E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
septic shock |
shock séptico |
|
E.1.1.1 | Medical condition in easily understood language |
septic shock |
shock séptico |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Bacterial Infections and Mycoses [C01] |
MedDRA Classification |
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 study the effect of temperature control at 36º by external devices (medical device) on mortality in patients with septic shock |
Estudiar el efecto del control de la temperatura a 36º mediante dispositivos externos (producto sanitario) sobre la mortalidad en pacientes con shock séptico |
|
E.2.2 | Secondary objectives of the trial |
- Evaluate the effect of temperature control on the inflammatory response in septic shock, compared to the control by usual ICU methods. - Analyze the influence of temperature control on the incidence of multiorgan failure. - Evaluate biochemical, immunological and coagulation biomarkers, which allow us to predict clinical events and monitor the response to the two types of treatments. |
- Evaluar el efecto del control de la temperatura sobre la respuesta inflamatoria en el shock séptico, comparada con el control por métodos habituales en UCI. - Analizar la influencia del control de la temperatura sobre la incidencia de fallo multiorgánico. - Evaluar biomarcadores bioquímicos, inmunológicos y de coagulación, que nos permitan predecir eventos clínicos y monitorizar la respuesta a los dos tipos de tratamientos. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Patients older than 18 years who enter the ICU with a diagnosis of septic shock or develop it during their stay (first episode) - Possibility of inclusion in the study in the first 12 hours after the diagnosis of septic shock. - Provision of survival and stay in ICU > = of 48 hours. - Signature of informed consent by the patient or relatives |
- Pacientes mayores de 18 años que ingresen en UCI con diagnóstico de shock séptico o que lo desarrollen durante su estancia (primer episodio) - Posibilidad de inclusión en el estudio en las primeras 12 horas tras el diagnóstico de shock séptico. - Previsión de supervivencia y de estancia en UCI >= de 48 horas. - Firma del consentimiento informado por parte del paciente o familiares |
|
E.4 | Principal exclusion criteria |
- Patients younger than 18 years. - Patients with any of the following assumptions: pregnancy or breastfeeding, active bleeding, congenital coagulopathy, major surgery in the previous 24 hours or terminal illness (life expectancy <6 months). - Patient large burned, subjected to major surgery or any other assumption that prevents the placement of patches on the affected surface. - Patients immunosuppressed for any cause (treatment with corticosteroids, immunosuppression after transplantation, etc.) or with a known immunodeficiency. - Patients allergic to Paracetamol and / or Metamizole. - Absence of the signature of informed consent by the patient or relatives or refusal to participate in the study. - The patient is participating in another clinical trial. - Any other reason that the researcher considers. |
- Pacientes menores de 18 años. - Pacientes que presenten alguno de los siguientes supuestos: embarazo o lactancia, sangrado activo, coagulopatía congénita, cirugía mayor en las 24 horas previas o enfermedad terminal (expectativa de vida < 6 meses). - Paciente gran quemado, sometido a cirugía mayor amplia o cualquier otro supuesto que impida la colocación de los parches en la superficie afectada. - Pacientes inmunodeprimidos por cualquier causa (tratamiento con corticoides, inmunosupresión tras trasplante, etc.) o con una inmunodeficiencia conocida. - Pacientes alérgicos a Paracetamol y/o Metamizol. - Ausencia de la firma del consentimiento informado por parte del paciente o familiares o negativa a participar en el estudio. - Que el paciente esté participando en otro ensayo clínico. - Cualquier otro motivo que el investigador considere. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Short-term and long-term mortality in follow-up |
Mortalidad a corto y largo plazo en el seguimiento |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
During hospital admission and at 6 months |
Durante el ingreso hospitalario y a los 6 meses |
|
E.5.2 | Secondary end point(s) |
Inflammatory response measured by different analytical data and the occurrence of organic failure |
Respuesta inflamatoria medida mediante diferentes datos analíticas y la aparición de fallo orgánico |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
During the hospital admission |
Durante el ingreso hospitalario |
|
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 | Yes |
E.6.4 | Safety | Yes |
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 | Yes |
E.6.13.1 | Other scope of the trial description |
Immune response |
Respuesta inmune |
|
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) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
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 | No |
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 | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
Producto Sanitario |
Medical Device |
|
E.8.2.4 | Number of treatment arms in the trial | 2 |
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 | Yes |
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
|
LVLS |
Ultima visita del último sujeto reclutado |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |