Upcoming TGH/USF Acute Care Research Meetings

  1. March 6, 2018
  2. March 20, 2018
  3. April 3, 2018
  4. April 17, 2018
  5. May 1, 2018
  6. May 15, 2018 No Meeting - SAEM
  7. May 22, 2018 - Possible Off-Cycle Make Up meeting
  8. May 29, 2018 No Meeting University at Sea Talks
  9. June 12, 2018
  10. June 26, 2018 No Meeting Maine CME Course

  The biweekly meetings are held in HMT536 from 10am-12pm at TGH. Please email Sandra Sanchez or Kristina Ledbetter  if you would like to be on the agenda or need a conference line.
(813) 394-3025
24/7/365 RESEARCH HOTLINE
RESEARCH DASHBOARD
JANUARY METRICS

TOTAL SCREENS IN MONTH = 1,016
TOTAL ENROLLMENTS IN MONTH = 26
MEDIAN NUMBER OF SCREENS PER HOUR IN MONTH BY RA = 1.4
HISTORICAL COMPARISON MONTH 2017 = 0.81 SPH
MEDIAN SCREENS PER ENROLLMENT FOR MONTH = 4.03
TOTAL HOURS IN MONTH = 780
AVG HOURS PER DAY DURING MONTH = 25.16
HOURS PER SCREEN DURING MONTH = 0.76
NUMBER OF RN FTEs = 4, DATA COORDINATOR = 1

2017 TOTAL = 8,164 Patients Screened
ADVANCE Retrospective, AKI, AKPA Retrospective, AKPA Prospective, Annexa, Lex-209, MARINER, MERCURY-PE, Nighthawk, NV20234 Tamiflu, RE-COVERY, RESET, T2, UPSTREAM, Vertex, Vu-Essence
NEW ITEMS
Research Assistant Jackets
We will provide the research assistants with one embroidered jacket. Please ensure jacket orders are in by February 23, 2018.

Research Assistant Workflow Issues
Document time of blood draw at time of final tube sample completion (time last tube is filled). Centrifuge balance needs to be calibrated and biomed has been alerted. There is also issue an issue with Epic note documentation for some of the Research Assistants and Sandra Sanchez will work with IT on this issue. Brandi is working on a "cheat sheet" for the studies designed for RAs.

There are 3 options for Annexa inclusion = Bleeding with Hgb drop of 2g/dl or Hgb baseline < 8g/dl if no baseline available, bleeding with hemodynamic compromise, bleed in life threatening area, Hgb < 8g/dl - patient only needs ONE of these to potentially qualify for Annexa enrollment if the patient took a Factor Xa Inhibitor (rivaroxaban, apixaban, enoxaparin in last 18 hours.

Feasibility Process
Please remember that our local IRB is USF. We also use a number of commercial IRBs for our industry sponsored studies. TGH provides a feasibility review which is not a human subjects review process
FUNDED CLINICAL TRIALS
*(all information regarding study summary/purpose is available to the public on clinicaltrials.gov)*
ADVANCE
SUMMARY: Utilization of dalbavancin or vancomycin in patients presenting to the ED with soft tissue skin infection. Operational outcome study using drug with FDA approved indication.
CONTRACT: TGH Acute Research
PI = Wein, TEAMHealth/USF Emergency Medicine, Coordinator = Bader, TGH OCR
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic
ENROLLMENTS: 0
STATUS: Starting in March, All contracts and SIV completed, anticipate drug delivery
SPONSOR: Portola

SUMMARY: Randomized, open-label, multi-center, comparative trial to assess the efficacy and safety in immunocompromised subjects with acyclovir resistant mucocutaneous HSV infection, treated with pritelivir 100 mg qd (following a loading dose of 400 mg as first dose to rapidly reach steady-state plasma concentration) or foscarnet 40 mg/kg iv tid/60mg/kg iv bid.
PI = Alrabaa, USF Infectious Disease, Coordinator = Bader, TGH Acute Care Research Team
CONTRACT: USF Contract, Run by TGH Acute Care Research
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic.
ENROLLMENTS: 0
STATUS: Enrollment has not started
UPDATES: SIV on March 5,2018


AKPA
SUMMARY: Medication for patients in Septic Shock.
PI = Wilson, Coordinator = Ruen
CONTRACT: USF Contract, Contract assumed by TGH Acute Care Research Team Near end of study enrollment
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic.
ENROLLMENTS: 0
STATUS: Enrollment ended and close out visit completed
UPDATES: Likely will initiate a second study with company later in 2018.


SUMMARY: This is an Open label, randomized, active control, parallel-group pilot trial to examine the effect of initiation of APIXABAN at days 0-3 (TIA), days 3-5 (small stroke) and days 7-9 (medium stroke) to decrease fatal and/or recurrent stroke/TIA in 120 subjects who have suffered a recent( 0 to 48 hours from symptoms) TIA, or small to medium ischemic stroke compared to standard of care warfarin treatment regimen. Subjects will be randomly assigned in a 1:1 ratio to one of two treatment arms (apixaban or warfarin). Subjects will be followed for a total of 180 days during from screening through monthly follow-up visits.
TGH SITE PI: Dr. Labovitz, USF Cardiology, SC = Nhi Tran , USF Health
CONTRACT: USF study screened by acute care research team.
OPERATIONAL FLOW: RA logs patient in RedCap and sends email to Nhi Tran at nntran@health.usf.edu regarding possible study subjects.
ENROLLMENTS: 62 Patients enrolled 2015-2018.
STATUS: Enrolling
SPONSOR: Pfizer

SUMMARY: Pediatric Anticoagulation for VTE. CV185118 is a single dose Apixaban PK/PD study in pediatric subjects. The objective of this study is primarily to study the PK/PD of Apixaban in pediatric subjects at risk for thrombosis
PI = Galligan, SC = Erica Silverman
CONTRACT: USF Study run by TGH OCR with Screening by TGH Acute Care Research Assistants
OPERATIONAL FLOW: Research assistants screen patients and enter potential subjects in RedCap log and also end email to esilverman@tgh.org.
ENROLLMENTS: 0 Enrollments
STATUS: Enrolling
SPONSOR: Pfizer

SUMMARY: This study is designed to evaluate the efficacy and safety of intravenous Lucassin® (terlipressin) versus placebo for the treatment of type 1 hepatorenal syndrome (HRS) in subjects receiving standard of care albumin therapy.
PI = Kemmer, Coordinator = Reilly
CONTRACT: TGH Study run by Acute Care Research Team
OPERATIONAL FLOW: Research assistants screen patients and enter potential subjects in RedCap log and also end email to Michelle Reilly at mreilly@tgh.org
Michelle Reilly and Dr. Kemmer also actively screen for this study.
ENROLLMENTS: Enrollments = 2. Both enrollments in 2017.
STATUS: Enrolling
SPONSOR : Ikaria

SUMMARY Dalteparin sodium (FRAGMIN) in a pediatric population with a diagnosis of Pulmonary Embolism.
PI = Galligan, Coordinator = Silverman.
CONTRACT: USF Contract, Run By TGH OCR and Screening by TGH Acute Care Research Team.
OPERATIONAL FLOW: Patients identified by acute care research assistant, logged into redcap and email sent to Erica Silverman at esilverman@tgh.org
ENROLLMENT: 1 Patient Enrolled
STATUS: Enrolling Closed to enrollment on December 31, 2017. No close out scheduled.
SPONSOR: Pfizer



SUMMARY: Utilization of rivaroxaban at discharge in hospitalized patients.
PI = Ledford, Coordinator = Tonya, Status = Enrollment Completed.
CONTRACT: USF Contract run by TGH Acute Care Research Team
OPERATIONAL FLOW: Tonya Fish reviews Epic report along with assistance from research assistant
ENROLLMENT: 2 Screen Fails in 2017.
STATUS: Enrollment is closed.
SPONSOR: Janssen
UPDATES: Site Visit before lockout planned for 2/23/2018.



SUMMARY: This study will evaluate the effectiveness and safety of an investigational drug, IV ganaxolone, as adjunctive therapy to standard of care to treat subjects with status epilepticus.
PI =Benbedeis, USF Neurology, Coordinator = Ballans
CONTRACT: USF Contract run by TGH Acute Care Research Team
OPERATIONAL FLOW: ED research assistants will screen for active status epileptics patients and contact TGH OCR RN?
ENROLLMENT: 0
STATUS: Enrollment has not started.
SPONSOR: Marinus Pharma
UPDATES: Site Visit completed in February 2018



SUMMARY: The goal of  SOAR  is to characterize the clinical and economic impact of clinicians' responses to major bleeding complications and pre-procedural concerns for bleeding risk in patients treated with oral anticoagulants (warfarin, anti-Xa orals, and anti-thrombin (IIa) orals) who present to the ED or in the hospital with acute illness or injury, with the eventual aim of informing the development of improved approaches to the management of OACs in the ED.
PI = Wilson, Coordinator = Pierre. Status = Ongoing.
CONTRACT: TGH Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: Research assistants screen by LEX-209 BPA, Annexa BPA, Bleed Report, and RE-COVERY report. Log Patient into Redcap and send email to Louis Pierre at lpierre@tgh.org 
ENROLLMENT: Enrolled 63 since study initiation. 17 in 2018. 31 on Warfarin and 4 on Dabigatran. 28 on Factor Xa (9 Apixaban, 19 Rivaroxaban).
STATUS: Enrolling
SPONSOR: Hospital Quality Foundation.
UPDATES: Fulfilled enrollment for Warfarin. Can only enroll dabigatran from this point forward.

SUMMARY: A phase one study to characterize the pharmacokinetics of  dalbavancin  in pediatric patients aged 3 months to 11 years (inclusive) following the intravenous administration of a single dose of  dalbavancin .
PI = Patterson, TEAMHealth/USF Emergency Medicine, Coordinator = Fish, TGH Acute Care Research Team
CONTRACT: TGH Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic.
ENROLLMENT: 0
STATUS: Enrolling
SPONSOR: Durata/Allergan


SUMMARY: Utilization of dual anti platelets in patients with an NSTEMI requiring cardiac catheterization within 72 hours.
PI = Wilson, TEAMHealth/USF Emergency Medicine, Coordinator = Pierre, TGH Acute Care Research Team
CONTRACT: TGH Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: Patients identified by Research Assistants and Louis Pierre using Epic Reports for cardiac catheterization and utilization of ticegralor or clopidogrel after NSTEMI
ENROLLMENT: 52 patients, 0 in 2018
STATUS: Enrolling
SPONSOR: Hospital Quality Foundation.
UPDATES: Louis Pierre met with Dr. Matar in February 2018 who asked about sponsors, budget and asked for protocol. He is open to discussion regarding. Louis will follow up with Dr. Matar. Louis Pierre also met with Dr. Berlowitz who is supportive of study goals. Dr. Berlowitz concerns center around respiratory issues and other side effects in older patient population with comorbidities. We will try to evaluate the patient for comorobidities and assess for younger, healthier patients. Louis and Ashley will drill down on ordering providers in ED and help create a selection criteria for appropriate ticegralor patient.

VERTEX
SUMMARY: Treatment of patients with cervical spine injury and C4 or lower neurological deficit.
PI = Vale, USF Neurosurgery, Coordinator = Ballans, TGH Acute Care Research Team
CONTRACT: USF Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: Neurosurgery/EM Physicians/Research Assistants/Research Nurses screen appropriate patients acutely during normal clinical flow, usually in trauma bay.
ENROLLMENT: 3, 1 in Februar 2018
STATUS: Enrolling
SPONSOR:
UPDATES: Heather Henderson identified patient in Trauma Bay during screening shift after MVC and Louis Pierre was on and enrolled patient with help of Neurosurgery. Tonya Fish RN came in and took over RN.

VU-ESSENCE
SUMMARY: Genetic profile of patients with ischemic stroke.
PI = Burgin, USF Neurology, Coordinator = Bozeman, USF Health. TGH Liaison Coordinator = Ballans, TGH Acute Care Research Team
CONTRACT: USF Contract, Some operations by RN coordinator, screening by TGH Acute Care Research Assistants
OPERATIONAL FLOW: Research Assistants respond to stroke alerts in ED
ENROLLMENT: 43, 12 enrolled in January 2018, 1 enrolled in February 2018
STATUS: Enrolling
SPONSOR:
UPDATES: Approaching IRB to increase to 100 patients. Research Assistant Epic notes being corrected and checklist being created by Brandi.
SUMMARY: Reversal of life threatening bleeds in patients on Factor Xa inhibitors
CONTRACT: TGH Acute Research
PI = Wilson, TEAMHealth/USF Emergency Medicine, Coordinator = Bader
TGH SITE PI: Dr. Labovitz, USF Cardiology, SC = Nhi Tran , USF Health
USF study screened by acute care research team.
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic.
ENROLLMENTS: 12 patients, 1 in February 2018
STATUS: Enrolling
SPONSOR: Portola
SUMMARY: Reversal of patients anticoagulated with Coumadin requiring urgent operation
PI = Wilson, TEAMHealth/USF Emergency Medicine, Coordinator = Pierre, TGH Acute Care Research Team
CONTRACT: TGH Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: RA logs patient in RedCap and calls 813.394.3025 or physician identifies patient via clinical alert in Epic.
ENROLLMENT: 1 screen fail
STATUS: Enrolling
SPONSOR: Octapharma
UPDATES: New Medical Monitor started February 2018, Jacklyn.
SUMMARY:
PI = Wilson, TEAMHealth/USF Emergency Medicine, Coordinator = Ballans, TGH Acute Care Research Team
CONTRACT: TGH Contract, Run by TGH Acute Care Research Team
OPERATIONAL FLOW: Research Assistants screen for this study by reviewing CTA and U/S results. TGH Acute Care Research Assistants and Elisabeth Ballans review RE-COVERY Epic Report, log patients into RedCap and then enter into EDC.
ENROLLMENT: Enrolled 225 patients. Enrolled 1 in January 2018 (only enrolling in dabigatran now).
STATUS: Enrolling until 2/28/18
SPONSOR: Boehringer-Ingelheim
UPDATES: Monitoring call occurred at 0900 02/20/2018. Dr. Wilson will follow up with Morgan (monitor) during week of February 20, 2018
SUMMARY: GMI-1070 rivipansel for Sickle Cell Disease
PI = Rico, USF Pediatrics, Coordinator = Yapchanyk, TGH OCR
CONTRACT: USF Contract, Run by TGH OCR, Screening by TGH Acute Care Research Assistants
OPERATIONAL FLOW: Patient identified by TGH Acute Research Assistant, logged into RedCap and email sent to Stephanie Yapchanyk at syapchanyk@tgh.org
ENROLLMENT: 1 in 2016, 2 in 2017, 1 in 2018
STATUS: Enrolling
SPONSOR: Glycomimetics
INVESTIGATOR INITIATED STUDIES
RESIDENCY GRAND ROUNDS PROJECTS
Hypotension in the ED  Andrew Thomas, MD
D-Dimer in Pregnancy . Charlotte Derr, MD
Naloxone Utilization . Tamas Peredy, MD
Prehospital Restraints . Rachel Semmons, MD
The ED Grand Rounds Projects include 5 different longitudinal scholarly activities that are completed over the course of the academic year during allowed times within the regularly scheduled didactic periods
Psychiatric Care. David Orban, MD
FACULTY INVESTIGATOR INITIATED STUDIES (IIS
LBBB/STEMI Semmons/Mannion/Frier. Writing?
Guided Lumbar Puncture Assistive Device. Foster. Preparatio.
CT vs US & CT in Female Pelvic Pain Wilson/Austin Christen.
PE/sPESI Wilson/Hoida and Enrique – completed analysis. Writing, Updating for 2018 and submitting abstract to PERT
SEP-1/SEPSIS COMPLIANCE/SEPSIS MORTALITY INDEX Wilson/Nassar.
IMPLUS Low Back Pain Treatment Strategies. IRB Submission. Wilson/Bishawi. Cleared by TGH
TEE IN RESUSCITATION Mike Butterfield. PGY-3. 2/2/18. IRB Approved. Initiated
CYRACOM INTEPRETER Phone vs. Video. Christian Jeanot PGY-3 and Seiichi Villalona, Anthropology.
Paramedic Disposition Decisions Compared to MD Decision . Jonathan Littell/Semmons/Thomas. ongoing. abstract accepted to SAEM
GRADUATE STUDENTS
STIGMA OF OPIOID ADDICTION . Heather Henderson. Anthropology, PhD Thesis.
(tie in to Suboxone research)
HALLWAY PATIENTS/PRESS GANEY . Seiichi VillalonaUNDERGRADUATES
LACTATE IN ADDITION TO MEWS . Louis Leon. Honors Thesis
SEXUAL ASSAULT . Abigail Parrigan. Tie in to Darbi Cox HUMAN TRAFFICKING
LEAFLET PROJECT . Alexis Mullner
ED COMMUNICATION . Lucy
SCD . Carlos Osorno
OTHER RESEARCH
POCT GLUCOSE IN PATIENTS RECEIVING VIT C. TGH Pharmacy
FOCUS (HIV AND HCV)
http://bit.ly/GILEADFOCUSPROGRAM
The relationship between early initiation of ART and downstream drug resistance Palakurty.
HIV Survey Attitudes Segara
HCV Linkage and Treatment Economic Model Ozoya/Sanmugalingham
Gonorrhea and Chlamydia Treatment Adherence Patel/Avrith
PrEP in Superutilizers Ozoya/Sanmugalingham
HIV False Positives, False Negatives Palakurty
HIV Acute Positives Ozoya/Sanmugalingham/Mueller
NNT/NNS HCV Mueller/Ozoya/Sanmugalingham
Geetha Sanmugalingham
MSc CCRP
Project Lead FOCUS-HIV/HCV
Oluwatobi Ozoya, MD, MPH
Project Lead FOCUS HIV/HCV
Henna Patel
FOCUS Project
Rumana Tokaria, MD
Research Assistant
Brandi Travis
Research Assistant
Alexa Wynn
Research Assistant
Thomasina Watson
Research Assistant
Ken Udenze
Research Assistant
Tina Terraciano
Research Assistant