Health Condition 1: A419- Sepsis, unspecified organism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with sepsis who have a vasopressor requirement to maintain a MAP of 65 mmHg or more and a serum lactate of more than 2 mmol/L (18 mg/dL) in the absence of hypovolemia.
Exclusion criteria
Exclusion criteria: 1. Refractory septic shock. 2. Circulatory shock attributed to primary cardiac disease or pulmonary embolism. 3. Late septic shock defined as patients beyond 24 hours of onset of septic shock. 4. Sepsis like syndromes: Poly-Trauma, Acute pancreatitis and Burns. 5. Anticipated rapid fatality from irreversible underlying disease or terminal malignancy. 6. APACHE II score > 36. 7. Readmission into Medical ICU within 90 days of previous admission 8. Post Cardiopulmonary Resuscitation status of the patient in the current admission. 9. Concurrent use of drugs known to interact with Colchicine: Clarithromycin, Erythromycin, Telithromycin, Statins, Cyclosporine, Verapamil and Diltiazem. 10. Pregnancy and Lactation. 11. Renal dysfunction with GFR 3.6 mg/dL.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the safety and efficacy of Colchicine at a dose of 1.5 mg per day, in comparison to Placebo, on the 28-day all-cause mortality in patients with septic shock.Timepoint: FROM Day of Enrollment TO Day-28 of Onset of Septic Shock. | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the effect of Colchicine on the duration of hospital stay in patients with septic shock.Timepoint: From Day of Enrollment to Day of Transferring out of Intensive Care Unit.;To assess the effect of Colchicine on the infectious complications in patients with septic shock.Timepoint: From Day of Enrollment to Day of Transferring out of Intensive Care Unit.;To assess the effect of Colchicine on the number of ventilator dependent days in patients with septic shock.Timepoint: From Day of Enrollment to Day of Transferring out of Intensive Care Unit.;To assess the effect of Colchicine on the serum levels of inflammatory bio-markers in patients with septic shock.Timepoint: At baseline, 48 hours and 96 hours after enrollment.;To assess the effect of Colchicine on the use of antibiotics in patients with septic shock.Timepoint: From Day of Enrollment to Day of Transferring out of Intensive Care Unit.;To study the difference in survival (time-to-event) and 90-day all-cause mortality between the two group of patients.Timepoint: From Day of Enrollment to Day-90 of Onset of Septic Shock. | — |
Countries
India
Contacts
JIPMER, Puducherry