NCT03542760

Brief Summary

This prospective, observational registry aims to collect real-world data regarding the safety and efficacy of ProvayBlue® (methylene blue 0.5%) used according to normal standard of care for the treatment of acquired methemoglobinemia. Methylene blue has been used for decades as a rescue medication for the treatment of methemoglobinemia, a rare and potentially life-threatening condition in which elevated levels of methemoglobin impede the delivery of oxygen from blood to body tissues. However, consistent prospective data about the safety and efficacy of this medication are sparse, simply because of the rarity of the disorder. ProvayBlue® received accelerated FDA approval for treatment of acquired methemoglobinemia in 2016. This large, prospective, multi-center observational registry has been initiated to gain more information on the use of methylene blue in the treatment of acquired methemoglobinemia.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for all trials

Timeline
Completed

Started May 2018

Typical duration for all trials

Geographic Reach
1 country

32 active sites

Status
completed

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

First Submitted

Initial submission to the registry

May 20, 2018

Completed
11 days until next milestone

First Posted

Study publicly available on registry

May 31, 2018

Completed
Same day until next milestone

Study Start

First participant enrolled

May 31, 2018

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2021

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2021

Completed
Last Updated

April 12, 2023

Status Verified

April 1, 2023

Enrollment Period

3.1 years

First QC Date

May 20, 2018

Last Update Submit

April 10, 2023

Conditions

Keywords

Methylene Blue

Outcome Measures

Primary Outcomes (1)

  • Reduction of Methemoglobin 1h after Administration of ProvayBlue

    Level of methemoglobin 1h after administration of ProvayBlue for treatment of acquired methemoglobinemia compared to pre-treatment level of methemoglobin.

    1h post-treatment

Secondary Outcomes (4)

  • Time to Normalization of Respiratory Rate

    Index Hospitalization

  • Time to Normalization of Heart Rate

    Index Hospitalization

  • Time to Normalization of Blood Pressure

    Index Hospitalization

  • Prevalence and Nature of Adverse Events

    Within 10 days of Treatment

Other Outcomes (2)

  • Prevalence by Agent

    Index Hospitalization

  • Resolution of Symptoms

    Index Hospitalization

Study Arms (2)

Primary Treated Group

Subjects who are administered methylene blue for treatment of acquired methemoglobinemia that is symptomatic (eg, exhibiting sleepiness, cyanosis, dizziness, etc) or with measured methemoglobin levels \> 30%.

Drug: Methylene Blue

Secondary Treated Group

Subjects who are administered methylene blue for treatment of acquired methemoglobinemia with measured methemoglobin levels ≤ 30 and lack of clinical symptoms

Drug: Methylene Blue

Interventions

Administration of methylene blue as per the treating physician's diagnosis and the acute care facility's standard of care

Primary Treated GroupSecondary Treated Group

Eligibility Criteria

Sexall
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients who present in hospital / urgent care setting diagnosed with acquired methemoglobinemia.

You may qualify if:

  • Adult or pediatric patients diagnosed with acquired methemoglobinemia and receiving treatment with ProvayBlue® (methylene blue 0.5%) as per the treating physician's diagnosis and the acute care facility's standard of care
  • Those acquired methemoglobinemia patients whose diagnosis is aided by measurement of methemoglobin and whose ongoing treatment is guided by re-measurement of methemoglobin \~1h post-treatment with ProvayBlue® in accordance with the US FDA Label prescribing information

You may not qualify if:

  • Refusal of consent (in those subjects approached for consent where required by local institutional procedures)
  • Treatment of methemoglobinemia with another methylene blue product

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (32)

Cedars Sinai

Los Angeles, California, 90048, United States

Location

UC Davis Health

Sacramento, California, 95817, United States

Location

Bridgeport Hospital

Bridgeport, Connecticut, 06610, United States

Location

Hartford Hospital

Hartford, Connecticut, 06106, United States

Location

Palmetto General

Palm Beach Gardens, Florida, 33410, United States

Location

Tampa General

Tampa, Florida, 33606, United States

Location

IU Health

Indianapolis, Indiana, 46202, United States

Location

University of Iowa

Iowa City, Iowa, 52242, United States

Location

University of Kansas Health System

Kansas City, Kansas, 66160, United States

Location

University of Maryland

Baltimore, Maryland, 21201, United States

Location

Partners Healthcare; Brigham and Women's

Boston, Massachusetts, 02115, United States

Location

UMass Memorial Medical Center

Worcester, Massachusetts, 01655, United States

Location

Henry Ford Health System

Detroit, Michigan, 48202, United States

Location

St John Medical Center

Detroit, Michigan, 48236, United States

Location

HealthPartners Regions

Saint Paul, Minnesota, 55101, United States

Location

Washington University

St Louis, Missouri, 63110, United States

Location

University of Nebraska

Omaha, Nebraska, 68198, United States

Location

Holy Name Medical Center

Teaneck, New Jersey, 07666, United States

Location

New York Methodist

New York, New York, 10032, United States

Location

Carolinas Medical Center

Charlotte, North Carolina, 28207, United States

Location

University of Cincinnati

Cincinnati, Ohio, 45267, United States

Location

University Hospitals

Cleveland, Ohio, 44106, United States

Location

Mercy Health

Youngstown, Ohio, 44501, United States

Location

Oregon Health & Sciences University

Portland, Oregon, 97239, United States

Location

Einstein Medical Center

Philadelphia, Pennsylvania, 19141, United States

Location

University of Pittsburgh

Pittsburgh, Pennsylvania, 15213, United States

Location

University of Tennessee Health Science Center

Memphis, Tennessee, 38104, United States

Location

UT Southwestern

Dallas, Texas, 75390, United States

Location

Baylor College of Medicine

Houston, Texas, 77030, United States

Location

Houston Methodist

Houston, Texas, 77030, United States

Location

University of Washington

Seattle, Washington, 98195, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

MeSH Terms

Conditions

Methemoglobinemia

Interventions

Methylene Blue

Condition Hierarchy (Ancestors)

Hematologic DiseasesHemic and Lymphatic Diseases

Intervention Hierarchy (Ancestors)

PhenothiazinesSulfur CompoundsOrganic ChemicalsHeterocyclic Compounds, 3-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • Charles V Pollack, MD

    Hospital Quality Foundation

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE ONLY
Time Perspective
PROSPECTIVE
Target Duration
10 Days
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 20, 2018

First Posted

May 31, 2018

Study Start

May 31, 2018

Primary Completion

June 30, 2021

Study Completion

August 31, 2021

Last Updated

April 12, 2023

Record last verified: 2023-04

Locations