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Septic ShockPhase 2ALBUMIMNCT05645887

Human Albumin Treatment in Adult Septic Shock. A Study Evaluating Immune Response and Organ Failure.

A Phase 2 study testing Human albumin and Saline solution in people with Septic Shock, run by Albimmune SL.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The goal of this phase 2, multicenter, randomized, controlled study is to evaluate the effect of albumin treatment on B cell and other immune cell gene exptression in adults with septic shock. Read more about this study

Who is it for?
Ages 18 to 84 years
Conditions the study is for
Septic Shock
What is being tested?
Human albumin and Saline solution
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
No sites listed yet
Study dates
Feb 2024to 23 May 2024
Phase
Phase 2
Are there results?
None posted in the registry

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 to 84 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female ≥ 18 years and <85 years of age.
  • Community-acquired pneumonia, urinary, skin or biliary infection.
  • Treatment with antibiotics at least one course in the first 6 hours of suspected infection.
  • Meets Septic Shock criteria defined by the presence of sepsis with persistent hypotension despite initial adequate volume resuscitation requiring vasopressors for more than 4h to maintain MAP>65 mmHg and having a serum lactate level > 2mmol/L (18mg/L).
  • SOFA score ≥ 5 points.
  • Albumin plasma level <35g/L.
  • Lymphocytes count < 1,100 cel/mL.
  • Admitted to ICU or IMU

Who cannot join

  • Septic shock lasting for more than 24h.
  • ECMO or hemoadsortion therapy.
  • Contraindications to receive albumin.
  • Nosocomial or healthcare-associated infections (surgical intervention or hospitalization within 30 days prior to diagnosis of sepsis).
  • Chronic Renal Failure (KIDGO stage 3-5) or dialysis.
  • Liver cirrhosis.
Show all 16Show fewer
  • A known malignancy that is progressing or has required active treatment within the past 3 months.
  • Patient with end-stage disease (unrelated to sepsis) defined as patients who prior to the current hospitalization are expected to live < 6 months (as assessed by the study physician).
  • Known New York Heart Association (NYHA) class II to IV heart failure or unstable angina, acute coronary disease or myocardial infarction within 6 months prior to diagnosis of sepsis.
  • Known immunocompromised state, including human immunodeficiency virus infection, or medication known to be immunosuppressive.
  • Participation in an interventional investigational study within 30 days prior to diagnosis of sepsis.
  • Likely to be non-compliant or uncooperative during the study (e.g. substance abuse, uncontrolled psychiatric disorder or any chronic condition that may interfere with the study).
  • Albumin administration within the last 14 days.
  • Subjects with severe neurological or severe head trauma disorders.
  • Pregnant and/or breast-feeding woman.
  • Patients who cannot provide prior informed consent and when there is documented evidence that the patient has no legal surrogate decision marker and it appears unlikely that the patient will regain consciousness or sufficient ability to provide delayed informed consent.

About this study

The goal of this phase 2, multicenter, randomized, controlled study is to evaluate the effect of albumin treatment on B cell and other immune cell gene exptression in adults with septic shock.

Conditions
Septic Shock
Being tested
Human albumin, Saline solution
Medical subject headings
Shock, Septic

What participants receive

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

  • Human albuminDrug

    Human albumin from day 0 to 7 if serum albumin concentrations <35g/l.

  • Saline solutionOther

    Saline solution from day 0 to day 7.

Study groups in NCT05645887
Study groupRoleWhat they receive
Human Albumim (20%, 300mL, 60gr) in 180 min IVExperimentalFurther doses of albumin (60g/l) will be administered daily from day 0 to day 7 in patients with serum albumin concentrations <35 g/L.
Receives: Drug: Human albumin
Saline solution 0,9% (500mL) in 180 min IVPlacebo comparatorSaline solution will be given from day 0 to day 7.
Receives: Other: Saline solution

What is being measured

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

  1. 1.1 Evaluate B cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 0

  2. 1.2 Evaluate B cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 1

  3. 1.3 Evaluate B cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 3

  4. 1.4 Evaluate B cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 7

  5. 1.5 Evaluate B cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 14

  6. 1.6 Evaluate other immune cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 0

  7. 1.7 Evaluate other immune cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 1

  8. 1.8 Evaluate other immune cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 3

  9. 1.9 Evaluate other immune cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 7

  10. 1.10 Evaluate other immune cell response to albumin treatment

    Measured by the Immunology Complex (Discovery Study).

    Measured: at day 14

Secondary outcomes (47)
  1. 1.1. Identify additional biomarkers of the immune response to albumin treatment.

    Measured by the IGCGS score.

    Measured: at day 0, 1, 3, 7 and 14.

  2. 1.2.1 Evaluate the functionality of antibody-secreting B cells.

    Measurated by B cell function.

    Measured: at day 0, 1, 3, 7 and 14.

  3. 1.2.2 Evaluate the functionality of antibody-secreting B cells.

    Measurated by serum immunoglobilin levels (g/L).

    Measured: at day 0, 1, 3, 7 and 14.

  4. 1.2.3 Evaluate the functionality of antibody-secreting B cells.

    Measurated by glycosylation.

    Measured: at day 0, 1, 3, 7 and 14.

  5. 1.2.4 Evaluate the functionality of antibody-secreting B cells.

    Measurated by blood immunophenotyping.

    Measured: at day 0, 1, 3, 7 and 14.

  6. 2.1To further investigate the mechanisms of albumin treatment on the immune system.

    Measurated by assessment of whole blood RNA sequencing.

    Measured: at day 0, 1, 3, 7 and 14.

  7. 2.2 To further investigate the mechanisms of albumin treatment on the immune system.

    Measurated by assessment of single-cell RNA sequencing.

    Measured: at day 0, 1, 3, 7 and 14.

  8. 2.3 To further investigate the mechanisms of albumin treatment on the immune system.

    Measurated by assessment of CITE-seq.

    Measured: at day 0, 1, 3, 7 and 14.

  9. 2.4 To further investigate the mechanisms of albumin treatment on the immune system.

    Measurated by assessment of immunophenotyping of B cells by high-dimensional spectral flow cytometry.

    Measured: at day 0, 1, 3, 7 and 14.

  10. 3. Evaluate whether albumin activates B cells at the mucosal interface.

    Measurated by assessment of circulating levels of immunoglobulins and glycosylated immunoglobulins.

    Measured: at day 0, 3, 7 and 14.

  11. 4.1. Evaluate the effect of albumin treatment on systemic inflammation.

    Measurated by plasma cytokines: IL-1β, IL-1ra, IL-6, IL-7, IL-8, IL-10, IL-17, TNF-α, TNFr1, IFN-γ, MCP-1, MCP-3, RAGE.

    Measured: at day 0, 1, 3, 7 and 14.

  12. 4.2.1 Evaluate kidney.

    Measurated by sCr (mg/dL).

    Measured: at day 0, 1, 3, 7 and 14.

  13. 4.2.2 Evaluate kidney.

    Measurated by urine output.

    Measured: at day 0, 1, 3, 7 and 14.

  14. 4.2.3 Evaluate kidney.

    Measurated by balance fluid.

    Measured: at day 0, 1, 3, 7 and 14.

  15. 4.2.4 Evaluate kidney.

    Measurated by KDIGO stage 2-3.

    Measured: at day 0, 1, 3, 7 and 14.

  16. 4.2.5 Evaluate kidney.

    Measurated by TIMP-2.

    Measured: at day 0, 1, 3, 7 and 14.

  17. 4.2.6 Evaluate kidney.

    Measurated by IGFBP 7.

    Measured: at day 0, 1, 3, 7 and 14.

  18. 4.3.1 To explore the effect of albumin on gut mucosa immunoglobulins.

    Measurated by composition of bacterial communities bound to IgA.

    Measured: at day 0, 3, 7 and 14.

  19. 4.3.2 To explore the effect of albumin on gut mucosa immunoglobulins.

    Measurated by composition of whole fecal bacteria.

    Measured: at day 0, 3, 7 and 14.

  20. 4.3.3 To explore the effect of albumin on gut mucosa immunoglobulins.

    Measurated by antibody-binding profile of microbes.

    Measured: at day 0, 3, 7 and 14.

  21. 4.3.4 To explore the effect of albumin on gut mucosa immunoglobulins.

    Measurated by bacterial reactivity of peripheral blood antibodies.

    Measured: at day 0, 3, 7 and 14.

  22. 5.1 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by angiopoeitin 1.

    Measured: at day 0, 1, 3, 7 and 14.

  23. 5.2 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by angiopoeitin 2.

    Measured: at day 0, 1, 3, 7 and 14.

  24. 5.3 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by MR-proADM.

    Measured: at day 0, 1, 3, 7 and 14.

  25. 5.4 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by Selectin.

    Measured: at day 0, 1, 3, 7 and 14.

  26. 5.5 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by VCAM-1.

    Measured: at day 0, 1, 3, 7 and 14.

  27. 5.6 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by ICAM-1.

    Measured: at day 0, 1, 3, 7 and 14.

  28. 5.7 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by endothelin-1.

    Measured: at day 0, 1, 3, 7 and 14.

  29. 5.8 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by thrombomodulin.

    Measured: at day 0, 1, 3, 7 and 14.

  30. 5.9 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by syndecan 1-4.

    Measured: at day 0, 1, 3, 7 and 14.

  31. 5.10 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by prot C (mg/L).

    Measured: at day 0, 1, 3, 7 and 14.

  32. 5.11 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by heparan sulfate.

    Measured: at day 0, 1, 3, 7 and 14.

  33. 5.12 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by VEGF.

    Measured: at day 0, 1, 3, 7 and 14.

  34. 5.13 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by sphingosine-1-phosphate (S1P).

    Measured: at day 0, 1, 3, 7 and 14.

  35. 5.14 Evaluate the effect of albumin on endothelial and glycocalix function.

    Measurated by PAI-1.

    Measured: at day 0, 1, 3, 7 and 14.

  36. 6.1 Time on vasopressors.

    Measurated by time on vasopressors.

    Measured: 14 days

  37. 6.2 Time on mechanical ventilation.

    Measurated by time on mechanical ventilation.

    Measured: 14 days

  38. 6.3 Time on renal replacement.

    Measurated by time on renal replacement.

    Measured: 14 days

  39. 7. Proportion of patients with secondary infections.

    Measurated by the number of patients with secondary infections.

    Measured: 90 days

  40. 8.1. Proportion of patients dead at 28 and 90 days.

    Measurated by the number of patients dead at 28 and 90 days.

    Measured: 90 days

  41. 8.2. Proportion of patients re-admitted to ICU at 28 days.

    Measurated by the number of re-admitted to UCI at 28 days.

    Measured: 28 days

  42. 8.3. Proportion of re-hospitalized patients at 28 days.

    Measurated by the number of re-hospitalized patients at 28 days.

    Measured: 28 days

  43. 8.4.1 Evaluate the sequential SOFA score.

    Measurated by SOFA score.

    Measured: at day 0, 1, 3, 7 and 14.

  44. 8.4.2 Evaluate the sequential APACHE II score.

    Measurated by APACHE II score.

    Measured: at day 0, 1, 3, 7 and 14.

  45. 8.4.3 Evaluate the sequential TISS-28 score.

    Measurated by TISS-28 score.

    Measured: at day 0, 1, 3, 7 and 14.

  46. 9. Evaluate quality of life (QoL) at day 90.

    Measurated by the EQ-5D-5L questionnaire.

    Measured: At day 0 and 90

  47. 10. Proportion of participants with any AEs related to albumin treatment, SAEs and SUSARs.

    Measured by the number of AE, SAEs and SUSARS presented by the participants.

    Measured: 90 days

Timeline

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

  1. First posted12 Dec 2022
  2. Study startFeb 2024 (estimated)
  3. Primary completion23 May 2024
  4. Study completion23 May 2024

Why it stopped: Internal reorganisations and lack of funding by the sponsor

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
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05645887
Sponsor's protocol ID
2022-001949-20
Acronym
ALBUMIM
Status last verified
Jul 2023
First submitted
22 Nov 2022
Last updated
31 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Human albumin and Saline solution in people with Septic Shock, run by Albimmune SL.

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 8 inclusion and 16 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: withdrawn, as of the sponsor's last update on 31 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?

The study was withdrawn before enrolling participants, so there are no results.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

1.1 Evaluate B cell response to albumin treatment (time frame: at day 0). The study lists 10 primary outcomes in all. 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 31 Jul 2024.

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