This is an Early Feasibility Study (EFS) investigating the use of the Hemopurifier® in the treatment of SARS-CoV-2 Virus Disease (COVID-19).
Up to 40 ICU patients with severe or critical illness due to confirmed COVID-19 infection will be enrolled in up to 20 investigational sites. Patients will receive a four to six-hour treatment with the Hemopurifier® extracorporeal therapy daily for up to four days until discontinued because of clinical improvement or deterioration or upon the decision of the Principal Investigator. The patients will be monitored closely with vital signs and for hemodynamic stability. Patients will be followed for adverse events and device deficiencies. Blood work will be obtained.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
1
Hemopurifier treatments will be one four to six hour treatment session daily for up to 4 days
Hoag Hospital - Irvine
Irvine, California, United States
Loma Linda University Medical Center
Loma Linda, California, United States
Hoag Memorial Hospital Presbyterian
Newport Beach, California, United States
Incidence of treatment emergent adverse events
Safety and tolerability
Time frame: Day 1 (Date of Consent) to Day 28
Incidence of device related adverse events
Safety and tolerability with adverse event graded at 2 or higher
Time frame: Day 1 (Date of Consent) to Day 14
Incidence of serious adverse events
Safety and tolerability
Time frame: Day 1 (Date of Consent) to Day 28
Length if Stay in ICU
Length of ICU stay in days
Time frame: Day 1 (Date of Consent) to Day 28
In-hospital mortality
Number of deaths during hospitalization
Time frame: Day 1 (Date of Consent) to Day 28
Days free of ventilatory dependency
Number of days without ventilatory support
Time frame: Day 1 (Date of Consent) to Day 28
Vasopressor-free days
Number of days without vasopressor support
Time frame: Day 1 (Date of Consent) to Day 28
Sequential Organ Failure Assessment (SOFA)
SOFA scoring system predicts the clinical outcome of critically ill patients.
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. 4 days or more)
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UC Davis Health System
Sacramento, California, United States
University of Miami Hospital
Miami, Florida, United States
LSU Health Sciences Center
Shreveport, Louisiana, United States
Cooper University Hospital
Camden, New Jersey, United States
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States
Valley Baptist Medical Center
Harlingen, Texas, United States
Acute Physiology and Chronic Health Evaluation (APACHE)
Measures the severity of disease for adult patients admitted to an ICU
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. 4 days or more)
SARS CoV-2 RNA levels in plasma and nasopharyngeal samples
Measures viral exposure and levels of circulating virus
Time frame: Before each filter treatment, every 2 hours during filter treatment and immediately after filter discontinued
Total lymphocyte count
Measurement of lymphocytes as there seems to be a correlation with the disease severity and lymphopenia.
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. at 4 days or more)
C-reactive protein (CRP), IL-1, IL-6, and TNF alpha Tests
Measurement of inflammatory marker levels play a role in systemic vasculitis and cytokine mediated coagulation disorders as the principal actors of multi organ failure in patients with severe COVID-19 complication.
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. at 4 days or more)
D-dimer
Measurement of D-dimer levels as levels are elevated in patients with COVID-19 and correlate with disease severity, are a reliable prognostic marker for in-hospital mortality.
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. at 4 days or more)
Troponin-T
Measurement of Troponin-T as high levels of troponin is found in COVID-19 patients.
Time frame: Before first daily filter treatment and after the last daily filter treatment (i.e. at 4 days or more)
Evaluation of SARS-CoV-2 RNA levels post-treatment Hemopurifier cartridges
Measures the levels of SARS-CoV-2 RNA captured in the filter
Time frame: Until study completion, 1 week or for the duration of ICU admission
Evaluation of viral particle load post-treatment Hemopurifier cartridges
Measures the levels of viral particles captured in the filter
Time frame: Until study completion, 1 week or for the duration of ICU admission