BEST (Burn Center Evaluation of Standard Therapies) Ventilator Mode Study-
1 other identifier
interventional
62
1 country
1
Brief Summary
The purpose of this study is to compare High Frequency Pressure Ventilation (HFPV) to conventional mechanical ventilation. Hypothesis: Patients placed on HFPV will have significantly higher number of ventilator-free days compared to patients placed on a conventional volume mode.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jul 2006
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2006
CompletedFirst Submitted
Initial submission to the registry
July 11, 2006
CompletedFirst Posted
Study publicly available on registry
July 13, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2010
CompletedResults Posted
Study results publicly available
December 28, 2010
CompletedSeptember 21, 2015
September 1, 2015
3.6 years
July 11, 2006
July 16, 2010
September 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Ventilator-free Days During the First 28 Days
The primary end point was ventilator-free days in the first 28 days, defined as the number of days after randomization from day 0 to day 28 alive without ventilator assistance for at least 48 consecutive hrs.
28 days
Secondary Outcomes (6)
Days Free From Nonpulmonary Organ Failure
28
Death
during hospitalization
Ventilator Associated Pneumonia
28 days
Need for Rescue Ventilator
28 days
Barotrauma
28 days
- +1 more secondary outcomes
Study Arms (2)
High Frequency
EXPERIMENTALProvide standard ventilatory support for burn patients utilizing high frequency percussive ventilation
Conventional
ACTIVE COMPARATORStandard ventilator support for non burned patients utilizing lung protective low tidal volume ventilation
Interventions
Ventilatory support delivering high frequency percussive ventilation using the Volumetric Diffusive Respirator
Respiratory support with a conventional mode of ventilation using a conventional ventilator (Draeger Evita XL)
Eligibility Criteria
You may qualify if:
- Patients who are deemed to require ventilatory support for more than 24 hours from the time of screening.
You may not qualify if:
- Anticipated extubation within 24 hours of screening
- Patients who are pregnant Patients not expected to survive for more than 24 hours
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
United States Army Institute of Surgical Research
Fort Sam Houston, Texas, 78234, United States
Related Publications (3)
Salim A, Martin M. High-frequency percussive ventilation. Crit Care Med. 2005 Mar;33(3 Suppl):S241-5. doi: 10.1097/01.ccm.0000155921.32083.ce.
PMID: 15753734BACKGROUNDAcute Respiratory Distress Syndrome Network; Brower RG, Matthay MA, Morris A, Schoenfeld D, Thompson BT, Wheeler A. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301-8. doi: 10.1056/NEJM200005043421801.
PMID: 10793162BACKGROUNDChung KK, Wolf SE, Renz EM, Allan PF, Aden JK, Merrill GA, Shelhamer MC, King BT, White CE, Bell DG, Schwacha MG, Wanek SM, Wade CE, Holcomb JB, Blackbourne LH, Cancio LC. High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial. Crit Care Med. 2010 Oct;38(10):1970-7. doi: 10.1097/CCM.0b013e3181eb9d0b.
PMID: 20639746DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
After 3 yrs of enrollment, interim analysis revealed a significant number of subjects in the Conventional arm required rescue, which served as the trigger to close the study to further enrollment.
Results Point of Contact
- Title
- Principal Investigator
- Organization
- USAISR
Study Officials
- PRINCIPAL INVESTIGATOR
Kevin K Chung, MD
United States Army Insitute of Surgical Research
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Administrator
Study Record Dates
First Submitted
July 11, 2006
First Posted
July 13, 2006
Study Start
July 1, 2006
Primary Completion
February 1, 2010
Study Completion
February 1, 2010
Last Updated
September 21, 2015
Results First Posted
December 28, 2010
Record last verified: 2015-09