Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Trial Review
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Download to PDF
Trial registered on ANZCTR
Registration number
ACTRN12614000744651
Ethics application status
Approved
Date submitted
3/06/2014
Date registered
14/07/2014
Date last updated
14/07/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
A comparison of the effects of different albumin solutions on severely ill adults in the intensive care unit.
Query!
Scientific title
Physiological and Biochemical Responses to Fluid Bolus Therapy with 4% versus 20% Human Albumin Solution in Critically Ill Adults
Query!
Secondary ID [1]
284726
0
Nil
Query!
Universal Trial Number (UTN)
Nil
Query!
Trial acronym
Nil
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Critical illness
292075
0
Query!
Condition category
Condition code
Other
292414
292414
0
0
Query!
Conditions of unknown or disputed aetiology (such as chronic fatigue syndrome/myalgic encephalomyelitis)
Query!
Intervention/exposure
Study type
Observational
Query!
Patient registry
False
Query!
Target follow-up duration
Query!
Target follow-up type
Query!
Description of intervention(s) / exposure
Intravenous fluid bolus therapy with either 4% or 20% human albumin solution administered according to clinician preference
Query!
Intervention code [1]
289509
0
Not applicable
Query!
Comparator / control treatment
Direct comparison of physiological and biochemical parameters following admisnitrations of 4% versus 20% human albumin solutions
Query!
Control group
Dose comparison
Query!
Outcomes
Primary outcome [1]
292612
0
Mean arterial pressure
Query!
Assessment method [1]
292612
0
Query!
Timepoint [1]
292612
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [1]
308615
0
Hospital mortality
Query!
Assessment method [1]
308615
0
Query!
Timepoint [1]
308615
0
hospital discharge
Query!
Secondary outcome [2]
309330
0
Heart rate
Query!
Assessment method [2]
309330
0
Query!
Timepoint [2]
309330
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [3]
309331
0
Systolic blood pressure
Query!
Assessment method [3]
309331
0
Query!
Timepoint [3]
309331
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [4]
309332
0
Diastolic blood pressure
Query!
Assessment method [4]
309332
0
Query!
Timepoint [4]
309332
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [5]
309333
0
Serum sodium
Query!
Assessment method [5]
309333
0
Query!
Timepoint [5]
309333
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [6]
309334
0
serum chloride
Query!
Assessment method [6]
309334
0
Query!
Timepoint [6]
309334
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [7]
309335
0
serum base excess
Query!
Assessment method [7]
309335
0
Query!
Timepoint [7]
309335
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Secondary outcome [8]
309336
0
serum creatinine
Query!
Assessment method [8]
309336
0
Query!
Timepoint [8]
309336
0
1, 2 and 4 hours post fluid bolus therapy
Query!
Eligibility
Key inclusion criteria
All adult ICU admissions who received either 4% or 20% (but not both) human albumin solution as fluid bolus therapy at our institution between April 2012 and March 2013
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
1. Patients received both 4% and 20% solution within 24 hours of baseline
2. Patients who had previously received any human albumin solution during their ICU stay
Query!
Study design
Purpose
Query!
Duration
Query!
Selection
Query!
Timing
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Date of first participant enrolment
Anticipated
1/04/2012
Query!
Actual
1/11/2012
Query!
Date of last participant enrolment
Anticipated
26/02/2013
Query!
Actual
26/02/2013
Query!
Date of last data collection
Anticipated
Query!
Actual
Query!
Sample size
Target
200
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
VIC
Query!
Recruitment hospital [1]
2540
0
Austin Health - Austin Hospital - Heidelberg
Query!
Recruitment postcode(s) [1]
8222
0
3084 - Heidelberg
Query!
Funding & Sponsors
Funding source category [1]
289343
0
Self funded/Unfunded
Query!
Name [1]
289343
0
Query!
Address [1]
289343
0
Query!
Country [1]
289343
0
Query!
Primary sponsor type
Individual
Query!
Name
Prof Rinaldo Bellomo
Query!
Address
Dept of Intensive Care,
Austin Health,
145 Studley road,
Heidelberg,
VIC 3084
Query!
Country
Australia
Query!
Secondary sponsor category [1]
288028
0
None
Query!
Name [1]
288028
0
Query!
Address [1]
288028
0
Query!
Country [1]
288028
0
Query!
Other collaborator category [1]
277987
0
Individual
Query!
Name [1]
277987
0
Dr Jonathan Bannard-Smith
Query!
Address [1]
277987
0
Dept of Intensive Care,
Austin Health,
145 Studley Road,
Heidelberg,
VIc 3084
Query!
Country [1]
277987
0
Australia
Query!
Ethics approval
Ethics application status
Approved
Query!
Ethics committee name [1]
291113
0
Local Ethics Committee
Query!
Ethics committee address [1]
291113
0
Office for Research, Level 8, Harold Stokes Building, Austin Hospital, Studley Road, Heidelberg, VIC 3084
Query!
Ethics committee country [1]
291113
0
Australia
Query!
Date submitted for ethics approval [1]
291113
0
Query!
Approval date [1]
291113
0
28/06/2014
Query!
Ethics approval number [1]
291113
0
LNR/14/Austin/313
Query!
Summary
Brief summary
Background: Fluid bolus therapy (FBT) is common in critically ill patients. With the exception of traumatic brain injury, FBT with human albumin solution appears safe and perhaps superior in severe sepsis/septic shock patients. However, 4% and 20% albumin solutions have different chloride contents and deliver different volumes. Objective: To compare the physiological and biochemical effects of FBT with 4% vs. 20% human albumin solution. Design: Retrospective observational study Setting: Tertiary intensive care unit Subjects: Critically ill patients receiving FBT with either 4% or 20% human albumin solution according to clinician preference Measurements and Main Results: We recorded demographic and clinical data for 202 patients (101 patients in each group). We obtained biochemical and hemodynamic data at baseline and at 1, 2 and 4 hours after the administration of either 4% or 20% human albumin solution. We compared the effect of FBT with the two solutions. Patients receiving 20% albumin had a higher incidence of pre-existing liver disease (P=0.003), were more likely to be on renal replacement therapy (P=0.005) and had higher APACHE III scores and predicted risk of death on admission (P=0.007 and <0.0001 respectively). Patients in the 4% group received a median volume of 500mls of albumin compared to 100mls in the 20% group (P<0.0001). There was a trend in higher mean arterial pressure values in the 20% group at 2 and 4 hours following the fluid bolus (P=0.056). There were no significant differences in absolute or percentage change of any haemodynamic parameters over the four hours following fluid bolus. Patients receiving 4% albumin demonstrated higher serum chloride levels and more negative bass excess (P =0.027 and 0.017, respectively). The difference in base excess was greater following post-hoc adjustment for risk of death (P=0.003/ 0.004) . Conclusions: FBT with 100 ml of 20% human albumin solution is hemodynamically equivalent to FBT with 500 ml of 4% human albumin solution but has a lesser effect on chloride levels and delivers 80% less fluid.
Query!
Trial website
Query!
Trial related presentations / publications
Query!
Public notes
This retrospective study involved the analysis of pre-existing data that is routinely entered into patient records. Local ethics approval has been granted prior to its analysis and write up for publication.
Query!
Contacts
Principal investigator
Name
48914
0
Prof Rinaldo Bellomo
Query!
Address
48914
0
Dept of Intensive Care,
Austin Health,
145 Studley Road,
Heidelberg,
VIC 3084
Query!
Country
48914
0
Australia
Query!
Phone
48914
0
+61 (0)3 9496 5000
Query!
Fax
48914
0
Query!
Email
48914
0
[email protected]
Query!
Contact person for public queries
Name
48915
0
Rinaldo Bellomo
Query!
Address
48915
0
Dept of Intensive Care,
Austin Health,
145 Studley Road,
Heidelberg,
VIC 3084
Query!
Country
48915
0
Australia
Query!
Phone
48915
0
+61 (0)3 9496 5000
Query!
Fax
48915
0
Query!
Email
48915
0
[email protected]
Query!
Contact person for scientific queries
Name
48916
0
Rinaldo Bellomo
Query!
Address
48916
0
Dept of Intensive Care,
Austin Health,
145 Studley Road,
Heidelberg,
VIC 3084
Query!
Country
48916
0
Australia
Query!
Phone
48916
0
+61 (0)3 9496 5000
Query!
Fax
48916
0
Query!
Email
48916
0
[email protected]
Query!
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF