Metabolic Acidosis Clinical Trial
Official title:
Sodium Bicarbonate to Treat Severe Acidosis in the Critically Ill : A Multiple Center Randomized Clinical Trial (BICAR-ICU)
The purpose of the present study is to compare the adjunct treatment of metabolic or mixed severe acidosis in the critically ill using Sodium Bicarbonate as a buffer to increase the plasma pH vs no buffering therapy. The study is a randomized multiple center clinical trial with the outcome as a primary endpoint.
- Design: randomized multiple center clinical trial, open label - Arms: intravenous 4.2% Sodium Bicarbonate vs no additional treatment - Inclusion: age of 18 yo or above, critically ill patient with a SOFA score of 4 or above, lactatemia of 2mmol/l or above, with pH of 7.20 or below and PaCO2 of 45mmHg or below and bicarbonatemia of 20mmol/l or below - Exclusion: single respiratory disorder (PaCO2 > 50 mmHg, Bicarbonatemia equal or higher than (PaCO2-40)/10 + 24 ; acute diarrhea, ileostomy or biliary drainage ; stage IV kidney failure or chronic dialysis ; tubular acidosis, ketoacidosis, high anion gap acids poisoning (PEG, aspirin, methanol) ; PaCO2 equal to 45mmHg or above and spontaneous breathing, pregnancy, protected patients, moribund patient (life expectancy of 48h or below) - Randomization: website randomization with stratification on age, presence of sepsis at inclusion, renal failure - Intervention: experimental arm: intravenous 4.2% Sodium Bicarbonate 125 to 250ml in 30min up to 1000ml/24h. The target is a plasma pH of 7.30 or above. - An interim statistical analysis is planned when 200 patients will be included ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04984226 -
Sodium Bicarbonate and Mitochondrial Energetics in Persons With CKD
|
Phase 2 | |
Completed |
NCT03317444 -
Evaluation of TRC101 in Subjects With Metabolic Acidosis Associated With Chronic Kidney Disease
|
Phase 3 | |
Recruiting |
NCT05582824 -
Lactate Metabolism in the Hypoperfused Critically Ill
|
||
Active, not recruiting |
NCT04010630 -
Sodium Bicarbonate for the Treatment of Severe Metabolic Acidosis With Moderate or Severe Acute Kidney Injury in ICU
|
N/A | |
Completed |
NCT02303548 -
Bicarbonate in Patients With Out-of-hospital Cardiac Arrest
|
Phase 2 | |
Recruiting |
NCT01860001 -
Incidence of Postoperative Ketosis and Metabolic Acidosis
|
N/A | |
Completed |
NCT01452412 -
Alkali Therapy in Chronic Kidney Disease
|
Phase 2/Phase 3 | |
Terminated |
NCT03710291 -
Evaluation of Effect of TRC101 on Progression of Chronic Kidney Disease in Subjects With Metabolic Acidosis
|
Phase 3 | |
Completed |
NCT05940935 -
The Relationship of Developing Metabolic Acidosis With Antiepleptic Drugs in Craniotomy Operations
|
||
Withdrawn |
NCT03846258 -
High Versus Low Bicarbonate Bath in Critically-ill Patients Receiving Continuous Renal Replacement Therapy
|
Phase 4 | |
Completed |
NCT05970094 -
Reduction of Metabolic Acidosis in Patients With Chronic Kidney Disease in Stage 4 and 5
|
N/A | |
Recruiting |
NCT05784389 -
Reduction of Metabolic Acidosis in Patients With Chronic Kidney Disease in Stage 4 and 5
|
N/A | |
Terminated |
NCT04727528 -
Study of the Effect of SZC on Serum Potassium and Serum Bicarbonate in Patients With Hyperkalemia and Metabolic Acidosis Associated With Chronic Kidney Disease
|
Phase 3 | |
Completed |
NCT02098356 -
Comparison of High Versus Low Bicarbonate Hemodialysis
|
N/A | |
Recruiting |
NCT03897101 -
Inflammation and Metabolic Acidosis at Birth (AGAIN: AutophaGy AcIdosis Newborn)
|
||
Terminated |
NCT01894594 -
Efficacy, Safety Study and Benefit of Alkali Therapy in Sickle Cell Disease
|
Phase 1 | |
Completed |
NCT01075750 -
Perioperative Fluid Management in Patients Receiving Cadaveric Renal Transplants
|
N/A | |
Completed |
NCT01295190 -
Substitution of Propofol by Sevoflurane During Pediatric Cardiopulmonary Bypass
|
N/A | |
Completed |
NCT01293266 -
Effect of Propofol and Sevoflurane on Lactate During Anesthesia for Pediatric Heart Catheterisation
|
N/A | |
Completed |
NCT05147051 -
Meglimine Sodium Succinate for Correction of Metabolic Acidosis in Critically Ill Patients
|
Phase 2 |