Shock Clinical Trial
Official title:
Effects of Alkaline Phosphatase on Renal Function in Patients With Severe Sepsis or Septic Shock.
Septic shock is the most common cause of death in patients requiring intensive care. The
kidney is one of the first organs to fail, stressing the importance to search for clinical
interventions that may protect the kidneys during sepsis.
Alkaline phosphatase functions as a host defence molecule and is present in many cells and
organs (e.g. intestine, placenta, liver, kidney and bone). Alkaline phosphatase has a dual
mode of action. First, it binds to and, subsequently, dephosphorylates lipopolysaccharide
(LPS). Second, the enzymatic reaction product monophosphoryl-LPS is a non-toxic substance
for mammals which acts as a partial antagonist on the LPS receptor complex. In several
animal studies, administration of alkaline phosphatase attenuates the inflammatory response
and reduces mortality.
It is unknown whether these results can be extrapolated to septic patients . We studied the
effects of alkaline phosphatse administration on kidney damage and function in patients with
severe sepsis or septic shock.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double-Blind, Primary Purpose: Treatment
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05898126 -
Renin-guided Hemodynamic Management in Patients With Shock
|
N/A | |
Completed |
NCT05563701 -
Evaluation of the LVivo Image Quality Scoring (IQS)
|
||
Recruiting |
NCT05066256 -
LV Diastolic Function vs IVC Diameter Variation as Predictor of Fluid Responsiveness in Shock
|
N/A | |
Not yet recruiting |
NCT06285513 -
Cardiovascular Metabolic Remodeling in Shock
|
||
Not yet recruiting |
NCT05649891 -
Checklists Resuscitation Emergency Department
|
N/A | |
Terminated |
NCT02755155 -
Optimization of Therapeutic Human Serum Albumin Infusion in Selected Critically Ill Patients
|
Phase 4 | |
Not yet recruiting |
NCT01941472 -
Transcutaneous pO2, Transcutaneous pCO2 and Central Venous pO2 Variations to Predict Fluid Responsiveness
|
N/A | |
Terminated |
NCT01696175 -
PICU Admission Lactate and Central Venous Oxymetry Study
|
N/A | |
Completed |
NCT01680783 -
Non-Invasive Ventilation Via a Helmet Device for Patients Respiratory Failure
|
N/A | |
Recruiting |
NCT01174966 -
Assessment of Transcutaneous Oxygen Tension/Oxygen Challenge Test in Intensive Care Unit (ICU) Patients
|
N/A | |
Recruiting |
NCT01157299 -
Hemodynamic Evaluation of Preload Responsiveness in Children by Using PiCCO
|
N/A | |
Completed |
NCT00743522 -
Programming Implantable Cardioverter Defibrillators in Patients With Primary Prevention Indication
|
||
Completed |
NCT03296891 -
Point of Care Ultrasonography In The Management of Shock: A Pilot Study
|
N/A | |
Recruiting |
NCT05922982 -
Norepinephrine Weaning Guided by the Hypotension Prediction Index in Vasoplegic Shock After Cardiac Surgery
|
N/A | |
Withdrawn |
NCT04705701 -
Comparing Post Cardiac Surgery Outcomes in ESRD Patient's With Early Dialysis Versus Standard Care
|
N/A | |
Recruiting |
NCT04615065 -
Acutelines: a Large Data-/Biobank of Acute and Emergency Medicine
|
||
Completed |
NCT05330676 -
Evaluation of Microcirculatory Function and Mitochondrial Respiration After Cardiovascular Surgery
|
||
Active, not recruiting |
NCT04079829 -
Postoperative Respiratory Abnormalities
|
||
Completed |
NCT04089098 -
VOLume and Vasopressor Therapy in Patients With Hemodynamic instAbility
|
||
Completed |
NCT03190408 -
Variation in Fluids Administered in Shock
|