- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04901338
Cytokine Hemoadsorption in ECMO Patients
May 21, 2021 updated by: Jernej Berden, University Medical Centre Ljubljana
Cytokine hemoadsorption is a novel therapy used to improve outcome in critically ill patients with a dysregulated cytokine response and hemodynamic instability.
Patients on extracorporeal membraneous oxygenation (ECMO) often develop severe systemic inflammatory response syndrome (SIRS).
Cytokine removal using different types of hemoadsorption devices is believed to block the vicious circle of inflammation dysregulation when other basic therapeutic measures fail.
To date there are very limited reports on ECMO and cytokine hemoadsorption combination therapy.
The aim of this retrospective study is to evaluate feasibility and effectiveness of hemoadsorption in veno-arterial and veno-venous ECMO patients.
Study Overview
Status
Completed
Study Type
Observational
Enrollment (Actual)
25
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
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Ljubljana, Slovenia, 1000
- University Medical Center Ljubljana
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients on VA ECMO or VV ECMO treated with hemoadsorption
Description
Inclusion Criteria:
- VA/VV ECMO
- hemoadsorption
- Age ≥ 18 years
Exclusion Criteria:
- no additional exclusion criteria after being eligible for ECMO
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Veno-arterial ECMO patients
Patients with severe SIRS post extracorporeal cardiopulmonary resuscitation (ECPR) or accompanying cardiogenic shock who were treated with hemoadsorption.
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Veno-venous ECMO patients
Patients with refractory septic shock on VV ECMO who were treated with hemoadsorption.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Haemodynamic stabilization
Time Frame: Within 12 hours after hemoadsorption
|
Decreased need for vasopressors according to vasoactive-inotropic score and increase in mean arterial pressure
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Within 12 hours after hemoadsorption
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Lactate, interleukin-6, C-reactive protein and procalcitonin clearance
Time Frame: Within 12 hours after hemoadsorption
|
Within 12 hours after hemoadsorption
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Weaning from ECMO
Time Frame: from day of ECMO-implant for every 24 hours until date of weaning or death, whichever came first, assessed up to 90 days
|
from day of ECMO-implant for every 24 hours until date of weaning or death, whichever came first, assessed up to 90 days
|
ICU length of stay
Time Frame: from day of ICU-admission for every 24 hours until date of discharge or death, whichever came first, assessed up to 90 days
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from day of ICU-admission for every 24 hours until date of discharge or death, whichever came first, assessed up to 90 days
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Hospital mortality
Time Frame: from day of hospital admission until date of discharge or death, whichever came first, assessed up to 90 days
|
from day of hospital admission until date of discharge or death, whichever came first, assessed up to 90 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 1, 2017
Primary Completion (Actual)
January 31, 2021
Study Completion (Actual)
January 31, 2021
Study Registration Dates
First Submitted
May 12, 2021
First Submitted That Met QC Criteria
May 21, 2021
First Posted (Actual)
May 25, 2021
Study Record Updates
Last Update Posted (Actual)
May 25, 2021
Last Update Submitted That Met QC Criteria
May 21, 2021
Last Verified
May 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Respiratory Tract Diseases
- Respiration Disorders
- Lung Diseases
- Systemic Inflammatory Response Syndrome
- Inflammation
- Myocardial Infarction
- Infarction
- Shock
- Respiratory Distress Syndrome
- Shock, Cardiogenic
- Cytokine Release Syndrome
Other Study ID Numbers
- Haemoadsorption ECMO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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