About this trial
To investigate whether the use of haemoadsorption (HA) on cardiopulmonary bypass during heart transplantation (HTX) has an effect on circulating cytokine levels for the first 120 hours after HTX and induces a decreased inflammatory response, increased anti-inflammatory response or immunosuppressive response. Additionally, the influence of HA on primary graft dysfunction, postoperative cerebral dysfunction, postoperative fluid accumulation, renal dysfunction, duration of mechanical ventilation, length of ICU-stay and 30-day mortality should be investigated
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients undergoing heart transplantation
Disqualifiers
Declined informed consent
Age < 18 years#
Receiving antileukocyte drugs
Receiving TNF-α Blockers, immunosuppressive drugs (e.g. tocilizumab)
Trial design
Parallel
Treatments tested in this trial
CytoSorb Adsorber
DevicePolymer based adsorber system for the elimination of cytokines
Treatment groups
Trial outcomes
Primary outcomes
Difference in maximal cytokine peak levels (IL-1β, IL-6, IL-33, TNF-α, IL-10)
Difference in maximal cytokine peak levels in various cytokine levels compared to baseline measured by ELISA
Secondary outcomes
Difference of immunosuppression (TTV)
Individual immunosuppression measured by Torque-teno-virus load
Difference of immunosuppression (sST2)
Individual immunosuppression measured by sST2 levels
primary graft dysfunction score
Differences in primary graft dysfunction score between both groups
30-day mortality
Differences in 30-day mortality between both groups
Sponsors and contacts
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