Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT05758077

Neutrophil and Monocyte Deactivation Via the SeLective CytopheretIc Device - A Randomized Clinical Trial in Acute Kidney Injury

Led by SeaStar Medical · Updated on 2026-04-23

339

Participants Needed

38

Research Sites

215 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This randomized, controlled, pivotal study is intended to determine whether up to ten sequential 24-hour treatments with the Selective Cytopheretic Device (SCD) will improve survival in patients with Acute Kidney Injury (AKI) requiring continuous kidney replacement therapy (CKRT) when compared to CKRT alone (standard of care). This study is further intended to determine whether SCD therapy will reduce the duration of maintenance dialysis secondary to AKI. This study will enroll approximately 339 subjects across 30 US sites. Participants will be patients in an intensive care unit (ICU) setting with a diagnosis of AKI requiring CKRT.

CONDITIONS

Official Title

Neutrophil and Monocyte Deactivation Via the SeLective CytopheretIc Device - A Randomized Clinical Trial in Acute Kidney Injury

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Admitted to an ICU requiring continuous kidney replacement therapy with Acute Kidney Injury stage 2 or greater at CKRT start
  • On continuous kidney replacement therapy for at least 12 hours but no more than 48 hours at enrollment
  • Between 18 and 80 years old at enrollment
  • Have one additional life-threatening organ dysfunction
  • Have acceptable vascular access for CKRT including adequate catheter size and length
  • Committed to maintaining current level of care for at least 96 hours
  • C-Reactive Protein level greater than 3.5 mg/dl
Not Eligible

You will not qualify if you...

  • Not expected to survive the next 24 hours
  • Expected to transition to comfort measures or hospice within 4 days
  • Terminal condition with expected survival less than 28 days or therapy considered futile
  • Advanced malignancy actively treated or treated with palliative chemotherapy or radiation
  • ICU stay longer than 14 days during current hospital admission
  • Active COVID-19 infection as primary diagnosis
  • Chronic use of ventricular assist devices
  • End-stage renal disease requiring chronic kidney replacement therapy
  • History of chronic kidney disease greater than Stage 3
  • Acute Kidney Injury stage 0 or 1 at CKRT start
  • Non-acute tubular necrosis Acute Kidney Injury diagnosis
  • Recent acute coronary syndrome, stroke, or major vascular event within 48 hours
  • Active bleeding requiring blood transfusions
  • Acute on chronic liver failure
  • Suspected hepato-renal syndrome
  • Previous solid organ transplant
  • Severe burns with modified Baux score over 100
  • Bone marrow transplant within last year
  • Chronic immunosuppression over 20 mg/day prednisone or similar steroids for past 30 days
  • History of primary or secondary immune disorders including HIV or AIDS
  • Dry weight over 150 kg
  • Platelet count below 15,000/mm3
  • Prisoner or member of vulnerable population
  • Pregnant or breastfeeding
  • Concurrent participation in another interventional trial
  • Need for plasmapheresis

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 38 locations

1

University of Alabama Birmingham Hospital

Birmingham, Alabama, United States, 35233

Actively Recruiting

2

Mayo Clinic in Arizona

Phoenix, Arizona, United States, 85054

Not Yet Recruiting

3

Ronald Reagan UCLA Medical Center

Los Angeles, California, United States, 90095

Actively Recruiting

4

Stanford University

Palo Alto, California, United States, 94304

Actively Recruiting

5

University of California San Francisco

San Francisco, California, United States, 94143

Not Yet Recruiting

6

University of Colorado Hospital Anschutz Medical Campus

Aurora, Colorado, United States, 80045

Withdrawn

7

Mayo Clinic in Florida

Jacksonville, Florida, United States, 32224

Not Yet Recruiting

8

AdventHealth Orlando

Orlando, Florida, United States, 32803

Not Yet Recruiting

9

Orlando Regional Medical Center

Orlando, Florida, United States, 32806

Withdrawn

10

Emory Healthcare

Atlanta, Georgia, United States, 30322

Not Yet Recruiting

11

JMS Burn Center

Augusta, Georgia, United States, 30909

Withdrawn

12

Northeast Georgia Health System

Gainesville, Georgia, United States, 30501

Not Yet Recruiting

13

University of Iowa Hospital

Iowa City, Iowa, United States, 52242

Actively Recruiting

14

University of Kentucky HealthCare

Lexington, Kentucky, United States, 40536

Not Yet Recruiting

15

Ochsner LSU Health Academic Medical Center

Shreveport, Louisiana, United States, 71103

Actively Recruiting

16

University of Maryland Medical Center

Baltimore, Maryland, United States, 21201

Not Yet Recruiting

17

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

18

Henry Ford Medical Center

Detroit, Michigan, United States, 48202

Actively Recruiting

19

Mayo Clinic

Rochester, Minnesota, United States, 55902

Actively Recruiting

20

UNLV Health

Las Vegas, Nevada, United States, 89154

Not Yet Recruiting

21

University of North Carolina

Chapel Hill, North Carolina, United States, 27599

Not Yet Recruiting

22

University of Cincinnati

Cincinnati, Ohio, United States, 45219

Actively Recruiting

23

Cleveland Clinic

Cleveland, Ohio, United States, 44195

Actively Recruiting

24

The Ohio State University Wexner Medical Center

Columbus, Ohio, United States, 43210

Not Yet Recruiting

25

Samaritan Health

Corvallis, Oregon, United States, 97330

Actively Recruiting

26

St Luke's University Hospital

Bethlehem, Pennsylvania, United States, 19015

Actively Recruiting

27

Saint Mary Medical Center

Langhorne, Pennsylvania, United States, 19047

Actively Recruiting

28

Nazareth Hospital

Philadelphia, Pennsylvania, United States, 19152

Not Yet Recruiting

29

Geisinger Wyoming Valley Medical Center

Wilkes-Barre, Pennsylvania, United States, 18711

Not Yet Recruiting

30

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Not Yet Recruiting

31

University of Texas Southwestern Medical Center

Dallas, Texas, United States, 75390

Actively Recruiting

32

Brooke Army Medical Center

Fort Sam Houston, Texas, United States, 78234

Actively Recruiting

33

United States Army Institute of Surgical Research

JBSA Fort Sam Houston, Texas, United States, 78234

Withdrawn

34

Methodist Hospital Metropolitan

San Antonio, Texas, United States, 78212

Actively Recruiting

35

Methodist Hospital

San Antonio, Texas, United States, 78229

Actively Recruiting

36

University of Texas Health San Antonio

San Antonio, Texas, United States, 78229

Actively Recruiting

37

Sentara Health

Norfolk, Virginia, United States, 23507

Actively Recruiting

38

Virginia Commonwealth University

Richmond, Virginia, United States, 23219

Not Yet Recruiting

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Research Team

M

Mohamed Zidan, MD

CONTACT

K

Kevin K Chung, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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