Acute Respiratory Failure, Critically Ill
Conditions
Keywords
Filgrastim, G-CSF, Heparin-binding protein, critically ill, acute respiratory failure
Brief summary
This is a study of plasma HBP -levels of a previously published trial of G-CSF in critically ill patients (Pettila et al. Critical Care Medicine 2000). The original study was a prospective, randomised, double-blind, placebo-controlled trial of filgrastim in patients with acute respiratory failure requiring intubation. In this substudy, the investigators evaluated the effect of filgrastim on HBP -concentrations in critically ill patients.
Interventions
Filgrastim 300 ug daily for 7 days, subcutaneously.
Sponsors
Study design
Eligibility
Inclusion criteria
Criteria for original study. For the substudy, all these patients were included. Inclusion Criteria: * Age \> 18 years * Admitted to the ICU no longer than 12 hrs before study entry * Intubated because of ventilation insufficiency no longer than 48 hrs before study entry * Clinically expected stay in the ICU \> 48 hrs * Informed consent
Exclusion criteria
* Pregnant or nursing * Total leukocyte count of \> 50,000/mm3 * Administration of filgrastim, sargramostim, or other biological response modifiers within 7 days before study entry * Known hypersensitivity or allergic reaction to Escherichia coli-derived products * Participation in another drug study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of adverse events | up to 28 days | the number of patients developing ARDS, disseminated intravascular coagulation or acute renal failure during days 1-28, and changes in MOD score during days 1-7. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| follow up measures | Up to day 90 | frequency of nosocomial infections, length of mechanical ventilatory support, length of stay in the ICU, 28-day mortality rate, 90-day mortality rate, and laboratory values for neutrophil count |
Other
| Measure | Time frame | Description |
|---|---|---|
| inflammatory mediators | up to day 7 | cytokines, IL-6, TNF, phospolipase A2 and BPIP (=bacterial permeability increasing protein) |
Countries
Finland