Actively Recruiting

All Genders
ID04580680

Extracorporeal Blood Purification Therapy in Critically Ill Patients: an Interactive, Web-based, Multicenter, Observational Prospective Registry

Led by Careggi Hospital · Updated on 2025-02-12

1000

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

C

Careggi Hospital

Lead Sponsor

U

University of Florence

Collaborating Sponsor

AI-Summary

What this Trial Is About

Extracorporeal Blood Purification (EBP) is increasingly used worldwide in critical care to remove inflammatory mediators in critically ill patients with multiorgan dysfunction, including those with sepsis and acute kidney injury. This research observes the use of EBP therapies, aiming to identify groups of critically ill patients who may benefit most from these treatments. The study also addresses the lack of clear evidence on the impact of bacterial toxin and cytokine removal on mortality rates, particularly in the context of COVID-19-related multiorgan dysfunction. The study collects data through a web-based, interactive registry that allows clinicians from multiple centers to record and analyze EBP treatments, such as Continuous Renal Replacement Therapy and immunomodulation therapies using specialized membranes or cartridges. Treatments are delivered according to local clinical practice without additional interventions, and various clinical and treatment parameters are documented. This registry supports real-time decision-making and research collaboration worldwide. Participants are critically ill patients admitted to intensive care units who receive EBP therapy as part of their routine care. Data collection includes clinical characteristics, treatment details, and outcomes at multiple timepoints up to 10 days after therapy initiation. Researchers monitor clusters of patients to understand treatment effects on short- and long-term outcomes and track usage patterns of EBP worldwide. The study helps clinicians personalize treatment and continuously monitor results during the care of critically ill patients.

CONDITIONS

Brief Title

Extracorporeal Blood Purification Therapy in Critically Ill Patients (GlobalARRT)

Who Can Participate

All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Admission to an intensive care unit (ICU)
  • Indicated for at least one extracorporeal blood purification treatment such as Continuous Renal Replacement Therapy, Intermittent Hemodialysis, hybrid therapies for renal support, or immunomodulation therapy using specialized membranes or cartridges
  • Treatments initiated based on the responsible physician's judgment to reflect real-world clinical practice
Not Eligible

You will not qualify if you...

  • Contraindications to the use of the extracorporeal blood purification device as specified in the device's instruction manual
  • No other specific exclusion criteria beyond device contraindications

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Implementation

Duration - Duration of EBPT as determined by clinical practice

Participants undergo extracorporeal blood purification therapy (EBPT) using commercial membranes as part of their routine ICU care. Treatment parameters are recorded but no additional treatments are administered beyond standard care.

Visits occur as part of routine ICU care; frequency varies by clinical need

Monitoring

Duration - Up to 10 days after EBPT initiation

Participants are observed and clinical data are collected to assess outcomes and correlations related to the blood purification therapy.

Assessments around 24 hours, 48 hours, and 10 days after EBPT initiation

Trial Site Locations

Total: 1 location

1

Azienda Ospedaliero Universitaria Careggi

Florence, Italy, 50100

Actively Recruiting

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Research Team

G

Gianluca Villa, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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Published Research Related To This Trial

The EUPHRATES trial (Evaluating the Use of Polymyxin B Hemoperfusion in a Randomized controlled trial of Adults Treated for Endotoxemia and Septic shock): study protocol for a randomized controlled trial.

David J Klein, Debra Foster, Christa A Schorr...

https://pubmed.ncbi.nlm.nih.gov/24916483

Early use of polymyxin B hemoperfusion in patients with septic shock due to peritonitis: a multicenter randomized control trial.

Didier M Payen, Joelle Guilhot, Yoann Launey...

https://pubmed.ncbi.nlm.nih.gov/25862039