Early use of polymyxin B hemoperfusion in abdominal septic shock: the EUPHAS randomized controlled trial.
Dinna N Cruz, Massimo Antonelli, Roberto Fumagalli...
https://pubmed.ncbi.nlm.nih.gov/19531784Actively Recruiting
Led by Careggi Hospital · Updated on 2025-02-12
1000
Participants Needed
1
Research Sites
N/A
Total Duration
C
Careggi Hospital
Lead Sponsor
U
University of Florence
Collaborating Sponsor
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
Extracorporeal Blood Purification Therapy in Critically Ill Patients (GlobalARRT)
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You will not qualify if you...
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
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
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
Total: 1 location
1
Azienda Ospedaliero Universitaria Careggi
Florence, Italy, 50100
Actively Recruiting
G
Gianluca Villa, MD
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
0
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