Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia
In plain words A Phase 3 study of vitamin C in people 18 and older, run by UMC Utrecht. It plans to enroll about 20,000 people at 408 sites, 11 of them in the US.
Who it lists and where
Who the trial lists, as registered
Lists people 18 and older. Conditions: Community-acquired Pneumonia, Influenza, COVID-19.
- Adult patient admitted to an ICU for severe CAP within 48 hours of hospital admission with:
- symptoms or signs or both that are consistent with lower respiratory tract infection AND
- Radiological evidence of new onset consolidation (in patients with pre-existing radiological changes, evidence of new infiltrate)
- Up to 48 hours after ICU admission, receiving organ support with one or more of:
11 more inclusion criteria and the exclusion criteria are on the listing.
What it tests, as registered
Ceftriaxone; Moxifloxacin or Levofloxacin; Piperacillin-tazobactam; Ceftaroline; Amoxicillin-clavulanate; Standard course macrolide; Extended course macrolide; No systemic corticosteroid; Fixed-duration Hydrocortisone; Shock-dependent hydrocortisone; Fixed-duration higher dose Hydrocortisone; No antiviral agent for influenza; Five-days oseltamivir; Ten-days oseltamivir; No antiviral agent for COVID-19; Lopinavir / Ritonavir; Hydroxychloroquine; Hydroxychloroquine + lopinavir/ritonavir; Ivermectin; No immune modulation for COVID-19; Interferon beta-1a; Anakinra; Tocilizumab; Sarilumab; Local standard venous thromboprophylaxis; Therapeutic dose anticoagulation; Conventional low dose thromboprophylaxis; Intermediate dose thromboprophylaxis; Continuation of therapeutic dose anticoagulation; No immunoglobulin; Convalescent plasma; Delayed administration of convalescent plasma; No vitamin C; Vitamin C; No antiplatelet; Aspirin; P2Y12 inhibitor; No simvastatin; Simvastatin; Eritoran; Apremilast; Clinician-preferred mechanical ventilation strategy; Protocolised mechanical ventilation strategy; No renin-angiotensin system inhibitor; Angiotensin converting enzyme inhibitor; Angiotensin Receptor Blockers; ARB + DMX-200; No cysteamine; Cysteamine; Fixed-duration dexamethasone; Baloxavir Marboxil; Five-days oseltamivir + baloxavir marboxil; Ten-days oseltamivir + baloxavir marboxil; No endothelial modulator; Imatinib; No Immune Modulator for Influenza; Tocilizumab; Baricitinib; No antiviral agent for COVID-19; Nirmatrelvir/ritonavir; Remdesivir; Nirmatrelvir/ritonavir + remdesivir
Registered summary
REMAP-CAP is a randomised, embedded, multifactorial, adaptive platform trial for community-acquired pneumonia. The purpose of this study is to evaluate the effect of a range of interventions to improve outcome of patients admitted to intensive care with community-acquired pneumonia. In addition, REMAP-CAP provides and adaptive research platform for evaluation of multiple treatment modalities in the event of a respiratory pandemic such as COVID-19. REMAP-COVID is a sub-platform of REMAP-CAP that evaluates treatments specific to COVID-19 in the United States of America.
Where, as registered
11 US sites in 11 states; also United Kingdom (153), Australia (59), Canada (40), France (24), Netherlands (19), Germany (17), New Zealand (11), Japan (10), Spain (10), Italy (8), Ireland (5), Pakistan (5), India (4), Nepal (4), Belgium (3), Croatia (3), Israel (3), Portugal (3), Serbia (3), Czechia (2), Finland (2), Hungary (2), Slovenia (2), Colombia (1), Estonia (1), Romania (1), Saudi Arabia (1), Switzerland (1).