Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID06503016

The Effect of phoSPHocreatine on Medical Emergency Team (MET) Treated Patients: a Randomized Clinical Trial Protocol

Led by Università Vita-Salute San Raffaele · Updated on 2025-08-06

400

Participants Needed

1

Research Sites

13 weeks

Total Duration

On this page

Sponsors

U

Università Vita-Salute San Raffaele

Lead Sponsor

S

Silvia Ajello

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are studying hospitalized patients who experience unexpected health deteriorations requiring intervention by a Medical Emergency Team (MET). These events often result in intensive care unit (ICU) admissions and long hospital stays. The trial aims to evaluate whether adding phosphocreatine (PCr), a natural molecule linked to improved outcomes in acute cardiac and other organ failures, to standard care can improve patient recovery and reduce hospital stay length. Participants are randomly assigned to receive either phosphocreatine or a saline placebo for up to three days. Dosage varies based on kidney function: patients without renal failure receive multiple doses starting with two 4-gram doses on day 0 and then 2 grams twice daily on days 1 and 2; those with a history of renal failure or acute kidney injury receive fewer doses accordingly. The placebo group receives a matching saline solution on the same schedule. This is a double-blind, randomized, placebo-controlled Phase 3 clinical trial. During the study, participants are monitored for up to 30 days, with outcomes such as days alive and out of hospital, cognitive function, arrhythmia rates, ICU admissions, and mortality recorded. Safety and effectiveness are assessed through these measures. The total participation includes treatment administration and follow-up evaluations, ensuring detailed data collection on patient recovery and clinical status.

CONDITIONS

Brief Title

The Effect of phoSPHocreatine on mEdical Emergency Team (Met) tREated Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Hospitalized patients outside of the ICU
  • Age 18 years or older
  • Written informed consent provided
  • Serum creatinine level of 2 mg/dL or less
  • Patients with impending or ongoing cardiac failure or cardiac arrest requiring Medical Emergency Team intervention due to at least one critical vital sign abnormality (such as threatened airway, respiratory arrest, extreme respiratory or pulse rates, low blood pressure, sudden consciousness changes, or Glasgow coma scale drop greater than 2 points)
Not Eligible

You will not qualify if you...

  • Age under 18 years
  • Ongoing cardiac massage
  • Current hospital admission from a nursing care facility
  • Planned discharge to a nursing care facility
  • Reasons to withdraw life-sustaining therapy
  • History of kidney transplantation
  • Having only one kidney
  • Serum creatinine level greater than 2 mg/dL
  • Immediate need for ICU admission
  • Known allergy to phosphocreatine
  • Pregnancy
  • Previous enrollment in this trial
  • Phosphocreatine administration within the past 30 days

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 3 days

Participants receive phosphocreatine or placebo through intravenous administration for up to 3 days depending on kidney function and group assignment.

Daily dosing with 1 to 2 infusions per day during the treatment period

Follow-up

Duration - Up to 90 days

Participants are monitored for outcomes including survival, cognitive function, arrhythmia, and ICU admissions up to 90 days after treatment.

Follow-up assessments at day 30 and day 90

Trial Site Locations

Total: 1 location

1

IRCCS San Raffaele Scientific Institute

Milan, Italy, 20132

Actively Recruiting

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Research Team

G

Giovanni Landoni, Prof.

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial