ErythroPOietin Alfa to Prevent Mortality and Reduce Severe Disability in Critically Ill TRAUMA Patients

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorAustralian and New Zealand Intensive Care Research Centre

About this trial

The EPO-TRAUMA study is a prospective, multi-centre, double-blind, phase III, randomised controlled trial evaluating the efficacy of epoetin alfa compared to placebo in reducing mortality and severe disability at six months in critically ill trauma patients.

2500 mechanically ventilated ICU patients admitted with a primary trauma diagnosis presenting to the ICU will be recruited into the study from participating study centres in Australia, New Zealand, Europe, and Saudi Arabia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Are ≥ 18 to ≤ 75 years of age

Are < 24 hours since primary traumatic injury

Are invasively mechanically ventilated

Are expected to stay in the ICU ≥ 48 hours

Disqualifiers

GCS = 3 and fixed dilated pupils

Recent history of DVT, PE or other thromboembolic event (within previous 12 months or receiving concomitant anticoagulant treatment for this indication)

A chronic hypercoagulable disorder, including known malignancy

Treatment with EPO in the last 30 days

Trial design

Design model

Parallel

Treatments tested in this trial

  • Epoetin Alfa 40000 UNT/ML

    Drug

    Epoetin alfa 40,000IU 1mL pre-filled syringe given as subcutaneous injection.

  • Sodium Chloride 0.9%

    Drug

    Sodium Chloride 0.9% 1mL in volume given as subcutaneous injection.

Treatment groups

2,500 Participants
are divided into 2 treatment groups
Group A: Erythropoietin (EPO)Active comparator 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Combined proportion of participants who have died or have severe disability (WHODAS 2.0 > 25)

Time frame
6-months

Secondary outcomes

1

Mortality at 6-months

Time frame
6 months
2

Mortality at ICU discharge

Time frame
6-months
3

Mortality at Hospital discharge

Time frame
6-months
4

Mortality at day 28

Time frame
28 days

Other outcomes

Sponsors and contacts

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Australian and New Zealand Intensive Care Research Centre

Lead sponsor

University College Dublin

Collaborator

Medical Research Institute of New Zealand

Collaborator

Medical Research Future Fund

Collaborator

Health Research Board, Ireland

Collaborator

Health Research Council, New Zealand

Collaborator

Irish Critical Care Clinical Trials Network

Collaborator

ANZICS Clinical Trials Group

Collaborator

Monash University

Collaborator