Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis
Investigation of the Efficacy and Safety of Drotrecogin Alfa (Activated) in Pediatric Severe Sepsis
The purposes of this study are to determine:

 1. Whether drotrecogin alfa (activated) helps children with severe sepsis survive their
 condition more often or recover faster than children who do not receive drotrecogin alfa
 (activated).

 2. Whether drotrecogin alfa (activated) minimizes long term disabilities associated with
 severe sepsis.

 3. The side effects that might be associated with drotrecogin alfa (activated)
 administration to children with severe sepsis.
The primary objective was to demonstrate that drotrecogin alfa (activated) compared with
 placebo reduced severe-sepsis-induced organ dysfunction as assessed by time to complete
 resolution of a composite of cardiovascular, respiratory, and renal organ failure in
 pediatric patients with severe sepsis.

 Secondary objectives included: (1) to assess whether treatment with drotrecogin alfa
 (activated) reduced 28-day all-cause mortality in pediatric patients with severe sepsis
 compared with placebo patients, (2) to evaluate the effects of drotrecogin alfa (activated)
 on individual organ dysfunction (cardiovascular, respiratory, renal, hepatic, hematologic,
 neurologic, and cutaneous), (3) to demonstrate that drotrecogin alfa (activated) improved
 patient outcome as assessed by the Pediatric Overall Performance Category (POPC) scale, (4)
 to demonstrate that drotrecogin alfa (activated) reduced major amputations (at or above the
 wrist, at or above the ankle, face, and genitals) in pediatric patients with Neisseria
 meningitidis (proven or suspected) and/or purpura fulminans, (5) to demonstrate that
 drotrecogin alfa (activated) had antithrombotic and anti-inflammatory properties. The safety
 objective was to evaluate whether drotrecogin alfa (activated) had an acceptable safety
 profile when administered to pediatric patients with severe sepsis.
Inclusion Criteria:

 -  Suspected or proven acute infection.

 -  Abnormally high or low core body temperature

 -  Cardiovascular dysfunction which requires the use of vasoactive drugs (such as,
 dopamine, dobutamine, epinephrine) and is the result of severe sepsis.

 -  Respiratory dysfunction which requires the use of mechanical ventilation and is the
 result of severe sepsis.

 Exclusion Criteria:

 -  Patients at increased risk of bleeding.

 -  Patients at high risk for an intracranial bleed.

 -  Patients who have undergone a bone marrow transplant.

 -  Patients with end-stage renal disease.

 -  Patients whose family or primary care physician is unwilling to allow transfusion of
 blood products.