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Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07326215

A Study of the Efficacy and Safety of Extracorporeal Carbon Dioxide Removal Using PrismaLung in Chinese Critically Ill Patients a Prospective Randomized Controlled Clinical Trial

Led by Vantive Health LLC · Updated on 2026-02-17

99

Participants Needed

10

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating the efficacy and safety of the PrismaLung device for extracorporeal carbon dioxide removal ECCO2R in critically ill patients who require invasive mechanical ventilation IMV. This prospective, open-label, randomized controlled study compares the combination of IMV with ECCO2R using PrismaLung to IMV alone. The study aims to better manage carbon dioxide levels in patients with conditions like acute respiratory distress syndrome and acute kidney injury. Participants will be randomly assigned to one of two groups one group will receive IMV combined with ECCO2R using the PrismaLung device, while the control group will receive IMV alone. The PrismaLung treatment is planned to last up to 7 days, but investigators may stop the treatment earlier if ECCO2R is no longer needed. During ECCO2R, patients will receive systemic anticoagulation with heparin. Continuous renal replacement therapy may also be given alongside if necessary, based on the investigators judgment. Throughout the study, researchers will monitor carbon dioxide levels and other blood gas and oxygenation indexes at multiple time points, from 2 hours after treatment up to 7 days. They will also track ventilatory parameters, ventilator-free days, length of ICU stay, 28-day mortality, and quality of life after regaining consciousness and at 28 days. The primary outcome is the percent decrease in partial pressure of carbon dioxide PaCO2 from baseline after 2 hours of treatment. Participants will be closely observed during the study period, which starts December 2025 and ends August 2026.

CONDITIONS

Brief Title

A Study of the Efficacy and Safety of Extracorporeal Carbon Dioxide Removal Using PrismaLung+

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years old or older
  • Receiving invasive mechanical ventilation with PaCO2 greater than 50 mmHg and pH less than 7.4 under lung-protective ventilation strategy (respiratory rate less than 25/min, driving pressure less than 15 cmH2O)
  • Expected to tolerate extracorporeal carbon dioxide removal for at least 2 hours
  • Signed written informed consent or consent provided by legal representative or immediate family if patient lacks decision-making ability
Not Eligible

You will not qualify if you...

  • Body weight less than 30 kilograms
  • Contraindication for systemic anticoagulation with heparin
  • Unable or high risk to establish extracorporeal circulation access
  • Allergy to PrismaLung+ device/tubing or CRRT filters/tubing if combined with CRRT
  • Expected need for extracorporeal membrane oxygenation within 24 hours after enrollment
  • Primary disease expected to worsen rapidly or require surgery within 24 hours after enrollment
  • Diagnosed brain dead or in vegetative state
  • Pregnant or breastfeeding
  • Participation in other device studies within 30 days before screening or during study, or recent clinical drug study
  • Considered unsuitable for participation by investigator

Research Team

G

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