UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000006484
Receipt number R000007694
Scientific Title A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration)
Date of disclosure of the study information 2011/10/05
Last modified on 2014/07/18 16:49:50

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Basic information

Public title

A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration)

Acronym

A study of appropriate fluid volume for resuscitation

Scientific Title

A study of appropriate fluid volume for resuscitation (evaluation of stroke volume variation under spontaneous respiration)

Scientific Title:Acronym

A study of appropriate fluid volume for resuscitation

Region

Japan


Condition

Condition

Patients with a decrease in effective intravascular volume; dehydration, hemorrhagic shock, septic shock, and so on)

Classification by specialty

Medicine in general Surgery in general Emergency medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Firstly, we measure stroke volume variation (SVV) value when the stroke volume index dose not increase even on continuance of fluid resuscitation in the patients with spontaneous respiration . Secondary, we compare the value with the reported parameters for appropriate fluid resuscitation volume (for example, diameter of inferior vena cava, central venous pressure, lactate value, and so on). Finally, we evaluate the efficacy of measuring SVV for appropriate fluid resuscitation volume

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

No increasing of SVI under fluid resuscitation shows that the effective intravascular volume is achieved by fluid resuscitation. At this point, the following parameters are measured, vital signs, diameter of IVC, blood gas data, arterial lactate, ejection fraction, central venous pressure, ScvO2, and SVV value. We detect the best parameter for appropriate fluid resuscitation volume using receiving operating curve analysis.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment

Interventions/Control_1

Measuring invasive arterial blood pressure

Interventions/Control_2


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

15 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) &#8805; 16 year-old
2) Patients with a decrease in effective intravascular volume and fluid resuscitation therapy ( hemorrhagic shock, dehydration, septic shock, and so on)
3) Patients with measuring invasive arterial blood pressure

Key exclusion criteria

1) Patients rejected intensive care management
2) Patients with terminal stage of malignant disease
3) Patients without informed consent

Target sample size

100


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Akiyoshi Hagiwara

Organization

National center for global health and medicine

Division name

Emergency medicine and critical care

Zip code


Address

1-21-1 Toyama Shinjyuku^ku Tokyo Japan

TEL

03-3202-7181

Email

ahagiwar@hosp.ncgm.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Akiyoshi Hagiwara

Organization

National center for global health and medicine

Division name

Emergency medicine and critical care

Zip code


Address

1-21-1 Toyama Shinjyuku^ku Tokyo Japan

TEL

03-3202-7181

Homepage URL


Email

ahagiwar@hosp.ncgm.go.jp


Sponsor or person

Institute

National center for global health and medicine

Institute

Department

Personal name



Funding Source

Organization

National center for global health and medicine

Organization

Division

Category of Funding Organization

Self funding

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 10 Month 05 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Patients (n= 37) with septic shock who were fitted with FloTrac sensor. The mean of lactate value, IVC diameters, SVV values during initial fluid resuscitation vs. "stable svv" were 6.0 vs.1.8 mmol/L, 11 vs. 19 mm and 18.6 vs.8.8%, respectively (p < 0.001). Fluctations in SVV curves calculated by fast Fourier transformation resulted in a Lorentzian spectrum. The amplitude of all curves peaked at frequency = 0 and became significantly lower when "SVV stable" than during fluid therapy (1.3 vs.3.7%; p < 0.001).

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

Completed

Date of protocol fixation

2011 Year 07 Month 20 Day

Date of IRB


Anticipated trial start date

2011 Year 08 Month 01 Day

Last follow-up date

2013 Year 12 Month 01 Day

Date of closure to data entry

2013 Year 12 Month 01 Day

Date trial data considered complete

2013 Year 12 Month 01 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2011 Year 10 Month 05 Day

Last modified on

2014 Year 07 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007694


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name