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Trial registered on ANZCTR
Registration number
ACTRN12609000001291
Ethics application status
Approved
Date submitted
27/11/2008
Date registered
6/01/2009
Date last updated
6/01/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effect of new remedy IMOD [Immunomodulating drug ] on the mortality of patients with severe sepsis. A phase III multicenter study
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Scientific title
Effect of new remedy drug IMOD[Immunomodulating drug] on the mortality of patients with severe sepsis. A phase III multicenter study
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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:
sepsis
4034
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Condition category
Condition code
Inflammatory and Immune System
4237
4237
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0
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Rheumatoid arthritis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
treatment with 10 cc IMOD(intravenous) for 2 weeks plus standard treatment of sepsis.
standard treatment include:1.Early goal - directed resuscitation
2.Appropriate diagnostic studies prior to antibiotics
3.Early broad – spectrum antibiotics
4.Narrowing antibiotic therapy based on microbial therapy and clinical data
5.Source control
6.Stress dose steroids for septic shock
7.Target Hemoglubin values of 7-9 gr/dlit in absence of coronary artery disease or acute hemorrhage
8.Lung protective ventilation for Acute Lung Injury/Acute respiratory Distress Syndrome
9.Avoidance of Neuromuscular blockade
10.Maintenance of blood glucose < 150mg/dlit
11.Deep Vein Prophylaxy/stree ulcer prophylaxis
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Intervention code [1]
3756
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Treatment: Drugs
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Comparator / control treatment
placebo plus standard treatment of sepsis for 2 weeks(ampuls with normal saline in volume of 10cc) which is injected intravenously
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Control group
Placebo
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Outcomes
Primary outcome [1]
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mortality at 28 days
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Assessment method [1]
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Timepoint [1]
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28 days
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Secondary outcome [1]
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morbidity(Length of stay, SOFA [Sepsis-related Organ failure Assessment])
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Assessment method [1]
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Timepoint [1]
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90 days
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Eligibility
Key inclusion criteria
Severe sepsis with APACHE (Acute Physiology And Chronic Health Evaluation)Score>20 with less than 24 hours after their diagnosis.
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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
pregnant or lactating person, Age less than 16 years old, high death possibility within 24-48 hours and previous organ transplantation and receiving immunosuppressant drugs.
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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 randomisation by using a randomization table created by a computer software (i.e., computerised sequence generation)
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Masking / blinding
Blinded (masking 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 3
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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
1/12/2008
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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
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Iran, Islamic Republic Of
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State/province [1]
1419
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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tehran university of medical sciences
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Address [1]
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Engelab street,Tehran
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Country [1]
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Iran, Islamic Republic Of
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Primary sponsor type
Commercial sector/Industry
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Name
pars rus
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Address
13rd alley, Hormozan street, Shahrak-e-gharb
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Country
Iran, Islamic Republic Of
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Secondary sponsor category [1]
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University
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Name [1]
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Tehran University of Medical Sciences
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Address [1]
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Engelab street,Tehran
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Country [1]
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Iran, Islamic Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Pharmaceutical sciences research center
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Ethics committee address [1]
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Tehran University of Medical Sciences,Engelab street,Tehran
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Ethics committee country [1]
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Iran, Islamic Republic Of
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Date submitted for ethics approval [1]
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04/05/2008
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Approval date [1]
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14/09/2008
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Ethics approval number [1]
6266
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425/765
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Summary
Brief summary
Patients in IMOD group received IMOD in addition to standard treatment. They received 5 IMOD in 100cc DW 5% which is infused over 1 hour on the first day. All hemodynamic data were noted during the time of infusion in order to stop the infusion in the case of any negative hemodynamic deterioration, dermal rash, urticaria and anaphylactic reaction. Then 10cc IMOD in 100cc DW 5% was infused everyday until day 14 of the treatment protocol. the time gap between the beginning of treatment with IMOD and the diagnosis of sepsis was also noted to evaluate possible impact of the onset time of IMOD on mortality . The control group have received the standard treatment for sepsis including:.Early goal – directed resuscitation, appropriate diagnostic studies prior to antibiotics, early broad – spectrum antibiotics ,narrowing antibiotic therapy based on microbial therapy and clinical data source control ,stress dose steroids for septic shock, target Hb values of 7-9 gr/dlit in absence of coronary artery disease or acute hemorrhage, lung protective ventilation for Acute Lung Injury/Acute Respiratory Distress Syndrome, avoidance of Neuromuscular blockade, maintenance of blood glucose < 150mg/dl and Deep Vein Thrombosis/stress ulcer prophylaxis. Inflammatory biomarkers including IL1, IL2, IL6, Tumor Necrosis Factor a ,Plasminogen Activator Inhibitor, Nitric Oxide, Total antioxidant power that were assessed on days 0, 1, 2, 3, 7, 10, 14 throughout the study.
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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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Address
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Country
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Phone
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Fax
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Email
29171
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Contact person for public queries
Name
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Ata Mahmoodpoor
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Address
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General ICU, Shohada Hospital, Tabriz
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Country
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Iran, Islamic Republic Of
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Phone
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+989141160888
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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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Ata Mahmoodpoor
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Address
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General ICU, Shohada Hospital, Tabriz
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Country
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Iran, Islamic Republic Of
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Phone
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+989141160888
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Fax
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Email
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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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