REVISE : re-evaluating the inhibition of stress erosions in the ICU-statistical analysis plan for a randomized trial

© 2023. The Author(s)..

BACKGROUND: The REVISE (Re-Evaluating the Inhibition of Stress Erosions in the ICU) trial will evaluate the impact of the proton pump inhibitor pantoprazole compared to placebo in invasively ventilated critically ill patients.

OBJECTIVE: To outline the statistical analysis plan for the REVISE trial.

METHODS: REVISE is a randomized clinical trial ongoing in intensive care units (ICUs) internationally. Patients ≥ 18 years old, receiving invasive mechanical ventilation, and expected to remain ventilated beyond the calendar day after randomization are allocated to either 40 mg pantoprazole intravenously or placebo while mechanically ventilated.

RESULTS: The primary efficacy outcome is clinically important upper GI bleeding; the primary safety outcome is 90-day mortality. Secondary outcomes are ventilator-associated pneumonia, Clostridioides difficile infection, new renal replacement therapy, ICU and hospital mortality, and patient-important GI bleeding. Tertiary outcomes are total red blood cells transfused, peak serum creatinine concentration, and duration of mechanical ventilation, ICU, and hospital length of stay. Following an interim analysis of results from 2400 patients (50% of 4800 target sample size), the data monitoring committee recommended continuing enrolment.

CONCLUSIONS: This statistical analysis plan outlines the statistical analyses of all outcomes, sensitivity analyses, and subgroup analyses. REVISE will inform clinical practice and guidelines worldwide.

TRIAL REGISTRATION: www.

CLINICALTRIALS: gov NCT03374800. November 21, 2017.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Trials - 24(2023), 1 vom: 06. Dez., Seite 796

Sprache:

Englisch

Beteiligte Personen:

Heels-Ansdell, Diane [VerfasserIn]
Billot, Laurent [VerfasserIn]
Thabane, Lehana [VerfasserIn]
Alhazzani, Waleed [VerfasserIn]
Deane, Adam [VerfasserIn]
Guyatt, Gordon [VerfasserIn]
Finfer, Simon [VerfasserIn]
Lauzier, François [VerfasserIn]
Myburgh, John [VerfasserIn]
Young, Paul [VerfasserIn]
Arabi, Yaseen [VerfasserIn]
Marshall, John [VerfasserIn]
English, Shane [VerfasserIn]
Muscedere, John [VerfasserIn]
Ostermann, Marlies [VerfasserIn]
Venkatesh, Bala [VerfasserIn]
Zytaruk, Nicole [VerfasserIn]
Hardie, Miranda [VerfasserIn]
Hammond, Naomi [VerfasserIn]
Knowles, Serena [VerfasserIn]
Saunders, Lois [VerfasserIn]
Poole, Alexis [VerfasserIn]
Al-Fares, Abdulrahman [VerfasserIn]
Xie, Feng [VerfasserIn]
Hall, Richard [VerfasserIn]
Cook, Deborah [VerfasserIn]

Links:

Volltext

Themen:

Clostridioides difficile infection
Critically ill
D8TST4O562
Gastrointestinal bleeding
Journal Article
Pantoprazole
Proton Pump Inhibitors
Randomized Controlled Trial
Stress ulceration
Ventilator-associated pneumonia

Anmerkungen:

Date Completed 15.12.2023

Date Revised 15.12.2023

published: Electronic

ClinicalTrials.gov: NCT03374800

Citation Status MEDLINE

doi:

10.1186/s13063-023-07794-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365487805