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Sepsis, SeverePhase 2ReActiF-ICENCT05442710

Recovery From Acute Immune Failure in Septic Shock by Immune Cell Extracorporeal Therapy

A Phase 2 study testing ARTICE in people with Sepsis, Severe, run by Artcline GmbH at 20 sites in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Evaluation of a novel therapy approach for severe sepsis patients. Subjects randomized into the treatment arm receive treatment with an immune cell perfusion system on top of standard care. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sepsis, Severe
What is being tested?
ARTICE
Could I receive a placebo?
No, everyone receives an active treatment
How many people
142 participants
Where
20 sitesGermany
Study dates
24 Jul 2022to 30 Jun 2026
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adult subjects
  • ≥ 18 years of age
  • with septic shock, defined as those with septic shock according to" Sepsis-3-Definition" who additionally require norepinephrine at a dose of ≥ 0.15 mcg/kg/min (and/or vasopressin at any dose) for a minimum of 6 hours (within the last 48 hours), to maintain a MAP ≥65 mmHg
  • Subjects ≥ 80 years of age shall have a Clinical Frailty Scale of <5 to be enrolled.
  • Fulfillment of the definition of septic shock, not longer than 48h before randomization. I.e. the 48h start at the end of the 6h period.
  • Blood lactate >2 mmol/L despite adequate volume resuscitation during the current sepsis episode
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  • Source control achieved / in progress in the judgement of the investigator
  • Subjects are required to have central venous access and an arterial line, and these are expected to remain present for at least the initial 48 hours of study.
  • Subjects must have received adequate volume replacement in the judgement of the investigator.
  • Subject or legal surrogate is willing and able to provide written informed consent and comply with all protocol requirements or confirmation of the urgency of participation in the clinical trial and the possible benefit to the subject by an independent consultant or the implementation of other established procedures according to the local regulations of the contributing centre to include subjects who are unable to provide informed consent.

Who cannot join

  • Acute or chronic leukemia,
  • Bilirubin ≥ 2 mg/dL (≥33 µmol/L),
  • Ongoing (concomitant) or prior within the last 6 month any chemotherapy or radiotherapy for malignancy,
  • Autoimmune disease with systemic medication of ≥10 mg prednisolone equivalent,
  • Previous transplantation,
  • Subjects receiving interferon therapy (14 days prior randomisation),
Show all 25Show fewer
  • Acute pulmonary embolism within the last 72 hours,
  • Ischemic stroke or intracranial bleeding within the last 3 months
  • Suspicion of concomitant acute coronary syndrome based on clinical symptoms and/or ECG within the last 72 hours,
  • Cardiopulmonary resuscitation within last 7 days,
  • Moribund subject (life expectancy <72 hours), in the judgement of the investigator
  • Presence of a do-not-resuscitate or do-not-intubate order,
  • Known HIV infection or chronic viral hepatitis,
  • Isolated Urosepsis,
  • Pregnancy/nursing period,
  • Primary cause of hypotension not due to sepsis (e.g. major trauma including traumatic brain injury, haemorrhage, burns, or congestive heart failure/cardiogenic shock),
  • Previous sepsis with ICU admission within this hospital stay,
  • Known/suspected acute mesenteric ischaemia,
  • Chronic mechanical ventilation for any reason OR severe COPD requiring either continuous daily oxygen use during the preceding 30 days or mechanical ventilation (for acute exacerbation of COPD) during the preceding 30 days,
  • Decision to limit full care taken before obtaining informed consent,
  • Prior enrolment in the trial,
  • Prior use of an investigational medicinal product within the last month OR planned or concurrent participation in a clinical trial for any investigational drug or device,
  • multiple injuries including polytrauma and burn >20% TBSA (2° or 3°),
  • Diagnosed and documented pre-existing dementia,
  • Severe Covid-Pneumonia

Trial locations and contacts

20 sites in 1 country. Contact the study team or a site near you to ask about taking part.

20 sites in 1 country

Germany20 sites, 19 recruiting
  • Helios Klinikum Aue

    Aue, Saxony, 08280

    Katrin Baumann, RN, +493771583614, Katrin.Baumann2@helios-gesundheit.de

    Jan Wallenborn, PD Dr. med.

    Recruiting
  • Charité Berlin, Klinik mit Schwerpunkt Nephrologie und internistische Intensivmedizin

    Berlin, 10117

    Philipp Enghard, Prof Dr., +4930450614016, philipp.enghard@charite.de

    Daniel Zickler, PD Dr., +4930450614016, daniel.zickler@charite.de

    Recruiting
  • Universitätsklinikum Bonn, Klinik und Poliklinik für Anästhesiologie und Operative Intensivmedizin

    Bonn, North Rhine-Westphalia, 53127

    Ute Lohmer, RN, +4922828719069, ute.lohmer@ukbonn.de

    Christian Putensen, Prof. Dr.

    Recruiting
  • Klinikum Braunschweig, Medizinische Klinik V

    Braunschweig, 38126

    Jan Kielstein, Prof. Dr., +495315952 ext. 381, j.kielstein@klinikum-braunschweig.de

    Manuela Winkler, RN, +495315952 ext. 855, m.winkler@klinikum-braunschweig.de

    Recruiting
  • Universitätsklinikum Köln, Klinik für Anästhesiologie und Operative Intensivmedizin

    Cologne, North Rhine-Westphalia

    Melanie Walther, +4922147842 ext. 113, melanie.walther@uk-koeln.de

    Fabian Dusse, PD Dr.

    Recruiting
  • Universitätsklinikum Essen, Klinik für Nephrologie

    Essen, 45147

    Katharina Graf-Rach, RN, +49 201723 ext. 83293, Katharina.Graf-Rach@uk-essen.de

    Raffalea Kirchmeyer, RN, +49 201723 ext. 83293, Raffaela.Kirchmeyer@uk-essen.de

    Recruiting
  • University Hospital Frankfurt, Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy

    Frankfurt, 69590

    Anna Carina Materna, RN, +49 69 6301-86714, AnnaCarina.Materna@unimedizin-ffm.de

    Kai Zacharowski, Prof Dr. Dr.

    Not yet recruiting
  • Universitätsklinikum Freiburg, Interdisziplinäre Medizinische Intensivtherapie (IMIT)

    Freiburg im Breisgau, Baden-Wurttemberg, 79106

    Withdrawn
  • Universitätsklinikum Halle (Saale), Universitätsklinik für Anästhesiologie und Operative Intensivmedizin

    Halle, Saxony-Anhalt, 06120

    Annett Christel, RN, 00493455572 ext. 115, Annett.christel@uk-halle.de

    Daniel Ebert, MD

    Recruiting
  • Helios Klinikum HIldesheim

    Hildesheim, 31135

    Christian Theis, MD, +49 5121 894 3302, Christian.Theis@helios-gesundheit.de

    Christian Theis, MD

    Recruiting
  • UNIVERSITÄTSKLINIKUM Schleswig-Holstein Campus Kiel

    Kiel, Schleswig-Holstein, 24105

    Nina Schulz-Ruhtenberg, RN, 0431 500 20 ext. 975, Nina.Schulz-Ruhtenberg@uksh.de

    Corinna Buchholz, RN, 043150020 ext. 975, Corinna.Buchholz@uksh.de

    Recruiting
  • Universitätsklinikum Leipzig, Klinik und PK für Anästhesiologie und Intensivtherapie

    Leipzig, Saxony, 04103

    Antje Seidel, RN, +49 341 97 17 ext. 136, Antje.Seidel@medizin.uni-leipzig.de

    Falk Fichtner, MD

    Recruiting
  • Klinikum Magdeburg, Klinik für Intensiv- und Rettungsmedizin

    Magdeburg, 39130

    Martin Sauer, Pof. Dr., +49391791 ext. 3105, martin.sauer@klinikum-magdeburg.de

    Brigitte Specht, RN, +49391791 ext. 7839, brigitte.specht@klinikum-magdeburg.de

    Recruiting
  • University Medical Center Mainz, Study center for Anesthesiology

    Mainz, 55131

    Christine Ziegelmayer, RN, +49 6131 17 ext. 2816, christine.ziegelmayer@unimedizin-mainz.de

    Marc Bodenstein, Prof. Dr.

    Recruiting
  • Universitätsklinikum Mannheim

    Mannheim, 69167

    Amanda Schölch, RN, +49 621 383-1492, Amanda.Schoelch@umm.de

    Simon Lindner, MD

    Recruiting
  • University Hospital Minden, Departmenr of Anaesthesiology, intensive and emergency care

    Minden, 32429

    Anja Diekmann, +49 0571 790 ext. 4401, Anaesthesie-Minden@muehlenkreiskliniken.de

    Gerrit Jansen, PD Dr. med.

    Recruiting
  • Klinikum Oldenburg, Universitätsklinik für Anästhesiologie/ Intensivmedizin

    Oldenburg, 26133

    Simon Schäfer, Prof. Dr., +4944140370 ext. 773, Guenther.Ulf@klinikum-oldenburg.de

    Anja Diers, RN, +4944140377 ext. 745, Diers.Anja@klinikum-oldenburg.de

    Recruiting
  • Universitätsklinikum Regensburg, Klinik für Anästhesiologie

    Regensburg, Bavaria, 93053

    Yvonne Depta, RN, Yvonne.Depta@klinik.uni-regensburg.de

    Alexander Dejaco, Dr. med

    Recruiting
  • Universitätsmedizin Rostock, Abteilung KAI

    Rostock

    Daniel Reuter, Prof. Dr., +49381-494 ext. 6401, Daniel.Reuter@med.uni-rostock.de

    Heike Lösecke, RN, +49381494 ext. 146447, Heike.Loesecke@med.uni-rostock.de

    Recruiting
  • Helios Kliniken Schwerin, Department for intensive care

    Schwerin, 19055

    Daniela Schumann, RN, +49 385 520 ext. 7372, Daniela.Schumann@helios-gesundheit.de

    Maren Burmeister, MD

    Recruiting

Other trials in Germany

About this study

Evaluation of a novel therapy approach for severe sepsis patients. Subjects randomized into the treatment arm receive treatment with an immune cell perfusion system on top of standard care.

This may contribute to the improvement of the impaired organ function of septic shock patients by assisting the impaired immune system (immune competence enhancement = ARTICE)

Conditions
Sepsis, Severe
Being tested
ARTICE
Medical subject headings
Sepsis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ARTICEBiological

    Extracorporal treatment with purified granulocyte concentrate

Study groups in NCT05442710
Study groupRoleWhat they receive
ARTICE Treatment GroupExperimentalSubjects with septic shock treated with immune cell extracorporeal therapy on top of standard of care
Receives: Biological: ARTICE
Control GroupNo interventionSubjects with septic shock receiving standard of care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety and tolerability of the ARTICE therapy, composed of new onset of serious adverse events from re-evaluation on Day 2 through Day 28

    The number [n] of new onsets of serious adverse events (SAEs) from re-evaluation-Day 2 through Day 28 will be counted in both arms and the difference between groups will be compared.

    Measured: From re-evaluation on Day 2 through Day 28

Secondary outcomes (23)
  1. All cause mortality through Day 28

    The difference in all-cause mortality from re-evaluation on Day 2 through Day 28 will be measured by time to event and Relative risk as well as Kaplan-Meier estimates with 95%-CI will be calculated through day 28

    Measured: From re-evaluation on Day 2 through Day 28

  2. All cause mortality through Day 90

    The difference in all-cause mortality from re-evaluation on Day 2 through Day 90 will be measured by time to event and Relative risk as well as Kaplan-Meier estimates with 95%-CI will be calculated through day 90

    Measured: From re-evaluation on Day 2 through Day 90

  3. All-cause in-hospital mortality

    The difference in all-cause mortality from re-evaluation on Day 2 through hospital discharge will be measured by time to event and Relative risk as well as Kaplan-Meier estimates with 95%-CI will be calculated through hospital discharge.

    Measured: From re-evaluation on Day 2 through until hospital discharge

  4. Daily changes in total SOFA and SOFA sub-scores

    The SOFA (Sequential organ failure assessment score) Score URL"Sequential Organ Failure Assessment (SOFA) Score - MDCalc" is measured by addition of 6 Subscores for each of the 6 Organs between 1 and 4 [n]. The Change from Baseline (COBL) inbetween groups will be compared daily until day 10.

    Total score ranges from 0 (best) to 24 (worst); Subscores range from 0 (best) to 4 (worst)

    Measured: Until Day 10

  5. Time course of key inflammatory/ immunological markers in between the two groups.

    Time course of key inflammatory/ immunological markers including mHLA-DR and cytokines, measured by their concentration in plasma in pg/mL or in % (HLA-DR) until day 28. Their plasma concentration will be compared by each day inbetween groups.

    Measured: From re-evaluation on Day 2 until Day 28

  6. Time to complete organ failure resolution

    The Time to complete organ failure resolution of the 6 organs of the SOFA system (measured as the time from a Baseline value>1 until the score/subscore is 0) through Day 14 and Day 21 will be measured and the time to resolution for all failed organs as a Kaplan Meier Model.

    Measured: From re-evaluation on Day 2 until Day 28 with special focus on D14 an D21

  7. ICU length of stay Measured / Confirmed on day 28 retrospectively. Units: Days

    ICU length of stay (through Day 28) will be measured as days [n] in the ICU and compared in between the groups

    Measured: Until Day 28

  8. Number of hospital-free days. Measured / Confirmed on day 28 retrospectively. Units: Days

    Hospital length of stay and number of hospital-free days (through Day 28), measured by number of days [n] will be compared between groups Units: Days

    Measured: Until Day 28

  9. Number of ICU-free days Measured / Confirmed on day 28 retrospectively. Units: Days

    ICU length of stay and number of ICU-free days (through Day 28), measured by number of days [n] will be compared between groups Units: Days

    Measured: Until day 28

  10. Number of vasopressor- free days

    Number of vasopressor- free days [n], until Day 28 Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  11. Number of mechanical-ventilator-free days

    Number of mechanical-ventilator-free days [n], until Day 28 Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  12. Number of renal-replacement-free days

    Number of renal-replacement-free days [n] until Day 28. Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  13. Number of days without antimicrobial therapy

    Number of days [n] without antimicrobial therapy, until Day 28. Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  14. Frequency of secondary infections

    Frequency of secondary infections [n], until Day 28. Measured / Confirmed on day 28 retrospectively. Units: total number and days

    Measured: From re-evaluation on Day 2 until Day 28

  15. Antibiotic exposure days until hospital discharge

    Antibiotic exposure days [n] until hospital discharge (maximum until Day 28). Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  16. Days [n] alive without antibiotics until hospital discharge

    Days alive without antibiotics until hospital discharge (maximum until Day 28). Measured / Confirmed on day 28 retrospectively. Units: Days

    Measured: From re-evaluation on Day 2 until Day 28

  17. Total daily dose of noradrenalin (NA) administered on each day

    Total daily dose of noradrenalin (NA) administered on each day measured in mg/kg between Day 2 and Day 10 will be compared in between groups.

    Measured: From re-evaluation on Day 2 until Day 10

  18. Maximum daily dose of noradrenalin administration on treatment days

    Maximum daily dose of noradrenalin administration on treatment days between Day 2 and Day 10 (applied for a minimum of 30 min) will be measured as µg/kg/min and compared between the groups for each day until day 10.

    Measured: From re-evaluation on Day 2 until Day 10

  19. Occurrence of virus induced inflammation episodes

    Occurrence of virus induced inflammation episodes, especially reactivation of CMV, HSV etc. will be counted as an (S)AE until 28 and the number [n] will be compared between groups.

    Measured / Confirmed on day 28 retrospectively.

    Measured: From re-evaluation on Day 2 until Day 28

  20. Quality of life assessment

    Quality of life assessed at baseline, Day 28 and Day 90 using EQ-5D-5L Score [n] and compared between the groups.

    EQ-5D-5L' is not an abbreviation, it can be described as "EuroQuol - 5 Dimensions - 5 Levels". It considers five dimensions including mobility, self-care, usual activities, pain/discomfort, and anxiety/depression at 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The answers result in a 1-digit number for each dimension. The digits (1= no problem to 5=extreme problems) can be combined into a 5-digit number that describes the patient's health state. 11111 indicates no problems on any of the five dimensions.

    The EQ VAS visual analogue scale records the patient's self-rated health. The endpoints are labelled 'The best health you can imagine' (=100) and 'The worst health you can imagine' (=0).

    Measured: Until day 90

  21. Occurrence of cognitive decline

    Occurrence of cognitive decline at Day 90 compared with baseline and between groups (measured by IQCODE (Questionnaire on cognitive decline in the elderly); [n]) will be compared between groups.

    The IQCODE is scored by averaging the ratings across 26 everyday situations. A person without cognitive decline will have an average score of 3, while scores above 3 indicate that some decline has occurred

    Measured: Until day 90

  22. Time course of key biomarkers of neuroaxonal injury

    Time course of key biomarkers of neuroaxonal injury (pg/ml) will be measured in the blood of study patients at predefined time points to assess changes in biomarker levels longitudinally over the course of the disease by comparing them in between groups daily.

    Measured: Until day 28

  23. Inflammatory mRNA profiling analysis

    In patients, giving extra informed consent, inflammatory mRNA profiling measured by mRNA occurrence will be analyzed at Day 2 and Day 10 and compared in between Groups.

    Measured: until day 10

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Jul 2022
  2. Study start24 Jul 2022
  3. Primary completion30 Mar 2026 (estimated)
  4. Study completion30 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Prospective, multicenter, randomized, controlled parallel-group study
Masking
None (open label)
Enrolment
142 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05442710
Sponsor's protocol ID
ReActIF-ICE_ZKSJ0124
Acronym
ReActiF-ICE
Status last verified
May 2025
First submitted
7 Jun 2022
Last updated
25 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ARTICE in people with Sepsis, Severe, run by Artcline GmbH at 20 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 20 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jens Altrichter, MD (+49 381-440-703 ext. 0, jens.altrichter@artcline.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety and tolerability of the ARTICE therapy, composed of new onset of serious adverse events from re-evaluation on Day 2 through Day 28 (time frame: From re-evaluation on Day 2 through Day 28). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025.

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