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Vitamin C, Hydrocortisone and Thiamine in Patients with Septic Shock (VITAMINS) trial: study protocol and statistical analysis plan

Fujii, T, Udy, AA, Deane, AM, Luethi, N, Bailey, M, Eastwood, GM, Frei, D, French, C, Orford, Neil, Shehabi, Y, Young, PJ and Bellomo, R 2019, Vitamin C, Hydrocortisone and Thiamine in Patients with Septic Shock (VITAMINS) trial: study protocol and statistical analysis plan, Critical Care and Resuscitation, vol. 21, no. 2, pp. 119-125.

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Title Vitamin C, Hydrocortisone and Thiamine in Patients with Septic Shock (VITAMINS) trial: study protocol and statistical analysis plan
Author(s) Fujii, T
Udy, AA
Deane, AM
Luethi, N
Bailey, M
Eastwood, GM
Frei, D
French, C
Orford, NeilORCID iD for Orford, Neil orcid.org/0000-0002-2285-9233
Shehabi, Y
Young, PJ
Bellomo, R
Journal name Critical Care and Resuscitation
Volume number 21
Issue number 2
Start page 119
End page 125
Total pages 7
Publisher College of Intensive Care Medicine of Australia and New Zealand
Place of publication Melbourne, Vic.
Publication date 2019-06
ISSN 1441-2772
Keyword(s) VITAMINS trial investigators
Summary BACKGROUND: Septic shock is associated with poor outcomes. Vitamin C (ascorbic acid) is a cellular antioxidant and has anti-inflammatory properties. Whether the combination therapy of vitamin C, thiamine and hydrocortisone reduces vasopressor dependency in septic shock is unclear. OBJECTIVES: To describe the protocol and statistical analysis plan of a multicentre, open-label, prospective, phase 2 randomised clinical trial evaluating the effects of vitamin C, thiamine and hydrocortisone when compared with hydrocortisone monotherapy on the duration of vasopressor administration in critically ill patients with septic shock. METHODS: VITAMINS is a multicentre cardiovascular efficacy trial in adult patients with septic shock. Randomisation occurs via a secure website with stratification by site, and allocation concealment is maintained throughout the trial. The primary outcome is the duration of time alive and free of vasopressor administration at Day 7. Secondary outcomes include feasibility endpoints and some patientcentred outcomes. All analyses will be conducted on an intention-to-treat basis. CONCLUSION: The VITAMINS trial will determine whether combination therapy of vitamin C, thiamine and hydrocortisone when compared with hydrocortisone increases vasopressor-free hours in critically ill patients with septic shock. The conduct of this study will provide important information on the feasibility of studying this intervention in a phase 3 trial. TRIAL REGISTRATION: ClinicalTrials.gov, identification No. NCT03333278.
Language eng
Indigenous content off
Field of Research 1103 Clinical Sciences
1110 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30155738

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
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Citation counts: TR Web of Science Citation Count  Cited 17 times in TR Web of Science
Scopus Citation Count Cited 13 times in Scopus Google Scholar Search Google Scholar
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Created: Wed, 22 Sep 2021, 08:21:27 EST

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