Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia

PHASE3RecruitingINTERVENTIONAL
Enrollment

20,000

Participants

Timeline

Start Date

April 11, 2016

Primary Completion Date

February 28, 2026

Study Completion Date

February 29, 2028

Conditions
Community-acquired Pneumonia, Influenza, COVID-19
Interventions
DRUG

Ceftriaxone

The duration and dose of empiric antibiotics will be determined by the treating clinician and local guidelines or practice.

DRUG

Moxifloxacin or Levofloxacin

The duration and dose of empiric antibiotics will be determined by the treating clinician and local guidelines or practice.

DRUG

Piperacillin-tazobactam

The duration and dose of empiric antibiotics will be determined by the treating clinician and local guidelines or practice.

DRUG

Ceftaroline

"The duration and dose of empiric antibiotics will be determined by the treating clinician and local guidelines or practice.~Note: this intervention is now closed."

DRUG

Amoxicillin-clavulanate

The duration and dose of empiric antibiotics will be determined by the treating clinician and local guidelines or practice.

DRUG

Standard course macrolide

"Standard course of macrolide therapy, discontinued between study day 3 and the end of study day 5.~The dosing of and route of administration is not protocolised, the following guidance is provided:~* Initial IV administration of a macrolide is strongly preferred~* The preferred IV macrolide is azithromycin, but IV clarithromycin may be substituted.~* The preferred enteral macrolide is azithromycin, but enteral clarithromycin or roxithromycin may be substituted."

DRUG

Extended course macrolide

"Extended course of macrolide therapy discontinued at the end of study day 14 or hospital discharge (whichever occurs first).~The dosing of and route of administration is not protocolised, the following guidance is provided:~* Initial IV administration of a macrolide is strongly preferred~* The preferred IV macrolide is azithromycin, but IV clarithromycin may be substituted.~* The preferred enteral macrolide is azithromycin, but enteral clarithromycin or roxithromycin may be substituted."

OTHER

No systemic corticosteroid

Patients are not to receive any systemic corticosteroids, including hydrocortisone, to study day 28 or hospital discharge (whichever occurs first).

DRUG

Fixed-duration Hydrocortisone

"50mg of intravenous hydrocortisone will be administered every 6 hours for up to 7 days.~Note: this intervention is now closed."

DRUG

Shock-dependent hydrocortisone

50mg IV hydrocortisone every 6 hours while the patient is in septic shock

DRUG

Fixed-duration higher dose Hydrocortisone

"100mg of intravenous hydrocortisone will be administered every 6 hours for up to 7 days.~Note: this intervention was only available to patients with suspected or proven COVID-19 and is now closed."

OTHER

No antiviral agent for influenza

No antiviral agent intended to be active against influenza infection is to be administered

DRUG

Five-days oseltamivir

Oseltamivir administered enterally twice daily for 5 days or until hospital discharge (whichever occurs first)

DRUG

Ten-days oseltamivir

Oseltamivir administered enterally twice daily for 10 days or until hospital discharge (whichever occurs first)

OTHER

No antiviral agent for COVID-19

No antiviral agent intended to be active against SARS-CoV-2 infection is to be administered

DRUG

Lopinavir / Ritonavir

"Lopinavir/ritonavir 400/100mg administered enterally, or 5ml 80/20mg per mL solution suspension via gastric tube, every 12 hours. Administered for a minimum of 5 days, including if discharged from ICU prior to end of study day 5. For patients discharged from ICU between study day 6 and study day 14, lopinavir/ritonavir is ceased at ICU discharge. Lopinavir/ritonavir is ceased at the end of study day 14 if the patient remains in ICU.~Note: this intervention is now closed."

DRUG

Hydroxychloroquine

"Loading dose of 800mg hydroxychloroquine administered enterally every 6 hours until 2 doses have been administered. Subsequently, 400mg hydroxychloroquine will be administered enterally every 12 hours for 12 doses or ICU discharge (whichever occurs first).~Note: this intervention is now closed."

DRUG

Hydroxychloroquine + lopinavir/ritonavir

"Lopinavir/ritonavir 400/100mg administered enterally, or 5ml 80/20mg per mL solution suspension via gastric tube, every 12 hours. Administered for a minimum of 5 days, including if discharged from ICU prior to end of study day 5. For patients discharged from ICU between study day 6 and study day 14, lopinavir/ritonavir is ceased at ICU discharge. Lopinavir/ritonavir is ceased at the end of study day 14 if the patient remains in ICU.~Loading dose of 800mg hydroxychloroquine administered enterally every 6 hours until 2 doses have been administered. Subsequently, 400mg hydroxychloroquine will be administered enterally every 12 hours for 12 doses or ICU discharge (whichever occurs first).~Note: this intervention is now closed."

DRUG

Ivermectin

"Ivermectin administered enterally at a dose of 0.2 mg/kg once daily with a maximum daily dose of 24mg/day.~Note: this intervention is now closed."

OTHER

No immune modulation for COVID-19

"No immune modulating agent intended to be active against COVID-19 is to be administered.~Note: this intervention is now closed."

DRUG

Interferon beta-1a

"IFN-β1a 10 μg will be administered as an intravenous bolus injection via a central or peripheral line. IFN-β1a will be administered once daily for 6 days or until ICU discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

Anakinra

"A loading dose of 300mg anakinra will be administered as a bolus via central or peripheral line. This is followed by maintenance doses of 100mg of anakinra administered every 6 hours.~In patients with renal impairment, anakinra will be administered on alternate days.~Note: this intervention is now closed."

DRUG

Tocilizumab

"Tocilizumab will be administered as a single dose of 8mg/kg estimated or measured body weight, with a maximum total dose of 800mg.~Tocilizumab will be administered as an IV infusion via central or peripheral line over a one-hour period.~Note: this intervention is now closed."

DRUG

Sarilumab

"Sarilumab will be administered as a single dose of 400mg, via IV infusion through peripheral or central line over a one-hour period.~Note: this intervention is now closed."

DRUG

Local standard venous thromboprophylaxis

"Standard venous thromboprophylaxis that complies with local guidelines or usual practice will be administered for 14 days following randomisation or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

Therapeutic dose anticoagulation

"Patients will be administered either low molecular weight heparin (LMWH) or unfractionated heparin (UFH) to achieve systemic anticoagulation. Either agent may be used and the same patient may be switched between UFH and LMWH at the discretion of the treating clinician.~Note: this intervention is now closed."

DRUG

Conventional low dose thromboprophylaxis

Low dose thromboprophylaxis will be administered for 14 days following randomisation or until hospital discharge, whichever occurs first. Dosing is outlined in the relevant protocol documents for this domain.

DRUG

Intermediate dose thromboprophylaxis

Intermediate dose thromboprophylaxis will be administered for 14 days following randomisation or until hospital discharge, whichever occurs first. Dosing is outlined in the relevant protocol documents for this domain.

DRUG

Continuation of therapeutic dose anticoagulation

"Patients already receiving therapeutic dose anticoagulation at the time of randomisation to this intervention will be administered either unfractionated heparin by IV infusion or low-molecular weight heparin to achieve systemic anticoagulation according to local practice for acute VTE treatment for 14 days following randomisation or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

OTHER

No immunoglobulin

No immunoglobulin intended to be active against SARS-CoV-2 infection is to be administered.

BIOLOGICAL

Convalescent plasma

Patients will receive at least one and no more than two units of ABO compatible convalescent plasma within 48 hours of randomisation.

BIOLOGICAL

Delayed administration of convalescent plasma

Note: this intervention is now closed.

OTHER

No vitamin C

"No high dose intravenous vitamin C is to be administered~Note: this intervention is now closed."

DRUG

Vitamin C

"Intravenous Vitamin C 50mg/kg administered every 6 hours for 16 doses~Note: this intervention is now closed."

OTHER

No antiplatelet

"No antiplatelet agent or NSAID to be administered.~Note: this intervention is now closed."

DRUG

Aspirin

"Aspirin administered at either 75mg or 100mg once per day for 14 days or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

P2Y12 inhibitor

"Site-selected P2Y12 inhibitor:~* Clopidogrel: administered 75 mg once per day for 14 days or until hospital discharge, whichever occurs first.~* Prasugrel: If patient is aged less than 75 years and measured or estimated weight if 60kg or more, and initial loading dose of prasugrel 60 mg will be administered, followed by maintenance dose of 10 mg per day.~* Ticagrelor: administered enterally at 60mg twice daily for 14 days or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

OTHER

No simvastatin

"No simvastatin intended to be active against COVID-19 is to be administered~Note: this intervention is now closed."

DRUG

Simvastatin

"Simvastatin 80mg administered once daily via enteral route, while the patient remains in hospital up to 28 days after randomisation~Note: this intervention is now closed."

DRUG

Eritoran

"Eritoran initiated with a 26.24 mg loading dose (6.56 mg/h IV for 4 hours), followed by a second 13.12 mg loading dose (6.56 mg/h IV for 2 hours) at 12 hours after initiation. Patients will then receive twenty-six 6.56 mg maintenance doses (3.28 mg/h IV for 2 hours) every 12 hours thereafter (total of 14 days). Dosing will be stopped if the patient is discharged from hospital~Note: this intervention is now closed."

DRUG

Apremilast

"Apremilast administered 30mg twice daily for 14 days or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

PROCEDURE

Clinician-preferred mechanical ventilation strategy

Clinician-preferred ventilation strategy, including mode of ventilation and all ventilatory parameters

PROCEDURE

Protocolised mechanical ventilation strategy

Invasive mechanical ventilation strategy delivered as outlined in relevant protocol documents for this domain.

OTHER

No renin-angiotensin system inhibitor

"No RAS inhibitor (i.e. no ACEi or ARB) is to be administered up to the end of study day 10.~Note: this intervention is now closed."

DRUG

Angiotensin converting enzyme inhibitor

"Site-preferred ACEi agent administered as directed by the treating clinician for 10 days or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

Angiotensin Receptor Blockers

"Site-preferred ARB agent administered as directed by the treating clinician for 10 days or until hospital discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

ARB + DMX-200

"Site-preferred ARB agent administered in combination with DMX-200 for 10 days or until hospital discharge, whichever occurs first.~ARB administered as directed by the treating clinician. DMX-200 administered enterally at a dose of 120mg twice daily.~Note: this intervention is now closed."

OTHER

No cysteamine

"No cysteamine to be administered until the end of study day 10 or hospital discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

Cysteamine

"Cysteamine administered every 8 hours at a dose of 5 mg/kg estimated or measured body weight (maximum dose of 500mg), for ten days or until ICU discharge, whichever occurs first.~Note: this intervention is now closed."

DRUG

Fixed-duration dexamethasone

6 mg of IV or enteral dexamethasone will be administered daily for up to 10 days while in hospital.

DRUG

Baloxavir Marboxil

Baloxavir marboxil administered on days 1 and 4 post-randomisation.

DRUG

Five-days oseltamivir + baloxavir marboxil

Oseltamivir administered enterally twice daily for 5 days or until hospital discharge (whichever occurs first), in addition to baloxavir marboxil administered on days 1 and 4 post-randomisation.

DRUG

Ten-days oseltamivir + baloxavir marboxil

Oseltamivir administered enterally twice daily for 10 days or until hospital discharge (whichever occurs first), in addition to baloxavir marboxil administered on days 1 and 4 post-randomisation.

OTHER

No endothelial modulator

No endothelial modulator (imatinib or another tyrosine kinase inhibitor targeting the same pathway as imatinib) is to be administered.

DRUG

Imatinib

Enteral imatinib will be administered as a single 800mg loading dose (study day 1) followed by 400mg daily until study day 14 or discharge.

OTHER

No Immune Modulator for Influenza

No immune modulating agent intended to be active against influenza is to be administered.

DRUG

Tocilizumab

"Tocilizumab will be administered as a single dose of 8mg/kg estimated or measured body weight, with a maximum total dose of 800mg. In children weighing less than 30kg, tocilizumab dose will be 12mg/kg.~Tocilizumab will be administered as an IV infusion via central or peripheral line over a one-hour period."

DRUG

Baricitinib

Baricitinib will be administered at a dose that is determined by age and renal function, for up to 10 days or hospital discharge (whichever occurs first).

OTHER

No antiviral agent for COVID-19

No antiviral agent intended to be active against SARS-CoV-2 infection is to be administered

DRUG

Nirmatrelvir/ritonavir

Nirmatrelvir-ritonavir will be administered at a dose that is dependent on renal function, for five days.

DRUG

Remdesivir

Remdesivir is administered at 200 mg on day one followed by 100 mg daily for a further four doses (i.e., for five doses in total) or until hospital discharge, whichever occurs first.

DRUG

Nirmatrelvir/ritonavir + remdesivir

Nirmatrelvir-ritonavir will be administered at a dose that is dependent on renal function, for five days. Remdesivir is administered at 200 mg on day one followed by 100 mg daily for a further four doses (i.e., for five doses in total) or until hospital discharge, whichever occurs first.

Trial Locations (408)

1023

RECRUITING

CVICU, Auckland City Hospital, Auckland

RECRUITING

DCCM, Auckland City Hospital, Auckland

2000

RECRUITING

University Medical Centre Maribor, Maribor

2010

RECRUITING

St Vincent's Hospital Sydney, Sydney

2031

RECRUITING

Prince of Wales Hospital, Sydney

2050

NOT_YET_RECRUITING

Royal Prince Alfred Hospital, Sydney

2065

RECRUITING

Royal North Shore Hospital, Sydney

2086

RECRUITING

Northern Beaches Hospital, Frenchs Forest

2104

RECRUITING

Middlemore Hospital, Auckland

2139

RECRUITING

Concord Hospital, Concord

2145

RECRUITING

Westmead Hospital, Westmead

2148

RECRUITING

Blacktown Hospital, Blacktown

2170

RECRUITING

Liverpool Hospital, Liverpool

2200

RECRUITING

Bankstown-Lidcombe Hospital, Bankstown

2217

RECRUITING

St. George Hospital, Kogarah

2229

RECRUITING

Sutherland Hospital, Caringbah

2305

RECRUITING

John Hunter Hospital, Newcastle

2500

RECRUITING

Wollongong Hospital, Sydney

2560

RECRUITING

Campbelltown Hospital, Campbelltown

2605

RECRUITING

Canberra Hospital, Canberra

2650

NOT_YET_RECRUITING

Wagga Wagga Base Hospital, Wagga Wagga

2750

RECRUITING

Nepean Hospital, Kingswood

2800

NOT_YET_RECRUITING

Orange Health Service, Orange

2830

RECRUITING

Dubbo Base Hospital, Dubbo

3004

RECRUITING

The Alfred Hospital, Melbourne

3010

RECRUITING

Rotorua Hospital, Rotorua

3011

RECRUITING

Footscray Hospital, Footscray

3021

RECRUITING

Sunshine Hospital, Sunshine

3030

RECRUITING

Werribee Mercy Hospital, Werribee

3050

RECRUITING

Royal Melbourne Hospital, Melbourne

3065

RECRUITING

St Vincent's Hospital Melbourne, Melbourne

3112

RECRUITING

Tauranga Hospital, Tauranga

3128

RECRUITING

Box Hill Hospital, Box Hill

3135

RECRUITING

Maroondah Hospital, Ringwood East

3156

NOT_YET_RECRUITING

Angliss Hospital, Ferntree Gully

3168

RECRUITING

Monash Medical Centre, Clayton

3175

RECRUITING

Dandenong Hospital, Dandenong

3204

RECRUITING

Waikato Hospital, Hamilton

3220

RECRUITING

University Hosptial Geelong, Geelong

3350

RECRUITING

Ballarat Base Hospital, Ballarat

3550

RECRUITING

Bendigo Hospital, Bendigo

3600

COMPLETED

Almási Balogh Pál Kórház, Ózd

3806

RECRUITING

Casey Hospital, Berwick

4020

NOT_YET_RECRUITING

Redcliffe Hospital, Redcliffe

4032

RECRUITING

The Prince Charles Hospital, Brisbane

4101

RECRUITING

Mater Hospital Brisbane, Brisbane

4102

RECRUITING

Princess Alexandra Hospital, Brisbane

4110

RECRUITING

Queen Elizabeth II Jubilee Hospital, Coopers Plains

4129

NOT_YET_RECRUITING

Logan Hospital, Logan City

4204

SUSPENDED

University Clinic of Respiratory and Allergic Diseases Golnik, Golnik

4215

RECRUITING

Gold Coast University Hospital, Southport

4310

RECRUITING

Taranaki Base Hospital, New Plymouth

4350

RECRUITING

Toowoomba Hospital, Toowoomba

4400

COMPLETED

Jósa András County Hospital, Nyíregyháza

4510

RECRUITING

Caboolture Hospital, Caboolture

4575

NOT_YET_RECRUITING

Sunshine Coast University Hospital, Birtinya

4700

NOT_YET_RECRUITING

Rockhampton Hospital, Rockhampton

4814

RECRUITING

Townsville Hospital, Townsville

5000

RECRUITING

Royal Adelaide Hospital, Adelaide

5011

RECRUITING

The Queen Elizabeth Hospital, Adelaide

5042

RECRUITING

Flinders Medical Centre, Bedford Park

5112

RECRUITING

Lyell McEwin Hospital, Adelaide

5530

RECRUITING

CHU Namur site Godinne, Namur

6000

RECRUITING

Royal Perth Hospital, Perth

6008

RECRUITING

St John of God Subiaco, Subiaco

6009

RECRUITING

Sir Charles Gairdner Hospital, Perth

6021

RECRUITING

Wellington Regional Hospital, Wellington

6042

RECRUITING

CHU de Charleroi - Hôpital Civil Marie Curie, Charleroi

6056

RECRUITING

St John of God Hospital Midland, Midland

6150

NOT_YET_RECRUITING

St John of God Hospital Murdoch, Murdoch

RECRUITING

Fiona Stanley Hospital, Perth

7250

RECRUITING

Launceston Hospital, Launceston

8011

RECRUITING

Christchurch Hospital, Christchurch

8091

SUSPENDED

University Hospital Zürich, Zurich

9000

RECRUITING

Universitair Ziekenhuis Gent, Ghent

10000

RECRUITING

University Hospital Centre Zagreb, Zagreb

WITHDRAWN

University Hospital for Infectious Diseases, Zagreb

RECRUITING

Fakultní nemocnice Královské Vinohrady, Prague

10065

RECRUITING

Memorial Sloan Kettering Cancer Center, New York

10117

WITHDRAWN

Charité - Universitätsmedizin Berlin - Infektiologie und Pneumologie, Berlin

11000

SUSPENDED

University Clinical Centre of Serbia, Belgrade

SUSPENDED

University Hospital Center Dr Dragiša Mišović, Belgrade

11407

RECRUITING

Hospital Universitario de Jerez, Cadiz

12351

COMPLETED

Vivantes Klinikum Neukölln, Berlin

13353

SUSPENDED

Charite Universitätsmedizin Berlin, Berlin

13509

WITHDRAWN

Vivantes Humboldt-Klinikum, Berlin

14004

RECRUITING

Reina Sofia University Hospital, Córdoba

14611

RECRUITING

King Abdulaziz Medical City, Riyadh

15000

COMPLETED

Centre Hospitalier Henri Mondor d'Aurillac, Aurillac

18000

RECRUITING

Clinical Centre of Niš, Niš

20089

RECRUITING

Humanitas Research Hospital, Milan

20122

RECRUITING

Ca' Granda Ospedale Maggiore Policlinico, Milan

20132

RECRUITING

IRCCS Ospedale San Raffaele, Milan

20251

SUSPENDED

University Medical Center Hamburg-Eppendorf (UKE), Hamburg

21000

RECRUITING

CHU Dijon Bourgogne, Dijon

25123

RECRUITING

AO Spedali Civili di Brescia, Brescia

28034

RECRUITING

Ramon y Cajal University Hospital, Madrid

29010

RECRUITING

Hospital Regional de Málaga, Málaga

29600

RECRUITING

Centre Hospitalier des Pays de Morlaix, Morlaix

30912

NOT_YET_RECRUITING

Augusta University, Augusta

32005

RECRUITING

Hospital Universitario de Ourense, Ourense

32209

RECRUITING

University of Florida, Jacksonville

33520

SUSPENDED

Tampere University Hospital, Tampere

34000

RECRUITING

General County Hospital Požega, Požega

37000

RECRUITING

CHRU Tours Hopital Bretonneau, Tours

39008

RECRUITING

Hospital Marqués de Valdecilla, Santander

40024

RECRUITING

Centre Hospitalier Layne - Mont-de-Marsan, Mont-de-Marsan

40100

RECRUITING

CH de Dax, Dax

41501

SUSPENDED

Teplice Hospital, Teplice

42123

RECRUITING

Arcispedale S. Maria Nuova, Reggio Emilia

43210

RECRUITING

The Ohio State University Wexner Medical Center, Columbus

43500

RECRUITING

Hospital Verge de la Cinta, Tortosa

44137

COMPLETED

Klinikum Dortmund, Dortmund

44200

RECRUITING

Chitwan Medical College, Bharatpur

44600

RECRUITING

Grande International Hospital, Kathmandu

RECRUITING

Hospital for Advanced Medicine and Surgery (HAMS), Kathmandu

RECRUITING

Nepal Mediciti, Kathmandu

45100

ACTIVE_NOT_RECRUITING

CHR d'Orleans, Orléans

45138

COMPLETED

Elisabeth Hospital Essen, Essen

46017

RECRUITING

Doctor Peset University Hospital, Valencia

46026

RECRUITING

Hospital La Fe, Valencia

47923

NOT_YET_RECRUITING

Ospedale Infermi di Rimini, Rimini

48109

RECRUITING

University of Michigan, Ann Arbor

48149

SUSPENDED

Universitätsklinikum Münster, Münster

50406

SUSPENDED

Tartu University Hospital, Tartu

50937

WITHDRAWN

University Hospital of Cologne, Cologne

60000

ACTIVE_NOT_RECRUITING

Beauvais General Hospital, Beauvais

60590

WITHDRAWN

Universitätsklinikum Frankfurt, Frankfurt

60612

RECRUITING

University of Illinois Health, Chicago

62660

RECRUITING

Centre hospitalier Bethune Beuvry, Béthune

67000

RECRUITING

Nouvel Hopital Civil Strasbourg, Strasbourg

67200

ACTIVE_NOT_RECRUITING

Hopital de Hautepierre Strasbourg, Strasbourg

70112

NOT_YET_RECRUITING

Tulane Medical Center, New Orleans

72027

RECRUITING

Centre Hospitalier Le Mans, Le Mans

72076

COMPLETED

Universitäts Klinikum Tübingen, Tübingen

75000

RECRUITING

Ziauddin University Hospital Clifton Campus, Karachi

75010

ACTIVE_NOT_RECRUITING

Lariboisiere Hospital, Paris

75020

ACTIVE_NOT_RECRUITING

Hopital Tenon, Paris

75300

RECRUITING

Abbasi Shaheed Hospital, Karachi

75510

RECRUITING

National Institute of Cardiovascular Diseases, Karachi, Karachi

75600

RECRUITING

South City Hospital, Karachi, Karachi

76202

RECRUITING

Centre Hospitalier de Dieppe, Dieppe

77000

ACTIVE_NOT_RECRUITING

Centre Hospitalier de Melun, Melun

81675

SUSPENDED

Klinikum rechts der Isar der TU München, München

85000

RECRUITING

CHD Vendee, La Roche-sur-Yon

87000

RECRUITING

CHU Dupuytren, Limoges

90127

RECRUITING

Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo

RECRUITING

Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione, Palermo

90400

SUSPENDED

Hopital Nord Franche-Comte, Belfort

91150

ACTIVE_NOT_RECRUITING

Sud Essonne Hospital Etampes, Étampes

92100

RECRUITING

Ambroise Pare Hospital, Boulogne-Billancourt

92380

RECRUITING

Hospital Raymond Poincare, Garches

95107

ACTIVE_NOT_RECRUITING

CH Argenteuil, Argenteuil

95600

ACTIVE_NOT_RECRUITING

Hopital Simone Veil Eaubonne, Eaubonne

97080

SUSPENDED

Universitätsklinikum Würzburg, Würzburg

600006

ACTIVE_NOT_RECRUITING

Apollo Main Hospital, Chennai

600010

RECRUITING

Apollo First Med Hospital, Chennai

600095

ACTIVE_NOT_RECRUITING

Apollo Vanagaram Hospital, Chennai

600096

RECRUITING

Apollo Speciality Hospital - OMR, Chennai

1528001

WITHDRAWN

The Baruch Padeh Medical Center, Poria – Neve Oved

3109601

WITHDRAWN

Rambam Medical Center, Haifa

4941492

SUSPENDED

Beilinson Hospital, Rabin Medical Center, Petah Tikva

27157-1009

NOT_YET_RECRUITING

Wake Forest Baptist Health, Winston-Salem

97239-3098

RECRUITING

Oregon Health and Science University, Portland

Unknown

RECRUITING

University of Pittsburgh Medical Centre, Pittsburgh

RECRUITING

Universidad de La Sabana, Chía

RECRUITING

Beaumont Hospital, Dublin

RECRUITING

St. Vincent's University Hospital, Dublin

RECRUITING

University Hospital Galway, Galway

RECRUITING

Jeroen Bosch Ziekenhuis, 's-Hertogenbosch

RECRUITING

Meander Medisch Centrum, Amersfoort

WITHDRAWN

Martini Hospital Groningen, Groningen

ACTIVE_NOT_RECRUITING

University Medical Center Groningen, Groningen

RECRUITING

Leiden University Medical Center, Leiden

RECRUITING

Canisius Wilhelmina Ziekenhuis, Nijmegen

RECRUITING

Radboud University Medical Center, Nijmegen

RECRUITING

Ziauddin University North Nazimabad Campus, Karachi

RECRUITING

Centro Hospitalar do Medio Tejo, Abrantes

SUSPENDED

Hospital Lusíadas Lisbon, Lisbon

RECRUITING

Hospital del Mar, Barcelona

02903

NOT_YET_RECRUITING

Brown University - Rhode Island Hospital, Providence

0810

NOT_YET_RECRUITING

Royal Darwin Hospital,, Darwin

T2W 1S7

ACTIVE_NOT_RECRUITING

Foothills Medical Centre, Calgary

ACTIVE_NOT_RECRUITING

Peter Lougheed Centre, Calgary

ACTIVE_NOT_RECRUITING

Rockyview General Hospital, Calgary

ACTIVE_NOT_RECRUITING

South Health Campus, Calgary

T5H 3V9

RECRUITING

Royal Alexandra Hospital, Alberta, Edmonton

T6G 2C8

RECRUITING

University of Alberta Hospital, Edmonton

V3V 1Z2

NOT_YET_RECRUITING

Surrey Memorial Hospital, Surrey

R2H 2A6

RECRUITING

St Boniface General Hospital, Winnipeg

R3A 1R9

RECRUITING

Health Sciences Centre Winnipeg, Winnipeg

R3J 3M7

RECRUITING

Grace Hospital, Winnipeg

E3B 4R3

NOT_YET_RECRUITING

Dr. Everett Chalmers Regional Hospital, Fredericton

NOT_YET_RECRUITING

The Moncton Hospital, Fredericton

NOT_YET_RECRUITING

The Saint John General Hospital, Fredericton

L6R 3J7

RECRUITING

William Osler Health System, Brampton

N3R 1G9

RECRUITING

Brantford General Hospital, Brantford

L8L 8E7

RECRUITING

Hamilton general Hospital, Hamilton

RECRUITING

Juravinski Hospital, Hamilton

L8N 4A6

RECRUITING

St. Joseph's Healthcare Hamilton, Hamilton

K7L 2V7

ACTIVE_NOT_RECRUITING

Kingston Health Sciences Centre, Kingston

N2G 4K9

RECRUITING

Grand River Hospital, Kitchener

N2M 1B2

RECRUITING

St Mary's General Hospital, Kitchener

K1H 8L6

RECRUITING

The Ottawa Hospital, Ottawa

L2S 0A9

RECRUITING

Niagara Health, St. Catharines

P7B 6V4

ACTIVE_NOT_RECRUITING

Thunder Bay General Hospital, Thunder Bay

M4N 3M5

RECRUITING

Sunnybrook Health Sciences Centre, Toronto

M5B 1W8

RECRUITING

St. Michael's Hospital Unity Health Toronto, Toronto

M5G 1X5

RECRUITING

Mount Sinai Hospital, Toronto

M5G 2C4

RECRUITING

Toronto General Hospital, Toronto

M5T 2S8

RECRUITING

Toronto Western Hospital, Toronto

M6R 1B5

ACTIVE_NOT_RECRUITING

St Joseph's Health Centre, Toronto

G6V 3Z1

NOT_YET_RECRUITING

CIUSS Chaudieres-Appalaches (Levis), Lévis

H1T 2M4

ACTIVE_NOT_RECRUITING

Hospital Maisonneuve-Rosemont, Montreal

H2B 1K3

NOT_YET_RECRUITING

Hôpital Fleury, Montreal

H2X 0A9

RECRUITING

Centre Hospitalier de l'Universite de Montreal, Montreal

H3H 2R9

RECRUITING

McGill University Health Centre, Montreal

H4J 1C5

RECRUITING

Hopital du Sacre-Coeur de Montreal, Montreal

G1R 2J6

RECRUITING

CHU de Québec - Université Laval, Québec

G1V 4G5

RECRUITING

IUCPQ-UL, Québec

J1J 3H5

RECRUITING

Centre Hospitalier de l'Université de Sherbrooke, Sherbrooke

S7K 0M7

RECRUITING

Regina General Hospital, Saskatoon

00290

SUSPENDED

Helsinki University Hospital, Helsinki

03058

COMPLETED

Carl-Thiem-Klinikum Cottbus, Cottbus

07747

SUSPENDED

Universitätsklinikum Jena, Jena

04103

SUSPENDED

University Hospital Leipzig, Leipzig

SUSPENDED

Universitätsklinikum Leipzig, Leipzig

T12 DC4A

ACTIVE_NOT_RECRUITING

Cork University Hospital, Cork

X91 ER8E

ACTIVE_NOT_RECRUITING

University Hospital Waterford, Waterford

216-8511

RECRUITING

St Marianna University School of Medicine, Kawasaki

236-0004

RECRUITING

Yokohama City University Hospital, Yokohama

241-0811

RECRUITING

St. Marianna University Yokohama City Seibu Hospital, Yokohama

861-4193

RECRUITING

Saiseikai Kumamoto Hospital, Minami

534-0021

RECRUITING

Osaka City General Hospital, Osaka

130-8575

RECRUITING

Nerima Hikarigaoka Hospital, Tokyo

RECRUITING

Tokyo Metropolitan Bokutoh Hospital, Tokyo

174-0051

RECRUITING

Itabashi Chuo Medical Center, Tokyo

279-0001

RECRUITING

Tokyo bay Urayasu-Ichikawa Medical Center, Tokyo

641-8509

RECRUITING

Wakayama Medical University, Wakayama

7609PP

RECRUITING

ZGT Almelo, Almelo

1091AC

ACTIVE_NOT_RECRUITING

OLVG, Amsterdam

6815AD

RECRUITING

Rijnstate Hospital, Arnhem

7416SE

ACTIVE_NOT_RECRUITING

Deventer Hospital, Deventer

6716RP

ACTIVE_NOT_RECRUITING

Ziekenhuis Gelderse Vallei, Ede

5631BM

ACTIVE_NOT_RECRUITING

Maxima Medisch Centrum Eindhoven, Eindhoven

8934AD

ACTIVE_NOT_RECRUITING

Medisch Centrum Leeuwarden, Leeuwarden

6043CV

ACTIVE_NOT_RECRUITING

Laurentius Hospital, Roermond

3079DZ

RECRUITING

Maasstad Ziekenhuis, Rotterdam

2545AA

RECRUITING

Hagaziekenhuis, The Hague

5406PT

ACTIVE_NOT_RECRUITING

Bernhoven Hospital, Uden

3584 CX

RECRUITING

University Medical Center Utrecht, Utrecht

0620

RECRUITING

North Shore Hospital, Auckland

0148

RECRUITING

Whangarei Hospital, Whangarei

1169-050

SUSPENDED

Hospital Ocidental, Lisbon

030303

SUSPENDED

"Clinical Hospital of Infectious and Tropical Diseases Dr. Victor Babes", Bucharest

SS16 5NL

ACTIVE_NOT_RECRUITING

Basildon Hospital, Basildon

RG24 9NA

RECRUITING

Basingstoke and North Hampshire Hospital, Basingstoke

BA1 3NG

ACTIVE_NOT_RECRUITING

Royal United Hospital, Bath, Bath

B15 2TH

RECRUITING

Queen Elizabeth Hospital Birmingham, Birmingham

B18 7QH

RECRUITING

Birmingham City Hospital, Birmingham

BB2 3HH

RECRUITING

Royal Blackburn Teaching Hospital, Blackburn

PE21 9QS

SUSPENDED

Pilgrim Hospital ULHT, Boston

BH7 7DW

ACTIVE_NOT_RECRUITING

Royal Bournemouth Hospital, Bournemouth

BN2 5BE

SUSPENDED

Royal Sussex County Hospital, Brighton

BS10 5NB

SUSPENDED

Southmead Hospital, Bristol

BS2 8EX

ACTIVE_NOT_RECRUITING

Bristol Royal Infirmary, Bristol

DE13 0RB

ACTIVE_NOT_RECRUITING

Queen's Hospital, Burton, Burton-on-Trent

CB2 0AY

ACTIVE_NOT_RECRUITING

Royal Papworth Hospital, Cambridge

CB2 0QQ

ACTIVE_NOT_RECRUITING

Addenbrookes Hospital, Cambridge

CA2 7HY

SUSPENDED

North Cumberland Infirmary, Carlisle

KT16 0P

ACTIVE_NOT_RECRUITING

St Peter's Hospital, Chertsey

CH2 1UL

ACTIVE_NOT_RECRUITING

Countess of Chester Hospital, Chester

S44 5BL

RECRUITING

Chesterfield Royal Hospital, Chesterfield

CO4 5JL

RECRUITING

Colchester Hospital, Colchester

CV2 2DX

ACTIVE_NOT_RECRUITING

University Hospital Coventry, Coventry

DL3 6HX

SUSPENDED

Darlington Memorial Hospital, Darlington

DA2 8DA

WITHDRAWN

Darent Valley Hospital, Dartford

DY1 2HQ

ACTIVE_NOT_RECRUITING

Russells Hall Hospital, Dudley

Ex2 5DW

SUSPENDED

Royal Devon and Exeter Hospital, Exeter

GU16 7 UJ

SUSPENDED

Frimley Park Hospital, Frimley

NE9 6SX

ACTIVE_NOT_RECRUITING

Queen Elizabeth Hospital Gateshead, Gateshead

ME7 5NY

COMPLETED

Medway Maritime Hospital, Gillingham

NR31 6LA

COMPLETED

James Paget University Hospital, Great Yarmouth

GU2 7XX

RECRUITING

Royal Surrey County Hospital, Guildford

HA1 3UJ

ACTIVE_NOT_RECRUITING

Northwick Park Hospital, Harrow

HR1 2ER

RECRUITING

Hereford County Hospital, Hereford

EN5 3DJ

ACTIVE_NOT_RECRUITING

Barnet Hospital, High Barnet

HD3 3EA

ACTIVE_NOT_RECRUITING

Huddersfield Royal Infirmary, Huddersfield

IG3 8YB

ACTIVE_NOT_RECRUITING

King George Hospital, Ilford

IP4 5PD

WITHDRAWN

Ipswich Hospital, Ipswich

NN16 8UZ

RECRUITING

Kettering Hospital, Kettering

LS9 7TF

ACTIVE_NOT_RECRUITING

Leeds General Infirmary, Leeds

RECRUITING

St. James University Hospital, Leeds

LE1 5WW

SUSPENDED

Leicester Royal Infirmary, Leicester

LE3 9QP

SUSPENDED

Glenfield Hospital, Leicester

LN2 5QY

SUSPENDED

Lincoln County Hospital, Lincoln

L14 3PE

COMPLETED

Liverpool Heart and Chest Hospital, Liverpool

L14 5AB

COMPLETED

Alder Hey Hospital, Liverpool

L7 8XP

ACTIVE_NOT_RECRUITING

Royal Liverpool University Hospital, Liverpool

L9 7AL

SUSPENDED

University Hospital Aintree, Liverpool

CR7 7YE

ACTIVE_NOT_RECRUITING

Croydon University Hospital, London

E1 1FR

ACTIVE_NOT_RECRUITING

Royal London Hospital, London

E11 1NR

ACTIVE_NOT_RECRUITING

Whipps Cross Hospital, London

E13 8SL

ACTIVE_NOT_RECRUITING

Newham University Hospital, London

EC1A 7BE

ACTIVE_NOT_RECRUITING

St Bartholomew's Hospital, London

N18 1QX

ACTIVE_NOT_RECRUITING

North Middlesex University Hospital, London

NW3 2QG

ACTIVE_NOT_RECRUITING

Royal Free Hospital, London

SE1 7EH

RECRUITING

St Thomas Hospital, London

SE1 9RT

ACTIVE_NOT_RECRUITING

Guy's Hospital, London

SE18 4QH

ACTIVE_NOT_RECRUITING

Queen Elizabeth Hospital, Woolwich, London

SE5 9RS

RECRUITING

King's College Hospital, London

SW17 0QT

RECRUITING

St George's University Hospital, London

SW3 6JJ

ACTIVE_NOT_RECRUITING

Royal Marsden Hospital, London

SW3 6NP

ACTIVE_NOT_RECRUITING

Royal Brompton Hospital, London

W12 0HS

RECRUITING

Hammersmith Hospital, London

W2 1NY

RECRUITING

St Mary's Hospital, London

W6 8RF

RECRUITING

Charing Cross Hospital, London

LU4 0DZ

SUSPENDED

Luton and Dunstable University Hospital, Luton

ME16 9QQ

RECRUITING

Maidstone Hospital, Maidstone

M13 9WL

SUSPENDED

Manchester Royal Infirmary, Manchester

M20 4BX

COMPLETED

The Christie Hospital, Manchester

M23 9LT

SUSPENDED

Wythenshawe Hospital, Manchester

M8 5RB

ACTIVE_NOT_RECRUITING

North Manchester General Hospital, Manchester

CH49 5PE

RECRUITING

Arrowe Park Hospital, Metropolitan Borough of Wirral

TS4 3BW

RECRUITING

The James Cook University Hospital, Middlesbrough

MK6 5LD

RECRUITING

Milton Keynes University Hospital, Milton Keynes

NE1 4LP

SUSPENDED

Royal Victoria Infirmary, Newcastle, Newcastle

RECRUITING

Newcastle Royal Victoria Infirmary (Paediatrics), Newcastle upon Tyne

NE7 7DN

SUSPENDED

Newcastle Freeman Hospital, Newcastle

NN1 5BD

SUSPENDED

Northampton General Hospital, Northampton

NR4 7UY

COMPLETED

Norfolk and Norwich University Hospital, Norwich

NG5 1PB

RECRUITING

City Hospital Nottingham, Nottingham

NG7 2UH

RECRUITING

Queen's Medical Centre - Nottingham University Hospitals NHS Trust, Nottingham

CV10 7DJ

ACTIVE_NOT_RECRUITING

George Eliot Hospital, Nuneaton

Ol1 2JH

RECRUITING

Royal Oldham Hospital, Oldham

BR6 8ND

SUSPENDED

Princess Royal University Hospital, Orpington

OX3 9DU

ACTIVE_NOT_RECRUITING

John Radcliffe Hospital, Oxford

PL6 8DH

RECRUITING

Derriford Hospital, Plymouth

BH15 2JB

RECRUITING

Poole Hospital NHS Foundation Trust, Poole

PO6 3LY

RECRUITING

Queen Alexandra Hospital, Portsmouth

L35 5DR

TERMINATED

Whiston Hospital, Prescot

PR2 9HT

SUSPENDED

Royal Preston Hospital, Preston

RG1 5AN

RECRUITING

Royal Berkshire Hospital, Reading

B98 7UB

ACTIVE_NOT_RECRUITING

Alexandra Hospital, Redditch, Redditch

RM7 0AG

ACTIVE_NOT_RECRUITING

Queen's Hospital Romford, Romford

S60 2UD

RECRUITING

Rotherham Hospital, Rotherham

TN2 4QJ

RECRUITING

Tunbridge Wells Hospital - Maidstone and Tunbridge Wells NHS Trust, Royal Tunbridge Wells

M6 8HD

RECRUITING

Salford Royal Hospital, Salford

SP2 8BJ

RECRUITING

Salisbury District Hospital, Salisbury

S10 2JF

RECRUITING

Royal Hallamshire Hospital, Sheffield

S5 7AU

RECRUITING

Northern General Hospital, Sheffield

SL2 4HL

ACTIVE_NOT_RECRUITING

Wexham Park Hospital, Slough

NE34 0PL

RECRUITING

South Tyneside District Hospital, South Shields

SO16 6YD

RECRUITING

Southampton General Hospital, Southampton

SK2 7JE

RECRUITING

Stepping Hill Hospital, Stockport

TS19 8PE

RECRUITING

University Hospital of North Tees, Stockton-on-Tees

ST4 6QG

RECRUITING

Royal Stoke University Hospital, Stoke-on-Trent

SR4 7TP

RECRUITING

Sunderland Royal Hospital, Sunderland

NG17 4JL

RECRUITING

King's Mill Hospital, Sutton in Ashfield

SN3 6BB

ACTIVE_NOT_RECRUITING

Great Western Hospital, Swindon

RECRUITING

Western General Hospital, Swindon

TA1 5DA

RECRUITING

Musgrove Park Hospital, Taunton

TQ2 7AA

RECRUITING

Torbay Hospital, Torquay

TR1 3LJ

RECRUITING

Royal Cornwall Hospital, Truro

UB9 6JH

COMPLETED

Harefield Hospital, Uxbridge

WD18 0HB

RECRUITING

Watford General Hospital, Watford

ISS0 0RY

ACTIVE_NOT_RECRUITING

Southend Hospital, Westcliff-on-Sea

CA28 8JG

WITHDRAWN

West Cumberland Hospital, Whitehaven

WN1 2NN

ACTIVE_NOT_RECRUITING

Royal Albert Edward Infirmary, Wigan

SO22 5DG

RECRUITING

Royal Hampshire County Hospital, Winchester

WV10 0QP

ACTIVE_NOT_RECRUITING

New Cross Hospital Wolverhampton, Wolverhampton

WR5 1DD

ACTIVE_NOT_RECRUITING

Worcestershire Royal Hospital, Worcester

Y031 8HE

RECRUITING

York Teaching Hospital, York

BT41 2RL

RECRUITING

Antrim Area Hospital, Antrim

BT12 6BA

RECRUITING

Royal Victoria Hospital Belfast, Belfast

BT14 6AB

RECRUITING

Mater Hospital, Belfast

BT9 7AB

RECRUITING

Belfast City Hospital, Belfast

BT47 6SB

RECRUITING

Altnagelvin Hospital, Londonderry

AB25 2ZN

COMPLETED

Aberdeen Royal Infirmary, Aberdeen

DD1 9SY

RECRUITING

Ninewells Hospital, Dundee

EH16 4SA

RECRUITING

Royal Infirmary of Edinburgh, Edinburgh

G4 0SF

RECRUITING

Glasgow Royal Infirmary, Glasgow

G51 4TF

RECRUITING

Queen Elizabeth University Hospital, Glasgow, Glasgow

PA2 9PN

RECRUITING

Royal Alexandra Hospital, Paisley

NP7 7EG

ACTIVE_NOT_RECRUITING

Neville Hall Hospital, Abergavenny

LL18 5UJ

ACTIVE_NOT_RECRUITING

Glan Clwyd Hospital, Bodelwyddan

CF31 1RQ

ACTIVE_NOT_RECRUITING

Princess of Wales Hospital, Bridgend

CF14 4XW

ACTIVE_NOT_RECRUITING

Cardiff and Vale University Hospital Wales, Cardiff

SA31 2AF

SUSPENDED

Glangwilli Hospital, Carmarthen

NP44 8YN

ACTIVE_NOT_RECRUITING

Grange University Hospital, Cwmbran

NP20 2UB

SUSPENDED

Royal Gwent Hospital, Newport

CF72 8XR

ACTIVE_NOT_RECRUITING

Royal Glamorgan Hospital, Pont-y-clun

SA6 6NL

ACTIVE_NOT_RECRUITING

Morriston Hospital, Swansea

LL13 7TD

RECRUITING

Wrexham Maelor Hospital, Wrexham

BT16 1RH

RECRUITING

Ulster Hospital, Belfast

BS2 8BJ

RECRUITING

Bristol Royal Childrens Hospital, Bristol

BL9 7TD

RECRUITING

Fairfield General Hospital, Bury

CW1 4QJ

RECRUITING

Leighton Hospital, Crewe

DT1 2JY

COMPLETED

Dorset County Hospital, Dorchester

GL1 3NN

COMPLETED

Gloucester Royal Hospital, Gloucester

RH16 4EX

ACTIVE_NOT_RECRUITING

The Princess Royal Hospital Haywards Heath, Haywards Heath

E9 6SR

SUSPENDED

Homerton Hospital, London

NW1 2BU

RECRUITING

University College London Hospital, London

SW10 9NH

RECRUITING

Chelsea and Westminster Hospital, London

CT9 4AN

SUSPENDED

Queen Elizabeth and Queen Mother Hospital, Margate

Ne29 8NH

SUSPENDED

North Tyneside General Hospital, North Shields

CV34 5BW

ACTIVE_NOT_RECRUITING

Warwick Hospital, Warwick

B71 4HJ

RECRUITING

Sandwell General Hospital, West Bromwich

All Listed Sponsors
collaborator

Australian and New Zealand Intensive Care Research Centre

OTHER

collaborator

Medical Research Institute of New Zealand

OTHER

collaborator

Unity Health

OTHER

collaborator

Berry Consultants

OTHER

collaborator

Global Coalition for Adaptive Research

OTHER

collaborator

University of Pittsburgh Medical Center

OTHER

collaborator

Intensive Care National Audit & Research Centre

OTHER

collaborator

St. Marianna University School of Medicine

OTHER

collaborator

Nat Intensive Care Surveillance - MORU

OTHER

collaborator

National University Hospital, Singapore

OTHER

lead

UMC Utrecht

OTHER