Lactate Metabolism After an Endotoxin Challenge in Healthy Humans
NCT01647997 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 14
Last updated 2012-07-24
Summary
Sepsis is characterized by hyperlactatemia, the severity of which is proportionate with sepsis severity. The pathophysiological mechanisms (increased lactate production vs decreased lactate utilization; tissues involved in sepsis-induced lactate production) remain largely unknown.
In this study, the investigators will assess whole body and regional metabolism in healthy young male subjects on two occasions, once after administration of an intravenous bacterial endotoxin challenge, and once without intervention.
In one group of subjects, whole body lactate metabolism will be measured over 10 hours after the endotoxin challenge
* Energy expenditure and net substrate oxidation rates (indirect calorimetry)
* Lactate kinetics (measured by means of a continuous, exogenous sodium lactate infusion)
* Glucose kinetics (measured with 6,6 d2 glucose)
* Hemodynamic parameters and body temperature
* Blood clinical chemistry In one group of subjects, whole body lactate metabolism will be measured over 10 hours after the endotoxin challenge
* Energy expenditure and net substrate oxidation rates (indirect calorimetry)
* Lactate kinetics (measured by means of a continuous, exogenous sodium lactate infusion)
* Glucose kinetics (measured with 6,6 d2 glucose)
* Hemodynamic parameters and body temperature
* Blood clinical chemistry
In a second group of subjects, regional muscle lactate metabolism will be measured over 10 hours after the endotoxin challenge by means of muscle microdialysis
Conditions
Interventions
- OTHER
-
bacterial endotoxin challenge
iv administration of 2ng/kg bacterial endotoxin
Sponsors & Collaborators
-
Centre Hospitalier Universitaire Vaudois
collaborator OTHER -
University of Lausanne
lead OTHER
Principal Investigators
-
René Chiolero, MD · Centre Hospitalier Universitaire Vaudois
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 30 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2002-04-30
- Primary Completion
- 2004-03-31
- Completion
- 2004-12-31
Countries
- Switzerland
Study Locations
More Related Trials
-
Clinical Trial of the Optimal Endpoint of Early Sepsis Resuscitation
NCT00372502 ·Status: COMPLETED ·Phase: NA
-
Effect of Lipopolysaccharide on Skeletal Muscle Functions
NCT01423968 ·Status: COMPLETED ·Phase: NA
-
Impact of Metabolite Supplementation to Restore Mitochondrial Dysfunction During Septic Shock: a Preclinical Study
NCT04288635 ·Status: RECRUITING
-
Role of PCO2 Gap as Predictor of Clinical Outcome in ICU Septic Patients
NCT06256198 ·Status: NOT_YET_RECRUITING
-
Lactate Kinetics in Septic Shock
NCT05349370 ·Status: RECRUITING ·Phase: NA
-
Microcirculatory Oxygen Uptake in Sepsis
NCT02430142 ·Status: COMPLETED
-
Cardiac Output Monitoring Managing Intravenous Therapy (COMMIT) to Treat Emergency Department Severe Sepsis
NCT01484106 ·Status: COMPLETED ·Phase: NA
-
Strategy of Early Improvement of Tissue Oxygenation Decrease the Mortality of Severe Sepsis and Septic Shock
NCT01310790 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Endotoxin in Normal Human Volunteers
NCT00001303 ·Status: COMPLETED ·Phase: PHASE1
-
Ratio of ''Central Venous-to-Arterial Co2 Gap'' to ''Arterial-to-Central Venous O2 Content Gap'' in Septic Shock
NCT04425161 ·Status: UNKNOWN
-
Cortisol Control of Human Inflammatory Responses to Endotoxin
NCT00396344 ·Status: COMPLETED ·Phase: NA
-
Blood Lactate Level for Pre-hospital Orientation of Septic Shock
NCT03831685 ·Status: UNKNOWN
-
Emergency Department Management of Sepsis Patients: A Goal-Oriented Non-Invasive Sepsis Trial
NCT01453270 ·Status: COMPLETED ·Phase: NA
-
Venous Lactate in Progression to Overt Septic Shock and Mortality in Non-elderly Sepsis Patients in Emergency Department
NCT01947127 ·Status: COMPLETED
-
Early Identification and Effective Management of Pediatric Sepsis
NCT03996720 ·Status: COMPLETED
-
German Lactat Clearance in Severe Sepsis
NCT01929772 ·Status: COMPLETED
-
Preemptive Resuscitation for Eradication of Septic Shock
NCT01449721 ·Status: COMPLETED ·Phase: NA
-
Fluid Overload Quantification in Septic Shock
NCT04114162 ·Status: COMPLETED
-
Muscle Lactate and Lactate to Pyruvate Ratio Clearance in Septic Shock Patients
NCT03700346 ·Status: COMPLETED ·Phase: NA
-
Anti-inflammatory Effects of Enriched Enteral Nutrition During Human Experimental Endotoxemia
NCT01100996 ·Status: COMPLETED ·Phase: NA
-
Metformin and Lactoferrin in Sepsis in Icu
NCT06181422 ·Status: RECRUITING ·Phase: PHASE2/PHASE3
-
Blood Gases Versus Lactate Clearance as an Indicator of Initial Resuscitation in Septic Patients: Comparative Study
NCT05049941 ·Status: UNKNOWN
-
Early Metabolic Support as a Potential Solution to Multi-Organ Dysfunction Syndrome (MODS) During Severe Sepsis
NCT02885688 ·Status: WITHDRAWN ·Phase: PHASE2
-
Procalcitonin-Guided Antimicrobial Discontinuation
NCT00250666 ·Status: COMPLETED ·Phase: PHASE4
-
Alpha-lipoic Acid in Critically Ill Patients With Sepsis
NCT06661993 ·Status: COMPLETED ·Phase: NA