Septic ShockPhase 3VBI-S-02NCT06072430
A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock (VBI-S-02)
A Phase 3 study testing VBI-S in people with Septic Shock and Sepsis, run by Vivacelle Bio at 5 sites in United States.
Trial summary
This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Septic Shock, Sepsis, Hypovolemia
- What is being tested?
- VBI-S
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 39 participants
- Where
- 5 sitesUnited States
- Study dates
- 6 Aug 2024to 29 Jun 2026
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Male or female at least 18 years of age.
- Evidence of bacterial infection demonstrated by positive blood culture and/or a known source of infection and/or an elevated procalcitonin of ≥ 2 ng/ml.
- Patient has a mean blood pressure < 65 mmHg that is unresponsive to fluids currently available on the market.
- Sequential Organ Failure Assessment (SOFA) score ≥ 5
- Sepsis diagnosis: The presence of infection which can be proven or suspected by 2 or more of the following criteria:
- Lactate > 2 mmol/L
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- Fever > 38.3°C, or 101°F
- Hypothermia < 36°C core temperature (<96.8°F)
- Heart rate > 90
- Tachypnea (respiratory rate ≥ 20/min)
- White blood cell count >12,000 or less than 4,000, or with >10% "bands" (immature forms)
- Elevated procalcitonin in serum (≥ 2ng/ml)
- Arterial hypoxemia (PaO2/FiO2 < 300)
- Creatinine increase > 0.5 mg/dL since hospital admission
- INR > 1.5 or aPTT > 60 seconds
- Documented dysregulated host response to an infection as indicated by an increase in SOFA score by ≥ 2 points after an infection per the SEPSIS 3 guideline.
- Receiving vasopressors to maintain the target MAP of 65 mmHg.
Who cannot join
- Patients with a ventricular assist device
- Acute coronary syndrome
- Pregnant
- Acute bronchospasm
- Acute Mesenteric ischemia
- Emergency major surgery
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- Diagnosis of acute Hepatitis B or C.
- Hematologic or coagulation disorders including thrombocytopenia (platelet count <50,000) and associated with hemodynamically significant active bleeding that causes a decrease in blood pressure.
- White blood cell count of < 1000 mm3
- Current participation or participation in another experimental or device study within the last 30 days before the start of this study. Patient may be included if on other drugs are for COVID-19.
- Patients with a known allergy to soybeans or eggs
- Patient is hypervolemic with assessment by physician or physician extender ultrasound 12 hours before infusion of VBI-S if hypervolemia is suspected.
- Patient expected to expire within 12 hours.
- Patients with disturbances in normal fat metabolism such as pathologic hyperlipemia, lipid nephrosis, or acute pancreatitis with hyperlipidemia.
Trial locations and contacts
5 sites in 1 country.
5 sites in 1 country
United States5 sites
Dignity Health Chandler Regional Medical Center
Chandler, Arizona, 85224
University Health
Kansas City, Missouri, 64108
Oregon Health & Science University (OHSU)
Portland, Oregon, 97239
Memorial Health University Medical Center
Savannah, Georgia, 31404
Novant Healthcare
Winston-Salem, North Carolina, 27103
About this study
Official title: A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock
This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
Read the detailed description
PURPOSE OF THE STUDY This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
STUDY TREATMENT Sepsis is a serious condition resulting from the presence of harmful microorganisms in the blood or other tissues and the body's response to their presence, leading to the malfunctioning of various organs. When hypotension due to sepsis cannot be reversed with the infusion of fluids the patient is in a state of septic shock. Septic shock is therefore an acute medical emergency and delayed therapy can lead to organ injury. VBI-S is intended to raise blood pressure in patients with septic shock.
Randomization and blinding: This is a randomized, controlled, open-label study and blinding is not applicable to this study.
Data Safety Monitoring Board: A Data Safety Monitoring Board (DSMB) will review the study data.
- Conditions
- Septic Shock, Sepsis, Hypovolemia
- Being tested
- VBI-S
- Medical subject headings
- Shock, Septic, Sepsis, Hypovolemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VBI-SDrug
VBI-S is made of small particles of specific lipids called micelles and liposomes for the treatment of hypotension.
| Study group | Role | What they receive |
|---|---|---|
| VBI-S | Experimental | Treatment with VBI-S Receives: Drug: VBI-S |
What is being measured
The primary outcome is the main question the study is designed to answer.
Elevation in Average Mean Arterial Pressure
The primary endpoint is defined as an elevation in average mean arterial pressure by at least 10 mmHg from baseline within 3 hours of initiation of study treatment on Day 1
Measured: 12 months
Secondary outcomes (8)
Dose of Pressor Drugs
The number of patients in whom the dose of pressor drugs could be decreased after infusion of VBI-S to maintain a mean arterial pressure of 60-65 mmHg.
Measured: 12 months
Sequential Organ Failure Assessment (SOFA) Score
Change in Sequential Organ Failure Assessment (SOFA) Score on a scale of 0 to 24. A higher score indicates a worse outcome.
Measured: 12 months
Ratio of Arterial Partial Pressure of Oxygen/Fraction of Inspired Oxygen
Change in ratio of partial pressure of oxygen in arterial blood/Fraction of inspired oxygen (P/F ratio).
Measured: 12 months
Arterial Oxygen Saturation
Change in arterial oxygen saturation.
Measured: 12 months
Partial Pressure of Oxygen
Change in partial pressure of oxygen.
Measured: 12 months
Serum Procalcitonin
Change in serum procalcitonin
Measured: 12 months
Serum Creatinine
Change serum creatinine
Measured: 12 months
Post-treatment Survival
Change in post-treatment survival
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Oct 2023
- Study start6 Aug 2024
- Primary completion29 Jun 2026
- Study completion29 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Septic ShockStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 39 participants (actual)
Sponsor and investigators
- Lead sponsor
- Vivacelle Bio
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Cuthbert O Simpkins, MD, FACS, Principal investigator, Vivacelle Bio
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06072430
- Sponsor's protocol ID
- VBI-S-02
- Acronym
- VBI-S-02
- Status last verified
- Apr 2025
- First submitted
- 14 Sep 2023
- Last updated
- 26 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock
- ClinicalTrials.gov ID
- NCT06072430
- Acronym / sponsor ID
- VBI-S-02 / VBI-S-02
- Conditions
- Septic Shock, Sepsis, Hypovolemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 39 participants (actual)
- Lead sponsor
- Vivacelle BioIndustry (pharma, biotech, devices)
- Study start
- 6 Aug 2024 (actual)
- Primary completion
- 29 Jun 2026 (actual)
- Study completion
- 29 Jun 2026 (actual)
- First posted
- 10 Oct 2023 (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.
This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
Detailed description
PURPOSE OF THE STUDY This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.
STUDY TREATMENT Sepsis is a serious condition resulting from the presence of harmful microorganisms in the blood or other tissues and the body's response to their presence, leading to the malfunctioning of various organs. When hypotension due to sepsis cannot be reversed with the infusion of fluids the patient is in a state of septic shock. Septic shock is therefore an acute medical emergency and delayed therapy can lead to organ injury. VBI-S is intended to raise blood pressure in patients with septic shock.
Randomization and blinding: This is a randomized, controlled, open-label study and blinding is not applicable to this study.
Data Safety Monitoring Board: A Data Safety Monitoring Board (DSMB) will review the study data.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| VBI-S | Experimental | Drug: VBI-STreatment with VBI-S |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Male or female at least 18 years of age.
- Evidence of bacterial infection demonstrated by positive blood culture and/or a known source of infection and/or an elevated procalcitonin of ≥ 2 ng/ml.
- Patient has a mean blood pressure < 65 mmHg that is unresponsive to fluids currently available on the market.
- Sequential Organ Failure Assessment (SOFA) score ≥ 5
- Sepsis diagnosis: The presence of infection which can be proven or suspected by 2 or more of the following criteria:
Key exclusion criteria (14 listed)
- Patients with a ventricular assist device
- Acute coronary syndrome
- Pregnant
- Acute bronchospasm
- Acute Mesenteric ischemia
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 |
|---|---|---|
| VBI-SVBI-S is made of small particles of specific lipids called micelles and liposomes for the treatment of hypotension. | Drug | VBI-S |
Primary outcome
Elevation in Average Mean Arterial Pressure
Time frame: 12 months
The primary endpoint is defined as an elevation in average mean arterial pressure by at least 10 mmHg from baseline within 3 hours of initiation of study treatment on Day 1
8 secondary outcomes
Dose of Pressor Drugs
Time frame: 12 months
Sequential Organ Failure Assessment (SOFA) Score
Time frame: 12 months
Ratio of Arterial Partial Pressure of Oxygen/Fraction of Inspired Oxygen
Time frame: 12 months
Arterial Oxygen Saturation
Time frame: 12 months
Partial Pressure of Oxygen
Time frame: 12 months
Serum Procalcitonin
Time frame: 12 months
Serum Creatinine
Time frame: 12 months
Post-treatment Survival
Time frame: 12 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2026.
- Individual participant dataSharing planned: No
Related trials for Septic Shock
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Serum GDF-15 and LGALS3BP as Prognostic Biomarkers in Sepsis
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Clinical Value of EMR3 in Sepsis Diagnosis, Monitoring, and Prognosis: A Multicenter Prospective Observational Study
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Septic Shock
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. This study is not recruiting at the moment.
Cuthbert O Simpkins, MD, FACS principal investigator
Vivacelle Bio
5 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing VBI-S in people with Septic Shock and Sepsis, run by Vivacelle Bio at 5 sites in United States.
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 17 inclusion and 14 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 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 5 sites in United States. 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.
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?
Elevation in Average Mean Arterial Pressure (time frame: 12 months). 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 26 Oct 2026; AzTrials last refreshed its copy on 31 Oct 2026.