Personalized treatment with Pentaglobin® for patients with peritonitis after surgery
Prospective, Randomized Trial of Personalized Medicine With Pentaglobin® After Surgical Infectious Source Control in Patients With Peritonitis
PHASE2 · RWTH Aachen University · NCT03334006
This study is testing if adding Pentaglobin® to standard care can help patients recover better from peritonitis after surgery.
Quick facts
| Phase | PHASE2 |
|---|---|
| Study type | Interventional |
| Enrollment | 200 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | RWTH Aachen University (other) |
| Locations | 20 sites (Vienna and 19 other locations) |
| Trial ID | NCT03334006 on ClinicalTrials.gov |
What this trial studies
This clinical trial aims to evaluate the effectiveness of Pentaglobin® as an adjuvant treatment for patients suffering from peritonitis following surgical intervention. It is a prospective, randomized, controlled trial that compares the outcomes of patients receiving standard care with those receiving additional Pentaglobin® treatment. The study will assess improvements in patient outcomes using various scoring systems, including Multiple Organ Failure (MOF) and SOFA scores, and will identify biomarkers to determine which patient subpopulations benefit most from this personalized therapy. The ultimate goal is to lay the groundwork for a future Phase III trial based on the findings of this study.
Who should consider this trial
Good fit: Ideal candidates for this study are adults diagnosed with secondary or quaternary peritonitis who are experiencing sepsis or septic shock and meet specific clinical criteria.
Not a fit: Patients with a life expectancy of less than 90 days due to unrelated medical conditions or those who are pregnant or breastfeeding may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could significantly improve recovery outcomes for patients with peritonitis, potentially reducing mortality and organ failure rates.
How similar studies have performed: Other studies have shown promise in using personalized medicine approaches for treating sepsis and related conditions, but the specific use of Pentaglobin® in this context is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. The patient is diagnosed with secondary or quaternary peritonitis 2. The time of the surgical infectious source control is within 6 hours of indication (defined as date and time of registration for surgical or minimal invasive procedure). 3. Sepsis and / or septic shock (according to the current sepsis guideline of the German Sepsis Society). 4. SOFA Score ≥ 8 5. The concentration of IL-6 is ≥ 1000 pg / ml 6. Treatment with antibiotics is started within 12 hours of admission to the Intensive Care Unit 7. The informed consent form has been signed by the patient and / or by his legal representative (such as his spouse, an health care proxy authorized or a legal representative) or by a consultant physician Exclusion criteria 1. Patients with a life expectancy of less than 90 days due to medical conditions unrelated to peritonitis nor with sepsis and / or septic shock. 2. For female patients: The patient is pregnant or breastfeeding. 3. The patient is a minor (\< 18 years of age). 4. The patient has known chronic renal dysfunction requiring dialysis (creatinine ≥ 3.4 mg / dl or creatinine clearance ≤ 30 mL/min/1.73 m²). 5. The patient has acute, primarily non-infectious pancreatitis or mediastinitis. 6. The patient has a BMI \> 40. 7. The patient has any contraindication to study drug. 8. The patient has participated in another clinical trial within the last 30 days. 9. The patient is in a dependent or employment relationship with the sponsor or investigator. 10. The patient is institutionalized by court or government order.
Where this trial is running
Vienna and 19 other locations
- Medizinische Universität Wien, Klinische Abteilung für Allgemeine Anästhesie und Intensivmedizin — Vienna, Austria (RECRUITING)
- Universitätsklinikum Tübingen, Universitätsklinik für Anästhesiologie und Intensivmedizin — Tübingen, Baden-Wurttemberg, Germany (RECRUITING)
- Universitätsklinikum Regensburg, Klinik für Anästhesiologie — Regensburg, Bavaria, Germany (ACTIVE_NOT_RECRUITING)
- Universitätsklinikum Essen, Klinik für Anästhesiologie und Intensivmedizin — Essen, North Rhine-Westphalia, Germany (RECRUITING)
- Charité - Universitätsmedizin Berlin, Klinik für Anästhesiologie mit Schwerpunkt operative Intensivmedizin — Berlin, State of Berlin, Germany (RECRUITING)
- Uniklinik RWTH Aachen, Klinik für Operative Intensivmedizin und Intermediate Care — Aachen, Germany (RECRUITING)
- Universitätsklinikum Knappschaftskrankenhaus Bochum GmbH, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie — Bochum, Germany (RECRUITING)
- Klinikum Westfalen, Knappschaftskrankenhaus Dortmund, Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie — Dortmund, Germany (TERMINATED)
- Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Anästhesiologie und Intensivtherapie — Dresden, Germany (WITHDRAWN)
- Universitätsklinikum Düsseldorf, Klinik für Anästhesiologie — Düsseldorf, Germany (WITHDRAWN)
- Universitätklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie — Frankfurt, Germany (RECRUITING)
- Universitätsklinikum Freiburg, Klinik für Allgemein- und Viszeralchirurgie — Freiburg im Breisgau, Germany (RECRUITING)
- Universitätsklinikum Hamburg-Eppendorf, Klinik für Intensivmedizin — Hamburg, Germany (RECRUITING)
- Medizinische Hochschule Hannover, Zentrum für Anästhesiologie und Intensivmedizin — Hanover, Germany (WITHDRAWN)
- Universitätsklinikum Heidelberg, Anästhesiologische Klinik — Heidelberg, Germany (WITHDRAWN)
- Klinikum Magdeburg, Klinik für Intensivmedizin — Magdeburg, Germany (WITHDRAWN)
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie — Mainz, Germany (WITHDRAWN)
- Klinikum der Universität München, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie — München, Germany (RECRUITING)
- Klinikum Nürnberg, Klinik für Anästhesiologie und operative Intensivmedizin — Nuremberg, Germany (RECRUITING)
- Heinrich-Braun-Klinikum gGmbH, Klinik für Anästhesie, Intensivmedizin, Notfallmedizin und Schmerztherapie — Zwickau, Germany (RECRUITING)
Study contacts
- Principal investigator: Gernot Marx, Univ.-Prof. — RWTH Aachen University
- Study coordinator: Center for Translational & Clinical Research (CTC-A)
- Email: PEPPER@ukaachen.de
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Peritonitis, Sepsis, Septic Shock, Pentaglobin®, Personalized Medicine