Jérôme Fleuriet, Nicholas Heming, Ferhat Meziani, Jean Reignier, Pierre-Louis Declerq, Emmanuelle Mercier, Grégoire Muller, Gwenhaël Colin, Xavier Monnet, Adrien Robine, Shidasp Siami, Fabrice Uhel, Jean-Pierre Quenot, Gaetan Plantefeve, Julio Badie, Francis Schneider, Charles Cerf, Gilles Troché, Mehran Monchi, Jean-Paul Mira, Bruno Francois, Sylvie Chevret, Djillali Annane
INTRODUCTION: Corticosteroids affect variably survival in sepsis trials, suggesting heterogeneity in patients' response to corticosteroids. The RECORDS (Rapid rEcognition of COrticosteRoiD resistant or sensitive Sepsis) trial aimed at defining endotypes associated with adults with sepsis responsiveness to corticosteroids. METHODS AND ANALYSIS: RECORDS, a multicentre, placebo-controlled, biomarker-guided, adaptive Bayesian design basket trial, will randomly assign to a biomarker stratum 1800 adults with community-acquired pneumonia, vasopressor-dependent sepsis, septic shock or acute respiratory distress syndrome...
March 10, 2023: BMJ Open