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Efficacy and Safety of Rheosorbilact® Solution for Infusion, in a Complex Therapy of Burns

Primary Purpose

Burns, Intoxication

Status
Unknown status
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Rheosorbilact®
Ringer lactate
Sponsored by
Yuria-Pharm
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Burns

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male and female aged 18 to 60 years inclusive
  2. Thermal damage of 2nd stage with a total area of at least 20% and not more than 45% of the body surface.It is acceptable to include patients with deep burns, with a total area from 3% to 15% of the body surface in combination with superficial burns or isolated.
  3. Severity of state according to the Frank index from 30 to 90.
  4. The duration of the resulting thermal injury no more than 3 days from the planned first administration of the drug
  5. Informed consent for participation in the study signed by subject's own hand.

Non-inclusion Criteria:

  1. Individual intolerance to components of the study drug and the comparator;
  2. Hypersensitivity to sodium lactate;
  3. Intravenous infusions of lactate- or sorbitol-containing products within 24 hours before enrollment;
  4. Pregnancy or breast-feeding;
  5. Severe renal dysfunction (creatinine is more than 300 μmol/l or estimated creatinine clearance is less than 30 ml/min);
  6. Metabolic alkalosis;
  7. Severe metabolic acidosis;
  8. Intracerebral hemorrhage;
  9. Any thromboembolism;
  10. Decompensated cardiovascular failure;
  11. Blood hypertension, grade III (SBP ≥ 180 mm Hg and/or DBP ≥ 90 mm Hg);
  12. Conditions associated with immunodeficiency (use of cytotoxic drugs or systemic steroids, AIDS, diabetes mellitus);
  13. Extracellular hyperhydration or hypervolemia;
  14. Severe renal insufficiency (with oliguria/anuria);
  15. Hyperkalemia;
  16. Hypercalcemia;
  17. Ascites associated with cirrhosis;
  18. Conditions associated with increased lactate levels (hyperlactatemia > 2 mmol / l), including lactic acidosis, or impaired lactate uptake (including due severe hepatic insufficiency);
  19. Concomitant therapy with cardiac glycosides.
  20. The need for artificial ventilation
  21. The presence of HIV or other immunodeficiency conditions
  22. Diabetes mellitus type I or type II with the need for insulin;
  23. The need for hemodialysis or other methods of extracorporeal detoxification
  24. Conducting chemotherapy now or within 60 days before enrollment
  25. Continuous use of corticosteroids in any form in a dose exceeding the equivalent of 10 mg of prednisolone per day
  26. The total burn area is less than 20% or more than 45% of the body surface
  27. The presence of deep burns (3 degrees and higher in the ICD-10).
  28. Localization of burns in areas that interfere with the infusion of the test drug.
  29. The severity of the state according to the Frank index is less than 30 and more than 90 units

Exclusion Criteria:

  1. Infusion of the study drug or the comparator is started more than 12 hours after randomization;
  2. Withdrawal of the informed consent by the subject;
  3. Investigator considers that the infusion therapy with either study drug or comparator may not be continued for safety reasons;
  4. Development of conditions that prevent further use of the study drug/comparator before efficacy evaluation visit (Visit 3);
  5. Subject needs concomitant therapy prohibited in the study before efficacy evaluation visit (Visit 3);
  6. Development of conditions (including serious adverse events) which make it impossible to evaluate the primary endpoint;
  7. Confirmation of pregnancy at any time of the study.

Sites / Locations

  • Karaganda State Medical University; Regional Center of Traumatology and Orthopedics named after Professor H.Zh.MakazhanovRecruiting
  • Republic Clinical Hospital of Traumatology and OrthopedyRecruiting
  • Kharkiv State Clinical Hospital of Ambulance
  • Kyiv City Clinical Hospital №2; Shupyk National Medical Academy of Postgraduate EducationRecruiting
  • Vinnytska Pyrohov's State Clinical HospitalRecruiting
  • Republic Scientific Center of AmbulanceRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Rheosorbilact®

Ringer's Lactate

Arm Description

Rheosorbilact® is administered as a part of the infusion therapy intravenously (with speed 40-60 drip per minute) at a dose of 600 to 1,000 ml (10 to 15 ml/kg body weight per 24 hours).The period of the treatment with the study drug lasts 3 days.

Ringer's Lactate is administered as a part of the infusion therapy intravenously (with speed 40-60 drip per minute) at a dose of 1,000 to 2,500 ml (15 to 40 ml/kg body weight per 24 hours).The period of the treatment with the active comparator lasts 3 days.

Outcomes

Primary Outcome Measures

A change in the total SOFA score vs. baseline score upon admission
Sequential Organ Failure Assessment (SOFA) score is composed of scores of six organ systems: R-respiratory, C-cardiovascular, H-hepatic, Co-coagulation, Re-renal, and N-neurological graded from 0 to 4 according to the degree of dysfunction or failure. The SOFA score ranges from 0 to 24 points. We evaluate initial SOFA score and differences between subsequent scores (Δ-SOFA scores).

Secondary Outcome Measures

A change in the total APACHE II score vs. baseline score upon admission
Acute physiology and chronic health evaluation(APACHE) II score is calculated from a patient's age (0-6 points) and 12 physiological parameters (each item 0-4 points): AaDO2 or PaO2 (depending on FiO2), Temperature (rectal), Mean arterial pressure, pH arterial, Heart rate, Respiratory rate, Sodium (serum), Potassium (serum), Creatinine, Hematocrit, White blood cell count, Glasgow Coma Scale and chronic disease health status (0-5 points). The APACHE II score ranges from 0 to 71 points. We evaluate initial APACHE II score and differences between subsequent scores (Δ-APACHE II scores).
A change in the total SAPS II score on day 3 vs. baseline score upon admission
The SAPS II score is made of 17 variables: 12 physiology variables, age, type of admission (scheduled surgical, unscheduled surgical, or medical), and three underlying disease variables (acquired immunodeficiency syndrome, metastatic cancer, and hematologic malignancy). The SAPS II score ranges from 0 to 160 points. We evaluate initial SAPS II score and differences between subsequent scores (Δ-SAPS II scores).
A change in the total Spronk score on day 3 vs. baseline score upon admission
Spronck score is made of 5 main parameters: hemodynamic state (2 points), peripheral circulation (2 points), microvascular variables (1 point), systemic markers of tissue oxygenation (1 point), signs of organ dysfunction (2 points). Spronk score ranges from 0 to 8 points. A score > 2 indicates the presence of shock. We evaluate initial Spronk score and differences between subsequent scores (Δ-Spronk scores).
Concentration of glucose
Concentration of glucose (mmol/L) in blood serum after 8-hour fasting.
Concentration of lactate.
Concentration of lactate (mmol/L) in blood serum after 8-hour fasting.
Concentration of pyruvate.
Concentration of pyruvate (mmol/L) in blood serum after 8-hour fasting.
Concentration of urea.
Concentration of urea (mmol/L) in blood serum after 8-hour fasting.
Concentration of creatinine.
Concentration of creatinine (µmol/L) in blood serum after 8-hour fasting.
Concentration of bilirubin.
Concentration of bilirubin (µmol/L) in blood serum after 8-hour fasting.
Concentration of alanine aminotransferase.
Concentration of alanine aminotransferase (U/L) in blood serum after 8-hour fasting.
Concentration of aspartate aminotransferase.
Concentration of aspartate aminotransferase (U/L) in blood serum after 8-hour fasting.
Concentration of lactate dehydrogenase.
Concentration of lactate dehydrogenase (U/L) in blood serum after 8-hour fasting.
Concentration of alkaline phosphatase.
Concentration of alkaline phosphatase (U/L) in blood serum after 8-hour fasting.
Concentration of creatine kinase.
Concentration of creatine kinase (U/L) in blood serum after 8-hour fasting.
Concentration of γ-Glutamyltransferase.
Concentration of γ-Glutamyltransferase (U/L) in blood serum after 8-hour fasting.
Concentration of low-molecular-weight adiponectin (LMW).
Concentration of low-molecular-weight adiponectin (U/L) in blood serum after 8-hour fasting.
Concentration of middle-molecular-weight adiponectin (MMW).
Concentration of middle-molecular-weight adiponectin (U/L) in blood serum after 8-hour fasting.
Concentration of albumin.
Concentration of albumin in blood serum after 8-hour fasting.
Procalcitonin level.
Concentration of procalcitonin level (µg/L) in blood serum after 8-hour fasting.
White blood cells (WBC) count level.
White blood cells (billion/L) count level in blood serum after 8-hour fasting.
Lymphocyte count level.
Lymphocyte count (%) level in blood serum after 8-hour fasting.
Platelet count level.
Platelet count level (billion/L) in blood serum after 8-hour fasting.
Calculation of Nuclear index of intoxication (NII)
Calculated by dividing the number of myelocytes, young and stab neutrophils by number of segmented neutrophils.
Calculation of Leukocyte index of intoxication (LII).
Calculated by the formula of Kalf-Kalifa: correlation between the level of neutrophils and the content of other cells in the blood leukocytic composition.
Concentration of C-reactive protein (CRP).
Concentration of C-reactive protein (CRP) in blood serum after 8-hour fasting.
Level of circulating immune complexes (CIC).
Level of Circulating immune complexes (CIC) in blood serum after 8-hour fasting.
Concentration of Interleukin-1 and 2.
Concentration of Interleukin-1 (pg/ml) and Interleukin-2 (pg/ml) in blood serum after 8-hour fasting.
Calculation of neutrophil-to-lymphocyte ratio (NLR).
Calculated by dividing the number of neutrophils (%) by number of lymphocytes (%).
Concentration of immunoglobulins.
Concentration of Ig A, Ig M and Ig G in blood serum after 8-hour fasting.
Concentration of complements.
Concentration of complements (C3, C4) in blood sample after 8-hour fasting.
Assessment of central hemodynamics.
Measurement of central venous pressure (mmh2o) in the central vein.
A change in the total Glasgow Coma Scale (GCS) score vs. baseline score upon admission
The GCS is composed of 3 components: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points). Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language).
Measurement of 12-lead electrocardiogram (ECG).
Measurement of 12-lead ECG with further evaluation and interpretation whether the ECG waves, intervals, durations and rhythm are normal.
Number of participants with Presence of clinical signs.
Number of participants with presence of clinical signs such as adynamia, weakness, memory impairment, sleep disorder, irritability, evaluated according to patient's subjective complaints.
Incidence of Treatment-Emergent Adverse events
All types of adverse events
Incidence of multiple organ failure
Incidence of multiple organ failure
Overall survival (%) at follow-up visit.
Overall survival (%) at follow-up visit.

Full Information

First Posted
October 24, 2017
Last Updated
November 4, 2019
Sponsor
Yuria-Pharm
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1. Study Identification

Unique Protocol Identification Number
NCT04152096
Brief Title
Efficacy and Safety of Rheosorbilact® Solution for Infusion, in a Complex Therapy of Burns
Official Title
Open-label, Randomized, Controlled, With Blind Assessor, Study to Assess Efficacy and Safety of Rheosorbilact®, Solution for Infusion ("Yuria-Pharm"), in Comparison With Ringer's Lactate,Solution for Infusion, in a Complex Therapy of Burns
Study Type
Interventional

2. Study Status

Record Verification Date
November 2019
Overall Recruitment Status
Unknown status
Study Start Date
January 24, 2017 (Actual)
Primary Completion Date
September 30, 2020 (Anticipated)
Study Completion Date
March 30, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yuria-Pharm

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study evaluates the efficacy and safety of Rheosorbilact®, solution for infusion ("Yuria-Pharm" LLC), in comparison with Ringer's Lactate, solution for infusion, in a complex therapy of burns. Half of participants will receive Rheosorbilact® in complex therapy, while the other half will receive Ringer's Lactate in complex therapy.
Detailed Description
Rheosorbilact® has rheological, anti-shock, detoxification, and alkalizing effects. Sorbitol and sodium lactate are the major pharmacologically active ingredients. In the liver, sorbitol is first converted into fructose, which is then converted into glucose, and then into glycogen. Part of sorbitol is used for urgent energy needs, while the other part is kept as a reserve in the form of glycogen. Isotonic sorbitol solution has a disaggregating effect and, therefore, improves microcirculation and tissue perfusion. The management of metabolic acidosis with sodium lactate goes more slowly compared to bicarbonate solution, as far as sodium lactate enters the metabolic process; however the latter does not cause swings in pH values. The effect of sodium lactate is typically seen 20 to 30 minutes after administration. Sodium chloride is a plasma-substituting agent that exhibits a detoxification and rehydration effect. It replenishes the deficiency of sodium and chlorine ions in various pathological conditions. Calcium chloride replenishes deficiency of calcium ions. Calcium ions are essential in the transmission of nerve impulses, contraction of skeletal and smooth muscles, myocardial activity, bone tissue formation, and blood clotting. It reduces the permeability of cells and vascular walls, prevents the development of inflammatory reactions, enhances the resistance of the body to infections and can significantly boost phagocytosis. Potassium chloride restores the water-electrolyte balance. It exhibits a negative chrono- and bathmotropic action and, when administered in high doses, has a negative ino- and dromotropic and moderate diuretic effect. It is involved in the process of nerve impulse conduction, increases the content of acetylcholine and causes excitation of the sympathetic segment of the autonomic nervous system and improves the contraction of skeletal muscles in subjects with muscular dystrophy or myasthenia. Rheosorbilact® is administered to improve capillary blood flow for the prevention and treatment of traumatic, surgical, hemolytic, toxic and burn shock, acute blood loss, and burn disease; infectious diseases accompanied by intoxication, exacerbation of chronic hepatitis; sepsis, pre- and postoperative period to improve arterial and venous circulation for the prevention and treatment of thrombosis, thrombophlebitis, endarteritis, and Raynaud's disease. Ringer's Lactate, solution for infusion will be used as a comparator. As a rehydrating agent, Ringer's Lactate has a detoxification effect, replenishes the deficiency of circulating blood volume, and stabilizes the water and electrolyte composition of blood. Ringer's Lactate normalizes the acid-base balance. Lactate is metabolized in the body to bicarbonate, so the solution has an alkalizing effect. With osmolarity at 273 mOsm/l, Ringer's Lactate is close to isotonic solution and is indicated for hypovolemia, isotonic dehydration, and metabolic alkalosis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Burns, Intoxication

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Masking Description
Outcomes Assessor will perform the assessment of primary, secondary efficasy and safety parameters
Allocation
Randomized
Enrollment
118 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Rheosorbilact®
Arm Type
Experimental
Arm Description
Rheosorbilact® is administered as a part of the infusion therapy intravenously (with speed 40-60 drip per minute) at a dose of 600 to 1,000 ml (10 to 15 ml/kg body weight per 24 hours).The period of the treatment with the study drug lasts 3 days.
Arm Title
Ringer's Lactate
Arm Type
Active Comparator
Arm Description
Ringer's Lactate is administered as a part of the infusion therapy intravenously (with speed 40-60 drip per minute) at a dose of 1,000 to 2,500 ml (15 to 40 ml/kg body weight per 24 hours).The period of the treatment with the active comparator lasts 3 days.
Intervention Type
Drug
Intervention Name(s)
Rheosorbilact®
Intervention Description
Administered intravenously (with speed 40-60 drip per minute) at a dose of 600 to 1,000 ml (10 to 15 ml/kg body weight per 24 hours) for 3 days.
Intervention Type
Drug
Intervention Name(s)
Ringer lactate
Intervention Description
Administered intravenously (with speed 40-60 drip per minute) at a dose of 1,000 to 2,500 ml (15 to 40 ml/kg body weight per 24 hours) for 3 days.
Primary Outcome Measure Information:
Title
A change in the total SOFA score vs. baseline score upon admission
Description
Sequential Organ Failure Assessment (SOFA) score is composed of scores of six organ systems: R-respiratory, C-cardiovascular, H-hepatic, Co-coagulation, Re-renal, and N-neurological graded from 0 to 4 according to the degree of dysfunction or failure. The SOFA score ranges from 0 to 24 points. We evaluate initial SOFA score and differences between subsequent scores (Δ-SOFA scores).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Secondary Outcome Measure Information:
Title
A change in the total APACHE II score vs. baseline score upon admission
Description
Acute physiology and chronic health evaluation(APACHE) II score is calculated from a patient's age (0-6 points) and 12 physiological parameters (each item 0-4 points): AaDO2 or PaO2 (depending on FiO2), Temperature (rectal), Mean arterial pressure, pH arterial, Heart rate, Respiratory rate, Sodium (serum), Potassium (serum), Creatinine, Hematocrit, White blood cell count, Glasgow Coma Scale and chronic disease health status (0-5 points). The APACHE II score ranges from 0 to 71 points. We evaluate initial APACHE II score and differences between subsequent scores (Δ-APACHE II scores).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
A change in the total SAPS II score on day 3 vs. baseline score upon admission
Description
The SAPS II score is made of 17 variables: 12 physiology variables, age, type of admission (scheduled surgical, unscheduled surgical, or medical), and three underlying disease variables (acquired immunodeficiency syndrome, metastatic cancer, and hematologic malignancy). The SAPS II score ranges from 0 to 160 points. We evaluate initial SAPS II score and differences between subsequent scores (Δ-SAPS II scores).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
A change in the total Spronk score on day 3 vs. baseline score upon admission
Description
Spronck score is made of 5 main parameters: hemodynamic state (2 points), peripheral circulation (2 points), microvascular variables (1 point), systemic markers of tissue oxygenation (1 point), signs of organ dysfunction (2 points). Spronk score ranges from 0 to 8 points. A score > 2 indicates the presence of shock. We evaluate initial Spronk score and differences between subsequent scores (Δ-Spronk scores).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of glucose
Description
Concentration of glucose (mmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of lactate.
Description
Concentration of lactate (mmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of pyruvate.
Description
Concentration of pyruvate (mmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of urea.
Description
Concentration of urea (mmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of creatinine.
Description
Concentration of creatinine (µmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of bilirubin.
Description
Concentration of bilirubin (µmol/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of alanine aminotransferase.
Description
Concentration of alanine aminotransferase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of aspartate aminotransferase.
Description
Concentration of aspartate aminotransferase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of lactate dehydrogenase.
Description
Concentration of lactate dehydrogenase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of alkaline phosphatase.
Description
Concentration of alkaline phosphatase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of creatine kinase.
Description
Concentration of creatine kinase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of γ-Glutamyltransferase.
Description
Concentration of γ-Glutamyltransferase (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of low-molecular-weight adiponectin (LMW).
Description
Concentration of low-molecular-weight adiponectin (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of middle-molecular-weight adiponectin (MMW).
Description
Concentration of middle-molecular-weight adiponectin (U/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of albumin.
Description
Concentration of albumin in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Procalcitonin level.
Description
Concentration of procalcitonin level (µg/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
White blood cells (WBC) count level.
Description
White blood cells (billion/L) count level in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Lymphocyte count level.
Description
Lymphocyte count (%) level in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Platelet count level.
Description
Platelet count level (billion/L) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Calculation of Nuclear index of intoxication (NII)
Description
Calculated by dividing the number of myelocytes, young and stab neutrophils by number of segmented neutrophils.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Calculation of Leukocyte index of intoxication (LII).
Description
Calculated by the formula of Kalf-Kalifa: correlation between the level of neutrophils and the content of other cells in the blood leukocytic composition.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of C-reactive protein (CRP).
Description
Concentration of C-reactive protein (CRP) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Level of circulating immune complexes (CIC).
Description
Level of Circulating immune complexes (CIC) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of Interleukin-1 and 2.
Description
Concentration of Interleukin-1 (pg/ml) and Interleukin-2 (pg/ml) in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Calculation of neutrophil-to-lymphocyte ratio (NLR).
Description
Calculated by dividing the number of neutrophils (%) by number of lymphocytes (%).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of immunoglobulins.
Description
Concentration of Ig A, Ig M and Ig G in blood serum after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Concentration of complements.
Description
Concentration of complements (C3, C4) in blood sample after 8-hour fasting.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Assessment of central hemodynamics.
Description
Measurement of central venous pressure (mmh2o) in the central vein.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
A change in the total Glasgow Coma Scale (GCS) score vs. baseline score upon admission
Description
The GCS is composed of 3 components: ocular response (assessment 1-4 points), motor response (assessment 1-6 points) verbal response (evaluation of 1-5 points). Scores for each component are added together to get the total that will range between a minimum of 3 points (which corresponds to a patient who does not open his eyes and no motor response to stimulation or verbal response) and a maximum value of 15 points (corresponding to a patient with open eyes, obeying orders and maintaining a consistent language).
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Measurement of 12-lead electrocardiogram (ECG).
Description
Measurement of 12-lead ECG with further evaluation and interpretation whether the ECG waves, intervals, durations and rhythm are normal.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Number of participants with Presence of clinical signs.
Description
Number of participants with presence of clinical signs such as adynamia, weakness, memory impairment, sleep disorder, irritability, evaluated according to patient's subjective complaints.
Time Frame
Will be evaluated for the duration of Intensive Care Unit (ICU) stay, at screening (Day 0) and Visit 3 (Day 3) of ICU stay.
Title
Incidence of Treatment-Emergent Adverse events
Description
All types of adverse events
Time Frame
Patients will be followed during 14 days.
Title
Incidence of multiple organ failure
Description
Incidence of multiple organ failure
Time Frame
Patients will be followed during 14 days.
Title
Overall survival (%) at follow-up visit.
Description
Overall survival (%) at follow-up visit.
Time Frame
Follow-up visit (Day 14±1)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female aged 18 to 60 years inclusive Thermal damage of 2nd stage with a total area of at least 20% and not more than 45% of the body surface.It is acceptable to include patients with deep burns, with a total area from 3% to 15% of the body surface in combination with superficial burns or isolated. Severity of state according to the Frank index from 30 to 90. The duration of the resulting thermal injury no more than 3 days from the planned first administration of the drug Informed consent for participation in the study signed by subject's own hand. Non-inclusion Criteria: Individual intolerance to components of the study drug and the comparator; Hypersensitivity to sodium lactate; Intravenous infusions of lactate- or sorbitol-containing products within 24 hours before enrollment; Pregnancy or breast-feeding; Severe renal dysfunction (creatinine is more than 300 μmol/l or estimated creatinine clearance is less than 30 ml/min); Metabolic alkalosis; Severe metabolic acidosis; Intracerebral hemorrhage; Any thromboembolism; Decompensated cardiovascular failure; Blood hypertension, grade III (SBP ≥ 180 mm Hg and/or DBP ≥ 90 mm Hg); Conditions associated with immunodeficiency (use of cytotoxic drugs or systemic steroids, AIDS, diabetes mellitus); Extracellular hyperhydration or hypervolemia; Severe renal insufficiency (with oliguria/anuria); Hyperkalemia; Hypercalcemia; Ascites associated with cirrhosis; Conditions associated with increased lactate levels (hyperlactatemia > 2 mmol / l), including lactic acidosis, or impaired lactate uptake (including due severe hepatic insufficiency); Concomitant therapy with cardiac glycosides. The need for artificial ventilation The presence of HIV or other immunodeficiency conditions Diabetes mellitus type I or type II with the need for insulin; The need for hemodialysis or other methods of extracorporeal detoxification Conducting chemotherapy now or within 60 days before enrollment Continuous use of corticosteroids in any form in a dose exceeding the equivalent of 10 mg of prednisolone per day The total burn area is less than 20% or more than 45% of the body surface The presence of deep burns (3 degrees and higher in the ICD-10). Localization of burns in areas that interfere with the infusion of the test drug. The severity of the state according to the Frank index is less than 30 and more than 90 units Exclusion Criteria: Infusion of the study drug or the comparator is started more than 12 hours after randomization; Withdrawal of the informed consent by the subject; Investigator considers that the infusion therapy with either study drug or comparator may not be continued for safety reasons; Development of conditions that prevent further use of the study drug/comparator before efficacy evaluation visit (Visit 3); Subject needs concomitant therapy prohibited in the study before efficacy evaluation visit (Visit 3); Development of conditions (including serious adverse events) which make it impossible to evaluate the primary endpoint; Confirmation of pregnancy at any time of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Viktoriia Viktoriia Osiichuk
Phone
503417129
Ext
+380
Email
viktoriia.osiichuk@uf.ua
First Name & Middle Initial & Last Name or Official Title & Degree
Maryna Bahmet
Phone
504927528
Ext
+380
Email
maryna.bahmet@uf.ua
Facility Information:
Facility Name
Karaganda State Medical University; Regional Center of Traumatology and Orthopedics named after Professor H.Zh.Makazhanov
City
Karaganda
Country
Kazakhstan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Berik Tuleubaev
Facility Name
Republic Clinical Hospital of Traumatology and Orthopedy
City
Chisinau
Country
Moldova, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Octavian Cherempey
Facility Name
Kharkiv State Clinical Hospital of Ambulance
City
Kharkiv
Country
Ukraine
Individual Site Status
Withdrawn
Facility Name
Kyiv City Clinical Hospital №2; Shupyk National Medical Academy of Postgraduate Education
City
Kyiv
Country
Ukraine
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Georgy Kozinets
Facility Name
Vinnytska Pyrohov's State Clinical Hospital
City
Vinnytsya
Country
Ukraine
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vasily Nagaychuk
Facility Name
Republic Scientific Center of Ambulance
City
Tashkent
Country
Uzbekistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Vіsolat Sharipova

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Efficacy and Safety of Rheosorbilact® Solution for Infusion, in a Complex Therapy of Burns

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