Sepsis & infection

Phase-3 trial of recombinant human alkaline phosphatase for patients with sepsis-associated acute kidney injury (REVIVAL)

Intensive Care MedPublished Randomised controlled trial

An erratum to this article was published (Intensive Care Med, Apr 2024 ↗)

  • stopped for futility

Authors' conclusion

Among critically ill patients with SA-AKI, ilofotase alfa did not improve day 28 survival.

Study context

Population
Critically ill patients with sepsis-associated AKI, enrolled < 72 h on vasopressor and < 24 h of AKI649 analysed for efficacy
Participants
650 patients
Comparison
Ilofotase alfa vs placebo
  • Ilofotase alfan = 330
  • Placebon = 319reference
Primary endpoint
All-cause mortality
Follow-up
28 days
Methodological detailsphase-3, international, double-blinded, Statistical analysis plan amended prior to unblinding, including an updated MAKE90 definition
  • phase-3
  • International
  • Double-blinded
  • Statistical analysis plan amended prior to unblinding, including an updated MAKE90 definition

Primary result

As reported in the abstract

Secondary outcomes

Mortality · 90 days

MAKE90A (main secondary endpoint)

MAKE90B (main secondary endpoint)

Days alive and free of organ support · day 28

Days alive and discharged from the ICU · day 28

  • MAKE90A (main secondary endpoint): MAKE90 definition updated in amended statistical analysis plan before unblinding

Safety

Adverse events

  • Adverse events: 650 analysed for safety

Original publication

Phase-3 trial of recombinant human alkaline phosphatase for patients with sepsis-associated acute kidney injury (REVIVAL). Intensive Care Med. Published 3 January 2024. doi:10.1007/s00134-023-07271-w

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