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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00334828
Registration number
NCT00334828
Ethics application status
Date submitted
6/06/2006
Date registered
8/06/2006
Date last updated
25/07/2017
Titles & IDs
Public title
ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients With Severe Sepsis
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Scientific title
ACCESS: A Controlled Comparison of Eritoran Tetrasodium and Placebo in Patients With Severe Sepsis
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Secondary ID [1]
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0
2005-005537-35
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Secondary ID [2]
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E5564-G000-301
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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
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0
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Condition category
Condition code
Infection
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0
0
0
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Studies of infection and infectious agents
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Inflammatory and Immune System
0
0
0
0
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Other inflammatory or immune system disorders
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Injuries and Accidents
0
0
0
0
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Poisoning
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Blood
0
0
0
0
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Other blood disorders
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Infection
0
0
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - eritoran tetrasodium
Treatment: Drugs - Placebo
Experimental: 1 -
Placebo comparator: 2 -
Treatment: Drugs: eritoran tetrasodium
Intravenous infusion at a total dose of 105 mg.
Treatment: Drugs: Placebo
Matching placebo; intravenous infusion.
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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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All-cause mortality at Day 28.
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Assessment method [1]
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Timepoint [1]
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28 days
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Eligibility
Key inclusion criteria
INCLUSION CRITERIA:
* Age >= 18 years
* Confirmed early-onset severe sepsis, defined as:
o---Objective evidence of infection likely to be caused by a bacterial or fungal pathogen
o---Presence of at least 3 of 4 systemic inflammatory response syndrome (SIRS) criteria
o---Sepsis-associated organ dysfunction
* Baseline Acute Physiology and Chronic Health Evaluation II (Apache II) Score of 21 to 37
* < 12 hours between onset of the first qualifying organ dysfunction and expected administration of study drug
* A commitment to full patient support
EXCLUSION CRITERIA:
* Pregnancy or breastfeeding
* Extensive (>20% Body Surface Area) third-degree burns
* Weight > 150 kg at admission
* Patients whose death from sepsis is considered imminent
* Patients not expected to survive for at least 2 months due to a pre-existing and uncorrectable medical condition, or those in a chronic vegetative state
* Patients with severe congestive heart failure
* Patients currently receiving immunosuppressive therapy such as cyclosporine, azathioprine, or cancer chemotherapy
* Patients with granulocyte counts < 1000/mm^3 unless the decreased count is believed to be due to sepsis
* Patients that required cardiopulmonary resuscitation in the 4 weeks prior to evaluation for enrollment
* Human immunodeficiency virus (HIV)-positive patients with CD4 count <= 50/mm^3 within 4 weeks of enrollment, or end-stage processes
* Patients with significant hepatic impairment, portal hypertension, or esophageal varices
* Patients who are expected to be treated with endotoxin-removal devices
* Patients with active cancer
* Patients receiving polymyxin B or colistin
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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
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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 3
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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
1/06/2006
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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
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Final
2000
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Recruitment in Australia
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NSW,QLD,SA,VIC,WA
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- Box Hill
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Kobe
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Japan
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Kochi
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Japan
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Kumamoto
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Japan
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Kyoto
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Japan
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Morioka
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Japan
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Osaka
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Japan
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Saga
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Japan
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Sapporo
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Japan
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Sendai
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Japan
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Shinagawa
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Japan
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Suita
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Japan
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Ube
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Japan
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Utsunomiya
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Japan
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Yonago
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Japan
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Yotsukaidou
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Korea, Republic of
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Seoul
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Netherlands
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Amsterdam
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Apeldoorn
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Netherlands
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Ede
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Netherlands
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Groningen
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Netherlands
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Leeuwarden
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Rotterdam
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s'Hertogenbosch
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Tilburg
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Utrecht
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Zwolle
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Poland
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Bielsko Biala
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Poland
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Groszisk Mazowiecki
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Poland
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Krakow
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Poland
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Lodz
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Poland
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Poznan
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Poland
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Warsaw
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Portugal
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Almada
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Portugal
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Amadora
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Portugal
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Lisbon
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South Africa
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Alberton
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South Africa
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Cape Town
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South Africa
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Centurion
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South Africa
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Johannesburg
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South Africa
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Kimberley
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South Africa
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Parow
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South Africa
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Pietermaritzburg
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South Africa
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Roodepoort
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Spain
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Alcala de Henares Madrid
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Spain
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Barcelona
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Spain
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Burgos
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Spain
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Cataluna
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Spain
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Getafe
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Spain
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Madrid
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Spain
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Sabadell
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Spain
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Santiago de Compostela
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Spain
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Tarragona
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Switzerland
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Bern
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Switzerland
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Geneva
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Switzerland
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Lausanne
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Taiwan
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Taichung
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Taiwan
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Taipei
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Taiwan
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Taoyuan
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Taiwan
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Yung Kang City
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United Kingdom
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Birmingham
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United Kingdom
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Leeds
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United Kingdom
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Livingston
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United Kingdom
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London
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United Kingdom
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Nottingham
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United Kingdom
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Plymouth
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United Kingdom
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Southampton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Eisai Inc.
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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 purpose of this study is to compare eritoran tetrasodium and placebo in patients with severe sepsis and to demonstrate a reduction of mortality from all causes.
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Trial website
https://clinicaltrials.gov/study/NCT00334828
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Trial related presentations / publications
Opal SM, Laterre PF, Francois B, LaRosa SP, Angus DC, Mira JP, Wittebole X, Dugernier T, Perrotin D, Tidswell M, Jauregui L, Krell K, Pachl J, Takahashi T, Peckelsen C, Cordasco E, Chang CS, Oeyen S, Aikawa N, Maruyama T, Schein R, Kalil AC, Van Nuffelen M, Lynn M, Rossignol DP, Gogate J, Roberts MB, Wheeler JL, Vincent JL; ACCESS Study Group. Effect of eritoran, an antagonist of MD2-TLR4, on mortality in patients with severe sepsis: the ACCESS randomized trial. JAMA. 2013 Mar 20;309(11):1154-62. doi: 10.1001/jama.2013.2194.
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Public notes
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Contacts
Principal investigator
Name
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Dan Rossignol
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Address
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Eisai Inc.
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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/NCT00334828
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