UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041074
Receipt number R000046911
Scientific Title Higher PEEP ventilation strategy in patients with acute respiratory distress syndrome: a systematic review and meta-analysis
Date of disclosure of the study information 2020/07/12
Last modified on 2021/01/11 18:11:53

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Basic information

Public title

Higher PEEP ventilation strategy in patients with acute respiratory distress syndrome: a systematic review and meta-analysis

Acronym

Higher PEEP ventilation strategy in patients with acute respiratory distress syndrome: a systematic review and meta-analysis

Scientific Title

Higher PEEP ventilation strategy in patients with acute respiratory distress syndrome: a systematic review and meta-analysis

Scientific Title:Acronym

Higher PEEP ventilation strategy in patients with acute respiratory distress syndrome: a systematic review and meta-analysis

Region

Japan


Condition

Condition

Acute respiratory distress syndrome (ARDS)

Classification by specialty

Pneumology Emergency medicine Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this systematic review is to evaluate the effects of the higher PEEP in ARDS/ALI patients admitted to the ICU. We will examine whether a Higher PEEP ventilation strategy improves clinical outcomes, including mortality, compared with lower PEEP ventilation strategy.

Basic objectives2

Others

Basic objectives -Others

Not applicable

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

28-day mortality: If 28-day mortality is not reported, hospital mortality or mortality at the nearest-follow-up will be employed. If the Kaplan-Meier curve is reported, it is read from that figure.

Key secondary outcomes

Long term mortality: longest follow-up regardless of the duration of follow-up will be employed
ADLs: ADLs measured by one of the following
a) Barthel Index, Katz Index, DASC-21, Lawton
b) component of measurements of QOLs
c) Author's definition
QoL: A QoL measured by one of the following
a) Short Form 36 (SF-36) (18)
b) Health Assessment Questionnaire (HAQ)
c) Sick ness profile impact (SIP)(19)
d) other

P/F: PaO2, FiO2 ratio for Day 1 (not including the baseline)
VFD at 28: Ventilation free day up to 28 days.
Barotrauma/ VILI: New pneumothorax, mediastinal emphysema, subcutaneous emphysema, new thoracic drainage, or author-defined Barotrauma/ VILI.


Base

Study type

Others,meta-analysis etc


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


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

16 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

We will include randomized controlled trials (RCTs or cluster RCTs). We will exclude crossover trials, quasi-randomized, non-randomized trials.

Types of participants
Inclusion Criteria (meet all)
16 years and older
ARDS or ALI
Invasive mechanical ventilation

The definition of ARDS or ALI is one of the following:
a) The North-American-European Consensus Conference on ARDS (NAECC) (Bernard 1994) (3)
b) The Lung Injury Severity Score (LISS) (Murray 1988)(17)
c) The Berlin definition (Ranieri 2012)(4,17)
d) Other author's definition

Key exclusion criteria

Exclusion criteria (any of which are met)

Controlled by noninvasive ventilation (NIV)

Target sample size

0


Research contact person

Name of lead principal investigator

1st name Ryohei
Middle name
Last name Yamamoto

Organization

Graduate school of medicine and public health, Kyoto University

Division name

Department of Healthcare Epidemiology

Zip code

606-8501

Address

Yoshida Konoe-cho, Sakyo-ku, Kyoto, Japan

TEL

075-753-4646

Email

ryoheiyamamoto11@gmail.com


Public contact

Name of contact person

1st name Ryohei
Middle name
Last name Yamamoto

Organization

Graduate school of medicine and public health, Kyoto University

Division name

Department of Healthcare Epidemiology

Zip code

606-8501

Address

Yoshida Konoe-cho, Sakyo-ku, Kyoto, Japan

TEL

075-753-4646

Homepage URL


Email

ryoheiyamamoto11@gmail.com


Sponsor or person

Institute

Graduate school of medicine and public health, Kyoto University Department of Healthcare Epidemiology

Institute

Department

Personal name



Funding Source

Organization

self funding

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

Not applicable

Address

Not applicable

Tel

Not applicable

Email

Not applicable


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

2020 Year 07 Month 12 Day


Related information

URL releasing protocol

https://www.dropbox.com/s/9amkpzw09uj31hg/CQ10_higher%20PEEP%20vs%20lower%20PEEP_protocol_eng2020092

Publication of results

Unpublished


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

Preinitiation

Date of protocol fixation

2020 Year 06 Month 20 Day

Date of IRB


Anticipated trial start date

2020 Year 06 Month 20 Day

Last follow-up date

2020 Year 12 Month 31 Day

Date of closure to data entry

2021 Year 03 Month 31 Day

Date trial data considered complete


Date analysis concluded

2021 Year 04 Month 30 Day


Other

Other related information

See attached file for more details on the protocol


Management information

Registered date

2020 Year 07 Month 12 Day

Last modified on

2021 Year 01 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046911


Research Plan
Registered date File name
2020/09/22 CQ10_higher PEEP vs lower PEEP_protocol_eng20200922.pdf

Research case data specifications
Registered date File name

Research case data
Registered date File name