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

Condition(s) targeted: Sepsis

Intervention: Drotrecogin alfa (activated) (Drug); Placebo (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: Eli Lilly and Company

Official(s) and/or principal investigator(s):
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST), Study Director, Affiliation: Eli Lilly and Company

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.

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

Study design: Treatment, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment, Safety/Efficacy Study

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

Secondary outcome:

All cause mortality data

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

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

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

Detailed description: 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.

Minimum age: N/A. Maximum age: 17 Years. Gender(s): Both.

Criteria:

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.

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Santiago de Chile, Chile

For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Marseille, France

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Lilly Clinical Trial Registry

Starting date: November 2002
Ending date: April 2005
Last updated: November 15, 2007