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Status unknownNCT03831685LAPHSUSUpdated Feb 11, 2019

Blood Lactate Level for Pre-hospital Orientation of Septic Shock

An observational study in Sepsis and Lactate Blood Increase, sponsored by Hôpital Necker-Enfants Malades. Status unknown at 1 site in France. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-02-11.

Sponsored by Hôpital Necker-Enfants Malades · Observational

The sponsor has not verified this record recently (last verified Feb 2019), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Study summary

In the pre-hospital setting, the severity assessment of septic shock is essential to decide the optimal initial in-hospital level of care. As clinical signs can be faulted, there is a need for an additional element in order to enhance the severity assessment and to decide in-hospital admission in the intensive care unit (ICU) or in the emergency department (ED). Point of care medical device yielding blood lactate levels since the pre-hospital setting may give an easy and valuable element for the severity assessment and the decision-making.

The aim of this study is to provide clinical evidence that the pre-hospital blood lactate level predicts the 30-day mortality of patients with septic shock.

Read the detailed description

This trial is a prospective, observational, non-randomized controlled study. A total of 1000 patients requiring mobile intensive care unit intervention for a septic shock in the pre-hospital setting will be included. Pre-hospital blood lactate levels will not be taken into account to decide patients treatments and/or ED or ICU admission. In the pre-hospital setting, each patient will benefit from 2 measurements of blood lactate level: initial measurement at the first contact, and final measurement at the hospital admission with a specific point of care medical device.

02

Conditions studied

  • Sepsis
  • Lactate Blood Increase

Keywords

  • sepsis
  • lactate
  • prehospital
  • prediction
  • mortality
03

In context

Sepsis

2,416 studies on the registry are indexed under Sepsis; 541 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 150 across 1,162 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Hôpital Necker-Enfants Malades is the lead sponsor of 22 studies on the registry; 5 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 and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with septic shock in the pre-hospital setting requiring mobile intensive care unit intervention

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age > 18 years either sex
  • Severe sepsis according to the French anesthesiology and intensive care society (SFAR) and intensive care society (SRLF) conference 2005 defined by the existence of an infectious disease and at least one the following:

    • Low blood pressure prior to volume expansion
    • Glasgow coma scale \< 13
    • Skin mottling score > 2
  • Septic shock according to the French anesthesiology and intensive care society (SFAR) and intensive care society (SRLF) conference 2005 definition

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Pregnancy
  • Serious comorbid conditions with a not to be reanimated status known since pre-hospital setting
  • Patients with guardianship or curator
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • OtherBlood sample

    Patients meeting the inclusion criteria and none of the non-inclusion criteria will benefit from 2 venous blood samples in order to precise the initial blood lactate level, e.g. at the first medical contact, and the final blood lactate level, e.g. at the hospital admission.

06

What researchers measure

Primary outcomes

  1. Mortality after inclusion

    mortality rate

    Time frame: 30 days

Secondary outcomes

  1. Intensive Care Unit length of stay

    Duration of ICU length of stay

    Time frame: 90 days

  2. Hospital length of stay

    Duration of Hospital length of stay

    Time frame: 90 days

  3. Mechanical ventilatory support

    Duration of mechanical ventilation

    Time frame: 30 days

  4. Hemodynamic support

    Duration of catecholamines' infusion

    Time frame: 30 days

  5. Duration of hemodiaflitration

    Duration of extra renal support

    Time frame: 30 days

07

Study locations

1 of 1 sites recruiting
  • APHP Necker Enfants Malades
    Paris, 75015, France
    Recruiting
    • Romain Jouffroy, MD · Contactromain.jouffroy@aphp.fr · +3314495989
    • Benoit Vivien, MD, PhD · Contactbenoit.vivien@aphp.fr · +33144492424
    • Jean Pierre Tourtier, MD, PhD · Principal investigator
    • Guillaume Debaty, MD, PhD · Principal investigator
    • Vincent Bounes, MD, PhD · Principal investigator
    • Papa Gueye Ngalgou, MD, PhD · Principal investigator
08

References and documents

Publications

  • Marecaux G, Pinsky MR, Dupont E, Kahn RJ, Vincent JL. Blood lactate levels are better prognostic indicators than TNF and IL-6 levels in patients with septic shock. Intensive Care Med. 1996 May;22(5):404-8. doi: 10.1007/BF01712155. PubMed 8796390 ↗
  • Bakker J, Coffernils M, Leon M, Gris P, Vincent JL. Blood lactate levels are superior to oxygen-derived variables in predicting outcome in human septic shock. Chest. 1991 Apr;99(4):956-62. doi: 10.1378/chest.99.4.956. PubMed 2009802 ↗
  • Cicarelli DD, Vieira JE, Bensenor FE. [Lactate as a predictor of mortality and multiple organ failure in patients with the systemic inflammatory response syndrome.]. Rev Bras Anestesiol. 2007 Dec;57(6):630-8. doi: 10.1590/s0034-70942007000600005. Portuguese. PubMed 19462139 ↗
  • Gaieski DF, Goyal M. Serum lactate as a predictor of mortality in emergency department patients with infection: does the lactate level tell the whole story? Ann Emerg Med. 2005 Dec;46(6):561-2; author reply 562. doi: 10.1016/j.annemergmed.2005.07.021. No abstract available. PubMed 16308078 ↗
  • Mikkelsen ME, Miltiades AN, Gaieski DF, Goyal M, Fuchs BD, Shah CV, Bellamy SL, Christie JD. Serum lactate is associated with mortality in severe sepsis independent of organ failure and shock. Crit Care Med. 2009 May;37(5):1670-7. doi: 10.1097/CCM.0b013e31819fcf68. PubMed 19325467 ↗
  • Shapiro NI, Howell MD, Talmor D, Nathanson LA, Lisbon A, Wolfe RE, Weiss JW. Serum lactate as a predictor of mortality in emergency department patients with infection. Ann Emerg Med. 2005 May;45(5):524-8. doi: 10.1016/j.annemergmed.2004.12.006. PubMed 15855951 ↗
  • Arnold RC, Shapiro NI, Jones AE, Schorr C, Pope J, Casner E, Parrillo JE, Dellinger RP, Trzeciak S; Emergency Medicine Shock Research Network (EMShockNet) Investigators. Multicenter study of early lactate clearance as a determinant of survival in patients with presumed sepsis. Shock. 2009 Jul;32(1):35-9. doi: 10.1097/shk.0b013e3181971d47. PubMed 19533847 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2018 (actual). Primary completion is estimated for Mar 2022, 48 months after the start.

Of 491 non-industry observational studies under Sepsis, half reached primary completion within 29 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 58. This study's planned 48 months is above that.

Counting every sponsor, half of 543 studies reached it within 27 months; a quarter within 12 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2019
First posted
Feb 6, 2019
StartActual
Mar 1, 2018
Primary completionEst.
Mar 1, 2022
CompletionEst.
Mar 1, 2022
Last update
Feb 11, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 11, 2019, 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
NCT03831685
Lead sponsor
Hôpital Necker-Enfants Malades
Collaborators
Fire Brigade Of Paris Emergency Medicine Dept, University Hospital, Grenoble, University Hospital, Toulouse, University Hospital Center of Martinique
Responsible party
Romain Jouffroy (PI, Hôpital Necker-Enfants Malades) — Principal investigator
First posted
Feb 6, 2019
Start date
Mar 1, 2018
Primary completion
Mar 1, 2022 (estimated)
Completion
Mar 1, 2022 (estimated)
Last update
Feb 11, 2019

Study contacts

Romain Jouffroy, MD
Contact
romain.jouffroy@gmail.com
+33144495989
Benoit Vivien, MD, PhD
Contact
benoit.vivien@aphp.fr
+3314492424
Romain Jouffroy, MD
principal investigator · APHP - Necker enfants malades Hospital - SAMU Anesthesiology and intensive care unit

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2019. You cannot join it, but the record below documents what was studied.

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