CRP Apheresis in Infarct-Related Cardiogenic Shock
NCT07687017 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-07-07
Summary
Cardiogenic shock complicating acute myocardial infarction remains associated with high short-term mortality despite guideline-directed therapy. Systemic inflammation, particularly elevated C-reactive protein (CRP), may contribute to ongoing myocardial injury and organ dysfunction.
The CRP-SHOCK trial is an investigator-initiated, prospective, randomized, open-label, multicenter pilot study evaluating selective CRP apheresis as an adjunct to standard of care in patients with infarct-related cardiogenic shock. Patients are randomized to receive either standard therapy alone or standard therapy plus selective CRP apheresis using the PentraSorb®-CRP system.
The primary objective is to assess the effect of CRP apheresis on the CLIP score at 66 ± 8 hours after randomization. Secondary objectives include clinical outcomes, inflammatory biomarkers, and safety endpoints.
Conditions
- Cardiogenic Shock
- Acute Myocardial Infarction (AMI)
Interventions
- DEVICE
-
Selective C-reactive protein apheresis (PentraSorb®-CRP)
Selective removal of circulating C-reactive protein using the PentraSorb®-CRP adsorber system as an adjunct to guideline-directed standard of care.
- OTHER
-
Standard of care
Guideline-directed medical and interventional treatment for cardiogenic shock complicating acute myocardial infarction.
Sponsors & Collaborators
-
Helios Health Institute GmbH
collaborator OTHER -
Heart Center Leipzig at University of Leipzig
collaborator UNKNOWN -
Leipzig Heart Science gGmbH
lead OTHER
Principal Investigators
-
Prof. Dr. med. Holger Thiele Thiele · Heart Center Leipzig at University of Leipzig
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-20
- Primary Completion
- 2027-09-30
- Completion
- 2027-10-31
Countries
- Germany
Study Locations
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