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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05758246
Other study ID # HRP-XXX
Secondary ID
Status Recruiting
Phase Phase 2
First received
Last updated
Start date August 23, 2023
Est. completion date August 23, 2026

Study information

Verified date April 2024
Source University of Minnesota
Contact Michael Puskarich, MD
Phone 612 626 6911
Email mike-em@umn.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The long-term goal is to test the clinical efficacy of senolytic therapies to reduce progression to and severity of sepsis in older patients. The central hypothesis is that a threshold burden of SnCs predisposes to a SASP mediated dysfunctional response to PAMPs, contributing to a disproportionate burden of sepsis in older patients. The study hypothesizes timely treatment with fisetin will interrupt this pathway. A multicenter, randomized, adaptive allocation clinical trial to identify the most efficacious dose of the senolytic fisetin to reduce the composite cardiovascular, respiratory, and renal sequential organ failure assessment score at 1 week, and predict the probability of success of a definitive phase III clinical trial.


Recruitment information / eligibility

Status Recruiting
Enrollment 220
Est. completion date August 23, 2026
Est. primary completion date August 23, 2026
Accepts healthy volunteers No
Gender All
Age group 65 Years and older
Eligibility Inclusion Criteria: - Age >=65 years - Primary diagnosis of acute infection (per investigator judgment) - SOFA >1 - Admission order to the hospital - Expected length of stay >=48 hours (per investigator judgment) Exclusion Criteria: - Admission to the ICU - Vasopressors, mechanical ventilation, or dialysis - Comfort care only - Total bilirubin >3X or AST/ALT >4x upper limit of normal - eGFR < 25 ml/ min/ 1.73 m2 - Hemoglobin <7 g/dL; white blood cell count = 2,000/mm3; absolute neutrophil count =1 x 10^9/;, or platelet count = 40,000/µL - Known HIV, Hepatitis B, or Hepatitis C - Invasive fungal infection (per investigator judgment) - Uncontrolled effusions or ascites (per investigator judgment) - New/active invasive cancer except non-melanoma skin cancers - Known hypersensitivity or allergy to Fisetin. - Active treatment with potential drug-drug interactions - Enrolled in another sepsis clinical trial

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Fisetin-dose 1
20mg/kg once a day for one day.
Fisetin-dose 2
20mg/kg once a day for two days
Placebo
Placebo treatment

Locations

Country Name City State
United States Ridges Burnsville Minnesota
United States Southdale Edina Minnesota
United States St. John's Maplewood Minnesota
United States HCMC Minneapolis Minnesota
United States UMMC Minneapolis Minnesota
United States University of Minnesota Minneapolis Minnesota

Sponsors (1)

Lead Sponsor Collaborator
University of Minnesota

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Difference in the composite cardiovascular, respiratory, and renal sequential organ failure assessment (CRR-SOFA) The Sequential Organ Failure Assessment (SOFA) score is a scoring system that assesses the performance of several organ systems in the body (neurologic, blood, liver, kidney, and blood pressure/hemodynamics) and assigns a score based on the data obtained in each category. This outcome assesses only the cardiovascular, respiratory, and renal categories of the total SOFA score, and calculates the change from day 0 to day 7. day 7
Secondary Safety of 2 doses of fisetin in patients with mild sepsis Outcome is the number of serious adverse event day 28
Secondary Organ failure free days Outcome is 28 days minus the last day the patient required any of the following: ventilator support, vasopressors, or dialysis / renal replacement therapy. Patients who die prior to day 28 are given a value of -1. day 28
Secondary Total SOFA score The Sequential Organ Failure Assessment (SOFA) score is a scoring system that assesses the performance of several organ systems in the body (neurologic, blood, liver, kidney, and blood pressure/hemodynamics) and assigns a score based on the data obtained in each category. day 7
Secondary Zubrod performance status A scale for indicating a patient's functional level: 0 asymptomatic - 1 Symptomatic, fully ambulatory - 2 Symptomatic, in bed - 50% of the day - 3 Symptomatic, in bed; 50% of the day but not bedridden - 4 Bedridden - 5 Dead. day 7
Secondary SF-12 score The SF-12 is a self-reported validated outcome measure assessing the impact of health on an individual 39;s everyday life. Patients fill out a 12 question survey which is then scored by a clinician or researcher. day 7
Secondary SF-12 score The SF-12 is a self-reported validated outcome measure assessing the impact of health on an individual 39;s everyday life. Patients fill out a 12 question survey which is then scored by a clinician or researcher. day 28
Secondary Zubrod performance status A scale for indicating a patient's functional level: 0 asymptomatic - 1 Symptomatic, fully ambulatory - 2 Symptomatic, in bed - 50% of the day - 3 Symptomatic, in bed; 50% of the day but not bedridden - 4 Bedridden - 5 Dead. day 28
Secondary Days in the ICU This outcome is the number of days the patient was admitted to the ICU. day 28
Secondary All-cause mortality This outcome is the proportion of patients suffering all-cause mortality prior to day 28. Day 28
Secondary Peripheral CD3+ senescent (SnCs) immune cells Outcome is the relative expression of p16Ink4a in CD3+ cells. day 7
Secondary Outcome is the relative expression of p16Ink4a in CD3+ cells. Outcome is the relative expression of p16Ink4a in CD3+ cells. day 28
Secondary TNF-alpha Outcome is the concentration of TNF-alpha by Luminex human discovery assay day 7
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