AzTrials
AzTrials

Septic ShockPEAFNCT03589378

Therapeutic Plasma Exchange Adsorption Diafiltration

A study testing PEAF in people with Septic Shock and Multiple Organ Dysfunction Syndrome, run by Shenzhen Second People's Hospital at 12 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the efficacy of coupled therapeutic plasma exchange adsorption diafiltration (PEAF )for treating septic shock with multiple organ dysfunction syndrome patients in ICU. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
PEAF
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
12 sitesChina
Study dates
13 Aug 2018to 30 Sep 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age, gender: 18-75 years old, male or female;
  • basic conditions: 20 ≤ APACHE II score ≤ 35 points and 10 ≤ Sequential Organ Failure Assessment(SOFA)≤ 18 points;
  • septic shock : On the basis of sepsis, after adequate fluid resuscitation, sustained hypotension requires maintenance of vasoactive drugs, mean arterial pressure(MAP)≥ 60 mmHg and Lactate ≥ 2.0 mmol/L; MODS: if the patient's SOFA score is ≥2 points, it means there is organ dysfunction. When the patient has two or more organ dysfunctions, it is MODS.

Who cannot join

  • can not remove the cause (surgical patients refused surgery, pan drug resistant infection without drug use)
  • Allergic to AMPLYA™ series
  • Presence of relative or absolute contraindications to PFA
  • MODS caused by severe liver disease
  • malignant tumors
  • Chronic end-stage disease (predicted to survive no more than one month)
Show all 9Show fewer
  • Maternal and possibly pregnant women
  • participated in drug clinical trials within three months
  • Admission from an other ICU where the patient remained for more than 24 hours

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

China12 sites, 12 recruiting
  • Dongguan Fifth People's Hospital (Taiping Hospital)

    Dongguan, Guangdong, 511761

    Yi Chen, MD Ph.D, +86-0769-85010257, chenyi_icu@163.com

    Yi Chen, MD Ph.D

    Not yet recruiting
  • Guangzhou General Hospital of Guangzhou Military Region

    Guangzhou, Guangdong, 510010

    Huansheng Tong, MD Ph.D, +86-020-88653353, fimmuths@163.com

    Huansheng Tong, MD PhD

    Not yet recruiting
  • School of Public Health, Southern Medical University

    Guangzhou, Guangdong, 510515

    Shengli Zhang, Ph.D, +86-020-61648311, asl0418@126.com

    Shengli Zhang, Ph.D

    Not yet recruiting
  • Shenzhen Luohu People's hospitial

    Shenzhen, Guangdong, 518001

    Mian Peng, MD, +86-0755-25650005, 1031994903@qq.com

    Mian Peng, MD

    Not yet recruiting
  • Shenzhen People's Hospital

    Shenzhen, Guangdong, 518020

    Huaisheng Chen, MD, +86-0755-25533018, sunshinic@hotmail.com

    Huaisheng Chen, MD

    Not yet recruiting
  • The eighth affiliated hospital, Sun Yat-Sen university

    Shenzhen, Guangdong, 518033

    Hao LI, MD, +86-0755-83982222, snapzero@163.com

    Hao LI, MD

    Not yet recruiting
  • Peking University Shenzhen Hospital

    Shenzhen, Guangdong, 518036

    Lei Huang, MD, +86-0755-83923333, hl0248@outlook.com

    Lei Huang, MD

    Not yet recruiting
  • Shenzhen Sixth People's Hospital (Nanshan Hospital)

    Shenzhen, Guangdong, 518052

    JING lan Wu, MD, +86-0755-26553111, doctorwu99@126.com

    JING lan Wu, MD

    Not yet recruiting
  • Affiliated Baoan Hospital of Shenzhen, Southern Medical University (People' hospital of Baoan District)

    Shenzhen, Guangdong, 518101

    Baojun Yu, MD, +86-0755-27788311, ybjhb@163.com

    Baojun Yu, MD

    Not yet recruiting
  • Shenzhen Longgang Central Hospital

    Shenzhen, Guangdong, 518116

    Ronglin Chen, MD, +86-0755-84806933, 13510156528@126.com

    Ronglin Chen, MD

    Not yet recruiting
  • Shenzhen hospital of southern medicial university

    Shenzhen, Guangdong

    Yong Liu, MD, +86-0755-23329999, liuyongjoy@hotmail.com

    Yong Liu, MD

    Not yet recruiting
  • Shenzhen Second People's Hospital

    Shenzhen

    Ming Wu, MD

    Recruiting

Other trials in China

About this study

Official title: Efficacy of PEAF for Septic Shock With Multiple Organ Dysfunction Syndrome in ICU:A Multicenter,Open-Parallelled ,Randomized and Controlled Clinical Trial

The purpose of this study is to evaluate the efficacy of coupled therapeutic plasma exchange adsorption diafiltration (PEAF )for treating septic shock with multiple organ dysfunction syndrome patients in ICU.

Read the detailed description

Septic shock with multiple organ dysfunction syndrome (MODS) is a life-threatening clinical condition due to coagulant disorder immunoparalysis to infection. For this reason the extracorporeal therapies for the treatment of septic shock with MODS have become widespread in the ICU and, at the same time, new extracorporeal depurative techniques have been developed for the removal of inflammatory mediators. One of these techniques is therapeutic plasma exchange (TPE) that remove pathologically elevated cytokines and simultaneously to replace protective plasmatic factors. other techniques is coupled plasma-filtration adsorption (CPFA) that uses a sorbent once the separation between plasma and blood has been obtained with a plasma filter. The others is Plasma dialysis filtration(PDF) that can remove inflammatory mediators for patients with multiple organ dysfunction syndrome.The purpose of this study is to evaluate the efficacy of PEAF (coupled therapeutic plasma exchange adsorption diafiltration )for treating septic shock with multiple organ dysfunction syndrome patients in ICU.

Being tested
PEAF
Medical subject headings
Shock, Septic, Multiple Organ Failure

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PEAFProcedure or surgery

    PEAF that is therapeutic plasma exchange (TPE) with 20ml/kg/d Fresh frozen plasma (Blood pump: 120ml/min, replacement pump 20ml/kg/min, dialysate pump 0ml/kg/min, waste pump 20ml/kg/min, plasma exchange 1 hour) plus plasma filtration adsorption (PFA ) with acute multitherapeutic system( AMPLYA™ ITALY) ≥30ml/min lasting 15 hours plus High volume plasma diafiltration (HVPDF) with CUREFLO™(ACF180W Japan) or Ultraflux® (AV1000S Fresenius Germany) Blood pump: 120ml/min, replacement fluid pump 2000ml/h, dialysate pump 2000ml/h, waste pump 4000ml/h,and with high-volume plasma diafiltration for 15 hours)in the first 3 days. the treatment after three days later is same as the control group.

Study groups in NCT03589378
Study groupRoleWhat they receive
PEAFExperimentalIntervention group:the patient will receive treatment with PEAF immediately after randomization.PEAF that is TPE (20ml/kg/d Fresh frozen plasma, Blood pump: 120ml/min, replacement pump 20ml/kg/min, dialysate pump 0ml/kg/min, waste pump 20ml/kg/min, plasma exchange 1 hour) plus plasma-filtration adsorption(PFA) (Blood pump: 120ml/min, Plasma separation rate 25-30%, PFA with acute multitherapeutic system (AMPLYA™ Italy) ≥30ml/min) and High volume plasma diafiltration (HVPDF) with CUREFLO™(ACF180W Japan) or Ultraflux® (AV1000S Fresenius Germany) , Blood pump same as PFA , replacement fluid pump 2000ml/h, dialysate pump 2000ml/h, waste pump 4000ml/h),with PFA and HVPDF for 15 hours in the first 3 days. If hemodynamically unstable or acute kidney injury(AKI) stage 2or 3,continue High volume hemofiltration(HVHF).Same protocol with control group after 3days.
Receives: Procedure: PEAF
Control groupNo interventionHVHF for septic shock with MODS is permitted in Control group routinely(Blood pump: 200ml/min, replacement fluid pump 45ml/kg/min, dialysate pump 45ml/kg/min, waste pump 90ml/kg/min, and high-volume hemofiltration for 16 hours with CUREFLO™(ACF180W Japan) or Ultraflux® (AV1000S Fresenius Germany) in the first 3 days after randomization.If hemodynamically unstable or AKI stage 2or 3,continue HVHF.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. All-cause mortality within 28 days after randomization

    efficacy

    Measured: 28 days after randomization

Secondary outcomes (2)
  1. All-cause mortality within 90 days from randomization

    efficacy

    Measured: 90 days from randomization

  2. free hours of vasoactive drugs from randomization

    efficacy

    Measured: 14 days after randomization

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jul 2018
  2. Study start13 Aug 2018
  3. Primary completion31 Dec 2019 (estimated)
  4. Study completion30 Sep 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
a Multicenter,Randomized and Controlled Clinical Trial
Masking
None (open label)
Enrolment
168 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03589378
Sponsor's protocol ID
SZLY2017007
Other IDs
20173357201815
Acronym
PEAF
Status last verified
Aug 2018
First submitted
22 Apr 2018
Last updated
29 Aug 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Schwartz J, Padmanabhan A, Aqui N, Balogun RA, Connelly-Smith L, Delaney M, Dunbar NM, Witt V, Wu Y, Shaz BH. Guidelines on the Use of Therapeutic Apheresis in Clinical Practice-Evidence-Based Approach from the Writing Committee of the American Society for Apheresis: The Seventh Special Issue. J Clin Apher. 2016 Jun;31(3):149-62. doi: 10.1002/jca.21470.

    PubMed 27322218
  • Livigni S, Bertolini G, Rossi C, Ferrari F, Giardino M, Pozzato M, Remuzzi G; GiViTI: Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva (Italian Group for the Evaluation of Interventions in Intensive Care Medicine) is an independent collaboration network of Italian Intensive Care units. Efficacy of coupled plasma filtration adsorption (CPFA) in patients with septic shock: a multicenter randomised controlled clinical trial. BMJ Open. 2014 Jan 8;4(1):e003536. doi: 10.1136/bmjopen-2013-003536.

    PubMed 24401721
  • Colomina-Climent F, Gimenez-Esparza C, Portillo-Requena C, Allegue-Gallego JM, Galindo-Martinez M, Molla-Jimenez C, Anton-Pascual JL, Rodriguez-Serra M, Martin-Ruiz JL, Fernandez-Arroyo PJ, Blasco-Ciscar EM, Canovas-Robles J, Herrera-Murillo M, Gonzalez-Hernandez E, Sanchez-Moran F, Solera-Suarez M, Torres-Tortajada J, Nunez-Martinez JM, Martin-Langerwerf D, Herrero-Gutierrez E, Sebastian-Munoz I, Palazon-Bru A, Gil-Guillen VF. Mortality Reduction in Septic Shock by Plasma Adsorption (ROMPA): a protocol for a randomised clinical trial. BMJ Open. 2016 Jul 12;6(7):e011856. doi: 10.1136/bmjopen-2016-011856.

    PubMed 27406647
  • Franchi M, Giacalone M, Traupe I, Rago R, Baldi G, Giunta F, Forfori F. Coupled plasma filtration adsorption improves hemodynamics in septic shock. J Crit Care. 2016 Jun;33:100-5. doi: 10.1016/j.jcrc.2016.02.005. Epub 2016 Feb 15.

    PubMed 26975736
  • Hazzard I, Jones S, Quinn T. Coupled plasma haemofiltration filtration in severe sepsis: systematic review and meta-analysis. J R Army Med Corps. 2015 Dec;161 Suppl 1:i17-i22. doi: 10.1136/jramc-2015-000552.

    PubMed 26621809
  • Yaroustovsky M, Abramyan M, Krotenko N, Popov D, Plyushch M, Rogalskaya E. A pilot study of selective lipopolysaccharide adsorption and coupled plasma filtration and adsorption in adult patients with severe sepsis. Blood Purif. 2015;39(1-3):210-217. doi: 10.1159/000371754.

    PubMed 25765778
  • Zhou N, Li J, Zhang Y, Lu J, Chen E, Du W, Wang J, Pan X, Zhu D, Yang Y, Chen Y, Cao H, Li L. Efficacy of coupled low-volume plasma exchange with plasma filtration adsorption in treating pigs with acute liver failure: A randomised study. J Hepatol. 2015 Aug;63(2):378-87. doi: 10.1016/j.jhep.2015.03.018. Epub 2015 Mar 24.

    PubMed 25814048
  • Berlot G, Agbedjro A, Tomasini A, Bianco F, Gerini U, Viviani M, Giudici F. Effects of the volume of processed plasma on the outcome, arterial pressure and blood procalcitonin levels in patients with severe sepsis and septic shock treated with coupled plasma filtration and adsorption. Blood Purif. 2014;37(2):146-51. doi: 10.1159/000360268. Epub 2014 Apr 26.

    PubMed 24777037

Questions about this trial

What is this clinical trial studying?

A study testing PEAF in people with Septic Shock and Multiple Organ Dysfunction Syndrome, run by Shenzhen Second People's Hospital at 12 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 29 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ming Wu, MD (+86-0755-83366388, boshiyy@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

All-cause mortality within 28 days after randomization (time frame: 28 days after randomization). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03589378, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Aug 2018.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in