Pediatric Acute Lung Injury
Conditions
Keywords
sedated, intubated, mechanically ventilated, pediatric, lung injury
Brief summary
PISA is an ancillary study to the NIH funded clinical RESTORE Trial (U01 HL086622). This study will provide data that may allow for improved dosing recommendations in this critically ill population of children.
Detailed description
PISA is an ancillary study to the NIH funded clinical RESTORE Trial (U01 HL086622). This project will use sophisticated modeling and simulation techniques to evaluate the impact of genetics and other variables such as degree of illness, age, weight and organ dysfunction on the pharmacokinetics and pharmacodynamics of morphine and midazolam in children who are mechanically ventilated for respiratory failure, and require sedation. This proposed work will allow the design of a pharmacologic model that can be used to individualize therapy in children requiring mechanical ventilation with the goal of optimizing sedation while minimizing the duration of mechanical ventilation. This study will provide data that may allow for improved dosing recommendations in this critically ill population of children.
Interventions
OTHERPharmacokinetic Sampling and pharmacogenetic analysis
Pharmacogenetic and pharmacokinetic samples will be obtained from a peripheral catheter, central catheter, or venipuncture coordinated with scheduled phlebotomies. Pharmacokinetic and pharmacogenetic analyses will be performed. Pharmacodynamic data will be collected.
Sponsors
National Heart, Lung, and Blood Institute (NHLBI)
Children's Hospital of Philadelphia
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
• Enrolled in RESTORE clinical trial * Be greater than or equal to 7 kg * Receiving morphine and/or midazolam continuous infusions * Give Informed Consent/Assent
Exclusion criteria
* Intubated and mechanically ventilated for immediate post-operative care and stabilization * Cyanotic heart disease with unrepaired or palliated right to left intracardiac shunt * History of single ventricle at any stage of repair * Congenital diaphragmatic hernia or paralysis * Primary pulmonary hypertension * Critical airway (e.g., post laryngotracheal construction) or anatomical obstruction of the lower airway (e.g., mediastinal mass) * Ventilator dependent (including noninvasive) on Pediatric Intensive Care Unit (PICU) admission (chronic assisted ventilation) * Neuromuscular respiratory failure * Spinal cord injury above the lumbar region * Pain managed by patient controlled analgesia (PCA) or epidural catheter * Family/medical team has decided not to provide full support (patient treatment considered futile) * Enrolled in any other sedation clinical trial concurrently or within the last 30 days * Known allergy to any of the study medications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| In children who are mechanically ventilated, to quantitatively define the heritable factors that underlie the variability in 1) midazolam and 2) morphine exposure and response. | 36-48 months | This is a pharmacokinetic, pharmacogenetic and pharmacodynamic study examining heritable (specific polymorphisms) on drug exposure, metabolite formation and pharmacodynamic response. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| In children who are mechanically ventilated, to quantitatively define the non-heritable factors that underlie the variability in 1) midazolam and 2) morphine exposure and response. | 36-48 months | Polymorphisms in drug metabolizing systems. |
Countries
United States
Outcome results
None listed