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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 16 December 2017
Main ID:  NCT02476253
Date of registration: 10/06/2015
Prospective Registration: No
Primary sponsor: University Hospital, Montpellier
Public title: Sodium Bicarbonate to Treat Severe Acidosis in the Critically Ill (BICAR-ICU)
Scientific title: Sodium Bicarbonate to Treat Severe Acidosis in the Critically Ill : A Multiple Center Randomized Clinical Trial (BICAR-ICU)
Date of first enrolment: May 5, 2015
Target sample size: 400
Recruitment status: Recruiting
URL:  https://clinicaltrials.gov/show/NCT02476253
Study type:  Interventional
Study design:  Allocation: Randomized. Intervention model: Parallel Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 3
Countries of recruitment
France
Contacts
Name:     Boris JUNG, MD
Address: 
Telephone: 0467337271
Email: b-jung@chu-montpellier.fr
Affiliation: 
Name:     Samir Jaber, MD, PhD
Address: 
Telephone: 33467337271
Email: s-jaber@chu-montpellier.fr
Affiliation: 
Key inclusion & exclusion criteria

Inclusion Criteria:

- Age of 18 yo or above,

- Critically ill patient with a SOFA score of 4 or above,

- Lactatemia of 2mmol/l or above, with pH of 7.20 or below and PaCO2 of 45mmHg or below
and bicarbonatemia of 20mmol/l or below

Exclusion Criteria:

- Administration of Sodium Bicarbonate 24 hours before inclusion

- Single respiratory disorder (PaCO2 > 50 mmHg, Bicarbonatemia equal or higher than
(PaCO2-40)/10 + 24

- Acute diarrhea, ileostomy or biliary drainage

- Stage IV kidney failure or chronic dialysis

- Tubular acidosis, ketoacidosis, high anion gap acids poisoning (PEG, aspirin,
methanol)

- PaCO2 equal to 45mmHg or above and spontaneous breathing, pregnancy, protected
patients, moribund patient (life expectancy of 48h or below)



Age minimum: 18 Years
Age maximum: N/A
Gender: All
Health Condition(s) or Problem(s) studied
Metabolic Acidosis
Intervention(s)
Drug: Sodium Bicarbonate
Primary Outcome(s)
Composite criteria of Day 28 mortality and/or patients with at least one organ failure defined as a SOFA score of 3 or 4 [Time Frame: Day 0 to Day 28]
Secondary Outcome(s)
Duration of mechanical ventilation and ventilatory free days (days) [Time Frame: Day 0 to Day 28]
Evolution of the organ failure scores [Time Frame: Day 0 to Day 28]
Hospital acquired infections (incidence) [Time Frame: Day 0 to Day 28]
Amount of intravenous fluid (ml) [Time Frame: Day 0 to Day 2]
Duration of renal replacement therapy (days) [Time Frame: Day 0 to Day 28]
Duration of vasopressors administration (h) [Time Frame: Day 0 to Day 28]
Secondary ID(s)
9260
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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