Overview

Safety and Efficacy of Early Administration of Dexamethasone in High-risk Sepsis

Status:
Not yet recruiting
Trial end date:
2022-09-30
Target enrollment:
0
Participant gender:
All
Summary
The purpose of this study is to investigate the safety and efficacy of early administration of two different doses of dexamethasone in high risk septic patients.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
CHA University
Treatments:
BB 1101
Dexamethasone
Dexamethasone acetate
Criteria
Inclusion Criteria:

- Sepsis defined by Sepsis-3 definition

- Initial systolic blood pressure < 90mmHg or blood lactate level >2mmol/L

Exclusion Criteria:

- advanced directive for "Do not resuscitation"

- recent systemic administration of glucocorticoid (4 weeks)

- recent systemic administration of chemotherapy (4 weeks)

- recent systemic administration of immunosuppressant (4 weeks)

- expected life less than 90 days

- Transferred from other hospital

- Sepsis diagnosed 24 hours after ED admission

- recent GI bleeding, 6 weeks

- Traumatic brain injury or stroke, within 3 months

- Use of etomidate in ED

- operation, within 72 hours

- multiple trauma, within 72 hours

- severe thrombocytopenia, <30,000/mm3)

- severe chronic liver disease, Child-Pugh score C

- hemophilia

- pregnant or on lactation

- no informed consent