Why have clinical trials in sepsis failed?

Abstract:

:The systemic inflammatory response is biologically complex, redundant, and activated by both infectious and noninfectious triggers. Its manipulation can cause both benefit and harm. More than 100 randomized clinical trials have tested the hypothesis that modulating the septic response to infection can improve survival. With one short-lived exception, none of these has resulted in new treatments. The current challenge for sepsis research lies in a failure of concept and reluctance to abandon a demonstrably ineffectual research model. Future success will necessitate large studies of clinical and biochemical epidemiology to understand the course of illness, better integration of basic and clinical science, and the creation of stratification systems to target treatment towards those who are most likely to benefit.

journal_name

Trends Mol Med

authors

Marshall JC

doi

10.1016/j.molmed.2014.01.007

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

195-203

issue

4

eissn

1471-4914

issn

1471-499X

pii

S1471-4914(14)00009-4

journal_volume

20

pub_type

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