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A Safety and Efficacy Study of Intravenous E5564 in Patients With Severe Sepsis

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00046072
Recruitment Status : Completed
First Posted : September 20, 2002
Last Update Posted : December 12, 2005
Information provided by:
Eisai Inc.

Brief Summary:

Sepsis is a serious condition where there is inflammation and damage to body tissue, usually caused by an infection. This infection can lead to decreased function of vital body organs and in some cases may lead to permanent health problems or death.

Much of the injury is due to endotoxin, a harmful substance produced by certain types of bacteria. An endotoxin antagonist is designed to block the effects of endotoxin.

This study is designed to study the safety and efficacy when treating patients with severe sepsis.

Condition or disease Intervention/treatment Phase
Sepsis Shock, Septic Sepsis Syndrome Septicemia Infection Drug: E5564 Phase 2

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Study Type : Interventional  (Clinical Trial)
Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double
Primary Purpose: Treatment
Official Title: A Double-Blind, Placebo-Controlled Study of E5564, A Lipid A Antagonist, Administered by Twice Daily Infusions in Patients With Severe Sepsis
Study Start Date : October 2001
Study Completion Date : April 2005

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Sepsis

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years to 85 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Presently admitted, or about to be transferred, to the ICU.
  • Women of Child-bearing potential must have a negative serum (or urine) hCG assay within 24 hours prior to drug administration.
  • Any Race.
  • Severe Sepsis [newly developed respiratory failure, refractory shock, renal dysfunction, hepatic dysfunction, or metabolic acidosis and at least three signs of SIRS (systematic inflammatory response syndrome)].
  • Objective signs of infection likely to be caused by a bacterial or fungal pathogen.
  • Patients must receive study medication within 8 to 12 hours of recognition of the initial sepsis-related organ failure.
  • APACHE Predicted risk of mortality score between 20% and 80%.
  • An intent by physicians and family to aggressively treat the patient for the 28 day study period.

Exclusion Criteria:

  • Cardiogenic or hypovolemic shock.
  • Acute third degree burns involving >20% of body surface.
  • Recipients of non-autologous organ transplants within the past year.
  • Pregnancy.
  • Chronic vegetative state.
  • Uncontrolled serious hemorrhage (.2 units of blood/platelets in the previous 24 hours). Patients may be considered for enrollment if bleeding has stopped and patients are still otherwise qualified.
  • Unwilling or unable to be fully evaluated for all follow-up visits.
  • Patients who are classified as "Do not resusitate" or "Do not treat."
  • Patients who develop severe sepsis <36 hours post trauma or post-surgery. Patients may be considered for enrollment >36 hours post-trauma or post-surgery, if they meet other inclusion criteria.
  • Patients with a predicted risk of mortality score of <20% or >80% after recognition of qualifying organ failure.
  • Patients with a predicted risk of mortality of <51% for whom Xigris® use is planned.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00046072

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United States, Alabama
Mobile, Alabama, United States, 36608
United States, California
San Diego, California, United States, 92134
Santa Barbara, California, United States, 93105
United States, Florida
Jacksonville, Florida, United States, 32209
Miami, Florida, United States, 33125
Pensacola, Florida, United States, 32504
United States, Georgia
Columbus, Georgia, United States, 31902
United States, Illinois
Elk Grove, Illinois, United States, 60007
United States, Kansas
Kansas City, Kansas, United States, 66160
United States, Massachusetts
Boston, Massachusetts, United States, 02114
Springfield, Massachusetts, United States, 01199
United States, New York
Buffalo, New York, United States, 14203
Manhasset, New York, United States, 11030
United States, Oklahoma
Oklahoma City, Oklahoma, United States, 73104
United States, Texas
Dallas, Texas, United States, 75390
Galveston, Texas, United States, 77555
San Antonio, Texas, United States, 78229
Sponsors and Collaborators
Eisai Inc.
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Study Director: Alec Wittek, M.D. Eisai Inc.
Layout table for additonal information Identifier: NCT00046072    
Other Study ID Numbers: E5564-A001-201
First Posted: September 20, 2002    Key Record Dates
Last Update Posted: December 12, 2005
Last Verified: December 2005
Keywords provided by Eisai Inc.:
Sepsis Syndrome
Additional relevant MeSH terms:
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Shock, Septic
Systemic Inflammatory Response Syndrome
Pathologic Processes