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SepsisPhase 2GRANTISSNCT03924518

Adjunctive Granisetron Therapy in Patients With Sepsis or Septic Shock

A Phase 2 study testing Granisetron Hydrochloride in people with Sepsis, run by Zhujiang Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In this prospective, single-center,randomized,controlled,single-blind clinical trial,Patients will be randomly assigned to receive granisetron or placebo for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge). The primary outcome is all-cause death rate at 28 days. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Sepsis
What is being tested?
Granisetron Hydrochloride
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
154 participants
Where
1 siteChina
Study dates
25 Apr 2019to 28 Dec 2020
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Age<18 years, or age>80 years.
  • Pregnancy or lactating
  • A solid-organ or bone marrow transplant patients.
  • Patients with myocardial infarction within the past 3 months.
  • Advanced pulmonary fibrosis .
  • Patients with cardiopulmonary resuscitation before enrollment.
Show all 16Show fewer
  • HIV-positive patients.
  • granulocyte-deficient patients.
  • blood/lymphatic system tumors are not remission.
  • patients with limited care (lack of commitment to full,aggressive life support).
  • patients with long-term use of immunosuppressive drugs or with immunodeficiency.
  • patients with advanced tumors.
  • patients combined with non-infectious factors leading to the death(uncontrollable major bleeding, brain hernia, etc.).
  • surgically unresolved infection sources(such as some intraperitoneal infection etc.)
  • patients allergic to granisetron.
  • patients with intestinal obstruction.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Department of Critical Care Medicine of Zhujiang Hospital,Southern Medical University

    Guangzhou, Guangdong, 510282

Other trials in China

About this study

Official title: Adjunctive Granisetron Therapy in Patients With Sepsis or Septic Shock:A Single-center, Randomized, Controlled, Single-blind Clinical Trial

In this prospective, single-center,randomized,controlled,single-blind clinical trial,Patients will be randomly assigned to receive granisetron or placebo for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge). The primary outcome is all-cause death rate at 28 days.

Read the detailed description

Investigational drug:Granisetron hydrochloride for injection

Study title:Adjunctive Granisetron Therapy in Patients with Sepsis or Septic Shock:A Single-center,Randomized,Controlled,Single-blind Clinical trial.

Principal Investigator:Professor Ping Chang ,Professor Zhanguo Liu, professor Peng Chen,Department of Critical Care Unit, Zhujiang Hospital, Southern Medical University

Study subjects:Adult septic/septic shock patients with procalcitonin(PCT≥2ng/ml when entering the ICU.

Study phase: Investigator Initiated Trial(IIT)

Study objectives:The objective of the study is to determine whether granisetron, compared to placebo, improve the prognosis of sepsis or septic shock,including the reduction in mortality, the protection of organ function and reduction of inflammatory response,and to determine the safety of granisetron in patients with sepsis.

Study design:A Single-center,Randomized,Controlled,Single-blind Clinical trial.

Medication method: Granisetron treatment group: Follow the guidelines for sepsis in 2016 and recommend routine treatment + 3mg granisetron in 22 ml normal saline every 8 h for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge), whichever come first.

Placebo control group:Follow the guidelines for sepsis in 2016 and recommend routine treatment + 25ml normal saline every 8 h for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge), whichever come first.

Course:4days

Sample size:154.

Sites:1

Primary endpoint:all-cause death at 28 days

Secondary endpoints:

  1. The state of liver function: the serum level of transaminase(AST、ALT)、total bilirubin、direct bilirubin at 1,2,3,4,5 days after randomization
  2. The state of lung function:oxygenation index(PaO2/FiO2) at 1,2,3,4,5 days after randomization (the patients treated with extracorporeal membrane oxygenation will not collect this indicator).
  3. The state of kidney function:serum level of Creatinine (Cr)、blood urea nitrogen(BUN)、Cystatin(Cys) at 1,2,3,4,5 days after randomization
  4. The state of inflammatory response:the serum level of interleukin-6(IL-6) 、C-reactive protein 、Superoxide dismutase(SOD) and erythrocyte sedimentation rate(ESR) at 1,3,5 days after randomization.
  5. The state of circulation system: the serum level of lactic acid at 1,2,3,4,5 days after randomization
  6. The state of immune function:the serum level of white blood cell(WBC)、lymphocyte at 1, 3, 5 days after randomization,the serum level of cluster of differentiation 4 Tcell(CD4+ Tcell) and cluster of differentiation 8 Tcell(CD8+ Tcell) at 1,5days after randomization.
  7. The level of plasma 5-hydroxytryptamine(5-HT) at 1,5 days after randomization.
  8. Organ dysfunction assessed by Sequential Organ Failure Assessment (SOFA) score at 1, 3, 5 after randomization
  9. Incidence and duration of supportive care for organ dysfunction including vasoactive agents, mechanical ventilation, continuous renal replacement therapy(CRRT)、daily condition of fuid balance
  10. The length of stay in ICU

Safety endpoints:

  1. adverse events
  2. Serious adverse events
Conditions
Sepsis
Being tested
Granisetron Hydrochloride, Placebo(Normal saline)
Keywords
sepsis, septic shock, granisetron
Medical subject headings
Sepsis, Shock, Septic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Granisetron HydrochlorideDrug

    Also called Selective 5-hydroxytryptamine 3 receptor inhibitor

    Granisetron will be diluted with 0.9% saline to ensure that the therapeutic drug and placebo are identical in appearance, and 50 ml syringes will serve as the containers for all intravenous drugs.

  • Placebo(Normal saline)Drug

    Also called 0.9% saline

    therapeutic drug and placebo are identical in appearance, and 50 ml syringes will serve as the containers for all intravenous drugs.

Study groups in NCT03924518
Study groupRoleWhat they receive
granisetron groupExperimental3ml granisetron(3mg) will be diluted in 22 mL of 0.9% normal saline,and the granisetron diluted will be intravenously injected for at 10 minutes, every 8 hours for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge), whichever come first.
Receives: Drug: Granisetron Hydrochloride
placebo groupPlacebo comparatorNormal saline 25ml every 8h for 4 days or until leaving the ICU(death or transfer from ICU to general ward or discharge), whichever come first.
Receives: Drug: Placebo(Normal saline)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. all-cause mortality rate

    All-cause mortality rate from the enrollment to the 28th days

    Measured: 28 days

Secondary outcomes (26)
  1. liver function(1)

    the serum level of Alanine transaminase(ALT)

    Measured: Day at 1,2,3,4,5 after randomization

  2. liver function(2)

    the serum level of Aspartate transaminase (AST)

    Measured: Day at 1,2,3,4,5 after randomization

  3. liver function(3)

    the serum level of total bilirubin

    Measured: Day at 1,2,3,4,5 after randomization

  4. liver function(4)

    the serum level of direct bilirubin

    Measured: Day at 1,2,3,4,5 after randomization

  5. lung function

    oxygenation index(PaO2/FiO2),the patients treated with extracorporeal membrane oxygenation will not collect this indicator

    Measured: Day at 1,2,3,4,5 after randomization

  6. kidney function(1)

    serum level of Creatinine (Cr)

    Measured: Day at 1,2,3,4,5 after randomization

  7. kidney function(2)

    serum level of blood urea nitrogen(BUN)

    Measured: Day at 1,2,3,4,5 after randomization

  8. kidney function(3)

    serum level of Cystatin(Cys)

    Measured: Day at 1,2,3,4,5 after randomization

  9. inflammatory response(1)

    the serum level of interleukin-6(IL-6)

    Measured: Day at 1,3,5 after randomization.

  10. inflammatory response(2)

    the serum level of C-reactive protein(CRP)

    Measured: Day at 1,3,5 after randomization.

  11. inflammatory response(3)

    the serum level of superoxide dismutase(SOD)

    Measured: Day at 1,3,5 after randomization.

  12. inflammatory response(4)

    the serum level of erythrocyte sedimentation rate(ESR)

    Measured: Day at 1,3,5 after randomization.

  13. The level of lactic acid

    the serum level of lactic acid

    Measured: Day at 1,2,3,4,5 after randomization

  14. immune function(1)

    the serum level of white blood cell(WBC)

    Measured: Day at 1, 3, 5 after randomization for test the the serum level of white blood cell(WBC).

  15. immune function(2)

    the serum level of lymphocyte

    Measured: Day at 1, 3, 5 after randomization for test the the serum level of lymphocyte.

  16. immune function(3)

    the serum level of CD4+ Tcell

    Measured: Day at 1,5 after randomization for test the the serum level of CD4+ Tcell.

  17. immune function(4)

    the serum level of CD8+Tcell

    Measured: Day at 1, 5 after randomization for test the the serum level of CD8+Tcell.

  18. The level of 5-hydroxytryptamine (5-HT)

    The level of plasma 5-HT

    Measured: Day at 1,5 after randomization.

  19. Sequential Organ Failure Assessment (SOFA) score

    Organ dysfunction assessed by Sequential Organ Failure Assessment (SOFA) score.SOFA score is based on six different scores, one each for the respiratory, cardiovascular, hepatic, coagulation, renal and neurological systems.The highest score for each of the six items is 4 points, and the lowest score is 0 points.Finally, the scores of the six items are summed to get the value of the sofa score.The range of the sofa score is 0-24.Higher values represent a worse outcome.

    Measured: Day at 1, 3, 5 after randomization

  20. The proportion of patients receiving mechanical ventilation

    The proportion of patients receiving mechanical ventilation within 28 days after randomization

    Measured: 28 days

  21. The proportion of patients receiving vasoactive drugs

    The proportion of patients receiving vasoactive drugs within 28 days after randomization

    Measured: 28 days

  22. The proportion of patients receiving renal replacement therapy(CRRT)

    The proportion of patients receiving CRRT within 28 days after randomization

    Measured: 28 days

  23. The duration of mechanical ventilation

    The the duration of mechanical ventilation therapy in hours( This outcome measure is intended only for patients receiving mechanical ventilation)

    Measured: 28 days

  24. The duration of vasoactive drugs

    The the duration of vasoactive drugs therapy in hours( This outcome measure is intended only for patients receiving vasoactive drugs)

    Measured: 28 days

  25. The duration of CRRT

    The the duration of CRRT therapy in hours( This outcome measure is intended only for patients receiving CRRT)

    Measured: 28 days

  26. ICU length of stay

    ICU length of stay

    Measured: 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Apr 2019
  2. Study start25 Apr 2019
  3. Primary completion28 Nov 2020
  4. Study completion28 Dec 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The participants in treatment group receive intravenous granisetron. The participants in control group receive normal saline.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03924518
Sponsor's protocol ID
2018-ZZJHZX-009
Acronym
GRANTISS
Status last verified
Jan 2021
First submitted
15 Apr 2019
Last updated
7 Jul 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: since some data may involve patients privacy ,we have no plans to share data so far,and some data may be shared later depending on the patient's wishes.

Publications

  • Gong S, Yan Z, Liu Z, Niu M, Fang H, Li N, Huang C, Li L, Chen G, Luo H, Chen X, Zhou H, Hu J, Yang W, Huang Q, Schnabl B, Chang P, Billiar TR, Jiang Y, Chen P. Intestinal Microbiota Mediates the Susceptibility to Polymicrobial Sepsis-Induced Liver Injury by Granisetron Generation in Mice. Hepatology. 2019 Apr;69(4):1751-1767. doi: 10.1002/hep.30361. Epub 2019 Mar 5.

    PubMed 30506577
  • Guan J, Guo Y, Chang P, Gan J, Zhou J, Wang H, Cen Z, Tang Y, Liu Z, Chen P. Adjunctive granisetron therapy in patients with sepsis or septic shock (GRANTISS): Study protocol for a randomized controlled trial. Medicine (Baltimore). 2019 Sep;98(39):e17354. doi: 10.1097/MD.0000000000017354.

    PubMed 31574878

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Granisetron Hydrochloride in people with Sepsis, run by Zhujiang Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

all-cause mortality rate (time frame: 28 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03924518, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Jul 2022.

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