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Sponsored by: |
Medical University of Vienna |
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Information provided by: | Medical University of Vienna |
ClinicalTrials.gov Identifier: | NCT00708747 |
Morbidity and mortality in patients suffering from systemic inflammatory response syndrome (SIRS) remain high. The primary aim of the present study is to assess the efficacy of a standardized 5% serum-protein solution containing immunoglobulins on serum cytokine levels. The secondary aim is to evaluate survival of the patients.
Condition | Intervention | Phase |
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Systemic Inflammatory Response Syndrome |
Drug: Albumin (5% serum-protein solution containing immunoglobulins) Drug: Biseko |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Active Control, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Biseko Versus Albumin in the Treatment of High Risk Patients With Systemic Inflammatory Response Syndrome - a Randomized Controlled Trial |
Enrollment: | 40 |
Study Start Date: | July 1996 |
Study Completion Date: | September 2003 |
Primary Completion Date: | June 2001 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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B: Experimental
Patients were randomised to receive a commercially available standardised 5% serum-protein solution (Biseko, Biotest, Dreieich, Germany) containing all important transport and inhibitor proteins as well as immunoglobulins
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Drug: Biseko
Standardised 5% serum-protein solution (Biseko, Biotest, Dreieich, Germany) was given intravenously at a volume of 1,000 ml on the first day and 500 ml/day during the following four days.
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A: Active Comparator
Patients were randomised to receive a 5% albumin solution
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Drug: Albumin (5% serum-protein solution containing immunoglobulins)
5% albumin was given intravenously at a volume of 1,000 ml on the first day and 500 ml/day during the following four days.
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Out of 40 patients randomised, 18 patients received albumin, 20 patients received Biseko and 2 patients died before receiving the complete study medication. During days 1-6 of the study period, serum-levels of IL-1ß were significantly lower in patients with Biseko-therapy compared to patients receiving albumin (IL-1ß-Area under the curve 65.04 ± 71.09 days.pg/ml and 111.05 ± 156.97 days.pg/ml respectively, P=0.03). No difference could be found in serum-levels of IL-6, TNF-α and TNF-R between both groups. While a statistically not significant trend towards better survival was observed in the Biseko-group on day 28, the survival rate on day 180 was significantly higher in the Biseko-group [9/18 (50%)] vs. albumin- group [2/20 (10%), (P=0.008)].
Conclusion: Data suggest that Biseko treatment was associated with significantly lower IL-1ß plasma concentrations (d1 to 6) and improved long-term survival rates.
The data provided in our study are the first to be collected in a randomized, controlled trial. Certainly, the small number of patients and the variety of diseases limit our study, however, the variety of diseases reflects the realistic large scale of morbidity in the medical intensive care unit.
Ages Eligible for Study: | 18 Years to 85 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients aged between 18 and 85 years fulfilling at least two of the four SIRS criteria:
Exclusion Criteria:
Responsible Party: | Medical University Vienna ( Michael Frass ) |
Study ID Numbers: | 2340 |
Study First Received: | June 26, 2008 |
Last Updated: | July 1, 2008 |
ClinicalTrials.gov Identifier: | NCT00708747 |
Health Authority: | Austria: Agency for Health and Food Safety |
Immunoglobulins inhibitor proteins human albumin |
systemic inflammatory response syndrome interleukins standardized serum-protein solution |
Systemic Inflammatory Response Syndrome Antibodies Shock Immunoglobulins Inflammation |
Pathologic Processes Disease Immunologic Factors |
Syndrome Physiological Effects of Drugs Pharmacologic Actions |