Can blood purification turn the tide on sepsis?
NCT ID NCT07788144
First seen Aug 26, 2026 · Last updated Aug 27, 2026 · Updated 1 time
Summary
This trial tests two blood purification treatments—AN69-oXiris and polymyxin B hemoperfusion—in intensive care patients with sepsis caused by abdominal infections. The goal is to see which method better reduces endotoxin, a bacterial toxin that fuels inflammation, and whether that improves survival and recovery. Fifty adults who had emergency surgery to control the infection will be randomly assigned to one of the two treatments, and their endotoxin levels and outcomes will be compared.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Two blood purification treatments: AN69-oXiris adsorptive hemofilter and polymyxin B hemoperfusion (PMX-HP)
- What this could lead to
- If one treatment proves better at lowering endotoxin, it could guide which blood purification method to use for sepsis patients, potentially improving survival and recovery.
- What could go wrong
- This is a small, early-stage study (50 participants) without a placebo group, so results may not apply broadly. Blood purification carries risks like bleeding, infection, or catheter complications.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Participants must meet all of the following criteria: 1. Adults aged 18 years or older. 2. Diagnosis of sepsis or septic shock caused by an intra-abdominal infection, including peritonitis, according to the Sepsis-3 criteria. 3. Completion of emergency surgery for infection source control, with successful surgical control of the infection source. 4. Admission to the surgical intensive care unit (SICU) for postoperative intensive care. 5. Ability to undergo measurement of endotoxin activity (EA) using the Endotoxin Activity Assay (EAA). 6. Determination by a critical care specialist that extracorporeal blood purification therapy with either AN69-oXiris or PMX-HP is clinically indicated. 7. Ability to obtain central venous access and undergo extracorporeal blood purification therapy. 8. Provision of voluntary written informed consent by the participant or the participant's legally authorized representative after receiving sufficient information about the study. Exclusion Criteria: * Participants meeting any of the following criteria will be excluded: 1. Younger than 18 years of age. 2. Surgical source control of the infection was not performed or was considered incomplete. 3. Pregnant or breastfeeding. 4. Refusal to participate in the study or inability to obtain informed consent from a legally authorized representative. 5. Concurrent participation in another clinical study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Division of Trauma and Surgical Critical Care, Department of Surgery, Seoul St. Mary's Hospital, Seoul, Seocho-gu, Banpo-dong banpodaero 222
Seoul, 137-701, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- A randomized clinical trial of early empiric Anti-Mycobacterium tuberculosis therapy for sepsis in Sub-Saharan africa
- Tracing of real-time glu13Cose metabolism in human immune cells - intensive care unit
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