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Acute Respiratory Distress Syndrome (ARDS)FROG-ARDSNCT06779942

The Association Between IL17, Acute Respiratory Distress Syndrome and Acute Respiratory Failure

An observational study of Acute Respiratory Distress Syndrome (ARDS) and Acute Respiratory Failure (ARF), run by Bayer at 2 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will look at a protein called Interleukin (IL)-17A and how it relates to health markers in patients with a serious lung condition known as Acute Respiratory Distress Syndrome (ARDS). Read more about this study

Who is it for?
Ages 18 years and older
How many people
414 participants
Where
2 sitesFrance
Study dates
15 Dec 2024to 31 Dec 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Using the data from FROG ICU registry, we will create two cohorts of patients using diagnosis codes: Acute Respiratory Distress Syndrome (ARDS) Acute Respiratory Failure (ARF) The FROG ICU registry is a completed, prospective, observational, multicenter cohort study, designed to assess the incidence and to identify the risk factors of all-cause mortality during the year following discharge from the ICU. Our study will retrospectively analyze this prospectively collected data. The evaluation of each patient is performed through a comprehensive clinical assessment, instrumental tests (electrocardiogram, echocardiogram) and biological parameters. All the data are collected at admission, during the stay as well as at discharge and in addition these patients are followed up for long-term outcomes after ICU discharge. This allows us to evaluate the effect of different biomarkers as well as level of care in the ICU on long-term outcomes.

Who may be able to join

  • invasive mechanical ventilation support for at least 24 h and/or treatment with a positive inotropic agent (except dopamine) for more than 24 h
  • ARDS patients:
  • o Diagnosis of ARDS at the time of study inclusion and within 24-48 hours of bio sample collection
  • ARF patients o Diagnosis of Acute respiratory Failure (ARF) who do not have sepsis at the time of study inclusion and within 24-48 hours of bio sample collection

Who cannot join

  • o Patients with ARF who later develop ARDS after the 24-48 hour bio sample draw time period will be excluded as they will not have had baseline bio samples drawn in relation to onset of ARDS.
  • Patients less than 18 years old
  • severe head injury (initial Glasgow Coma Scale < 8) or brain death or a persistent vegetative state
  • pregnancy or breastfeeding
  • transplantation in the past 12 months; not expected to survive or to leave the hospital
  • no social security coverage

Trial locations and contacts

2 sites in 1 country.

France2 sites
  • Hôpital Saint Louis

    Paris, 75475

  • University Paris Diderot

    Paris

Other trials in France

About this study

Official title: FROG-ARDS: Correlation of IL-17A to Hyperinflammatory Biomarkers, Sub-phenotype, and Clinical Outcomes in Patients With Acute Respiratory Distress Syndrome in the FROG ICU Dataset

This study will look at a protein called Interleukin (IL)-17A and how it relates to health markers in patients with a serious lung condition known as Acute Respiratory Distress Syndrome (ARDS). IL-17A is part of the immune system and helps the body fight infections, but too much of it can lead to inflammation, which can be harmful.

The researchers want to find out if the levels of IL-17A in the blood are connected to important health outcomes for patients, such as whether they survive in the Intensive Care Unit (ICU), after 30 days, and after 60 days. They will also check how long patients can stay off a ventilator and how many days they need to use a mechanical ventilator. A ventilator is a machine that helps people breathe when their lungs are not working well.

Read more

In addition to the main goal, the researchers will study how IL-17A relates to a severe form of ARDS called the hyperinflammatory sub-phenotype. They will also look at how IL-17A connects with other health markers, including IL-6, soluble tumor necrosis factor receptor (sTNFR), IL8, Tumor Necrosis Factor (TNF)a, IL1beta, and IL23. These markers can give information about inflammation and how the body is responding to illness.

To compare results, the researchers will include a control group of patients who had Acute Respiratory Failure (ARF) but did not have ARDS. This control group will help them understand the differences between the two conditions.

This research will use data from the FROG-ICU Registry, which gathers information on patients in intensive care units across Europe. The registry tracks patients' health after they leave the ICU, focusing on the risk factors for death in the year following their discharge. The data comes from 28 different ICUs in 19 hospitals.

The researchers will create two groups of patients based on their diagnoses: one group with ARDS and another with ARF. By studying these groups, they hope to learn more about the role of IL-17A in ARDS and its potential impact on patient outcomes.

Keywords
Acute respiratory distress syndrome (ARDS), Acute Respiratory Failure (ARF), IL-17 Inhibitor
Medical subject headings
Respiratory Distress Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06779942
Study groupRoleWhat they receive
Acute Respiratory Distress Syndrome (ARDS)The index date is the date of diagnosis of ARDS. The patients will be followed from the index date until the outcome, death, or end of follow-up whichever comes first. This study builds on data from FROG ICU registry, which is an observational, prospective, multicenter cohort study. The evaluation of each patient is performed through a comprehensive clinical assessment, instrumental tests (electrocardiogram, echocardiogram) and biological parameters. All the data are collected at admission, during the stay as well as at discharge and in addition these patients are followed up for long-term outcomes after ICU discharge. This allows us to evaluate the effect of different biomarkers as well as level of care in the ICU on long-term outcomes. Patient Identification period: Aug 2011 - Jun 2013 Exposure window: ICU admission to discharge
Acute Respiratory Failure (ARF)The index date is the date of diagnosis of ARF. The patients will be followed from the index date until the outcome, death, or end of follow-up whichever comes first. This study builds on data from FROG ICU registry, which is an observational, prospective, multicenter cohort study. The evaluation of each patient is performed through a comprehensive clinical assessment, instrumental tests (electrocardiogram, echocardiogram) and biological parameters. All the data are collected at admission, during the stay as well as at discharge and in addition these patients are followed up for long-term outcomes after ICU discharge. This allows us to evaluate the effect of different biomarkers as well as level of care in the ICU on long-term outcomes. Patient Identification period: Aug 2011 - Jun 2013 Exposure window: ICU admission to discharge

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. ICU Mortality

    Evaluate the association between Interleukin (IL)-17A level and mortality at the Intensive Care Unit (ICU) in patients with ARDS

    Measured: Baseline to ICU discharge (at least 24h) or death

  2. 30 Day Mortality

    Evaluate the association between IL-17A level and 30 Day mortality in patients with ARDS

    Measured: Baseline to 30 days after ICU admission or death

  3. 60 Day Mortality

    Evaluate the association between IL-17A level and 60 Day mortality in patients with ARDS

    Measured: Baseline to 60 days after ICU admission or death

  4. Ventilator free survival

    Evaluate the association between IL-17A level and ventilator free survival in patients with ARDS

    Measured: From baseline to ICU discharge, but at least for 24 hrs

  5. Number of days on mechanical ventilator

    Evaluate the association between IL-17A level and days on mechanical ventilator in patients with ARDS

    Measured: From baseline to ICU discharge, but at least for 24 hrs

Secondary outcomes (4)
  1. Hyperinflammatory ARDS subtype correlation

    Evaluate the association between IL-17A and hyperinflammatory sub-phenotype of ARDS

    Measured: From baseline to ICU discharge, but at least for 24 hrs

  2. Biomarker Correlation with IL-17A

    Evaluate the correlation between IL-17A and multiple biomarkers including IL-6, sTNFR, IL8, Tumour Necrosis Factor (TNF)a, IL1beta, IL23 in patients with ARDS

    Measured: From baseline to ICU discharge, but at least for 24 hrs

  3. Comparison of associated biomarkers in hypo-inflammatory phenotype of ARDS

    Compare these associations with the association with these biomarkers in hypo-inflammatory phenotype of ARDS

    Measured: From baseline to ICU discharge, but at least for 24 hrs

  4. Comparison of associated biomarkers in hyper and hypo-inflammatory phenotypes of Acute Respiratory Failure (ARF)

    Compare these associations with the association with these biomarkers in the hyper and hypo-inflammatory phenotypes of Acute Respiratory Failure (ARF)

    Measured: From baseline to ICU discharge, but at least for 24 hrs

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2025
  2. Study start15 Dec 2024
  3. Primary completion31 Dec 2024
  4. Study completion31 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
414 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06779942
Sponsor's protocol ID
22920
Acronym
FROG-ARDS
Status last verified
Feb 2025
First submitted
7 Jan 2025
Last updated
7 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Respiratory Distress Syndrome (ARDS) and Acute Respiratory Failure (ARF), run by Bayer at 2 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ICU Mortality (time frame: Baseline to ICU discharge (at least 24h) or death). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Feb 2025.

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