ClinicalTrials.gg
TerminatedNCT02715466GENIUSUpdated Aug 19, 2025Results posted

Gelatin in ICU and Sepsis

A Phase 4 interventional study of Balanced gelatine solution and Balanced electrolyte solution in Hypovolemia, sponsored by B. Braun Melsungen AG. Terminated at 12 sites in 5 countries. Open to participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2025-08-19.

Sponsored by B. Braun Melsungen AG · Phase 4, Interventional, and Treatment

Why this study was terminated
recommended by DSMB
Phase
Phase 4
Study type
Interventional
Enrollment
167
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
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Study summary

This prospective, double-blind randomized controlled trial evaluates the differences in terms of efficacy and safety of gelatin based resuscitation as compared to crystalloid based resuscitation in two parallel groups of patients with severe sepsis / septic shock.

02

Conditions studied

  • Hypovolemia

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03

In context

Hypovolemia

122 studies on the registry are indexed under Hypovolemia; 14 are open to participants now.

This study's enrollment of 167 is above the median of 40 across 61 interventional studies indexed under Hypovolemia.

Browse Hypovolemia studies →

Lead sponsor

B. Braun Melsungen AG is the lead sponsor of 47 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patients ≥ 18 years of age
  • Women of child bearing potential must test negative on standard pregnancy test (urine or serum)
  • Patients with body weight ≤ 140 kg
  • Patients diagnosed severe sepsis / septic shock at admission on Intensive Care Unit who can be enrolled within 90 min after admission OR patients diagnosed severe sepsis / septic shock during Intensive Care Unit stay who can be enrolled within 90 min after diagnosis
  • Patients where antibiotic therapy has already been started (prior to randomization)
  • Patient who are fluid responsive. Fluid responsiveness is defined as increase of > 10% in mean arterial pressure (MAP) after passive leg raising (PLR)
  • Signed by patient, legal representative or authorized person or deferred consent

Exclusion criteria

Exclusion Criteria:

  • Administration of HES, dextrane solutions or > 500 ml of Gelatin solutions within the 24 h prior to randomization
  • Death expected within the next 48 h (moribund patients as defined by ASA ≥ class V)
  • Patients for whom the need of pressure infusions are expected
  • Patients with confirmed acute SARS-CoV-2 (COVID-19) infection (as available from routine medical records/ patient chart)
  • Requirement for renal support (either continuous or discontinuous techniques, including intermittent haemodialysis, haemofiltration and haemodiafiltration)
  • Patients receiving therapeutic heparin medication due to chronic coagulation disease / anticoagulation medication (i.e. > 60 sec)
  • Acutely burned patients
  • according to summary of product characteristics of test and reference product
  • Simultaneous participation in another interventional clinical trial (drugs or medical devices studies)
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
167 participants (actual)

Study arms

  • Experimental
    Gelatine

    Balanced gelatine solution

    Drug: Balanced gelatine solution · Drug: Balanced electrolyte solution

  • Active comparator
    Electrolyte

    Balanced electrolyte solution

    Drug: Balanced electrolyte solution

Interventions

  • DrugBalanced gelatine solution

    Gelaspan combined with Sterofundin ISO

  • DrugBalanced electrolyte solution

    Sterofundin ISO

06

What researchers measure

Primary outcomes

  1. Time Until First/Initial Hemodynamic Stabilization

    Time from first administration of IMP to first achievement of confirmed hemodynamic stability

    Time frame: 48 hours after treatment start

Secondary outcomes

  1. Length of Stay (LOS) in the Intensive Care Unit (ICU)

    Length of stay (LOS) in the intensive care unit (ICU)= Date of ICU discharge - date of ICU admission + 1

    Time frame: Intensive care unit (ICU) discharge or day 28

07

Results

Posted Aug 19, 2025

Participant flow

Participant flow — Overall Study
MilestoneGelatineElectrolyte
Started8384
Completed8384
Not completed00

Outcome measures

PrimaryTime Until First/Initial Hemodynamic Stabilization

Time from first administration of IMP to first achievement of confirmed hemodynamic stability

Time frame:
48 hours after treatment start
Reported as:
Mean · hours
Time Until First/Initial Hemodynamic Stabilization
hoursGelatineElectrolyte
Time Until First/Initial Hemodynamic Stabilization4.7 ± 5.885.8 ± 6.46
SecondaryLength of Stay (LOS) in the Intensive Care Unit (ICU)

Length of stay (LOS) in the intensive care unit (ICU)= Date of ICU discharge - date of ICU admission + 1

Time frame:
Intensive care unit (ICU) discharge or day 28
Reported as:
Mean · days
Length of Stay (LOS) in the Intensive Care Unit (ICU)
daysGelatineElectrolyte
Length of Stay (LOS) in the Intensive Care Unit (ICU)11.9 ± 9.3212.8 ± 10.98

Adverse events

Collected over From randomization until ICU discharge or day 28- whatever occurs first (max. 28 days). Non-serious events are listed at a 4% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Gelatine11/83 (13.3%)30/83 (36.1%)55/83 (66.3%)
Electrolyte18/84 (21.4%)34/84 (40.5%)54/84 (64.3%)
Most frequent serious events
Showing 10 of 68
Most frequent serious events
EventGelatineElectrolyte
Multiple organ dysfunction syndromeGeneral disorders7/8312/84
Septic shockInfections and infestations6/839/84
Respiratory failureRespiratory, thoracic and mediastinal disorders2/834/84
Cardiac arrestCardiac disorders0/834/84
Failure to anastomoseInjury, poisoning and procedural complications3/833/84
Ventricular tachycardiaCardiac disorders0/833/84
PneumoniaInfections and infestations2/830/84
Atrial fibrillationCardiac disorders2/831/84
Intestinal ischaemiaGastrointestinal disorders2/831/84
HypotensionVascular disorders2/832/84
Most frequent other events
Showing 10 of 18
Most frequent other events
EventGelatineElectrolyte
AnaemiaBlood and lymphatic system disorders15/8315/84
Acute kidney injuryRenal and urinary disorders10/836/84
ThrombocytosisBlood and lymphatic system disorders4/8310/84
Atrial fibrillationCardiac disorders9/8310/84
HypernatraemiaMetabolism and nutrition disorders9/835/84
Pleural effusionRespiratory, thoracic and mediastinal disorders7/836/84
ThrombocytopeniaBlood and lymphatic system disorders6/834/84
HypokalaemiaMetabolism and nutrition disorders2/835/84
DeliriumNervous system disorders3/835/84
HypocalcaemiaMetabolism and nutrition disorders4/831/84

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)GelatineElectrolyteTotal
<=18 years000
Between 18 and 65 years293463
>=65 years5450104
Age, Continuous
Age, Continuous(years)GelatineElectrolyteTotal
Mean65.3 ± 14.2065.9 ± 14.1465.6 ± 14.13
Sex: Female, Male
Sex: Female, Male(Participants)GelatineElectrolyteTotal
Female212041
Male6264126
Race (NIH/OMB)
Race (NIH/OMB)(Participants)GelatineElectrolyteTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White8283165
More than one race000
Unknown or Not Reported112
Region of Enrollment
Region of Enrollment(participants)GelatineElectrolyteTotal
Austria6612
Czechia10919
France022
Germany5961120
Spain8614
08

Study locations

12 sites
  • Medizinische Universität Innsbruck
    Innsbruck, 6020, Austria
  • Masarykova nemocnice v Ústí nad Labem, o.z.
    Ústí nad Labem, 401 13, Czechia
  • Université de Nantes
    Nantes, 44093, France
  • Hôpital Pasteur 2 - CHU de Nice
    Nice, 06000, France
  • Universitätsklinikum Aachen
    Aachen, 52074, Germany
  • Klinikum Bremen-Mitte
    Bremen, 28177, Germany
  • Universitätsklinikum Frankfurt
    Frankfurt am Main, 60590, Germany
  • Universitätsinstitut - Johannes Wesling Klinikum Minden
    Minden, 32427, Germany
  • Universitätsmedizin Rostock
    Rostock, 18057, Germany
  • Universitätsklinikum Tübingen
    Tübingen, 72076, Germany
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Universitario La Paz
    Madrid, 28046, Spain
09

References and documents

Publications

  • Marx G, Zacharowski K, Ichai C, Asehnoune K, Cerny V, Dembinski R, Ferrer Roca R, Fries D, Molnar Z, Rosenberger P, Sanchez-Sanchez M, Schurholz T, Dehnhardt T, Schmier S, von Kleist E, Brauer U, Simon TP. Efficacy and safety of early target-controlled plasma volume replacement with a balanced gelatine solution versus a balanced electrolyte solution in patients with severe sepsis/septic shock: study protocol, design, and rationale of a prospective, randomized, controlled, double-blind, multicentric, international clinical trial : GENIUS-Gelatine use in ICU and sepsis. Trials. 2021 Jun 2;22(1):376. doi: 10.1186/s13063-021-05311-8. PubMed 34078421 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02715466
Responsible party
Sponsor
First posted
Mar 22, 2016
Start date
Apr 2016
Primary completion
Dec 8, 2021
Completion
Dec 8, 2021
Results posted
Aug 19, 2025
Last update
Aug 19, 2025

Study contacts

Gernot Marx, Prof. Dr. med.
study chair · Universitätsklinikum Aachen,Klinik für Operative Intensivmedizin

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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