Early Non Invasive Ventilation in Immuno-compromized Patients With Acute Respiratory Failure.
IVNICTUS
1 other identifier
interventional
374
1 country
1
Brief Summary
Assess the superiority of early non invasive ventilation in comparison to Oxygen therapy only, for immuno-compromized patients with acute respiratory failure
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2013
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 26, 2013
CompletedStudy Start
First participant enrolled
August 1, 2013
CompletedFirst Posted
Study publicly available on registry
August 5, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedApril 18, 2016
November 1, 2015
2 years
July 26, 2013
April 15, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Day 28 Mortality
Day 28
Secondary Outcomes (5)
Needs of mechanical ventilation
Day 28
SOFA Score
Hour 72
Nosocomial infection
day 28
Length of stay in ICU
Day 28
performance status (OMS scale ranging from 0-perfect status- to 4-moribund)
6 Months
Study Arms (2)
Early non invasive ventilation
EXPERIMENTALEarly non invasive ventilation
Oxygen therapy only
ACTIVE COMPARATOROxygen therapy only
Interventions
Eligibility Criteria
You may qualify if:
- Age over 18 years old
- ICU admission
- Acute respiratory failure defined by (PaO2\<60 mmHg at room air) or (polypnea \>30/min or dyspnea at rest) or respiratory distress. Since less than 72 hours.
- Immuno compromized patient defined by solid tumor (treated since less than 5 years) or haematological malignancy (treated since less than 5 years) or Solid organ transplantation or Stem cell transplantation or Immunosuppressive treatment (steroid \> 1mg/kg/d or \>1 month or other immunosuppressive treatment \>1 month)
You may not qualify if:
- Hypercapnia \>50 mmHg or increased of hypercapnia \>10 mmHg under Oxygen treatment
- Need of immediate mechanical ventilation
- Obvious cardiogenic oedema
- Vasopressor use \>0.03 µg/kg/min
- Glasgow Score \<13
- End of life decision
- Acute myocardial infarction
- Patient refusal
- Pregnancy
- No national health insurance
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
APHP, Hôpital Saint Louis
Paris, 75010, France
Related Publications (2)
Lemiale V, Resche-Rigon M, Azoulay E; Study Group for Respiratory Intensive Care in Malignancies Groupe de Recherche en Reanimation Respiratoire du patient d'Onco-Hematologie. Early non-invasive ventilation for acute respiratory failure in immunocompromised patients (IVNIctus): study protocol for a multicenter randomized controlled trial. Trials. 2014 Sep 25;15:372. doi: 10.1186/1745-6215-15-372.
PMID: 25257210BACKGROUNDLemiale V, Mokart D, Resche-Rigon M, Pene F, Mayaux J, Faucher E, Nyunga M, Girault C, Perez P, Guitton C, Ekpe K, Kouatchet A, Theodose I, Benoit D, Canet E, Barbier F, Rabbat A, Bruneel F, Vincent F, Klouche K, Loay K, Mariotte E, Bouadma L, Moreau AS, Seguin A, Meert AP, Reignier J, Papazian L, Mehzari I, Cohen Y, Schenck M, Hamidfar R, Darmon M, Demoule A, Chevret S, Azoulay E; Groupe de Recherche en Reanimation Respiratoire du patient d'Onco-Hematologie (GRRR-OH). Effect of Noninvasive Ventilation vs Oxygen Therapy on Mortality Among Immunocompromised Patients With Acute Respiratory Failure: A Randomized Clinical Trial. JAMA. 2015 Oct 27;314(16):1711-9. doi: 10.1001/jama.2015.12402.
PMID: 26444879RESULT
Study Officials
- PRINCIPAL INVESTIGATOR
Virginie lemiale, MD
APHP
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 26, 2013
First Posted
August 5, 2013
Study Start
August 1, 2013
Primary Completion
August 1, 2015
Study Completion
February 1, 2016
Last Updated
April 18, 2016
Record last verified: 2015-11