Overview

Rapid Recognition of Corticosteroid Resistant or Sensitive Sepsis

Status:
Recruiting
Trial end date:
2024-10-01
Target enrollment:
Participant gender:
Summary
Main objective and primary endpoint: To compare the effect hydrocortisone plus fludrocortisone vs. placebo on a composite of death or persistent organ dysfunction - defined as continued dependency on mechanical ventilation, new renal replacement therapy, or vasopressors - assessed at 90 days on intensive care unit (ICU) adults and having different biological profiles for immune responses and corticosteroids bioactivity. Secondary objectives and endpoints: - Mortality and health-related quality of life at 6 months; - Daily organ function (SOFA score days 1, 2, 3, 4, 7, 10, 14, 28, and 90); - Daily secondary infections (up to 90 days) - Daily blood and urinary levels of glucose, sodium and potassium (up to 28 day) - Daily gastroduodenal bleeding (up to 28 day) - Daily cognitive function and muscles' strength (days 1 to 28, 90 and 180 days).
Phase:
N/A
Details
Lead Sponsor:
Assistance Publique - Hôpitaux de Paris
Collaborators:
Beckman Coulter, Inc.
Biothelis
Commissariat A L'energie Atomique
Elice
Institut National de la Santé Et de la Recherche Médicale, France
Lumedix
Université Paris Est Créteil
Université Paris Saclay
Versailles Saint-Quentin-en-Yvelines University
Treatments:
Fludrocortisone
Hydrocortisone
Hydrocortisone 17-butyrate 21-propionate
Hydrocortisone acetate
Hydrocortisone hemisuccinate