About this trial
The purpose of this study aimed to compare the efficacy of Oxiris (Baxter) and M100 filters on IL-6 as primary outcomes and other blood cell counts, blood biochemistry (serum urea, creatinine, potassium, sodium), inflammation indicators (CRP, PCT), as secondary outcomes and safety (28 days mortality as a primary outcome and coagulopathy, lifespan of filter, usage of vasopressor, clinical conditions (ventilator-free days, ICU and hospital- length of stay) as a secondary outcome), clinical conditions (ventilator-free days, ICU and hospital- length of stay), and mortality of patients with pneumonia-related AKI.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All adult patients aged>18 years old
Diagnosis of septic shock
Diagnosis of KDIGO stage 3 acute renal failure
Disqualifiers
Moribund patient or patient that is expected to die within 72 hours
Pregnancy
patient with a bleeding tendency or known allergy to heparin
Trial design
Parallel
Treatments tested in this trial
oXiris filter
DeviceContinuous Renal Replacement Therapy with the adsorption membrane filter Oxiris. The specific septic biomarkers such as interleukin 6(IL-6), procalcitonin (PCT), C-reactive protein (CRP) along with other routine blood investigation results taken at the beginning of therapy and 24 hours after the treatment will be compared.
M100 filter
DeviceContinuous Renal Replacement Therapy with the adsorption membrane filter M100. The specific septic biomarkers such as interleukin 6(IL-6), procalcitonin (PCT), C-reactive protein (CRP) along with other routine blood investigation results taken at the beginning of therapy and 24 hours after the treatment will be compared.
Treatment groups
Trial outcomes
Primary outcomes
To measure the effectiveness of the oxiris filter in reducing septic biomarker levels IL-6
To measure the effectiveness of oxiris filter compared to the M100 filter in reducing the septic biomarker levels during CRRT. The baseline IL6 will be measured immediately before CRRT and post-CRRT
To compare the 28-days mortality of using oxiris filter during CRRT
To measure the 28-day mortality rate when using oxiris and M100 filter for CRRT. The 28-day mortality rate is calculated based on the number of deaths occurring within 28 days from a defined starting point, the start of CRRT.
Secondary outcomes
To compare the risk infection of by using oxiris during CRRT
To measure the risk of infection rate when using oxiris filter for CRRT. An infection is defined as an infection of the CRRT catheter such as CRBSI.
To compare the risk bleeding of using oxiris during CRRT
To measure the risk of bleeding rate when using oxiris filter for CRRT. Bleeding is defined as any bleeding noted such as gastrointestinal, urinary bleeding or respiratory tract bleeding.
To compare the risk of ventilator-free days of using oxiris during CRRT
To measure the risk of ventilator-free day rate when using oxiris filter for CRRT. It is defined as the number of days within a specific period (usually 28 days) during which a patient is both alive and free from mechanical ventilation. For example, if a patient is on mechanical ventilation for 10 days and survives the entire 28-day period, they would have 18 ventilator-free days (28 - 10 = 18). If a patient dies at any point within the 28 days, their VFDs would be zero.
To measure the effectiveness of the oxiris filter in reducing septic biomarker levels PCT
To measure the effectiveness of oxiris filter compared to the M100 filter in reducing the septic biomarker levels during CRRT. The baseline PCT will be measured immediately before CRRT and post-CRRT
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Mohd Zulfakar Mazlan, MBBS
Lead sponsor
Universiti Sains Malaysia
Sponsor institution