The Effects of oXiris in Cardiogenic Shock Requiring VA-ECMO
NCT05642273 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2024-03-29
Summary
Cardiogenic shock (CS) defines a state of systemic hypo-perfusion leading to end-organ dysfunction related to cardiac pump failure and with mortality rates in the range of 27-50% according to recent reviews. Patients with CS often received mechanical circulatory support, and venoarterial extracorporeal membrane oxygenator (V-A ECMO) is an effective tool to support refractory CS while ensuring continuous organ perfusion. Patients with CS present clinical signs of systemic inflammation and elevated plasma levels of prototypical inflammatory and vasoactive mediators, including C-reactive protein (CRP), Interleukin-6 (IL-6) and tumor necrosis factor alpha (TNFα). As data is scarce in this field, we decided to perform a prospective randomized controlled pilot study to investigate the efficacy of extracorporeal cytokine and lipopolysaccharide adsorption using Oxiris on humoral inflammation parameters, hemodynamics, and clinical outcomes in patients with CS requiring VA ECMO.
Conditions
- Cardiogenic Shock
Interventions
- DEVICE
-
oXiris membrane
oXiris membrane for 24h
- DIAGNOSTIC_TEST
-
Blood tests
Blood tests just after randomization (0 h) and at 24 h, 48 h and 7 days
Sponsors & Collaborators
-
Samsung Medical Center
lead OTHER
Principal Investigators
-
Jeong Hoon Yang, MD, PhD · Department of Critical Care Medicine, Samsung Medical Center, Korea
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-11-25
- Primary Completion
- 2024-01-08
- Completion
- 2024-01-08
Countries
- South Korea
Study Locations
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