ARDS caused by COVID-19 infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult patients, > 18 year-old 2. Patients admitted to the ICU 3. Patients who are intubated and mechanically ventilated; 4. Confirmed diagnosis of SARS-CoV2 by positive rt-PCR; 5. Severe hypoxemia, defined by PaO2/FiO2 =65 years) yes F.1.3.1 Number of subjects for this age range 100
Exclusion criteria
Exclusion criteria: 1. Patients intubated for more than 72 hours from initiation of the treatment gas 2. Physician of record opposed to enrolling the patient due to perceived safety concerns or any condition that does not allow the protocol to be followed safely
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the rate of change in oxygenation ;Secondary Objective: To assess an improvement in survival, organ damage and weaning from mechanical ventilation in SARS-CoV-2 patients. This would indicate an effect that cannot be addressed only the amelioration of V/Q mismatching in the course of a disease characterized by pneumonia and, in most severe cases, multiorgan failure. To assess the time at which a patient is negative for SARS-CoV2, reflective of a possible antiviral effect.;Primary end point(s): Difference in oxygenation between the two groups;Timepoint(s) of evaluation of this end point: 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Time to reach normoxia for at least 24 hours, defined by a PaO2/FiO2> 300 mmHg Proportion of normoxemic patients in the two groups during the first 28 days after enrollment. 3. Survival at 28 days and 90 days from enrollment.;Timepoint(s) of evaluation of this end point: 28 and 90 days | — |
Countries
Austria, China, United States
Contacts
Massachussetts General Hospital