Evidence map›Paper›PMID 35420994›Full record

ArticleJMIR research protocols2022

Lessening Organ Dysfunction With Vitamin C (LOVIT) Trial: Statistical Analysis Plan.

Neill Kj Adhikari, Ruxandra Pinto, Andrew G Day, Marie-Hélène Masse, Julie Ménard, Sheila Sprague, Djillali Annane, Yaseen M Arabi, Marie-Claude Battista, Dian Cohen and 24 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Scurvy: Rediscovering a Forgotten Disease.Diseases (Basel, Switzerland) · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Neill Kj Adhikari *Department of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0003-4038-5382
Ruxandra PintoDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.ORCID 0000-0003-3712-4624
Andrew G DayKingston Health Sciences Centre, Kingston, ON, Canada.ORCID 0000-0002-1095-5703
Marie-Hélène MasseResearch Centre of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-6630-1960
Julie MénardResearch Centre of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-9479-5435
Sheila SpragueDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-1466-8063
Djillali AnnaneDepartment of Intensive Care Medicine, Raymond-Poincaré Hospital (Assistance Publique - Hôpitaux de Paris [AP-HP]), Garches, France.ORCID 0000-0001-6805-8944
Yaseen M ArabiCollege of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.ORCID 0000-0001-5735-6241
Marie-Claude BattistaDepartment of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0001-9728-3761
Dian CohenBishop's University, Sherbroooke, QC, Canada.ORCID 0000-0002-2138-1258
Deborah J CookDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-4087-543X
Gordon H GuyattDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.ORCID 0000-0003-2352-5718
Daren K HeylandDepartment of Critical Care Medicine, Queen's University, Kingston, ON, Canada.ORCID 0000-0002-6440-4616
Salmaan KanjiThe Ottawa Hospital Research Institute, Ottawa, ON, Canada.ORCID 0000-0003-0594-0360
Shay P McGuinnessCardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0003-0620-4787
Rachael L ParkeCardiothoracic and Vascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.ORCID 0000-0003-4209-0334
Bharath Kumar Tirupakuzhi VijayaraghavanDepartment of Critical Care Medicine, Apollo Hospitals, Chennai, India.ORCID 0000-0002-1801-0667
Emmanuel CharbonneyCentre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.ORCID 0000-0002-0409-3334
Michaël ChasséCentre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.ORCID 0000-0001-7075-1924
Lorenzo Del SorboInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0003-3294-9838
Demetrios James KutsogiannisDepartment of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0003-4934-7470
François LauzierDepartment of Medicine, Université Laval, Québec, QC, Canada.ORCID 0000-0002-6530-5513
Rémi LeblancDepartment of Medicine, Centre Hospitalier Universitaire Dr Georges-L. Dumont, Moncton, NB, Canada.ORCID 0000-0003-1326-6302
David M MasloveKingston Health Sciences Centre, Kingston, ON, Canada.ORCID 0000-0002-0765-7158
Sangeeta MehtaInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.ORCID 0000-0002-7073-4769
Armand Mekontso DessapService de Médecine Intensive Réanimation, Assistance Publique - Hôpitaux de Paris [AP-HP], Hôpitaux Universitaires Henri-Mondor, Créteil, France.ORCID 0000-0001-5961-5577
Tina S MeleDepartment of Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-6617-9790
Bram RochwergDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID 0000-0002-8293-7061
Oleksa G RewaDepartment of Critical Care Medicine, University of Alberta, Edmonton, AB, Canada.ORCID 0000-0002-8718-0547
Jason ShahinDepartment of Medicine, McGill University Health Centre, Montréal, QC, Canada.ORCID 0000-0001-5547-7699
Pawel TwardowskiDepartment of Surgical Sciences, University of Otago, Dunedin, New Zealand.ORCID 0000-0003-2071-1419
Paul Jeffrey YoungMedical Research Institute of New Zealand, Newtown, New Zealand.ORCID 0000-0002-3428-3083
François Lamontagne *Research Centre of the Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, QC, Canada.ORCID 0000-0002-0360-3427
LOVIT InvestigatorsSee Acknowledgements, , .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe LOVIT (Lessening Organ Dysfunction with Vitamin C) trial is a blinded multicenter randomized clinical trial comparing high-dose intravenous vitamin C to placebo in patients admitted to the intensive care unit with proven or suspected infection as the main diagnosis and receiving a vasopressor.

objectiveWe aim to describe a prespecified statistical analysis plan (SAP) for the LOVIT trial prior to unblinding and locking of the trial database.

methodsThe SAP was designed by the LOVIT principal investigators and statisticians, and approved by the steering committee and coinvestigators. The SAP defines the primary and secondary outcomes, and describes the planned primary, secondary, and subgroup analyses.

resultsThe SAP includes a draft participant flow diagram, tables, and planned figures. The primary outcome is a composite of mortality and persistent organ dysfunction (receipt of mechanical ventilation, vasopressors, or new renal replacement therapy) at 28 days, where day 1 is the day of randomization. All analyses will use a frequentist statistical framework. The analysis of the primary outcome will estimate the risk ratio and 95% CI in a generalized linear mixed model with binomial distribution and log link, with site as a random effect. We will perform a secondary analysis adjusting for prespecified baseline clinical variables. Subgroup analyses will include age, sex, frailty, severity of illness, Sepsis-3 definition of septic shock, baseline ascorbic acid level, and COVID-19 status.

conclusionsWe have developed an SAP for the LOVIT trial and will adhere to it in the analysis phase. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/36261.

Indexed as

ascorbic acidbinomial distributioncritical carehealth datainfectionintensive careintensive care unitintravenousmortalityorganorgan dysfunctionpatientpatient outcomesepsisstatistical analysisstatistical frameworktrial databasevasopressorvitamin C

Identifiers

PMID35420994
PMCPMC9166642

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.