Can a booster shot for the immune system prevent more infections in sepsis survivors?
NCT ID NCT02361528
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called GM-CSF in 166 ICU patients who had severe sepsis or septic shock and a weakened immune system. The goal was to see if the drug could reduce the number of new infections acquired in the ICU. Patients received either GM-CSF or a placebo, and researchers tracked infections and survival up to one year.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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166 people
The number who actually took part.
- Started
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Sep 2015
- Finished
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Jun 2018
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: ICU patients presenting a severe sepsis or a septic shock associated with a sepsis-induced immunosuppression. 1. \- Severe sepsis OR septic shock defined by the association of: at least 2 criteria of Systemic Inflammation Response Syndrome (SIRS) a clinically or microbiologically defined infection and respectively at least one organ failure (level ≥ 2 in one organ failure of the SOFA score) OR the need of a vasopressor treatment (epinephrine or norepinephrine ≥ 0,25mg/kg/min for at least 6 hrs to maintain a systolic pressure ≥ 90 mmHg or a mean arterial pressure ≥ 65 mmHg). 2. \- AND Sepsis-induced immunosuppression: reduced mHLA-DR levels (\< 8,000 monoclonal antibodies (mAb) per cell at D3). Exclusion Criteria: 1. \- Therapeutic limitation 2. Evolutive hemopathy, neutropenia \< 500/mm3, stemcell transplant 3. Solid tumor with on-going chemotherapy or radiotherapy 4. Human immunodeficiency virus (HIV) infection with CD 4 count \< 200 cell/mm3 5. Immunosuppressive treatment (including corticosteroid at immunosuppressive dose : \> 10 mg equivalent prednisolone and cumulative dose \> 700 mg) 6. Primary immunodeficiency . 7. Extra corporeal circulation within one month 8. Recent cardio-pulmonary resuscitation (within the current clinical episode) 9. Patients admitted in ICU for extensive burns 10. Contraindications to sargramostim 11. Pregnant or lactating women 12. Participation to another interventional 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.
Contacts and locations
Locations
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APHM Hopital Nord
Marseille, 13915, France
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APHM Hopital de la Timone
Marseille, 13005, France
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CHU Amiens Hopital SUD
Amiens, 80054, France
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CHU Estaing 1 place Lucie et Raymond Aubrac
Clermont-Ferrand, 63003, France
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CHU Gabriel MONTPIED
Clermont-Ferrand, 63003, France
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CHU Hopital Nord
Saint-Etienne, 42055, France
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CHU Montpellier
Montpellier, 34295, France
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CHU de Grenoble- Hopital Michallon
Grenoble, 38043, France
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CHU de Grenoble-Hopital Michallon
Grenoble, 38043, France
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CHU de Nantes
Nantes, 44093, France
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CHU de Nîmes
Nîmes, 30029, France
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CHU de Saint-Etienne
Saint-Etienne, 42055, France
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CHU la Conception
Marseille, 13005, France
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Centre hospitalier Lyon Sud
Pierre-Bénite, 69495, France
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Hopital Edouard Herriot
Lyon, 69003, France
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Hopital Saint Eloi
Montpellier, 34295, France
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Hopital de la Croix Rousse
Lyon, 69317, France
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PTMC CHU de Nantes
Nantes, 44093, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Chilling fever: can cooling septic shock patients save lives?
- Bedside eye scans may reveal hidden blood flow problems in septic shock
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Can a computer model speed up sepsis blood tests?