Clinical trial Recruiting at 1 site Observational Ages 18 and up

Antibiotic removal during hemoadsorption and continuous kidney support in the ICU

Official title: In Vivo Antibiotics Removal During Treatment With Hemoadsorption Cartridges and Continuous Renal Replacement Therapy in the Intensive Care Unit

Run by Niguarda Hospital · NCT07230041 · Data updated 2026-11-12

This project will test how much meropenem, linezolid, or daptomycin is removed from the blood of adults with septic shock and kidney failure who are on CRRT with a hemoadsorption cartridge.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorNiguarda Hospital
Academic / other
Locations1 site (Milan, Italia)
StatusRecruiting
StartedJanuary 15, 2025
Main results expectedDecember 15, 2025
Study endsAugust 15, 2026
Registry record updatedApril 15, 2026
Trial IDNCT07230041 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (over 18) admitted to the ICU with septic shock and renal failure requiring CRRT who are receiving meropenem, linezolid, or daptomycin and who provide informed consent.

Probably not a fit

Patients who are not on CRRT, are under 18, or are not receiving the specified antibiotics are unlikely to benefit from the findings.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study will enroll about 20 adult ICU patients with septic shock and renal failure requiring continuous renal replacement therapy (CRRT) who are receiving meropenem, linezolid, or daptomycin. A single Jafron HA380 hemoadsorption cartridge will be placed in series with a BBraun OMNI PLUS open CVVHD filter for 2–12 hours while standard citrate anticoagulation is used. Blood samples will be drawn before the cartridge, immediately after the cartridge, and after treatment and analyzed by liquid chromatography–tandem mass spectrometry to measure antibiotic concentrations. The goal is to quantify how much of each antibiotic is removed during passage through the hemoadsorption cartridge and CRRT circuit over a 12-month enrollment window.

Why it matters

Potential benefit: Results could help clinicians adjust antibiotic dosing during hemoadsorption and CRRT to avoid under-dosing and improve infection control.

How similar studies have gone: Previous reports have shown variable antibiotic removal with hemoadsorption and CRRT, but data specific to the HA380 cartridge used with the BBraun OMNI system are limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* stage 3 KDIGO consensus criteria, indication to CRRT
* use of at least one of the following antibiotics meropenem, linezolid and daptomycin
* \< 18 yo

Exclusion Criteria:

* \< 18 yo

Where it's running

  • Niguarda Hospital
    Milan, Italia, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.