Selective Cytopheretic Device for Cardiorenal Syndrome
(NEUTRALIZE-CRS Trial)
Trial Summary
What is the purpose of this trial?
Cardiovascular disease is the leading cause of mortality in the US, accounting for 45% of all deaths. Chronic Heart Failure (CHF) is now understood to be a multi-system disease process involving not only the cardiovascular system but also the renal, neuroendocrine, and immune systems. No effective therapy is currently available to treat the most severe subset of CHF patients that have progressed to acute decompensated HF. An innovative approach to reduce the cardio-depressant effects associated with the chronic inflammatory state of CHF may provide a breakthrough for this disorder. This proposal will evaluate the safety and probable benefit to improve cardiac or renal function with an immunomodulatory device to bridge patients to Left Ventricular Assist Device (LVAD) implantation who were previously deemed ineligible for this life sustaining procedure. The Selective Cytopheretic Device (SCD) is an immuno-regulating, extracorporeal membrane device targeted to modulate the cardiodepressant effects assocaited with CHF. SCD is a platform technology focused on immunomodulation of acute and chronic inflammation associated with acute and chronic organ dysfunction. SCD membranes selectively sequester activated systemic leukocytes as they flow through the cartridge via an extracorporeal circuit. Pre-clinical results show that SCD treatment results in a 25% improvement in ejection fraction in a canine CHF model. This study will enroll 20 patients across 5 clinical sites to evaluate the safety and initial efficacy data of SCD treatment in this indication. Patients will receive 4-hour daily SCD treatment for 6 days, followed by 6 months of follow up.
Will I have to stop taking my current medications?
The trial protocol does not specify if you need to stop taking your current medications. However, it mentions that participants should have failed to respond to optimal medical therapy, which includes certain heart failure medications, for 45 of the last 60 days. It's best to discuss your specific medications with the trial team.
How is the Selective Cytopheretic Device treatment different from other treatments for cardiorenal syndrome?
The Selective Cytopheretic Device is unique because it uses an extracorporeal (outside the body) process to selectively remove specific immune cells from the blood, which is different from traditional drug therapies that often involve medication. This approach is similar to other apheresis techniques used in different conditions, but it is specifically designed to target immune cells that contribute to inflammation in cardiorenal syndrome.12345
Research Team
Keith Aaronson, MD
Principal Investigator
University of Michigan
Eligibility Criteria
This trial is for patients with severe chronic heart failure who haven't improved with standard treatments. They must have a left ventricular ejection fraction of ≤25% or ≤35%, depending on their treatment goal, and be in NYHA class IIIB or IV. Participants need to have an eGFR (a measure of kidney function) ≥40 ml/min/1.73 m2 and can't exercise due to their condition.Inclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive 4-hour daily SCD treatment for 6 days
Follow-up
Participants are monitored for safety and effectiveness after treatment
Treatment Details
Interventions
- Selective Cytopheretic Device
Selective Cytopheretic Device is already approved in United States for the following indications:
- Acute kidney injury (AKI) due to sepsis or a septic condition on antibiotic therapy and requiring renal replacement therapy (RRT) in pediatric patients (weight ≥10kg and age ≤22 years)
- Chronic systemic inflammation in end-stage renal disease (ESRD) patients who require chronic hemodialysis
Find a Clinic Near You
Who Is Running the Clinical Trial?
SeaStar Medical
Lead Sponsor
Lenar Yessayan
Lead Sponsor
Keith Aaronson, MD
Lead Sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
University of Michigan
Collaborator