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| ID | Type | Description | Link |
|---|---|---|---|
| MEC 08/188 |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Activated protein C | Experimental |
| |
| Saline | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Drotrecogin alpha | Drug | Drotrecogin alpha is given intrabronchially by bronchoscopy at t=0 |
|
| Measure | Description | Time Frame |
|---|---|---|
| To determine whether direct intrapulmonary delivery of rhAPC can inhibit LPS-induced lung inflammation, thereby avoiding systemic APC effects | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| 1. Neutrophil responses 2. Response of alveolar macrophages 3. Activation of the cytokine and chemokine network 4. Activation of coagulation and fibrinolysis | 1 year |
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Exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tom Van der Poll, MD PhD | AMC/UvA Amsterdam | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Academic Medical Center/ University of Amsterdam | Amsterdam | 1100DD | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23060625 | Derived | Kager LM, de Boer JD, Bresser P, van der Zee JS, Zeerleder S, Meijers JC, van 't Veer C, van der Poll T. Intrabronchial activated protein C enhances lipopolysaccharide-induced pulmonary responses. Eur Respir J. 2013 Jul;42(1):188-97. doi: 10.1183/09031936.00057112. Epub 2012 Oct 11. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jun 25, 2018 | |
| Reset | Jan 7, 2019 |
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| Saline (NaCl 0.9%) | Drug | Normal saline is given intrabronchially by bronchoscopy at t=0 |
|
| Endotoxin | Drug | Endotoxin (4 ng/kg body weight) is given intrabronchially in one subsegment at t=0 |
|
| Bronchoscopy | Procedure | Bronchoscopies are performed at t=0 (for instillation of LPS and Drotrecogin alpha) and at t=6 (for performing a bronchoalveolar lavage) |
|
| Blood sampling | Procedure | Blood sampling is done by venapuncture at t=0 and t=6 |
|
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jun 25, 2018 | Jan 7, 2019 |
| ID | Term |
|---|---|
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D012965 | Sodium Chloride |
| D004731 | Endotoxins |
| D001999 | Bronchoscopy |
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
| D001685 | Biological Factors |
| D003948 | Diagnostic Techniques, Respiratory System |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D013510 | Pulmonary Surgical Procedures |
| D019616 | Thoracic Surgical Procedures |
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D011677 | Punctures |
| D008919 | Investigative Techniques |
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