Developed by Shray Alag, The Harker School
Sections: Correlations,
Clinical Trials, and HPO
Navigate: Clinical Trials and HPO
| Name (Synonyms) | Correlation | |
|---|---|---|
| drug116 | ASTX660 Wiki | 1.00 |
| drug1582 | Hypothermia Wiki | 0.71 |
| drug2176 | Neuromuscular Blocking Agents Wiki | 0.71 |
| Name (Synonyms) | Correlation | |
|---|---|---|
| D007035 | Hypothermia NIH | 0.71 |
| D012127 | Respiratory Distress Syndrome, Newborn NIH | 0.09 |
| D055371 | Acute Lung Injury NIH | 0.09 |
| Name (Synonyms) | Correlation |
|---|
Navigate: Correlations HPO
There is one clinical trial.
Acute Respiratory Distress Syndrome (ARDS) is a serious condition that occurs as a complication of medical and surgical diseases, has a mortality of ~40%, and has no known treatment other than optimization of support. Data from basic research, animal models, and retrospective studies, case series, and small prospective studies suggest that therapeutic hypothermia (TH) similar to that used for cardiac arrest may be lung protective in patients with ARDS; however, shivering is a major complication of TH, often requiring paralysis with neuromuscular blocking agents (NMBA) to control. Since the recently completed NHLBI PETAL ROSE trial showed that NMBA had no effect (good or bad) in patients with moderate to severe ARDS, the investigators sought to evaluate whether TH combined with NMBA is beneficial in patients with ARDS. The investigators are scheduled to begin enrolling in a Department of Defense-funded Phase IIb multicenter RCT of TH (core temperature 34-35°C) + NMBA for 48h vs. usual temperature management in patients with ARDS with time on ventilator as the primary outcome. Since COVID-19 is now the most common cause of ARDS, we are conducting a pilot study to examine the safety and feasibility of including patients with COVID-19-associated ARDS in our upcoming trial. In this pilot, we will randomize 20 patients with COVID-19 and ARDS to either TH+NMBA for 48h or usual temperature management. The primary outcome is achieving and maintaining the target temperature. Secondary outcomes include safety, physiologic measures, mortality, hospital and ICU length of stay, and serum biomarkers collected on days 0, 1, 2, 3, 4, and 7.
Description: The total time in hours from beginning of cooling to beginning of rewarming during which the patient's core temperature was within the target range of 34-35°C.
Measure: Targeted temperature compliance Time: Randomization through day 3Description: Adverse events expected during cooling, including hemorrhage, bradycardia, and hypotension.
Measure: Adverse event Time: Randomization through study day 3Description: Total number of days alive and not admitted to the ICU in the first 28 days after
Measure: 28-day ICU-free days Time: Calculated at study day 28 or death (whichever occurs first)Description: 28-day, 60-day, and 90-day mortality
Measure: Survival Time: calculated at 28, 60, and 90 daysDescription: SOFA score excluding neurologic component - based on PaO2/FiO2 (0-4), BP and pressor requirement (0-4), bilirubin level (0-4), platelet count (0-4), and creatinine (0-14) with total composite score 0-20
Measure: non neurologic Sequential Organ Failure (SOFA) scores Time: At enrollment and study days 1, 2, 3, 4, 7, and 28Description: Pulse ox reading
Measure: Oxygen saturation (SpO2) Time: Measured at enrollment, every 4 hours on enrollment day, then once on day 2, 3, 4, 7 and 28Description: On machine initiated breath
Measure: Plateau airway pressure Time: Measured at enrollment, every 4 hours on enrollment day, then once on day 2, 3, 4, and 7 or until extubation whichever occurs firstDescription: Direct ventilator measurement on machine initiated breath
Measure: Mean airway pressure Time: Measured at enrollment, every 4 hours on enrollment day, then once on day 2, 3, 4, and 7 or until extubation whichever occurs firstDescription: Plateau pressure - PEEP (machine initiated breath)
Measure: Airway driving pressure Time: Measured at enrollment, every 4 hours on enrollment day, then once on day 2, 3, 4, and 7 or until extubation whichever occurs firstDescription: Mean airway pressure x 100 x FiO2/SpO2
Measure: Oxygen saturation index Time: Measured at enrollment, every 4 hours on enrollment day, then once on day 2, 3, 4, and 7 or until extubation whichever occurs firstDescription: Measured continuously from iv catheter, urinary catheter, or esophageal probe.
Measure: Core temperature Time: Measured continuously and recorded at enrollment, every 2 hours on the day of enrollment, and mornings on study day 2, 3, 4, and 7Description: 24 hour urine volume
Measure: Urine output Time: Daily on study day 1, 2, 3, 4, and 7Description: performed in clinical lab
Measure: comprehensive metabolic panel Time: Daily on study day 1, 2, 3, 4, and 7Description: preformed in clinical lab
Measure: Complete blood count with differential count and platelet count Time: Daily on study day 1, 2, 3, 4, and 7Description: 10 ml blood draw
Measure: Biomarkers Time: Daily on study day 1, 2, 3, 4, and 7Description: performed in clinical lab
Measure: Serum electrolytes Time: Every 8 hours until study hour 60Description: Beside blood glucose testing
Measure: Blood glucose Time: Every 4 hours until study hour 60Description: Total number of days alive and not on a ventilator in the first 28 days after enrollment
Measure: 28-day ventilator-free days Time: Calculated at study day 28 or death (whichever occurs first)Alphabetical listing of all HPO terms. Navigate: Correlations Clinical Trials
Data processed on September 26, 2020.
An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.
Drug Reports MeSH Reports HPO Reports