The REACTOR trial

ANZICS CTG Endorsed Study

The REACTOR trial

Randomised evaluation of active control of temperature vs. ordinary temperature management

Study Description

The REACTOR trial is a multi-centre, open label, parallel groups, phase II feasibility trial in invasively mechanically ventilated adults without acute brain pathologies. This trial is principally being conducted to assess the feasibility of a subsequent phase 3 clinical trial.  The proposed phase 3 trial will answer the following PICO question:

Among adults in ICU without acute brain pathologies who are expected to be ventilated beyond the day after randomisation, does systematic control of body temperature using regular IV paracetamol combined with physical cooling to treat fever, compared to standard temperature management, alter day 90 mortality?

The primary aim of this current trial is to establish the feasibility of the temperature control strategy being assessed in the intervention arm by determining whether or not it reduces mean body temperature compared to standard temperature management.

Management Committee

Paul Young (Chair), Michael Bailey, Frances Bass (Project Manager), Richard Beasley, Rinaldo Bellomo, Ross Freebairn, Naomi Hammond, Frank van Haren, Meg Harward (Project Manager on parental leave from 04 July 2017), Seton Henderson, Diane Mackle, Colin McArthur, Shay McGuinness, John Myburgh, Manoj Saxena, Anne Turner (Project Manager) and Steve Webb.

Administering Institution

Medical Research Institute of New Zealand


The George Institute of Global Health

Sample Size

184 patients


Health Research Council of New Zealand Feasibility Grant NZ$149,799


UTN: U1111-1182-7938


Paul Young (email)