COMPACT 2 - COMbining Plasma-filtration and Adsorption Clinical Trial 2

NCT ID: NCT01639664

Last Updated: 2021-09-05

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

115 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2017-10-23

Brief Summary

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The study objective is to clarify whether the application of high doses CPFA (coupled plasma-filtration adsorption) in addition to the current clinical practice is able to reduce hospital mortality in septic shock patients in intensive care unit (ICU).

Detailed Description

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Septic shock is a life-threatening clinical condition characterized by cardiovascular failure as a consequence of infection. Septic shock frequently causes multi-organ failure in the ICU. For this reason the extracorporeal therapies for the treatment of renal failure have become widespread in the ICU and, at the same time, new extracorporeal depurative techniques have been developed for the removal of inflammatory mediators. One of these techniques is CPFA (coupled plasma-filtration adsorption) that uses a sorbent once the separation between plasma and blood has been obtained with a plasma filter. The study objective is to clarify whether the application of high doses CPFA in addition to the current clinical practice is able to reduce hospital mortality in septic shock patients in intensive care unit. Secondary objectives are the resolution of septic shock and the reduction of ICU LOS (length of stay).

Conditions

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Shock, Septic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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High doses CPFA

High doses CPFA (coupled plasma-filtration adsorption) with AMPLYA™ (BELLCO ITALY): \>0.20 L/kg/day of plasma treated in the first 3 days after randomization.

Group Type EXPERIMENTAL

High doses CPFA

Intervention Type DEVICE

High doses CPFA (coupled plasma-filtration adsorption) with AMPLYA™ (BELLCO ITALY): \>0.20 L/kg/day of plasma treated in the first 3 days after randomization.

Control group

standard practice

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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High doses CPFA

High doses CPFA (coupled plasma-filtration adsorption) with AMPLYA™ (BELLCO ITALY): \>0.20 L/kg/day of plasma treated in the first 3 days after randomization.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* All patients admitted to the ICU in septic shock
* All patients that develop septic shock while in the ICU

Exclusion Criteria

* Age less than 14 years
* Pregnancy
* Estimated life expectancy (due to comorbidities) less than 90 days
* Presence of relative or absolute contraindications to CPFA
* Admission from an other ICU where the patient remained for more than 24 hours
* Absence of informed consent
Minimum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bellco Srl Mirandola, Italy

INDUSTRY

Sponsor Role collaborator

Gruppo Italiano per la Valutazione degli Interventi in Terapia Intensiva

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sergio Livigni, MD

Role: PRINCIPAL_INVESTIGATOR

Ospedale San Giovanni Bosco, Torino, ITALY

Locations

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Ospedale Madonna delle Grazie, U.O. di Anestesia e Rianimazione

Matera, Basilicate, Italy

Site Status

Ospedale Maurizio Bufalini, UO Anestesia Terapia Intensiva

Cesena, Emilia-Romagna, Italy

Site Status

Ospedale Morgagni-Pierantoni, U.O. Anestesia e Rianimazione

Forlì, Emilia-Romagna, Italy

Site Status

Ospedale A. Manzoni, U.O. Anestesia e Rianimazione 1

Lecco, Lombardy, Italy

Site Status

Ospedale SS. Antonio e Biagio e C. Arrigo, Servizio Anestesia, Rianimazione e Terapia Antalgica

Alessandria, Piedmont, Italy

Site Status

Ospedale Maggiore

Chieri, Piedmont, Italy

Site Status

Ospedale Santa Croce

Moncalieri, Piedmont, Italy

Site Status

CTO Maria Adelaide, I Servizio Anestesia e Rianimazione

Turin, Piedmont, Italy

Site Status

Ospedale San Giovanni Bosco, Servizio Anestesia e Rianimazione B-DEA

Turin, Piedmont, Italy

Site Status

AOU Careggi

Florence, Tuscany, Italy

Site Status

Ospedali Riuniti Valdichiana Senese, U.O. di Anestesia e Rianimazione

Montepulciano, Tuscany, Italy

Site Status

Ospedale SS. Cosma e Damiano, Servizio Anestesia e Rianimazione

Pescia, Tuscany, Italy

Site Status

Ospedale Alta Val d'Elsa, Terapia Intensiva

Poggibonsi, Tuscany, Italy

Site Status

Countries

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Italy

References

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Garbero E, Livigni S, Ferrari F, Finazzi S, Langer M, Malacarne P, Meca MCC, Mosca S, Olivieri C, Pozzato M, Rossi C, Tavola M, Terzitta M, Viaggi B, Bertolini G; GiViTI. High dose coupled plasma filtration and adsorption in septic shock patients. Results of the COMPACT-2: a multicentre, adaptive, randomised clinical trial. Intensive Care Med. 2021 Nov;47(11):1303-1311. doi: 10.1007/s00134-021-06501-3. Epub 2021 Oct 3.

Reference Type DERIVED
PMID: 34601619 (View on PubMed)

Milla P, Viterbo ML, Mosca S, Arpicco S. Chemical and microbiological stability, anticoagulant efficacy and toxicity of 35 and 90 mM trisodium citrate solutions stored in plastic syringes. Eur J Hosp Pharm. 2018 Oct;25(e2):e83-e87. doi: 10.1136/ejhpharm-2016-001094. Epub 2017 Jan 13.

Reference Type DERIVED
PMID: 31157074 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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Other Identifiers

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6233

Identifier Type: -

Identifier Source: org_study_id

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