Trial Outcomes & Findings for S.A.F.E.BT System Extracorporeal Treatment With DIAPACT CRRT (NCT NCT01312675)

NCT ID: NCT01312675

Last Updated: 2018-10-12

Results Overview

The primary outcome measure is the average of all changes in daily SOFA scores from baseline through Day 8. The SOFA score indicates quantitatively, and as objectively as possible, the degree of organ dysfunction/failure by describing a sequence of complications in the critically ill. SOFA score consists of classifications for six (6) organ functions: Respiratory, Cardiovascular, Coagulation, CNS, Liver, and Renal. Each function is assigned a value from 0 (normal organ function) to 4 (most abnormal organ function). Each subject's 6 organ function SOFA scores are summed to become a single daily SOFA score (total score range: 0-24, where 24 is the maximum score associated with the most abnormal function and worst outcomes). A higher SOFA score on Day 2 compared to Day 1 indicates more abnormal organ functions and a worsening physical condition.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

16 participants

Primary outcome timeframe

Baseline through Day 8

Results posted on

2018-10-12

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
S.A.F.E.BT plus Standard of Care therapy S.A.F.E.BT: Five (5) S.A.F.E.BT treatments within a 7 day treatment period.
Group B
Standard of Care therapy alone
Overall Study
STARTED
9
7
Overall Study
COMPLETED
9
7
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

S.A.F.E.BT System Extracorporeal Treatment With DIAPACT CRRT

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=9 Participants
S.A.F.E.BT plus Standard of Care therapy S.A.F.E.BT: Five (5) S.A.F.E.BT treatments within a 7 day treatment period.
Group B
n=7 Participants
Standard of Care therapy alone
Total
n=16 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Age, Categorical
>=65 years
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
6 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
6 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline through Day 8

Population: Intent to Treat (ITT)

The primary outcome measure is the average of all changes in daily SOFA scores from baseline through Day 8. The SOFA score indicates quantitatively, and as objectively as possible, the degree of organ dysfunction/failure by describing a sequence of complications in the critically ill. SOFA score consists of classifications for six (6) organ functions: Respiratory, Cardiovascular, Coagulation, CNS, Liver, and Renal. Each function is assigned a value from 0 (normal organ function) to 4 (most abnormal organ function). Each subject's 6 organ function SOFA scores are summed to become a single daily SOFA score (total score range: 0-24, where 24 is the maximum score associated with the most abnormal function and worst outcomes). A higher SOFA score on Day 2 compared to Day 1 indicates more abnormal organ functions and a worsening physical condition.

Outcome measures

Outcome measures
Measure
Group A
n=9 Participants
S.A.F.E.BT plus Standard of Care therapy S.A.F.E.BT: Five (5) S.A.F.E.BT treatments within a 7 day treatment period.
Group B
n=7 Participants
Standard of Care therapy alone
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Screening
7.4 scores on a scale
Standard Deviation 2.70
11.9 scores on a scale
Standard Deviation 3.24
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 2
6.9 scores on a scale
Standard Deviation 2.09
11.4 scores on a scale
Standard Deviation 3.10
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 1 / Baseline
6.9 scores on a scale
Standard Deviation 2.57
11.9 scores on a scale
Standard Deviation 2.41
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 3
6.1 scores on a scale
Standard Deviation 2.10
10.4 scores on a scale
Standard Deviation 3.41
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 4
6.6 scores on a scale
Standard Deviation 2.83
9.0 scores on a scale
Standard Deviation 3.61
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 5
6.9 scores on a scale
Standard Deviation 2.97
7.0 scores on a scale
Standard Deviation 4.08
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 6
5.6 scores on a scale
Standard Deviation 3.55
7.1 scores on a scale
Standard Deviation 2.85
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 7
5.1 scores on a scale
Standard Deviation 3.93
8.1 scores on a scale
Standard Deviation 2.91
Sequential Organ Failure Assessment (SOFA) Score (a.k.a. Sepsis-related Organ Failure Assessment)
Day 8
4.3 scores on a scale
Standard Deviation 2.81
7.7 scores on a scale
Standard Deviation 1.98

Adverse Events

Group A

Serious events: 2 serious events
Other events: 9 other events
Deaths: 1 deaths

Group B

Serious events: 5 serious events
Other events: 7 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Group A
n=9 participants at risk
S.A.F.E.BT plus Standard of Care therapy S.A.F.E.BT: Five (5) S.A.F.E.BT treatments within a 7 day treatment period.
Group B
n=7 participants at risk
Standard of Care therapy alone
Cardiac disorders
Cardio-Respiratory Arrest
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Enteritis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Gastrointestinal haemorrhage
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 4 • 28 days per subject.
Infections and infestations
Gangrene
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Infections and infestations
Septic Shock
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Respiratory, thoracic and mediastinal disorders
Respiratory Arrest
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.

Other adverse events

Other adverse events
Measure
Group A
n=9 participants at risk
S.A.F.E.BT plus Standard of Care therapy S.A.F.E.BT: Five (5) S.A.F.E.BT treatments within a 7 day treatment period.
Group B
n=7 participants at risk
Standard of Care therapy alone
Blood and lymphatic system disorders
Anaemia
22.2%
2/9 • Number of events 3 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Blood and lymphatic system disorders
Coagulopathy
22.2%
2/9 • Number of events 5 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Blood and lymphatic system disorders
Leukocytosis
22.2%
2/9 • Number of events 3 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Blood and lymphatic system disorders
Thrombocytopenia
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Blood and lymphatic system disorders
Thrombocytosis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Cardiac disorders
Extrasystoles
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Cardiac disorders
Tachycardia
22.2%
2/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Endocrine disorders
Adrenal insufficiency
22.2%
2/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Eye disorders
Dry eye
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Abdonimal pain
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Constipation
22.2%
2/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Diarrhoea
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Gastrointestinal disorders
Dyspepsia
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Flatulence
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Ileus
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Gastrointestinal disorders
Nausea
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Gastrointestinal disorders
Upper gi haemorrhage
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Gastrointestinal disorders
Vomiting
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
General disorders
Asthenia
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
General disorders
Impaired Healing
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
General disorders
Local Swelling
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
General disorders
Pain
11.1%
1/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 6 • 28 days per subject.
General disorders
Pyrexia
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Hepatobiliary disorders
Hepatic failure
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Infections and infestations
Brucellosis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Infections and infestations
Candida infection
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Infections and infestations
Conjunctivitis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Infections and infestations
Endocarditis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Infections and infestations
Pneumonia
22.2%
2/9 • Number of events 2 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Infections and infestations
Urinary tract infection
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Injury, poisoning and procedural complications
Excoriation
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Injury, poisoning and procedural complications
Post procedural haemorrhage
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Injury, poisoning and procedural complications
Wound dehiscence
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Alanine aminotransferase increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Aspartate aminotransferase increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Blood alkaline phosphate increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Blood bilirubin increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Blood creatinine increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Blood lactate dehydrogenase increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Blood urea increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Carbon dioxide increased
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Investigations
Electrocardiogram abnormal
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Metabolism and nutrition disorders
Acidosis
11.1%
1/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 2 • 28 days per subject.
Metabolism and nutrition disorders
Fluid overload
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Metabolism and nutrition disorders
Hyperchloraemia
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Metabolism and nutrition disorders
Hyperglycaemia
0.00%
0/9 • 28 days per subject.
42.9%
3/7 • Number of events 9 • 28 days per subject.
Metabolism and nutrition disorders
Hypernatraemia
11.1%
1/9 • Number of events 2 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Metabolism and nutrition disorders
Hypervolaemia
22.2%
2/9 • Number of events 8 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Metabolism and nutrition disorders
Hypoalbuminaemia
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Metabolism and nutrition disorders
Hypocalcaemia
11.1%
1/9 • Number of events 5 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Metabolism and nutrition disorders
Hypoglycaemia
22.2%
2/9 • Number of events 2 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Metabolism and nutrition disorders
Hypokalaemia
22.2%
2/9 • Number of events 8 • 28 days per subject.
14.3%
1/7 • Number of events 4 • 28 days per subject.
Metabolism and nutrition disorders
Hypomagnesaemia
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 2 • 28 days per subject.
Metabolism and nutrition disorders
Hypophosphataemia
33.3%
3/9 • Number of events 7 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Metabolism and nutrition disorders
Hypovolaemia
22.2%
2/9 • Number of events 6 • 28 days per subject.
14.3%
1/7 • Number of events 2 • 28 days per subject.
Metabolism and nutrition disorders
Lactic acidosis
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Metabolism and nutrition disorders
Malnutrition
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Nervous system disorders
Headache
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Nervous system disorders
Hepatic encephalopathy
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Nervous system disorders
Neuralgia
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Psychiatric disorders
Agitation
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Psychiatric disorders
Anxiety
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Psychiatric disorders
Delirium
22.2%
2/9 • Number of events 2 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Psychiatric disorders
Insomnia
22.2%
2/9 • Number of events 3 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Renal and urinary disorders
Renal failure
0.00%
0/9 • 28 days per subject.
28.6%
2/7 • Number of events 2 • 28 days per subject.
Reproductive system and breast disorders
Pelvic fluid collection
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Respiratory, thoracic and mediastinal disorders
Acute respiratory distress syndrome
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Respiratory, thoracic and mediastinal disorders
Hepatic hydrothorax
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Respiratory, thoracic and mediastinal disorders
Wheezing
11.1%
1/9 • Number of events 2 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Surgical and medical procedures
Skin operation
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Hypertension
11.1%
1/9 • Number of events 1 • 28 days per subject.
0.00%
0/7 • 28 days per subject.
Vascular disorders
Hypotension
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Jugular vein thrombosis
11.1%
1/9 • Number of events 1 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Peripheral vascular disorder
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Poor peripheral circulation
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Thrombophlebitis
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.
Vascular disorders
Venous thrombosis limb
0.00%
0/9 • 28 days per subject.
14.3%
1/7 • Number of events 1 • 28 days per subject.

Additional Information

Dr. Diana Velencia, Associate Director of Clinical Affairs

B. Braun Medical Inc.

Phone: 610-596-2875

Results disclosure agreements

  • Principal investigator is a sponsor employee Study sites are able to publish on their own data if Sponsor does not publish a multi-center study paper within 18 months after trial completion. Sites agree to submit any proposed publication, presentation or other public disclosure to Sponsor for review at least 30 days prior to submitting to a publisher or other 3rd party. Within 30 days of receipt, Sponsor shall advise removal of any confidential information or which may impair Sponsor's ability to obtain patent protection.
  • Publication restrictions are in place

Restriction type: OTHER