Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis

Eli Lilly and Company474 enrolled

Overview

The purposes of this study are to determine: 1. Whether drotrecogin alfa (activated) helps children with severe sepsis survive their condition more often or recover faster than children who do not receive drotrecogin alfa (activated). 2. Whether drotrecogin alfa (activated) minimizes long term disabilities associated with severe sepsis. 3. The side effects that might be associated with drotrecogin alfa (activated) administration to children with severe sepsis.

The primary objective was to demonstrate that drotrecogin alfa (activated) compared with placebo reduced severe-sepsis-induced organ dysfunction as assessed by time to complete resolution of a composite of cardiovascular, respiratory, and renal organ failure in pediatric patients with severe sepsis. Secondary objectives included: (1) to assess whether treatment with drotrecogin alfa (activated) reduced 28-day all-cause mortality in pediatric patients with severe sepsis compared with placebo patients, (2) to evaluate the effects of drotrecogin alfa (activated) on individual organ dysfunction (cardiovascular, respiratory, renal, hepatic, hematologic, neurologic, and cutaneous), (3) to demonstrate that drotrecogin alfa (activated) improved patient outcome as assessed by the Pediatric Overall Performance Category (POPC) scale, (4) to demonstrate that drotrecogin alfa (activated) reduced major amputations (at or above the wrist, at or above the ankle, face, and genitals) in pediatric patients with Neisseria meningitidis (proven or suspected) and/or purpura fulminans, (5) to demonstrate that drotrecogin alfa (activated) had antithrombotic and anti-inflammatory properties. The safety objective was to evaluate whether drotrecogin alfa (activated) had an acceptable safety profile when administered to pediatric patients with severe sepsis.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

474

Conditions

Sepsis

Interventions

Drotrecogin alfa (activated)DRUG

PlaceboDRUG

Eligibility

Sex: ALLMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Suspected or proven acute infection. * Abnormally high or low core body temperature * Cardiovascular dysfunction which requires the use of vasoactive drugs (such as, dopamine, dobutamine, epinephrine) and is the result of severe sepsis. * Respiratory dysfunction which requires the use of mechanical ventilation and is the result of severe sepsis. Exclusion Criteria: * Patients at increased risk of bleeding. * Patients at high risk for an intracranial bleed. * Patients who have undergone a bone marrow transplant. * Patients with end-stage renal disease. * Patients whose family or primary care physician is unwilling to allow transfusion of blood products.

Locations (49)

Outcomes

Primary Outcomes

That drotrecogin alfa (activated) compared with placebo reduces severe-sepsis-induced organ dysfunction

Time frame: 3 Years

Secondary Outcomes

All cause mortality data

Time frame: 3 Years

The effects of drotrecogin alfa (activated) on individual organ dysfunction

Time frame: 3 Years

Amputation reduction (at or above the wrist, at or above the ankle, face, and genitals)in pediatric patients with Neisseria meningitidis

Time frame: 3 Years

Demonstrate that drotrecogin alfa (activated) has antithrombotic and anti-inflammatory properties.

Time frame: 3 Years

Data from ClinicalTrials.gov

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Birmingham, Alabama, United States

Tucson, Arizona, United States

Tuscon, Arizona, United States

Madera, California, United States

San Diego, California, United States

Washington D.C., District of Columbia, United States

Boise, Idaho, United States

Chicago, Illinois, United States

Oak Lawn, Illinois, United States

Park Ridge, Illinois, United States

...and 39 more locations