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CompletedNCT00299650Updated Oct 10, 2008

Systematic Early Use of Neuromuscular Blocking Agents in ARDS Patients

A Phase 4 interventional study of cisatracurium and Placebo in ARDS, sponsored by Assistance Publique Hopitaux De Marseille. Completed at 20 sites in France. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2008-10-10.

Sponsored by Assistance Publique Hopitaux De Marseille · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
340
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

The use of neuromuscular blocking agents (NMBA) in ARDS patients has not been extensively investigated. The aim of the study is to show a reduction of the mortality rate of ARDS patients.

Read the detailed description

The use of neuromuscular blocking agents (NMBA) in ARDS patients has not been extensively investigated. It has been recently demonstrated that a systematic 48-h infusion of NMBA is associated with a significant improvement in oxygenation as compared with a control group (Gainnier et al., Crit Care Med 2004). Moreover, a trend towards a reduction in the mortality rate has been observed. The aim of the study is to show a reduction of the mortality rate of ARDS patients.

02

Conditions studied

  • ARDS

Keywords

  • ARDS
  • mortality
  • mechanical ventilation
  • pneumonia
  • muscle relaxants
03

In context

Lead sponsor

Assistance Publique Hopitaux De Marseille is the lead sponsor of 686 studies on the registry; 148 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • ARDS with a PaO2 / FiO2 \< 150 with a PEEP > 5 since less than 48 hrs
  • informed consent

Exclusion criteria

Exclusion Criteria:

  • NMBA allergy
  • Continuous administration of NMBA for ARDS prior inclusion
  • Age \< 18 yrs
  • SAPS II > 70
  • Persistent air leak
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
340 participants (estimated)

Study arms

  • Placebo comparator
    A

    Drug: Placebo

  • Active comparator
    B

    Drug: cisatracurium · Drug: Cisatracurium besilate

Interventions

  • Drugcisatracurium
  • DrugPlacebo

    physiological serum infusion

  • DrugCisatracurium besilate

    Cisatracurium besilate infusion (900mg/day)

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What researchers measure

Primary outcomes

  1. Reduction of the mortality rate of ARDS patients at d90

    Time frame: 36 months

Secondary outcomes

  1. Mortality at day 28, day 60, day 180 and ICU mortality, Ventilator-free days and alive at day 28 and day 60, Exposure time to FIO2 > 80% or PEEP > 10 cmH2O during the first 7 days, Sedatives and analgesics requirements during the first 7 days

    Time frame: march 2009

  2. Organ failure-free days and alive at day 28, Incidence of barotrauma, Incidence of critical illness neuromyopathy, Incidence of ventilator-associated pneumonia, Quality of life at day 180

    Time frame: march 2009

07

Study locations

20 sites
  • Réanimation polyvalente
    Aix en Provence, France
  • Réanimation Polyvalente
    Avignon, France
  • Hôpital Jean Minjoz - Réanimation médicale
    Besancon, France
  • Hôpital Pellegrin - Réanimation médicale
    Bordeaux, France, France
  • Réanimation médicale
    Brest, France
  • Réanimation chirurgicale
    Clermont-Ferrand, France
  • Hôpital de la Tronche - Réanimation médicale
    Grenoble, France
  • Hôpital de la croix rousse - Réanimation médicale
    Lyon, France
  • Hôpital Ambroise Paré - Réanimation
    Marseille, 13000, France
  • Hôpital Sainte-Marguerite - Réanimation médicale
    Marseille, 13009, France
  • Réanimation Polyvalente - Hôpital Sainte-Marguerite
    Marseille, 13009, France
  • Hôpital Nord - Réanimation
    Marseille, 13015, France
  • Réanimation chirurgicale
    Montpellier, France
  • Réanimation médicale
    Nice, France
  • Réanimation chirurgicale
    Nimes, France
  • Réanimation Médicale
    Nimes, France
  • Hôpital Saint-Louis - Réanimation médicale
    Paris, France
  • Hôpital Pontchaillou - Réanimation médicale
    Rennes, France
  • Hôpital Bellevue - Réanimation Médicale
    Saint-Etienne, France
  • Réanimation polyvalente
    Toulon, France
08

References and documents

Publications

  • Guerin C, Papazian L, Reignier J, Ayzac L, Loundou A, Forel JM; investigators of the Acurasys and Proseva trials. Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilation in two randomized controlled trials. Crit Care. 2016 Nov 29;20(1):384. doi: 10.1186/s13054-016-1556-2. PubMed 27894328 ↗
  • Papazian L, Forel JM, Gacouin A, Penot-Ragon C, Perrin G, Loundou A, Jaber S, Arnal JM, Perez D, Seghboyan JM, Constantin JM, Courant P, Lefrant JY, Guerin C, Prat G, Morange S, Roch A; ACURASYS Study Investigators. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med. 2010 Sep 16;363(12):1107-16. doi: 10.1056/NEJMoa1005372. PubMed 20843245 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 10, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00299650
Lead sponsor
Assistance Publique Hopitaux De Marseille
Collaborators
GlaxoSmithKline
First posted
Mar 7, 2006
Start date
Mar 2006
Primary completion
Oct 2008
Completion
Oct 2008
Last update
Oct 10, 2008

Study contacts

Laurent Papazian, MD
principal investigator · Assistance Publique Hôpitaux de Marseille

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2008. You cannot join it, but the record below documents what was studied.

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