Status:

COMPLETED

Adsorbtion of Cytokines Early in Septic Shock: the ACESS Study

Lead Sponsor:

Zsolt Molnár, MD, PhD, DEAA

Conditions:

Sepsis

Septic Shock

Eligibility:

All Genders

18+ years

Brief Summary

The aim of the study is to investigate the effect of CytoSorb® treatment within the first 48 hours of septic shock on organ dysfunction, microcirculation and on the cytokine storm as monitored by leuk...

Eligibility Criteria

Inclusion

  • Signs of hypoperfusion: serum lactate \>2 mmol/L, low central venous oxygen saturation (ScvO2) (\<70%) or high ScvO2 (\>85%), metabolic acidosis, oligo-anuria, high venous-to-arterial CO2-gap (dCO2 \>6 mm Hg)
  • Hemodynamic support with vasopressors
  • Procalcitonin level ≥ 3 ng/ml
  • Invasive hemodynamic monitoring
  • Written informed content

Exclusion

  • Patients under 18 years
  • Pregnancy (bHCG test positivity)
  • Surgical intervention in context with the septic insult
  • New York Heart Association IV heart failure
  • Acute coronary syndrome
  • Need for acute or chronic hemodialysis
  • Acute haematological malignancies
  • Cardiogenic shock
  • Post cardiopulmonary resuscitation care
  • Immunosuppression, systemic steroid therapy (\>10mg prednisolon/day)
  • Human immunodeficiency virus infection (HIV) and active AIDS
  • Patients with donated organs
  • Thrombocytopenia (\<20.000/ml)
  • More than 10%-of body surface area with third degree burn

Key Trial Info

Start Date :

October 1 2014

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 1 2017

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT02288975

Start Date

October 1 2014

End Date

December 1 2017

Last Update

March 27 2018

Active Locations (1)

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1

Department of Anaesthesiology and Intensive Therapy

Szeged, Csongrád megye, Hungary, H-6725