Heart TransplantationCytoSorbHTXNCT05270902
Haemoadsorption During Heart Transplantation
A study testing CytoSorb Adsorber in people with Heart Transplantation, run by Medical University of Vienna at 1 site in Austria.
Trial summary
To investigate whether the use of haemoadsorption (HA) on cardiopulmonary bypass during heart transplantation (HTX) has an effect on circulating cytokine levels for the first 120 hours after HTX and induces a decreased inflammatory response, increased anti-inflammatory response or immunosuppressive response. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Heart Transplantation
- What is being tested?
- CytoSorb Adsorber
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteAustria
- Study dates
- 1 Sep 2022to 30 Jun 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Adult patients undergoing heart transplantation
Who cannot join
- Declined informed consent
- Age < 18 years#
- Receiving antileukocyte drugs
- Receiving TNF-α Blockers, immunosuppressive drugs (e.g. tocilizumab)
- DCD
- Ex-vivo perfusion
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Austria1 site, 1 recruiting
- Recruiting
Divison of Cardiac Thoracic Vascular Anaesthesia and Intensive Care, Medical University of Vienna
Vienna, State of Vienna, 1090
Martin H Bernardi, MD, 004314040041090, martin.bernardi@meduniwien.ac.at
Martin H Bernardi, MD
About this study
Official title: Effect of Haemoadsorption During Cardiopulmonary Bypass on Patients After Heart Transplantation
To investigate whether the use of haemoadsorption (HA) on cardiopulmonary bypass during heart transplantation (HTX) has an effect on circulating cytokine levels for the first 120 hours after HTX and induces a decreased inflammatory response, increased anti-inflammatory response or immunosuppressive response. Additionally, the influence of HA on primary graft dysfunction, postoperative cerebral dysfunction, postoperative fluid accumulation, renal dysfunction, duration of mechanical ventilation, length of ICU-stay and 30-day mortality should be investigated
- Conditions
- Heart Transplantation
- Being tested
- CytoSorb Adsorber
- Keywords
- Heart Transplantation, Cytosorb
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CytoSorb AdsorberDevice
Polymer based adsorber system for the elimination of cytokines
| Study group | Role | What they receive |
|---|---|---|
| Adsorber Group | Active comparator | Surgery with CPB will be performed according to institutional standards, depending on indications and surgical preferences.
For the intervention group (adsorber-group), the CytoSorb adsorber will be installed on the CPB machine in a parallel circuit to the body circulation. The flow through the filter will be driven by a roller pump with 300-400 ml.min-1. Receives: Device: CytoSorb Adsorber |
| Control | No intervention | The control group (no-adsorber group) will be treated similarly, but no filter circuit will be installed. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Difference in maximal cytokine peak levels (IL-1β, IL-6, IL-33, TNF-α, IL-10)
Difference in maximal cytokine peak levels in various cytokine levels compared to baseline measured by ELISA
Measured: 5 days
Secondary outcomes (6)
Difference of immunosuppression (TTV)
Individual immunosuppression measured by Torque-teno-virus load
Measured: 30days
Difference of immunosuppression (sST2)
Individual immunosuppression measured by sST2 levels
Measured: 30days
primary graft dysfunction score
Differences in primary graft dysfunction score between both groups
Measured: 7 days
30-day mortality
Differences in 30-day mortality between both groups
Measured: 30 days
Mechanical Ventilation
Differences in length of mechanical ventilation
Measured: up to 4 weeks
Delirium
Differences in Confusion assessment method for the ICU between both groups
Measured: 5 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Mar 2022
- Study start1 Sep 2022
- Primary completion31 Dec 2025 (estimated)
- Study completion30 Jun 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Heart TransplantationStudies of the same condition, open and under way.
- More trials run by Medical University of ViennaThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prospective, single-center, single-blinded, randomized, controlled trial
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Medical University of Vienna
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. Martin Bernardi, Medical University of Vienna
- Investigators
- Martin H. Bernardi, MD, PhD, Principal investigator, Medical University of Vienna
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05270902
- Sponsor's protocol ID
- 1933/2021
- Acronym
- CytoSorbHTX
- Status last verified
- May 2025
- First submitted
- 2 Feb 2022
- Last updated
- 9 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: after completion of study, the results will be published in a peer reviewed journal
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Haemoadsorption During Cardiopulmonary Bypass on Patients After Heart Transplantation
- ClinicalTrials.gov ID
- NCT05270902
- Acronym / sponsor ID
- CytoSorbHTX / 1933/2021
- Conditions
- Heart Transplantation
- Keywords
- Heart Transplantation, Cytosorb
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Medical University of ViennaUniversity, hospital or other
- Study start
- 1 Sep 2022 (actual)
- Primary completion
- 31 Dec 2025 (estimated)
- Study completion
- 30 Jun 2026 (estimated)
- First posted
- 8 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To investigate whether the use of haemoadsorption (HA) on cardiopulmonary bypass during heart transplantation (HTX) has an effect on circulating cytokine levels for the first 120 hours after HTX and induces a decreased inflammatory response, increased anti-inflammatory response or immunosuppressive response. Additionally, the influence of HA on primary graft dysfunction, postoperative cerebral dysfunction, postoperative fluid accumulation, renal dysfunction, duration of mechanical ventilation, length of ICU-stay and 30-day mortality should be investigated
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
- Model description
- Prospective, single-center, single-blinded, randomized, controlled trial
| Arm | Type | Receives |
|---|---|---|
| Adsorber Group | Active comparator | Device: CytoSorb AdsorberSurgery with CPB will be performed according to institutional standards, depending on indications and surgical preferences. For the intervention group (adsorber-group), the CytoSorb adsorber will be installed on the CPB machine in a parallel circuit to the body circulation. The flow through the filter will be driven by a roller pump with 300-400 ml.min-1. |
| Control | No intervention | –The control group (no-adsorber group) will be treated similarly, but no filter circuit will be installed. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Adult patients undergoing heart transplantation
Key exclusion criteria (6 listed)
- Declined informed consent
- Age < 18 years#
- Receiving antileukocyte drugs
- Receiving TNF-α Blockers, immunosuppressive drugs (e.g. tocilizumab)
- DCD
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CytoSorb AdsorberPolymer based adsorber system for the elimination of cytokines | Device | Adsorber Group |
Primary outcome
Difference in maximal cytokine peak levels (IL-1β, IL-6, IL-33, TNF-α, IL-10)
Time frame: 5 days
Difference in maximal cytokine peak levels in various cytokine levels compared to baseline measured by ELISA
6 secondary outcomes
Difference of immunosuppression (TTV)
Time frame: 30days
Difference of immunosuppression (sST2)
Time frame: 30days
primary graft dysfunction score
Time frame: 7 days
30-day mortality
Time frame: 30 days
Mechanical Ventilation
Time frame: up to 4 weeks
Delirium
Time frame: 5 days
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 May 2025.
- Individual participant dataSharing planned: No. after completion of study, the results will be published in a peer reviewed journal
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Martin H. Bernardi, MD, PhD principal investigator
Medical University of Vienna
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing CytoSorb Adsorber in people with Heart Transplantation, run by Medical University of Vienna at 1 site in Austria.
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 1 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 9 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Austria. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Martin H. Bernardi, MD, PhD (0043140400 ext. 41090, martin.bernardi@meduniwien.ac.at), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Difference in maximal cytokine peak levels (IL-1β, IL-6, IL-33, TNF-α, IL-10) (time frame: 5 days). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 9 May 2025.