Blood filtering procedure tested as new weapon against deadly sepsis
NCT ID NCT04057872
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This pilot study tested the safety of a blood-filtering procedure called therapeutic plasma exchange in 17 adults with septic shock, a life-threatening infection that causes organ failure. The procedure removes the liquid part of the blood and replaces it with fluids or donor plasma. The goal was to see if it could be done safely in this setting, with future studies needed to check if it actually helps patients recover.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- therapeutic plasma exchange (a procedure that removes and replaces blood plasma with fluids, albumin, or plasma)
- What this could lead to
- If this procedure proves safe and effective in larger studies, it could offer a new way to reduce organ failure and death from severe sepsis.
- What could go wrong
- This is a very small, early-phase safety study with only 17 participants. It is not designed to prove the treatment works, and side effects or lack of benefit are possible.
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
-
Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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17 people
The number who actually took part.
- Started
-
Oct 2020
- Finished
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Dec 2024
- Lead sponsor
-
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
-
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 Adult patients (age ≥18) with a documented or strong clinical suspicion of infection that meets the definition of septic shock as per the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Exhibiting two of the four clinical signs of inflammation: 1. Core temperature \> 38oC or \< 36oC 2. Heart rate \> 90 beats per minute 3. Respiratory rate \> 20 breaths per minute, or PaCO2 \< 32 mmHg, or mechanical ventilation 4. White cell count \> 12 x 109/L or \< 4 x 109/L or \> 10% immature neutrophils We will further identify the subset with a hospital mortality in excess of 40%: 1. \>30 mls/kg fluid resuscitation 2. Noradrenaline \>0.1 ug/kg/min to maintain MAP\> 65mmHg for at least 4 consecutive hours and present at initiation of TPE 3. Lactate \>2 mmol/l. Exclusion Criteria Patients will be excluded in cases where death is deemed inevitable or imminent during admission and either the attending physician, patient or surrogate legal decision maker is not committed to active treatment.
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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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Peter Lougheed Centre
Calgary, Alberta, T3M 1M4, Canada
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South Health Campus
Calgary, Alberta, T3M 1M4, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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?
- A routine calcium reading could reveal how sick a sepsis patient really is