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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01773083
Registration number
NCT01773083
Ethics application status
Date submitted
16/01/2013
Date registered
23/01/2013
Date last updated
16/02/2022
Titles & IDs
Public title
Trial of Nebulized Heparin Versus Placebo for Inhalation Trauma
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Scientific title
Randomized Controlled Trial Investigating the Efficacy and Safety of Nebulized Heparin Versus Placebo in Burn Patients With Inhalation Trauma (Hepburn)
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Secondary ID [1]
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2012-003289-42
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Secondary ID [2]
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HepBurn
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Universal Trial Number (UTN)
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Trial acronym
Hepburn
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Inhalation Injury
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Burn Injury
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Condition category
Condition code
Respiratory
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Other respiratory disorders / diseases
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Skin
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - unfractionated heparin
Treatment: Drugs - placebo
Experimental: unfractionated heparin - 25.000 IU/5 ml, will be nebulized 4 hourly (i.e. 6 times daily)
Placebo comparator: placebo - Sterile sodium chloride (NaCl 0.9%, Pfizer), in 5 ml, will be nebulized every 4 hours (i.e. 6 times daily)
Treatment: Drugs: unfractionated heparin
nebulized 6 times daily, daily dose 150.000 IU for the maximum duration of 14 days
Treatment: Drugs: placebo
Placebo: Sterile saline nebulized 6 times daily for the maximum duration of 14 days
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of ventilator-free days at day 28
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Assessment method [1]
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The number of ventilator-free days is defined as the number of days a patient is breathing without assist of a ventilator during the first 28 days; thus, the patient must be free of mechanical ventilation for 24 hours to have one ventilator-free day; if after successful detubation the patient requires a reintubation due to a surgical procedure, this reintubation will not count as a ventilator day - however, the day(s) will be counted as ventilator day(s) if mechanical ventilation is prolonged after surgery due to respiratory insufficiency.
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Timepoint [1]
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at day 28
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Secondary outcome [1]
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Clinical outcome parameters
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Assessment method [1]
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Clinical outcome parameters will include but not be restricted to: (a) length of stay (ICU and hospital); (b) mortality (28- and 90 days); (c) mortality (ICU and hospital); (d) daily Lung Injury Score (LIS); (e) daily Oxygenation Index (OI) ; (f) daily Sequential Organ Failure Assessment (SOFA)-scores ; (g) cumulative dosages of sedatives; (h) incidence of Ventilator-associated Pneumonia (VAP); (i) total number of bronchoscopy-guided cleaning of the larger airway
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Timepoint [1]
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daily or at day 28 and day 90
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Secondary outcome [2]
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Laboratory outcome parameters
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Assessment method [2]
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Levels of markers of coagulation and fibrinolysis in blood and lung lavage fluid, Levels of markers of inflammation in blood and lung lavage fluid, Biomarkers of lung injury in blood and lung lavage fluid
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Timepoint [2]
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Blood and lavage samples: on admission day and every other day for a maximum period of 14 days
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Secondary outcome [3]
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Safety parameters
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Assessment method [3]
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Safety parameters will include but not be restricted to: Occurrence of serious bleedings, any other transfusion of blood products - red cells and/or platelets and/or plasma, Confirmed Heparin induced thrombocytopenia, prolonged activated partial thromboplastin time (aPTT \> 150 seconds)
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Timepoint [3]
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daily, for a maximum period of 28 days
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Eligibility
Key inclusion criteria
* Informed consent
* Age > 18 years
* Need for invasive mechanical ventilation
* Confirmed inhalation trauma (bronchoscopically)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* > 36 hours after trauma
* Receiving invasive ventilation > 24 hours
* Expected duration of mechanical ventilation < 24 hours
* Chronic obstructive pulmonary disease GOLD stage III and IV
* Any history of pulmonary hemorrhage in the past 3 months
* Any history of significant bleeding disorder
* Known allergy to heparin, including heparin-induced thrombocytopenia
* Pregnancy or breast feeding
* Unlikely to survive for > 72 hours
* Total body surface area (TBSA) > 60%
* Witnessed or proven aspiration (i.e., confirmed by bronchoscopy)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2013
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2017
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Sample size
Target
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Accrual to date
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Final
13
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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St Vincent's Hospital - Melbourne
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Recruitment postcode(s) [1]
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3065 - Melbourne
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Recruitment outside Australia
Country [1]
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Belgium
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State/province [1]
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Oost-Vlaanderen
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Country [2]
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Belgium
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State/province [2]
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Vlaams-Brabant
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Country [3]
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Belgium
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State/province [3]
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Antwerpen
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Country [4]
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Netherlands
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State/province [4]
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Noord-Holland
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Country [5]
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Netherlands
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State/province [5]
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Zuid-Holland
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Country [6]
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Netherlands
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State/province [6]
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Groningen
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Funding & Sponsors
Primary sponsor type
Other
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Name
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Dutch Burns Foundation
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this international multi-center double-blind randomized placebo-controlled trial is to determine the effect of nebulized heparin, compared to placebo, on the number of ventilator-free days at day 28, in burn patients with confirmed inhalation trauma requiring mechanical ventilation.
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Trial website
https://clinicaltrials.gov/study/NCT01773083
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Trial related presentations / publications
Glas GJ, Muller J, Binnekade JM, Cleffken B, Colpaert K, Dixon B, Juffermans NP, Knape P, Levi MM, Loef BG, Mackie DP, Malbrain M, Schultz MJ, van der Sluijs KF. HEPBURN - investigating the efficacy and safety of nebulized heparin versus placebo in burn patients with inhalation trauma: study protocol for a multi-center randomized controlled trial. Trials. 2014 Mar 25;15:91. doi: 10.1186/1745-6215-15-91.
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Public notes
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Contacts
Principal investigator
Name
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Marcus J Schultz, MD-PhD
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Address
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Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01773083
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