Actively Recruiting

Phase 3
Age: 18Years - 75Years
All Genders
ID04588311

A Randomised, Double-blind, Placebo-controlled Trial of Erythropoietin Alfa Versus Placebo in Mechanically Ventilated Critically Ill Patients Following Traumatic Injury

Led by Australian and New Zealand Intensive Care Research Centre · Updated on 2025-07-16

2500

Participants Needed

41

Research Sites

34 weeks

Total Duration

On this page

Sponsors

A

Australian and New Zealand Intensive Care Research Centre

Lead Sponsor

U

University College Dublin

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating epoetin alfa, a medication related to erythropoiesis stimulating agents, in critically ill trauma patients who require mechanical ventilation in intensive care units (ICUs). This phase III, randomized, double-blind trial aims to see if epoetin alfa can reduce death rates and severe disability six months after injury. The study involves 2500 patients admitted to ICUs with primary trauma diagnoses from centers in Australia, New Zealand, Europe, and Saudi Arabia. Participants will receive either epoetin alfa 40,000 IU or a placebo (sodium chloride 0.9%) by subcutaneous injection on Study Days 1 and 8 while in the ICU. Treatment is administered during their ICU stay, and patients are randomly assigned to one of these two groups. The study is designed to compare the effects of epoetin alfa against placebo in this critically ill population. During the study, patients will be monitored for survival and disability outcomes using tools like the World Health Organization Disability Assessment Schedule (WHODAS 2.0) at six months. Other outcomes include mortality at different time points and thrombotic vascular events. Data on clinical status, adverse events, and safety will also be collected. The total participation length includes ICU stay and follow-up assessments up to six months after injury.

CONDITIONS

Brief Title

ErythroPOietin Alfa to Prevent Mortality and Reduce Severe Disability in Critically Ill TRAUMA Patients

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients with trauma admitted to the ICU
  • Age 18 to 75 years
  • Injury occurred less than 24 hours before enrollment
  • Currently invasively mechanically ventilated
  • Expected to stay in the ICU for at least 48 hours
  • Hemoglobin level not exceeding the upper limit of normal at the treating institution
  • Informed consent obtained from a legal surrogate according to local law
Not Eligible

You will not qualify if you...

  • Glasgow Coma Scale score of 3 with fixed dilated pupils
  • Recent history (within 12 months) of deep vein thrombosis, pulmonary embolism, or other thromboembolic event
  • Currently receiving anticoagulant treatment for thromboembolic event
  • Chronic hypercoagulable disorder, including known cancer
  • Received erythropoietin treatment in the last 30 days
  • Unable to receive first dose of study drug within 24 hours of injury
  • Pregnancy, lactation, or within 3 months postpartum
  • Expected to die within 24 hours
  • Known sensitivity to mammalian cell derived products
  • Known contraindication to epoetin alfa
  • End stage renal failure requiring chronic dialysis
  • Severe pre-existing physical or mental disability or severe co-morbidity interfering with outcome assessment
  • Treating physician believes participation is not in the patient's best interest

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - Up to 24 hours after injury before enrollment

Participants are screened for eligibility to participate in the trial.

1 screening visit (in-person)

Treatment

Duration - Study Days 1 and 8 during the ICU stay

Participants receive either epoetin alfa or placebo by subcutaneous injection during their intensive care unit stay.

2 visits (in-person injections on Days 1 and 8)

Follow-up

Duration - 6 months

Participants are followed for assessment of mortality and disability outcomes up to 6 months after treatment.

Follow-up visits as per study schedule (visit frequency not specified)

Trial Site Locations

Total: 41 locations

1

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia, 2050

Actively Recruiting

2

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia, 2010

Active, Not Recruiting

3

St George Hospital

Kogarah, New South Wales, Australia, 2217

Actively Recruiting

4

Liverpool Hospital

Liverpool, New South Wales, Australia, 2170

Actively Recruiting

5

John Hunter Hospital

New Lambton Heights, New South Wales, Australia, 2305

Actively Recruiting

6

Royal North Shore Hospital

Saint Leonards, New South Wales, Australia, 2065

Actively Recruiting

7

Westmead Hospital

Westmead, New South Wales, Australia, 2145

Actively Recruiting

8

Royal Darwin Hospital

Tiwi, Northern Territory, Australia, 0810

Not Yet Recruiting

9

Cairns Hospital

Cairns, Queensland, Australia, 4870

Withdrawn

10

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia, 4029

Actively Recruiting

11

Gold Coast University Hospital

Southport, Queensland, Australia, 4215

Actively Recruiting

12

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia, 4102

Actively Recruiting

13

Royal Adelaide Hospital

Adelaide, South Australia, Australia, 5000

Actively Recruiting

14

Flinders Medical Centre

Adelaide, South Australia, Australia, 5042

Not Yet Recruiting

15

The Alfred Hospital

Melbourne, Victoria, Australia, 3004

Actively Recruiting

16

Royal Melbourne Hospital

Melbourne, Victoria, Australia, 3050

Actively Recruiting

17

Royal Perth Hospital

Perth, Western Australia, Australia, 6000

Actively Recruiting

18

Cliniques Universitaires Saint-Luc

Brussels, Belgium

Not Yet Recruiting

19

HUB Hopital Erasme

Brussels, Belgium

Not Yet Recruiting

20

CHU-Charleroi Chimay

Charleroi, Belgium

Actively Recruiting

21

Ziekenhuis Oost-Limburg

Genk, Belgium

Not Yet Recruiting

22

Ghent University Hospital

Ghent, Belgium

Not Yet Recruiting

23

CHR de la Citadelle de LIEGE

Liège, Belgium

Not Yet Recruiting

24

Helsinki University Hospital (HUS)

Helsinki, Finland

Actively Recruiting

25

Kuopio University Hospital

Kuopio, Finland

Actively Recruiting

26

Turku University Hospital

Turku, Finland

Actively Recruiting

27

University Hospital Münster

Münster, Germany

Actively Recruiting

28

Beaumont Hospital

Beaumont, Ireland

Actively Recruiting

29

Cork University Hospital

Cork, Ireland

Actively Recruiting

30

St Vincent's University Hospital

Dublin, Ireland

Actively Recruiting

31

Auckland City Hospital

Grafton, Auckland, New Zealand, 1023

Actively Recruiting

32

Christchurch Hospital

Christchurch, Christchurch, New Zealand, 8011

Actively Recruiting

33

Middlemore Hospital

Auckland, Otahuhu, New Zealand, 1640

Actively Recruiting

34

Waikato Hospital

Hamilton, Waikato Region, New Zealand, 3204

Actively Recruiting

35

Wellington Hospital

Newtown, Wellington Region, New Zealand, 6021

Actively Recruiting

36

King Abdulaziz Medical City

Riyadh, Saudi Arabia

Actively Recruiting

37

University Medical Centre Ljubljana

Ljubljana, Slovenia

Actively Recruiting

38

University Medical Centre Maribor

Maribor, Slovenia

Actively Recruiting

39

University Hospital Bern

Bern, Switzerland

Actively Recruiting

40

Lucerne Cantonal Hospital

Lucerne, Switzerland

Not Yet Recruiting

41

St. Gallen Cantonal Hospital

Sankt Gallen, Switzerland

Actively Recruiting

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Research Team

V

Vicki Papanikolaou

S

Sian Donnelly

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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