Patients on mechanical ventilation, inpatient resuscitation for ARDS, secondary to COVID-19 infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Major patient (age = 18 years old); - Hospitalized in intensive care; - Severe pneumonia COVID-19 with Berlin criteria for ARDS (PaO2/FiO25). - Intubated for less than 8 days ; - Expected duration of mechanical ventilation is >48 hours; - Carrying an arterial catheter; - Affiliated with or beneficiary of a health insurance social protection scheme Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 50
Exclusion criteria
Exclusion criteria: - Known hypersensitivity to Dornase alfa or any of the excipients; - Pregnant or nursing woman; - Patient with legal pro
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of intratracheal administration of dornase alfa (Pulmozyme) on the evolution of ventilatory parameters at D7;Secondary Objective: 1) all-cause mortality at D28 2) the clinical evolution at D28 ; 3) the duration of mechanical ventilation; 4) the number of days without mechanical ventilation at D28; 5) the length of stay in intensive care ; 6) the concentrations of blood markers of inflammation over time; 7) NET concentrations in bronchial secretions over time 8) the occurrence of adverse events;Primary end point(s): Comparison between the two treatment arms of the evolution of the PaO2/FiO2 ratio between D0 (inclusion) and D7;Timepoint(s) of evaluation of this end point: D7 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Secondary endpoints: 1) all-cause mortality at D28 2) Delay until improvement of at least 2 points on a 7-point ordinal scale (based on Cao et al. 2020), or until hospital discharge; 3) Duration of mechanical ventilation (days); 4) Number of days without mechanical ventilation at D28 5) Length of stay in intensive care (days) ; 6) Concentrations of blood markers of inflammation (D0, D2, D7 and discharge); 7) NET concentrations in bronchial secretions (D0, D2, D7 and discharge); 8) Rates of adverse events and serious adverse events.;Timepoint(s) of evaluation of this end point: D28 | — |
Countries
France
Contacts
Hôpital Fondation Adolphe de Rothschild