Exploratory Study of Intrapulmonary Microdosing of Gram-negative Optical Imaging Detection Probe
NCT02491164 · Status: COMPLETED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2020-03-26
Summary
Critically ill patients are often ventilated in dedicated critical care units to provide respiratory support. Despite best practice patients can often develop a condition called adult respiratory distress syndrome (ARDS), which is characterised by deterioration in their respiratory function, and changes on chest x-ray. The correct management for ARDS is identifying the underlying condition causing the deterioration and identifying appropriate targeted therapy. One such cause is pneumonia, caused by a bacterial infection in the lungs of a ventilated patient. The patients may have been ventilated due to pneumonia but they may also develop pneumonia whilst ventilated. Ventilator associated pneumonia (VAP) has significant mortality.
Despite all the clinical and laboratory data at the investigators' disposal there remains great difficulty in the accurate diagnosis of pneumonia and therefore treatment is often given empirically. Therefore, there is an urgent clinical need for accurate methods to diagnose the presence of bacteria deep in the lung in ventilated critically ill patients. As such, the investigating team have developed and synthesised an imaging agent called BAC TWO. BAC TWO will be instilled directly into the lungs of 12 patients to assess whether it can label gram-negative bacteria in the human lung.
Conditions
Interventions
- OTHER
-
BAC TWO
BAC TWO administration
- DEVICE
-
FE and Cellvizio viewer software
Fibre based endomicroscopy to visualise fluorescent signal emitted by optical agents.
Sponsors & Collaborators
-
NHS Lothian
collaborator OTHER_GOV -
University of Edinburgh
lead OTHER
Principal Investigators
-
Kev Dhaliwal, MBChB · University of Edinburgh
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 16 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2018-06-30
- Completion
- 2018-06-30
Countries
- United Kingdom
Study Locations
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