Status:

COMPLETED

Studying Complement Inhibition in Early, Newly Developing Septic Organ Dysfunction

Lead Sponsor:

InflaRx GmbH

Conditions:

Severe Sepsis

Septic Shock

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

The trial enrolls patients with early severe sepsis or septic shock displaying at least one newly developed organ dysfunction and showing clinical evidence of pulmonary or abdominal infection. The pri...

Eligibility Criteria

Inclusion

  • Key Inclusion Criteria at screening:
  • Male or female patients \>= 18 years old
  • Written informed consent
  • Occurrence of at least two criteria of a systemic inflammatory response syndrome (SIRS) not explained by other reasons. These criteria should be present within 12 hours prior to screening
  • Suspected or confirmed abdominal or pulmonary infection at screening
  • Broad spectrum i.v. antimicrobial therapy to treat abdominal or pulmonary infection
  • At least one of the following acute organ dysfunctions due to sepsis. Each organ dysfunction must have occurred within 12 hours prior to screening, cannot mainly be explained by other disease processes than sepsis and is judged by the investigator as being caused or directly related to an abdominal or pulmonary infectious focus:
  • respiratory
  • renal
  • hematologic
  • metabolic
  • cardiovascular (occurred within the last three hours)
  • Reasonable likelihood that administration of study drug can be started within 3.5 hours after start of screening process
  • Key Exclusion Criteria at screening:
  • Sepsis of other primary cause than pulmonary or abdominal source
  • Weight \> 130 kg at screening
  • Any other disease and condition that is likely to interfere with evaluation of study product, outcome assessment or satisfactory conduct of the study
  • Patients receiving the following concomitant medication within 14 days prior to screening:
  • Calcineurin inhibitors (e.g., ciclosporine, tacrolimus)
  • Proliferation inhibitors (e.g., everolimus, sirolimus)
  • Anti-metabolites (e.g., mycophenolate, mycophenolic acid, azathioprine)
  • High dose corticosteroids (e.g., \> 50mg prednisolon per day or equivalent)
  • Patients receiving high dose immunoglobulins within 3 months prior to screening
  • Patients with following abnormal laboratory result: Neutrocytopenia with neutrophil count \< 1,000/mm3 unless likely due to sepsis
  • General criteria:
  • Pregnant (in women of childbearing potential an urine pregnancy test has to be performed) or breast-feeding women
  • Women with childbearing potential (defined as within two years of their last menstruation) not willing to practice appropriate contraceptive measures (e.g., implanon, injections, oral contraceptives, intrauterine devices, partner with vasectomy, abstinence) while participating in the trial
  • Participation in any interventional clinical trial within the last three months
  • Prior participation in this clinical trial
  • Patient is chronically bed-bound prior to the onset of sepsis
  • Known intravenous drug abuse
  • Employee at the study site, spouse/partner or relative of any study staff (e.g., investigator, sub-investigators, or study nurse) or relationship to the sponsor
  • No commitment to full aggressive life support (e.g., do not resuscitate order)
  • Inclusion Criteria at randomisation:
  • At least one of the sepsis related organ dysfunction detected at screening is still present
  • Current treatment with broad spectrum i.v. antibiotics has been started or is ongoing
  • Exclusion Criteria at randomisation:
  • Time frame between detection of a non cardiovascular organ dysfunction and start of randomization procedure is more than 15 hours
  • Time frame between detection of a cardiovascular organ dysfunction and start of randomization is more than six hours
  • Organ dysfunctions are unlikely to be persistent for next three hours

Exclusion

    Key Trial Info

    Start Date :

    April 1 2014

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 1 2015

    Estimated Enrollment :

    72 Patients enrolled

    Trial Details

    Trial ID

    NCT02246595

    Start Date

    April 1 2014

    End Date

    December 1 2015

    Last Update

    April 25 2016

    Active Locations (11)

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    Page 1 of 3 (11 locations)

    1

    Study Site

    Aachen, Germany

    2

    Study Site

    Augsburg, Germany

    3

    Study Site

    Bad Saarow, Germany

    4

    Study Site

    Berlin, Germany