About this trial
The Canadian Critical Care Comparative Effectiveness Platform(e) d'Évaluation Clinique Comparée en soins Critiques (CEPEC) is an international multi-centered randomized adaptive platform clinical trial. CEPEC will evaluate supportive care interventions that are used routinely in intensive care units throughout the world.
Eligibility criteria
Qualifiers
Ongoing vasopressor infusion to treat hypotension, or would be used to treat clinician-defined hypotension as part of usual care;
MAP <75 mmHg at any point;
Patient expected to be in the ICU for >24 hours.
Disqualifiers
Treating team does not have equipoise for at least two contiguous MAP target ranges in the CEPEC Vasopressor Domain;
Acute traumatic brain injury (within 7 days or ongoing active treatment for elevated intracranial pressure);
Acute subarachnoid hemorrhage (within 21 days);
Acute spinal cord injury (within 7 days of injury or ongoing vasopressor therapy for suspected spinal cord ischemia);
Trial design
Treatments tested in this trial
- 1- Vasopressor - Mean arterial pressure 56-60
- 2- Vasopressor - Mean arterial pressure 61-65
- 3- Vasopressor - Mean arterial pressure 66-70
- 4- Vasopressor - Mean arterial pressure 71-75
- 1- Platelet less than 10 x 109/L
- 2- Platelet less than 20 x 109/L
- 3- Platelet less than 30 x 109/L
- 4- Platelet less than 40 x 109/L
- 5- Platelet less than 50 x 109/L
- Enteral nutrition - Boluses
- Enteral nutrition - Continuous
Treatment groups
Sponsors and collaborators
Université de Sherbrooke
Lead sponsor
Hamilton Health Sciences Corporation
Collaborator