023 Year 06 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042178