Skip to main content
. 2022 Mar 4;2022(3):CD013739. doi: 10.1002/14651858.CD013739.pub2

Van Haren 2020.

Study name Nebulised heparin in patients with severe COVID‐19 (CHARTER‐MT)
Starting date 01 November 2020
Contact information Frank MP van Haren, MD, PhD
Australian National University
Helwan University
Clinica San Camilo, Argentina
+61467051809 | frank.vanharen@anu.edu.au
Methods Randomised clinical trial
Participants 712 participants, ≥ 18 years, female and male
  • Age ≥ 18 years

  • Currently in an ICU or scheduled for transfer to the ICU. During the pandemic, critically ill inpatients might be cared for outside of the walls of the usual physical environment of ICU. For this reason, ICU is defined as an area designated for inpatient care of the critically ill where therapies including invasive mechanical ventilation can be provided.

  • Endotracheal tube in place

  • Intubated current or previous day

  • PaO2 to FIO2 ratio ≤ 300 while intubated

  • Acute opacities not fully explained by effusions, lobar/lung collapse and nodules, affecting at least 1 lung quadrant on chest X‐ray or CT

  • The acute opacities on chest X‐ray or CT are most likely due to COVID‐19

  • There is a PCR‐positive sample for SARS‐CoV‐2 within the past 21 days or there are results pending or further testing is planned. The sample can be a nasal or pharyngeal swab, sputum, tracheal aspirate, bronchoalveolar lavage, or another sample from the patient

Interventions Nebulised UFH (25,000 Units in 5 mL) will be administered 6‐hourly via an Aerogen Solo vibrating mesh nebuliser while patients receive invasive mechanical ventilation in ICU and for a maximum of 10 days
Outcomes Primary
  • Alive and ventilator‐free score (time frame: day 28). Validated hierarchical composite endpoint, based on mortality and ventilator‐free days, which is less prone to favour a treatment with discordant effects on survival and days free of ventilation

Notes NCT04635241 | No data provided