Sepsis Clinical Trial
Official title:
Circulating Stem Cells, SDF-1, HIF-1 and Sepsis: Relationship Between Indices of Sepsis and Emergency Abdominal Surgical Patients
Septic shock is a systemic inflammatory response syndrome with acute circulatory failure
secondary to a documented infection. It is the most feared complication in ICU patients, with
a 50% mortality rate.
The study of stem cells and their experimental use in sepsis treatment is particularly
relevant in the international scientific research, where Italy plays an important role. In
the vast and complex field of stem cell research, the primary aim of the current proposal is
to evaluate the time course level of circulating endothelial progenitor stem cells CD34 + /
CD133 + (EPCs), and some factors EPCs-related, such as hypoxia- inducible factor (HIF- 1) and
stromal derived factor-1 (SDF-1) in septic patients undergoing major abdominal surgery.
Secondary objective 2: to investigate the relationship between CD133/CD34, HIF-1, SDF-1a and
outcome of septic/septic shock patients treated with standard conventional therapy alone (CT)
or with extracorporeal hemoperfusion therapy (HCT).
Status | Recruiting |
Enrollment | 66 |
Est. completion date | June 2018 |
Est. primary completion date | December 2017 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion criteria: Caucasian, Over 18 years of age Exclusion criteria: when it is impossible to collect blood samples (organizational reasons or because of emergencies regarding the health of the patients),Pregnant patients,Organ transplantation, Palliative care,Metastatic cancer patients |
Country | Name | City | State |
---|---|---|---|
Italy | University of Foggia | Foggia |
Lead Sponsor | Collaborator |
---|---|
University of Foggia | Fondo di Sviluppo e Coesione 2007-2013 APQ RicercaRegionePuglia FutureInResearch |
Italy,
Cribbs SK, Martin GS, Rojas M. Monitoring of endothelial dysfunction in critically ill patients: the role of endothelial progenitor cells. Curr Opin Crit Care. 2008 Jun;14(3):354-60. doi: 10.1097/MCC.0b013e3282fc216d. Review. — View Citation
Friedrich EB, Walenta K, Scharlau J, Nickenig G, Werner N. CD34-/CD133+/VEGFR-2+ endothelial progenitor cell subpopulation with potent vasoregenerative capacities. Circ Res. 2006 Feb 17;98(3):e20-5. Epub 2006 Jan 26. — View Citation
Kalil AC, Florescu MC. Blood purification: can we purify our patients from sepsis? Crit Care Med. 2013 Sep;41(9):2244-5. doi: 10.1097/CCM.0b013e318291cad5. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | time course level of circulating endothelial progenitor stem cells CD133+/CD34+, HIF1 and SDF in septic patients undergoing emergency major abdominal surgery. | to determine the time course level of the circulating EPC (CD133/CD34), SDF-1a, and HIF-1 in septic patients undergoing major abdominal surgery. | 1-10 days after intervention | |
Secondary | correlation among time course level of circulating stem cells, hypoxia-inducible factor-1 (HIF-1) and stromal derived factor - 1 (SDF-1) | to investigate the relationship between these factors: CD133/CD34, HIF-1 and SDF-1a. | 1-10 days after intervention | |
Secondary | relationship between CD133/CD34, HIF-1, SDF-1a and outcome. | to investigate the relationship between CD133/CD34, HIF-1, SDF-1a and outcome of patients treated with conventional therapy alone or plus extracorporeal hemoperfusion therapy | 1-10 days after intervention |
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