REVISE: re-evaluating the inhibition of stress erosions in the ICU-statistical analysis plan for a randomized trial
Author(s)
Type
Journal Article
Abstract
BACKGROUND: The REVISE (Re-Evaluating the Inhibition of Stress Erosions in the ICU) trial will evaluate the impact of the proton pump inhibitor pantoprazole compared to placebo in invasively ventilated critically ill patients. OBJECTIVE: To outline the statistical analysis plan for the REVISE trial. METHODS: REVISE is a randomized clinical trial ongoing in intensive care units (ICUs) internationally. Patients ≥ 18 years old, receiving invasive mechanical ventilation, and expected to remain ventilated beyond the calendar day after randomization are allocated to either 40 mg pantoprazole intravenously or placebo while mechanically ventilated. RESULTS: The primary efficacy outcome is clinically important upper GI bleeding; the primary safety outcome is 90-day mortality. Secondary outcomes are ventilator-associated pneumonia, Clostridioides difficile infection, new renal replacement therapy, ICU and hospital mortality, and patient-important GI bleeding. Tertiary outcomes are total red blood cells transfused, peak serum creatinine concentration, and duration of mechanical ventilation, ICU, and hospital length of stay. Following an interim analysis of results from 2400 patients (50% of 4800 target sample size), the data monitoring committee recommended continuing enrolment. CONCLUSIONS: This statistical analysis plan outlines the statistical analyses of all outcomes, sensitivity analyses, and subgroup analyses. REVISE will inform clinical practice and guidelines worldwide. TRIAL REGISTRATION: www. CLINICALTRIALS: gov NCT03374800. November 21, 2017.
Date Issued
2023-12-06
Date Acceptance
2023-11-09
Citation
Trials, 2023, 24 (1)
ISSN
1745-6215
Publisher
BMC
Journal / Book Title
Trials
Volume
24
Issue
1
Copyright Statement
© The Author(s) 2024. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/38057875
PII: 10.1186/s13063-023-07794-z
Subjects
Adolescent
Adult
Critical Illness
Gastrointestinal Hemorrhage
Humans
Intensive Care Units
Pantoprazole
Pneumonia, Ventilator-Associated
Proton Pump Inhibitors
Respiration, Artificial
Clostridioides difficile infection
Critically ill
Gastrointestinal bleeding
Stress ulceration
Ventilator-associated pneumonia
Publication Status
Published
Coverage Spatial
England
Article Number
ARTN 796