Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01531959
Registration number
NCT01531959
Ethics application status
Date submitted
9/02/2012
Date registered
13/02/2012
Date last updated
28/10/2020
Titles & IDs
Public title
Midodrine for the Treatment of Refractory Hypotension
Query!
Scientific title
Midodrine for the Treatment of Refractory Hypotension in Patients Otherwise Ready for Discharge From the ICU
Query!
Secondary ID [1]
0
0
2015-098
Query!
Secondary ID [2]
0
0
2011P002049
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Hypotension
0
0
Query!
Critical Illness
0
0
Query!
Condition category
Condition code
Cardiovascular
0
0
0
0
Query!
Diseases of the vasculature and circulation including the lymphatic system
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Treatment: Drugs - Midodrine
Treatment: Drugs - Placebo
Active comparator: Midodrine -
Placebo comparator: Placebo -
Treatment: Drugs: Midodrine
Patients will be randomized to blinded to 20 mg of midodrine
Treatment: Drugs: Placebo
Patients will be randomized to blinded placebo control
Query!
Intervention code [1]
0
0
Treatment: Drugs
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Time Until Discontinuation of IV Vasopressors
Query!
Assessment method [1]
0
0
Measured hours from initiation of midodrine until discontinuation of IV vasopressors
Query!
Timepoint [1]
0
0
From initiation of the study drug until discontinuation of IV vasopressors, assessed up to 400 hours
Query!
Secondary outcome [1]
0
0
ICU Length of Stay
Query!
Assessment method [1]
0
0
Measured number of days from initiation of midodrine until discharge ready from the ICU
Query!
Timepoint [1]
0
0
From initiation of midodrine until ICU discharge, assessed up to 45 days
Query!
Secondary outcome [2]
0
0
Hospital Length of Stay
Query!
Assessment method [2]
0
0
Measured number of days from initiation of midodrine until discharged from hospital
Query!
Timepoint [2]
0
0
From initiation of midodrine until hospital discharge, assessed up to 90 days
Query!
Secondary outcome [3]
0
0
Rates of ICU Readmission
Query!
Assessment method [3]
0
0
Number of patients initiated on midodrine that are readmitted back to ICU after being discharged to floor
Query!
Timepoint [3]
0
0
Up to 2 months after ICU discharge
Query!
Secondary outcome [4]
0
0
Rates of Hypertension, Bradycardia, and Hemodynamically Significant Tacharrythmias
Query!
Assessment method [4]
0
0
Measured rates of hypertension (increase in systolic blood pressure to values higher than those set by the primary team or greater than 160 mmg), bradycardia (decrease in heart rate to values lower than those set by the primary team or less than 40 BPM), hemodynamically significant tachyarrythmias (greater than 20 mmhg decrease in systolic blood pressure).
Query!
Timepoint [4]
0
0
From initiation of the study drug until discontinuation of the study drug, an average of 59 hours.
Query!
Eligibility
Key inclusion criteria
* At least 18 years of age
* Admitted to the SICU
* Requiring IV vasopressors at a rate of less than 100 mcg/min of phenylephrine, or 8 mcg/min of norepinephrine, or 60 mcg/min of metaraminol; and unable to wean for more than 24 hours while still maintaining desired blood pressure goal
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* Inadequate tissue oxygenation
* Liver failure
* Renal failure
* Hypovolemic shock or hypotension due to adrenal insufficiency
* Pregnancy
* Severe organic heart disease
* Urinary retention
* Pheochromocytoma
* Thyrotoxicosis
* Midodrine as pre-admission medication
* Any known allergies to midodrine
* Enrollment in another clinical trial
Query!
Study design
Purpose of the study
Treatment
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
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
Query!
Query!
Query!
Query!
Intervention assignment
Parallel
Query!
Other design features
Query!
Phase
Phase 3
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
1/04/2012
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
1/06/2019
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
139
Query!
Recruitment in Australia
Recruitment state(s)
WA
Query!
Recruitment hospital [1]
0
0
Sir Charles Gairdner Hospital - Nedlands
Query!
Recruitment postcode(s) [1]
0
0
60009 - Nedlands
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
Massachusetts
Query!
Funding & Sponsors
Primary sponsor type
Other
Query!
Name
Massachusetts General Hospital
Query!
Address
Query!
Country
Query!
Other collaborator category [1]
0
0
Other
Query!
Name [1]
0
0
Sir Charles Gairdner Hospital
Query!
Address [1]
0
0
Query!
Country [1]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
We hypothesize that midodrine treatment of refractory hypotension in patients otherwise ready for discharge from the ICU shortens duration of receiving IV vasopressors and SICU length of stay without increasing MGH length of stay or putting the patient at risk of being readmitted to an ICU.
Query!
Trial website
https://clinicaltrials.gov/study/NCT01531959
Query!
Trial related presentations / publications
Anstey MH, Wibrow B, Thevathasan T, Roberts B, Chhangani K, Ng PY, Levine A, DiBiasio A, Sarge T, Eikermann M. Midodrine as adjunctive support for treatment of refractory hypotension in the intensive care unit: a multicenter, randomized, placebo controlled trial (the MIDAS trial). BMC Anesthesiol. 2017 Mar 21;17(1):47. doi: 10.1186/s12871-017-0339-x.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Matthias Eikermann, MD, PhD
Query!
Address
0
0
Beth Israel Deaconess Medical Center
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/59/NCT01531959/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/59/NCT01531959/Prot_SAP_000.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT01531959
Download to PDF