Cytokine Adsorption During Complex Cardiac Surgery: a Controlled Randomized Trial
JACCS
1 other identifier
interventional
41
1 country
1
Brief Summary
This prospective single-centre randomized controlled trial aims at evaluating the safety and efficacy of hemoadsorption with HA-380® during cardio-pulmonary bypass in 40 patients undergoing complex cardiac surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2024
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 1, 2024
CompletedFirst Posted
Study publicly available on registry
July 22, 2024
CompletedStudy Start
First participant enrolled
October 27, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 18, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 12, 2026
CompletedJanuary 23, 2026
January 1, 2026
1.1 years
July 1, 2024
January 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
SOFA score at 24 hours
Difference between groups in the SOFA score measured within 24 hours after ICU admission
Within 24 hours of ICU admission
Secondary Outcomes (8)
ICU and hospital length of stay
At time of hospital discharge, an average 20 days after ICU admission
ICU, hospital, and 28 days (from ICU admission) mortality
At time of hospital discharge, an average 20 days after ICU admission and up to 28 days after ICU admission
Days alive without respiratory support
At day 28 from ICU admission
Days alive without renal replacement therapy
At day 28 from ICU admission
Days alive without vasopressors
At day 28 from ICU admission
- +3 more secondary outcomes
Other Outcomes (4)
Device-related complications
During cardiopulmonary bypass
Treatment tolerance
During cardiopulmonary bypass
Safety of intervention
From beginning of cardiopulmonary bypass to 7 days after ICU admission,
- +1 more other outcomes
Study Arms (2)
Control
NO INTERVENTIONCardiopulmonary bypass will be conducted as per institutional protocols, without hemoadsorption (standard-of-care)
Hemoadsorption
EXPERIMENTALCardiopulmonary bypass (CPB) will be conducted as per institutional protocols and an HA-380® cartridge (Jafron Biomedical, Guangdong, China) will be inserted within the circuit for hemoadsorption.
Interventions
The hemoadsorption treatment will be performed during the entire duration of the CPB. Blood flow within the cartridge is standardized at 250 ml/min.
Eligibility Criteria
You may qualify if:
- Planned for one of the following cardiac surgical procedures: heart transplantation after L-VAD (left ventricular assist device) implantation, OR surgical repair of a type A aortic dissection, OR urgent (within a few days) or emergent (within 24 hours) procedure for acute infectious endocarditis, OR cardiac surgery likely to require \>180 min CPB time as estimated by the surgical team
- Signed informed consent
You may not qualify if:
- Indication to receive hemoadsorption during CPB for drugs removal
- Women who are pregnant or breastfeeding
- Previous enrolment into the current study
- Off-pump procedure
- Chronic immunosuppression
- Known allergy to heparin or heparin induced thrombocytopenia
- Severe thrombopenia (platelets count before surgery \< 20g/L)
- Patient who does not want to be informed of incidental findings
- Participation in another study with investigational drug within the 30 days preceding and during the present study
- Participation in another conflicting research study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centre Hospitalier Universitaire Vaudois
Lausanne, Canton of Vaud, 1011, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Antoine Schneider
CHUV Centre Hospitalier Universitaire Vaudois (CHUV)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
July 1, 2024
First Posted
July 22, 2024
Study Start
October 27, 2024
Primary Completion
December 18, 2025
Study Completion
January 12, 2026
Last Updated
January 23, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share