Endotoxin removal: bringing the mission to North America.

Abstract:

:The EUPHRATES trial (Evaluating Use of Polymyxin B Hemoperfusion in a Randomized Controlled Trial of Adults Treated for Endotoxemia and Septic Shock) is the first biomarker-driven trial in sepsis. This unique trial is being run in a blinded manner, further contributing to the robustness of its design. This paper will describe the implementation of the EUPHRATES trial focusing on 3 pertinent features: (1) managing (and maintaining) the blinding of a medical device trial; (2) impact of the use of a diagnostic test where eligible subjects with septic shock must also have high levels of endotoxin (≥ 0.60 EAA units), and (3) managing enrolment in a complicated trial design where two medical teams are involved (the intensivist as the blinded caregiver and nephrologists as the unblinded performers of the intervention). The study is nearing the halfway mark and is currently experiencing excellent recruitment success.

journal_name

Blood Purif

journal_title

Blood purification

authors

Foster D,Klein DJ,Guadagni G,Walker PM

doi

10.1159/000356832

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

14-7

eissn

0253-5068

issn

1421-9735

pii

000356832

journal_volume

37 Suppl 1

pub_type

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