Critically Ill Clinical Trial
Official title:
Collaborative H1N1 Adjuvant Treatment (CHAT) Pilot Trial
Study Design: A, multinational, double blind, placebo-controlled pilot RCT involving 80 patients in the general ICUs of 30 centres. Most patients will be recruited from within Canada; however cases will be recruited from international sites. This study will be conducted under the auspices of the Canadian Critical Care Trials Group (CCCTG) and the International Forum for Acute Care Trialists (InFACT).
Primary Objective: The primary objective of the CHAT Pilot Trial is to assess our ability to
recruit the desired patient population (i.e., the proportion of eligible patients enrolled
in the trial), and to conduct a scientifically rigorous international RCT under pandemic
circumstances.
Secondary Objectives: To evaluate (i) adherence to the medication administration regimen.
(ii) the ability for research staff to collect the required primary and secondary endpoints
for the planned full CHAT trial, (iii) the number of study withdrawals due to administration
of open-label statins and withdrawals of consent and (iv) the impact of the approved consent
model on recruitment rates.
Study Methods (Overview): Using a web-based randomization system patients, research
coordinators will assign critically ill adults treated with antiviral medication for < or
equal to 72 hours and requiring mechanical ventilation to one of two treatment strategies
(rosuvastatin or placebo) for 14 days. Given the need to recruit patients into the CHAT
Trial under pandemic conditions, when family members may not be present to provide written
informed consent, we will request either a waiver of consent or deferred consent from
Research Ethics Boards (REBs) at participating centres. The Keenan Research Centre/Li Ka
Shing Knowledge Institute (St Michael's Hospital, Toronto, Ontario) will be the study
Methods Centre.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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