Effect of Intrapulmonary Recombinant Human Activated Protein C (APC) on Coagulation and Inflammation After Lipopolysaccharide (LPS)
NCT00943267 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2011-03-16
Summary
Recombinant human Activated Protein C (rhAPC) has been shown to reduce the mortality of patients with severe sepsis. The biological effects of APC are pleiotropic, and can be roughly divided in anticoagulant and cytoprotective effects. Lung infection and inflammation are associated with reduced bronchoalveolar levels of endogenous APC. Recent evidence derived from animal studies indicates that local administration of rAPC into the lungs exerts local anti-inflammatory and anticoagulant effects. In this study we propose to study the potential of locally administered APC, within a lung subsegment, to inhibit lipopolysaccharide (LPS) induced lung inflammation and coagulation in humans.
Conditions
- Pneumonia
- Lipopolysaccharides
Interventions
- DRUG
-
Drotrecogin alpha
Drotrecogin alpha is given intrabronchially by bronchoscopy at t=0
- DRUG
-
Saline (NaCl 0.9%)
Normal saline is given intrabronchially by bronchoscopy at t=0
- DRUG
-
Endotoxin
Endotoxin (4 ng/kg body weight) is given intrabronchially in one subsegment at t=0
- PROCEDURE
-
Bronchoscopy
Bronchoscopies are performed at t=0 (for instillation of LPS and Drotrecogin alpha) and at t=6 (for performing a bronchoalveolar lavage)
- PROCEDURE
-
Blood sampling
Blood sampling is done by venapuncture at t=0 and t=6
Sponsors & Collaborators
-
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
lead OTHER
Principal Investigators
-
Tom Van der Poll, MD PhD · AMC/UvA Amsterdam
Study Design
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 35 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2008-10-31
- Primary Completion
- 2010-08-31
- Completion
- 2011-03-31
Countries
- Netherlands
Study Locations
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