Status:

UNKNOWN

Pilot Study on Cytokine Filtration in COVID-19 ARDS

Lead Sponsor:

Manuel Castellà

Conditions:

Coronavirus Infection

Acute Respiratory Distress Syndrome

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Background: There are no proven therapies for COVID-19 infection. COVID-19 infects the respiratory epithelium of the lower airways, causing widespread damage via cytopathic effects, resulting in sever...

Eligibility Criteria

Inclusion

  • Age 18 or older
  • Positive revere transcription polymerase chain reaction (RT-PCR) for COVID-19 in a respiratory track sample
  • Acute (less than 36 hours) onset of moderate to severe ARDS, as defined by Berlin criteria:
  • Having pneumonia or worsening respiratory symptoms
  • Bilateral pulmonary infiltrates on chest imaging (X-ray of CT scan)
  • Pulmonary wedge pressure \<18 mmHg or no clinical signs of left heart failure
  • Hypoxemia: arterial oxygen pressure/Fraction of inspired oxygen (PaO2/FiO2 ratio) \<200mmHg, moderate dyspnea with signs of important respiratory workload, tachypnoea \>30bpm
  • Rise of inflammatory biomarkers: C-reactive protein (CRP) \>10 mg/L

Exclusion

  • Patients with a known contraindication for anticoagulation
  • Pregnancy or breast feeding
  • Patient already included in another research study
  • Decision by a physician that involvement in the study is not in the patient's best interest
  • Failure to have patient's authorization. In case of a mechanical intubated patient, lack of authorization from a first line family member
  • Multi-organ failure
  • Patients treated with Tocilizumab at the time of start filtration

Key Trial Info

Start Date :

April 17 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2020

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT04361526

Start Date

April 17 2020

End Date

July 1 2020

Last Update

April 24 2020

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Hospital Clínic de Barcelona

Barcelona, Spain