Adverse Events Module

Adverse Events Module

For researchers submitting trial data to ClinicalTrials.gov, the Adverse Events module is one of four mandatory results sections. It requires reporting in three primary categories: All-Cause Mortality: A table tracking all deaths that occurred during the study, regardless of cause. Serious Adverse Events (SAEs): A tabular summary of events resulting in death, life-threatening conditions, hospitalization, or significant disability. Other Adverse Events: A table for non-serious events that exceed a specific frequency threshold, such as 5% within any study arm.

Adverse Events Module path is as follows:

Study -> Results Section -> Adverse Events Module -> Event Groups

Study -> Results Section -> Adverse Events Module -> Serious Events

Study -> Results Section -> Adverse Events Module -> Other Events

Adverse Events Module


Ignite Creation Date: 2025-12-25 @ 3:00 AM
Ignite Modification Date: 2025-12-26 @ 1:41 AM
NCT ID: NCT04356833
Description: Only serious adverse events related to the IMP, and all bleeding events were collected/reported. Bleeding events were identified as adverse events of special interest (AESI). In addition, the ISTH (International Society of Haemostasis and Thrombosis) classification for bleed severity as used for anticoagulation studies was implemented. Events were not collected/recorded in historical matched controls (cohort 1).
Frequency Threshold: 0
Time Frame: Maximum of 28 days per patient, starting from dosing day 1
Study: NCT04356833
Study Brief: Nebulised Rt-PA for ARDS Due to COVID-19
Event Groups(If Any):

Event Groups

Title Description Deaths # Affected Deaths # At Risk Serious # Affected Serious # At Risk Other # Affected Other # At Risk View
Nebulised Recombinant Tissue-Plasminogen Activator (Rt-PA) - Cohort 1 Patients in the rt-PA group received the first dose as soon as possible after registration. Initial dosing regime: 10 mg of rt-PA dissolved in 5 ml of diluent given every 6 hrs (resulting in a total daily dose of 40mg) for a maximum of 66 hrs, in addition to standard of care for COVID-19 acute respiratory distress syndrome (ARDS). Following a protocol amendment, dosing duration was increased from 3 days to up to 14 days of rt-PA treatment. Six patients were receiving Invasive mechanical ventilation and 3 were receiving non-invasive ventilation. 1 None 0 9 4 9 View
Historical Matched Controls - Cohort 1 Historical matched controls were recruited at a ratio of 2 controls to every 1 rtPA + SOC arm patient, and were matched according to the following characteristics: 1. Ventilation and oxygen type (IMV and non-invasive oxygen support) 2. Severity as determined by PaO2/FiO2 ratio 3. Gender 4. Age (+/- 2 years, up to a maximum of 10 years) 5. Ethnicity 10 None 0 0 0 0 View
Nebulised Recombinant Tissue-Plasminogen Activator (Rt-PA) - Cohort 2 IMV In cohort 2, fewer timepoints were collected, which will allowed for more rapid recruitment while at the same time not compromising safety monitoring. A more flexible dosing regimen for rtPA was utilised. Patients on IMV received 60mg daily over three doses for up to 14 days 5 None 1 12 9 12 View
Nebulised Recombinant Tissue-Plasminogen Activator (Rt-PA) - Cohort 2 NIV In cohort 2, fewer timepoints were collected, which will allowed for more rapid recruitment while at the same time not compromising safety monitoring. A more flexible dosing regimen for rtPA was utilised. Patients on NIV received 60mg daily for over 3 doses for two days, followed by 12 days receiving 40mg daily over two doses. 3 None 0 14 4 14 View
Serious Events(If Any):

Serious Events

Term Type Organ System Vocab View
Cerebral bleed SYSTEMATIC_ASSESSMENT Nervous system disorders None View
Other Events(If Any):

Other Events

Term Type Organ System Vocab View
Bleed: Central venous catheters access site SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Gastro-intestinal bleed SYSTEMATIC_ASSESSMENT Gastrointestinal disorders None View
Blood-stained tracheobronchial secretion SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Tracheostomy site bleed SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Bleed: chest-drain related SYSTEMATIC_ASSESSMENT Surgical and medical procedures None View
Epistaxis SYSTEMATIC_ASSESSMENT Ear and labyrinth disorders None View
Other SYSTEMATIC_ASSESSMENT General disorders None View