Cow-Hemoglobin infusion could save lives when blood is not an option
NCT ID NCT03633604
First seen Jul 20, 2026 · Last updated Jul 21, 2026 · Updated 1 time
Summary
This study tests HBOC-201, an oxygen-carrying fluid made from cow hemoglobin, in adults with life-threatening anemia who cannot receive red blood cell transfusions. Participants have dangerously low hemoglobin levels and signs of oxygen deprivation. The goal is to see if HBOC-201 can temporarily deliver oxygen to tissues and reduce the need for blood transfusions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HBOC-201, also called Hemopure, a hemoglobin-based oxygen carrier made from cow blood
- What this could lead to
- If it works, HBOC-201 could provide a life-saving oxygen bridge for patients with severe anemia who cannot or will not accept blood transfusions.
- What could go wrong
- This is an expanded-access study, not a controlled trial, so results may not prove broad effectiveness. HBOC-201 carries risks like high blood pressure and kidney injury.
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.
- 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 to 80 years
- Sex
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Anyone
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: 1. Patients ≥ 18 years of age 2. Critically ill patients with hemoglobin ≤ 6 g/dL (or 7-8 g/dL with significant active bleeding), and physiologic evidence of critical ischemia, for example: elevated troponins, altered mental status, acute renal failure, lactic acidosis or evidence of central nervous system acute deficits 3. Patients or their Legally Authorized Representative who are able and willing to provide informed consent 4. Blood is not an option due to: * refusal of transfusion * lack of compatible red blood cells Exclusion Criteria: 1. Patients with known hypersensitivity or allergy to beef products 2. Patients with pre-existing uncontrolled hypertension, heart failure, renal failure (caution should be exercised if renal insufficiency is present), circulatory hypervolemia or systemic mastocytosis\* 3. Patients who are eligible for blood transfusions 4. Patients who are \> 80 years old\* 5. Pregnant or lactating women * on a case by case and quality of life determination
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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.
Contacts and locations
Locations
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States