RecruitingPhase 3NCT06072430

A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock (VBI-S-02)

A Phase III, Open Label, Randomized, Controlled Study of VBI-S in the Treatment of Hypovolemia in Patients With Septic Shock


Sponsor

Vivacelle Bio

Enrollment

46 participants

Start Date

Aug 6, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is being conducted to evaluate the safety and effectiveness of VBI-S in elevating the blood pressure of septic shock patients with absolute or relative hypovolemia.


Eligibility

Min Age: 18 Years

Inclusion Criteria17

  • Male or female at least 18 years of age.
  • Evidence of bacterial infection demonstrated by positive blood culture and/or a known source of infection and/or an elevated procalcitonin of ≥ 2 ng/ml.
  • Patient has a mean blood pressure \< 65 mmHg that is unresponsive to fluids currently available on the market.
  • Sequential Organ Failure Assessment (SOFA) score ≥ 5
  • Sepsis diagnosis: The presence of infection which can be proven or suspected by 2 or more of the following criteria:
  • Lactate \> 2 mmol/L
  • Fever \> 38.3°C, or 101°F
  • Hypothermia \< 36°C core temperature (\<96.8°F)
  • Heart rate \> 90
  • Tachypnea (respiratory rate ≥ 20/min)
  • White blood cell count \>12,000 or less than 4,000, or with \>10% "bands" (immature forms)
  • Elevated procalcitonin in serum (≥ 2ng/ml)
  • Arterial hypoxemia (PaO2/FiO2 \< 300)
  • Creatinine increase \> 0.5 mg/dL since hospital admission
  • INR \> 1.5 or aPTT \> 60 seconds
  • Documented dysregulated host response to an infection as indicated by an increase in SOFA score by ≥ 2 points after an infection per the SEPSIS 3 guideline.
  • Receiving vasopressors to maintain the target MAP of 65 mmHg.

Exclusion Criteria14

  • Patients with a ventricular assist device
  • Acute coronary syndrome
  • Pregnant
  • Acute bronchospasm
  • Acute Mesenteric ischemia
  • Emergency major surgery
  • Diagnosis of acute Hepatitis B or C.
  • Hematologic or coagulation disorders including thrombocytopenia (platelet count \<50,000) and associated with hemodynamically significant active bleeding that causes a decrease in blood pressure.
  • White blood cell count of \< 1000 mm3
  • Current participation or participation in another experimental or device study within the last 30 days before the start of this study. Patient may be included if on other drugs are for COVID-19.
  • Patients with a known allergy to soybeans or eggs
  • Patient is hypervolemic with assessment by physician or physician extender ultrasound 12 hours before infusion of VBI-S if hypervolemia is suspected.
  • Patient expected to expire within 12 hours.
  • Patients with disturbances in normal fat metabolism such as pathologic hyperlipemia, lipid nephrosis, or acute pancreatitis with hyperlipidemia.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGVBI-S

VBI-S is made of small particles of specific lipids called micelles and liposomes for the treatment of hypotension.


Locations(6)

Dignity Health Chandler Regional Medical Center

Chandler, Arizona, United States

Memorial Health University Medical Center

Savannah, Georgia, United States

University Health

Kansas City, Missouri, United States

Bryan Medical Center

Lincoln, Nebraska, United States

Novant Healthcare

Winston-Salem, North Carolina, United States

Oregon Health & Science University (OHSU)

Portland, Oregon, United States

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT06072430


Related Trials