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SepsisPhase 3CURE-SepSIRSNCT05391789

Clinical Efficacy of Ulinastatin for Treatment of Sepsis With Systemic Inflammatory Response Syndrome

A Phase 3 study testing Ulinastatin in people with Sepsis, run by Huashan Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Sepsis is a life-threatening organ dysfunction caused by the maladjusted response of the host to infection. It is a clinical syndrome with high mortality. Studies have confirmed that many cytokines play a vital role in the pathogenesis of sepsis. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Sepsis
What is being tested?
Ulinastatin
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteChina
Study dates
10 Nov 2022to 20 Jun 2024
Phase
Phase 3
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • sepsis-3 specified by SCCM and ESICM 1) suspected or confirmed infection: diagnosed by a clinician 2) evidence of acute organ dysfunction: for patients without chronic organ dysfunction in the past (assuming a baseline SOFA score of 0): sofa ≥ 2 points from 48 hours before diagnosis of infection to 24 hours after diagnosis of infection for patients with chronic organ dysfunction in the past (SOFA score should be based on baseline): the increase of sofa ≥ 2 points from 48 hours before diagnosis of infection to 24 hours after diagnosis of infection
  • diagnosis of sepsis for less than 48 hours
  • Systemic inflammatory response syndrome (SIRS) 1) body temperature > 38 ℃ or < 36 ℃ 2) heart rate > 90 3) respiratory rate> 20 4) WBC count > 12 × 10 ^ 9 / L or < 4 × 10^9/L (>12000/ μ L or < 4000/ μ L or immature granulocytes > 10%)
  • Obtained informed consent signed by the patient or authorized immediate family member

Who cannot join

  • Congestive heart failure (NYHA heart function level 4), cerebrovascular accident or acute coronary syndrome within 3 months, cardiac arrest within 7 days of this hospitalization, non-infectious cardiogenic shock, uncontrolled acute bleeding
  • Severe chronic liver disease (Child-Pugh grade C), liver parenchymal lesions with obvious portal hypertension, acute liver failure
  • Chronic renal failure, received dialysis treatment before being selected
  • Severe coagulation function: ISTH-DIC score ≥ 5 points
  • Significant immune abnormality/injury: received organ or bone marrow transplantation within 3 months before screening, moderate to severe leukopenia such as neutrophils <1.5×10^9/L, received radiotherapy or chemotherapy within 3 months , HIV seropositivity, active blood/lymphatic system tumor
  • Have received Xuebijing, thymosin or gamma globulin treatment within 3 months before being selected for the study
  • Others: allergies to study drugs, pregnancy, breast-feeding, participating in other clinical trials within 3 months, and other conditions deemed unsuitable by the investigator.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Huashan Hospital affiliated to Fudan University

    Jingan, Shanghai Municipality

Other trials in China

About this study

Official title: Clinical Efficacy of Ulinastatin for Treatment of Sepsis With Systemic Inflammatory Response Syndrome: a Multicenter, Randomized, Double-blind, Multi Dose and Placebo-controlled Clinical Trial.

Sepsis is a life-threatening organ dysfunction caused by the maladjusted response of the host to infection. It is a clinical syndrome with high mortality. Studies have confirmed that many cytokines play a vital role in the pathogenesis of sepsis. Ulinastatin (UTI) is a glycoprotein that exists in human blood and can be isolated and purified from human urine. It is a broad-spectrum protease inhibitor. Previous studies have shown that Ulinastatin may have the effect of treating sepsis.

120 septic patients with systemic inflammatory response syndrome were recruited and randomly assigned to the ordinary-dose group, high-dose group, or placebo in a 1:1:1 ratio. The trial was followed up on days 0, 1, 3, 5, 7 and 28. The primary outcome is the change in Sequential Organ Failure Assessment (SOFA) score from baseline to Day 5 (ΔSOFA). All-cause mortality at day 28 is a secondary outcome.

Read the detailed description

This completed multicenter randomized trial enrolled 120 adults with sepsis and systemic inflammatory response syndrome (SIRS). After informed consent, the enrollment day was Day 0. Participants were randomly assigned 1:1:1 to an ordinary-dose group, a high-dose group, or a placebo control group, and baseline clinical information was collected.

The ordinary-dose group received ulinastatin 400,000 units intravenously every 8 hours. The high-dose group received ulinastatin 800,000 units intravenously every 8 hours. The control group received an equal volume of 0.9% saline (50 mL) intravenously every 8 hours. When SIRS criteria were no longer met, the assigned dose (or matching placebo volume) was halved and continued; treatment lasted at least 3 days and up to 7 days.

Inclusion criteria:

  1. Adults ≥18 and ≤80 years of age; 2) sepsis according to Sepsis-3; 3) sepsis diagnosis <48 hours; 4) SIRS; 5) written informed consent from the patient or a legally authorized representative.

Exclusion criteria:

  1. Congestive heart failure with NYHA class IV function, cerebrovascular accident or acute coronary syndrome within 3 months, in-hospital or recent (within 7 days) cardiac arrest, non-infectious cardiogenic shock, or uncontrolled acute bleeding; 2) severe chronic liver disease (Child-Pugh C), liver parenchymal disease with significant portal hypertension, or acute liver failure; 3) chronic renal failure with dialysis before enrollment; 4) severe coagulopathy (ISTH DIC score ≥5); 5) significant immune impairment (organ or bone marrow transplantation; moderate or severe leukopenia within 3 months before screening, e.g. neutrophils <1.5×10^9/L; radiotherapy or chemotherapy within 3 months; HIV seropositivity; active hematologic or lymphatic malignancy); 6) Xuebijing, thymosin, or gamma globulin within 3 months before enrollment; 7) allergy to study drug, pregnancy, lactation, participation in another clinical trial within 3 months, or other conditions judged by the investigator to preclude participation.

Follow-up visits were on days 0, 1, 3, 5, 7, and 28. The primary outcome is the change in Sequential Organ Failure Assessment (SOFA) score from baseline to Day 5 (ΔSOFA). Secondary outcomes include SOFA at other visits, 28-day all-cause mortality, ICU stay, duration of antibiotics, SIRS, vasoactive drugs, mechanical ventilation and CRRT, and laboratory measures of infection, inflammation, coagulation, liver and kidney function, neurological and mental status, and endothelial injury.

Conditions
Sepsis
Being tested
Ulinastatin, Placebo
Medical subject headings
Sepsis

What participants receive

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

  • UlinastatinDrug

    Also called Treatment

    Patients would be given 400000 or 800000units of ulinastatin (specification: 100000 units / vial) dissolved in 50 ml of 0.9% normal saline intravenously for at least 1 hour, once every 8 hours. It is evaluated by the attending doctor every day. When the patient does not have systemic inflammatory response syndrome (SIRS), halve the dose and continue to use it for 2 days, with a total course of treatment of at least 3 days

  • PlaceboDrug

    Also called Control

    Patients would be given 50 ml of 0.9% normal saline intravenously for at least 1 hour once every 8 hours.It is evaluated by the attending doctor every day. When the patient does not have systemic inflammatory response syndrome (SIRS), continue to use it for 2 days, with a total course of treatment of at least 3 days.

Study groups in NCT05391789
Study groupRoleWhat they receive
normal doseExperimentalPatients would be given 400000 units of ulinastatin (specification: 100000 units / vial) dissolved in 50 ml of 0.9% normal saline intravenously for at least 1 hour, once every 8 hours. It is evaluated by the attending doctor every day. When the patient does not have systemic inflammatory response syndrome (SIRS), halve the dose and continue to use it for 2 days, with a total course of treatment of at least 3 days
Receives: Drug: Ulinastatin
high doseExperimentalPatients would be given 800000 units of ulinastatin (specification: 100000 units / vial) dissolved in 50 ml of 0.9% normal saline intravenously for at least 1 hour, once every 8 hours. It is evaluated by the attending doctor every day. When the patient does not have systemic inflammatory response syndrome (SIRS), halve the dose and continue to use it for 2 days, with a total course of treatment of at least 3 days
Receives: Drug: Ulinastatin
placeboPlacebo comparatorPatients would be given 50 ml of 0.9% normal saline intravenously for at least 1 hour once every 8 hours.It is evaluated by the attending doctor every day. When the patient does not have systemic inflammatory response syndrome (SIRS), continue to use it for 2 days, with a total course of treatment of at least 3 days.
Receives: Drug: Placebo

What is being measured

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

  1. delta sofa, ΔSOFA

    Sequential organ failure asses(SOFA) of day 5 , compared with the baseline.

    Measured: Day 5

Secondary outcomes (26)
  1. Sofa vs. baseline change in sofa at randomization (delta sofa, Δ SOFA)

    Sequential Organ Failure Assessment

    Measured: Day 1,3,7

  2. 28 day all-cause mortality

    28 day all-cause mortality

    Measured: Day 28

  3. ICU hospitalization days

    ICU hospitalization days

    Measured: Day 28

  4. antibiotic use days

    antibiotic use days

    Measured: Day 28

  5. SIRS days

    SIRS days

    Measured: Day 28

  6. vasoactive drugs days

    vasoactive drugs days

    Measured: Day 28

  7. mechanical ventilation days

    mechanical ventilation days

    Measured: Day 28

  8. CRRT days

    CRRT days

    Measured: Day 28

  9. Blood routine

    Blood routine

    Measured: Day 1,3,5,7

  10. coagulation and fibrinolysis indexes: PT, PLT, D-dimer

    coagulation and fibrinolysis indexes

    Measured: Day 1,3,5,7

  11. DIC score

    The ISTH group produced a simple scoring system for the diagnosis of DIC depending on the Platelet count, the PT, the fibrinogen level and critically the FDP/D-Dimer results. A person's ISTH DIC score ranges from 0 to 8. <5 is suggestive of non-overt/low grade DIC. ≥5 means laboratory evidence is consistent with overt DIC

    Measured: Day 1,3,5,7

  12. AST, ALT, bilirubin

    Liver function

    Measured: Day 1,3,5,7

  13. urine volume

    urine volume

    Measured: Day 1,3,5,7

  14. creatinine

    creatinine

    Measured: Day 1,3,5,7

  15. urea nitrogen

    urea nitrogen

    Measured: Day 1,3,5,7

  16. blood lactate

    blood lactate

    Measured: Day 1,3,5,7

  17. oxygenation index

    oxygenation index

    Measured: Day 1,3,5,7

  18. oxygen saturation

    oxygen saturation

    Measured: Day 1,3,5,7

  19. Glasgow Coma Scale

    Glasgow Coma Scale. A person's GCS score can range from 3 (completely unresponsive) to 15 (responsive). A lower score means a more serious condition.

    Measured: Day 1,3,5,7

  20. days of delirium and coma

    days of delirium and coma

    Measured: Day 1,3,5,7

  21. APACHE-II on day 5

    Acute Physiology and Chronic Health Evaluation

    Measured: Day 5

  22. ADL on day 1,3,5,7;

    Activities of Daily Living score

    Measured: Day 1,3,5,7

  23. intercellular adhesion factor

    Endothelial cell function

    Measured: Day 1,3,7

  24. concentration of endothelial cell specific molecules

    Endothelial cell function

    Measured: Day 1,3,7

  25. heparan sulfate

    Endothelial cell function

    Measured: Day 1,3,7

  26. lymphocyte subsets and inflammatory factor levels (IL-6, IL-10, CRP, PCT, TNF- α、 HMGB-1)

    Immune and inflammatory indexes

    Measured: Day 1,3,7

Timeline

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

  1. First posted26 May 2022
  2. Study start10 Nov 2022
  3. Primary completion28 May 2024
  4. Study completion20 Jun 2024

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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05391789
Sponsor's protocol ID
KY2021-924
Acronym
CURE-SepSIRS
Status last verified
Sep 2026
First submitted
28 Dec 2021
Last updated
23 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ulinastatin in people with Sepsis, run by Huashan Hospital at 1 site 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 4 inclusion and 7 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: finished, as of the sponsor's last update on 23 Sep 2026. 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 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

delta sofa, ΔSOFA (time frame: Day 5). 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 23 Sep 2026.

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