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Trial of the Week: PROWESS-SHOCK

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Content provided by Nick Peters. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Nick Peters or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Trial of the Week: PROWESS-SHOCK

Special Guest: Paul Szumita, PharmD, FCCM, FASHP, BCCCP, BCPS @paulszumita

03:30 – Background studies/Setting the scene

30:25 – PROWESS-SHOCK discussion/Where are we now

Paul Szumita joins to highlight a June Trial of the Week “Drotrecogin alfa (activated) in adults with septic shock” published in the New England Journal of Medicine in 2012.

To fully understand the discussion regarding drotrecogin alfa, Paul and I review the mechanism of action and its proposed action in the treatment of sepsis. Then we review earlier studies and the controversy behind the FDA approval process. Finally, we go into detail on what Clinical Pharmacists were tasked with doing at the time based on treatment protocols or hospital restrictions.

Then we dive into the Trial of the Week, discussing the study design and results. What was the mood in ICUs and Pharmacy Departments after this publication? How much did our sepsis care improve from PROWESS to PROWESS-SHOCK? What lessons did we learn with the Xigris FDA approval process? Is there a patient population that could still benefit from drotrecogin alfa treatment? Plus, trial fun facts, issues with calculating APACHE II scores, and so much more.

Reference list: https://pharmacytodose.com/wp-content/uploads/2024/06/prowess-shock-trial-of-the-week-references.pdf

PharmacyToDose.Com

@PharmacyToDose

PharmacyToDose@Gmail.com

Learn more about your ad choices. Visit megaphone.fm/adchoices

  continue reading

167 episodes

Artwork
iconShare
 
Manage episode 424754323 series 2643019
Content provided by Nick Peters. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Nick Peters or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

Trial of the Week: PROWESS-SHOCK

Special Guest: Paul Szumita, PharmD, FCCM, FASHP, BCCCP, BCPS @paulszumita

03:30 – Background studies/Setting the scene

30:25 – PROWESS-SHOCK discussion/Where are we now

Paul Szumita joins to highlight a June Trial of the Week “Drotrecogin alfa (activated) in adults with septic shock” published in the New England Journal of Medicine in 2012.

To fully understand the discussion regarding drotrecogin alfa, Paul and I review the mechanism of action and its proposed action in the treatment of sepsis. Then we review earlier studies and the controversy behind the FDA approval process. Finally, we go into detail on what Clinical Pharmacists were tasked with doing at the time based on treatment protocols or hospital restrictions.

Then we dive into the Trial of the Week, discussing the study design and results. What was the mood in ICUs and Pharmacy Departments after this publication? How much did our sepsis care improve from PROWESS to PROWESS-SHOCK? What lessons did we learn with the Xigris FDA approval process? Is there a patient population that could still benefit from drotrecogin alfa treatment? Plus, trial fun facts, issues with calculating APACHE II scores, and so much more.

Reference list: https://pharmacytodose.com/wp-content/uploads/2024/06/prowess-shock-trial-of-the-week-references.pdf

PharmacyToDose.Com

@PharmacyToDose

PharmacyToDose@Gmail.com

Learn more about your ad choices. Visit megaphone.fm/adchoices

  continue reading

167 episodes

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