E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Pilot study in healthy subjects with a perspective for treating of serious conditions such as sepsis, septic shock, trauma and severe haemorrhage |
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E.1.1.1 | Medical condition in easily understood language |
Pilot study in healthy subjects with a perspective for treating of serious conditions such as sepsis, septic shock, trauma and severe haemorrhage |
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E.1.1.2 | Therapeutic area | Body processes [G] - Circulatory and Respiratory Physiological Phenomena [G09] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10054438 |
E.1.2 | Term | Ischemia |
E.1.2 | System Organ Class | 100000004866 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10019595 |
E.1.2 | Term | Hemorrhage, unspecified |
E.1.2 | System Organ Class | 100000004866 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040580 |
E.1.2 | Term | Shock septic |
E.1.2 | System Organ Class | 100000004862 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 16.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10044461 |
E.1.2 | Term | Trauma |
E.1.2 | System Organ Class | 100000004863 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To describe the effects of plasma and plasma products on endothelial integrity and glycocalyx composition. To show that plasma and/or plasma products might rejuvenate, repair or protect the injured endothelium in critically ill patients thus being potentially valuable adjuncts in the treatment of serious conditions such as sepsis, septic shock, trauma and severe haemorrhage
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E.2.2 | Secondary objectives of the trial |
To answer how the conditions and the time plasma and plasma products are stored in the blood bank influence how these products affect the endothelium, and if perhaps, a revision of current guidelines on storage of these products is required. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Healthy, non-smoking males over 17 years of age, weight>80 kg. Able and willing to provide informed consent. |
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E.4 | Principal exclusion criteria |
Any history or evidence of serious health problems including pulmonary edema or cardiac insufficiency, allergy towards the study medication, plasma proteins or previous reaction to plasma, inability to provide informed consent. IgA deficiency with documented antibody directed against IgA. Severe protein S deficiency or a history of thrombotic events. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Change in the level of biomarkers of endothelial dysfunction and glycocalyx degradation as measured by ELISA in plasma/serum samples from subjects. Markers measured are: Syndecan-1, soluble thrombomodulin, soluble e-selectin, sphingosine-1-phosphate, Prothrombin fragment 1,2 (PF1.2), Thrombin-antithrombin complex (TAT), Protein C (PC), activated protein C (aPC), Tissue factor pathway inhibitor (TFPI), Antithrombin (ATIII), coagulation factor XIII (FXIII), Tissue plasminogen activator (tPA), Plasminogen activator inhibitor (PAI-1), D-dimer, INR, sCD40L, TGF-β, β -TG, PF4, Sphingosine-1-phosphate, Hgb, Hct, leucocyte count, platelet count, fibrinogen.
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
At completion of all experimental sessions |
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E.5.2 | Secondary end point(s) |
Safety: Temperature, heart rate and blood pressure |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Before, 1 hour after infusion and 24 hours after each experimental session |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Autologous plasma and platelets |
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E.8.2.4 | Number of treatment arms in the trial | 7 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Trial ends when all pre-defined experimental sessions has been completed by all subjects. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 9 |
E.8.9.1 | In the Member State concerned days | |