A Post-Market Study of Performance and Safety of Low-flow Extracorporeal Carbon Dioxide Removal Using PrismaLung+ in Patients With Mild to Moderate Acute Respiratory Distress Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 63
- 试验地点
- 11
- 主要终点
- Number of participants achieving ultra-lung protective ventilation (ULPV) 8 and 24 hours following ECCO2R initiation
研究概览
简要总结
PrismaLung+ is intended to provide extracorporeal carbon dioxide removal (ECCO2R) as a standalone therapy or in combination with continuous renal replacement therapy (CRRT). This study is a multi-centre, prospective, open-label, single-arm study. Adult patients with mild or moderate acute respiratory distress syndrome (ARDS) requiring mechanical ventilation were planned to receive ultra-lung protective ventilation (ULPV) associated with ECCO2R using PrismaLung+. The study will assess the capability of PrismaLung+ to allow ULPV, defined as a tidal volume (VT) of 4 mL/kg of predicted body weight, and confirm the safety of PrismaLung+.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient age is ≥ 18 years old
- •Patient is expected to receive ECCO2R for a minimum of 24 hours
- •Patient has mild or moderate ARDS according to the Berlin definition:
- •100 mm Hg < PaO2/FiO2 ≤ 300 mm Hg, with PEEP ≥ 5 cm H2O, and
- •Bilateral lung opacities not fully explained by effusions, lobar/lung collapse, or nodules, and
- •Respiratory failure not fully explained by cardiac failure or fluid overload
- •Written informed consent to participate in the study from the patient, if possible, or from the identified authorized representative if the patient is unable to provide consent.
排除标准
- •Patients body weight < 30 kg
- •Patients with a contraindication for systemic anticoagulation with heparin
- •Patients with a platelet count < 50,000/µL
- •Patients on MV > 7 days
- •Patients with very severe, or stage 4 (as per GOLD staging System) chronic obstructive pulmonary disease (COPD)
- •Current or history of heparin-induced thrombocytopenia
- •Patients who are pregnant and/or breastfeeding
- •Patients not expected to survive the duration of the planned study treatment period (24 hours)
- •Patients currently participating in another interventional clinical study, except if the patient is in an investigational medicinal product study, already in follow-up without further administration of study drug, and has not received any investigational medicinal product within 5 half-lives
研究组 & 干预措施
Total Patient Population
The planned PrismaLung+ treatment period for this study is 24 hours. Neuromuscular blockade and sedation will be required for the first 24 hours of ECCO2R treatment and thereafter, will be used at the discretion of the attending physician. Patients will require systemic anticoagulation with heparin during ECCO2R treatment. Blood warming during ECCO2R treatment will occur using the TherMax blood warmer.
干预措施: PrismaLung+ (Device)
结局指标
主要结局
Number of participants achieving ultra-lung protective ventilation (ULPV) 8 and 24 hours following ECCO2R initiation
时间窗: 8 and 24 hours following ECCO2R initiation
Must maintain PaCO2 \< 50 mmHg. ULPV is defined as defined as a tidal volume (VT) of 4 mL/kg of predicted body weight.
Adverse Device Effect (ADE)
时间窗: Day 1 to Day 28
This includes study device and study procedure related adverse events.
Adverse Events related to study procedure
时间窗: Day 1 to Day 28
Adverse events related to the study procedure (ECCO2R or ECCO2R in combination with CRRT), irrespective of relatedness to the device.
Adverse Events leading to study withdrawal
时间窗: Day 1 to Day 28
Any untoward medical occurrence, unintended disease or injury, or untoward clinical signs (including abnormal laboratory findings) in patients, users or other persons, in the context of a clinical investigation leading to study withdrawal.
Adverse events of special interest (AESIs)
时间窗: Day 1 to Day 28
The AESI's for this study include significant bleeding events (i.e. require administration of ≥ 1 unit of packed red blood cells (pRBC) or result in a related SAE).
Adverse Events related to study device
时间窗: Day 1 to Day 28
Adverse event related to the use of a study device. This definition includes AEs resulting from insufficient or inadequate instructions for use, deployment, implantation, installation, or operation, or any malfunction of the study device. This definition includes any event resulting from use error or from intentional misuse of the study device.
次要结局
- Carbon dioxide clearance after ECCO2R treatment(8 hours following ECCO2R initiation)