UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000005593
Receipt number R000006527
Scientific Title Fever and Antipyretic in Critically ill Evaluation :phase II randomized controlled trial (FACE II trial)
Date of disclosure of the study information 2011/09/01
Last modified on 2014/05/14 16:48:01

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Basic information

Public title

Fever and Antipyretic in Critically ill Evaluation :phase II randomized controlled trial (FACE II trial)

Acronym

Fever and Antipyretic in Critically ill Evaluation :phase II randomized controlled trial

Scientific Title

Fever and Antipyretic in Critically ill Evaluation :phase II randomized controlled trial (FACE II trial)

Scientific Title:Acronym

Fever and Antipyretic in Critically ill Evaluation :phase II randomized controlled trial

Region

Asia(except Japan)


Condition

Condition

All patients admitted to intensive care with a temperature higher than 38.0 degrees C for study enrolment.

Classification by specialty

Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The primary aim is to compare the effects of two temperature targets on ICU-free survival at 28 days in non-neurologically-injured patients requiring emergency intensive care admission who have a temperature of hier than 38.0 degres C at any time during their ICU admission. The null hypothesis is that there is no difference in ICU-free survival at day 28 in those patients assigned a temperature target of < 38 degrees C and those assigned a temperature target of < 39.6 degrees C.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The principal study outcome will be whether the number of 'alive ICU-free days' measured at day 28. This outcome will be determined by the research coordinator at each participating centre. The study monitor will verify the source documentation at each monitoring visit. Alive ICU-free days is a robust outcome, and although unintended bias in outcome assessment is unlikely, this will be refined by the secondary endpoint of 'need for intensive care support'.

Key secondary outcomes

Time without requirement for any of the following:
1. vasoactive agent
2. renal replacement therapy
3. invasive or non-invasive positive pressure ventilation


Base

Study type

Interventional


Study design

Basic design

Factorial

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

In the intensive strategy, at study entry, any antipyretics (physical cooling or medications) should be prescribed if the patient's core temperature is equal or greater than 38.0. Antipyretic will be stopped when core temperature is less than 37.5.

Interventions/Control_2

In the permissive strategy, any antipyretics (physical cooling or medications) may be considered for use, at the discretion of the treating clinician, if the patient's core temperature is equal or greater than 39.5. Antipyretic will be stopped when core temperature is less than 39.0.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients are eligible to be included in the study if:
1.= or >20 years old
2.Patients who expected to still be ICU the day after tomorrow of randomization.
3.Patients who expected NOT to have a requirement for an analgesic regimen containing paracetamol, NSAIDs or COX-2 inhibitors within the next 3 days.
4.Patients in which body temperature (esophageal, bladder, renal, blood, tympanic membrane or axillary temperature) can be measured at least every four hourly.
5.Documented core temperature greter than 38.0 degree of Celsius in ICU (if tympanic & axillary, > 37.5 degree of Celsius)

Key exclusion criteria

1.Acute brain injury defined as acute traumatic brain injury, subarachnoid haemorrhage, acute ischaemic stroke, acute intracerebral haemorrhage, acute intracranial infection or cardiac arrest
2.The treating clinician expects the patient to have a requirement for an analgaesic regimen containing paracetamol, NSAIDs or COX-2 inhibitors within the next 3 days.
3.Diagnosis of heat stroke, or, malignant hyperthermia, neuroleptic malignant syndrome, or other drug-induced hyperthermia, rhabdomyolysis, and thyrotoxicosis
4.Pregnancy
5.Imminent death (cardiac standstill or brain death anticipated in less than 24 hours) and the treating clinicians are not committed to full supportive care.

Target sample size

310


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaji Nishimura

Organization

The Tokushima University Hospital

Division name

Emergency and Critical Care Medicine

Zip code


Address

2-50-1 Kuramoto, Tokushima 770-8503, Japan

TEL

088-633-9425

Email

nmasaji@tokushima-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name IRB

Organization

The Tokushima University Hospital

Division name

IRB

Zip code


Address

2-50-1 Kuramoto, Tokushima

TEL

088-633-9294

Homepage URL


Email

first-ec@clin.med.tokushima-u.ac.jp


Sponsor or person

Institute

The Tokushima University Hospital

Institute

Department

Personal name



Funding Source

Organization

Emergency and Critical Care Medicine, The Tokushima University Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 09 Month 01 Day


Related information

URL releasing protocol


Publication of results

Partially published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2011 Year 05 Month 01 Day

Date of IRB


Anticipated trial start date

2011 Year 10 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 05 Month 12 Day

Last modified on

2014 Year 05 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000006527


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name