ClinicalTrials.gg
TerminatedNCT04595903Updated Dec 20, 2022

Treatment of SARS-CoV-2 Virus Disease (COVID-19) in Humans With Hemopurifier® Device

An interventional study of Hemopurifier in COVID-19, sponsored by Aethlon Medical Inc.. Terminated at 9 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-12-20.

Sponsored by Aethlon Medical Inc. · Not applicable, Interventional, and Treatment

Why this study was terminated
Lack of eligible COVID-ICU patients

From the registry’s dates

  • Primary completion was Nov 2022, 3 years 11 months ago, and no results have been posted to the registry.
Phase
Not applicable
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is an Early Feasibility Study (EFS) investigating the use of the Hemopurifier® in the treatment of SARS-CoV-2 Virus Disease (COVID-19).

Read the detailed description

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.

02

Conditions studied

  • COVID-19

Browse trials for

Keywords

  • Hemopurifier
  • SARS-CoV-2
  • COVID-19
  • exosomes
  • plasmapheresis
03

In context

COVID-19

7,775 studies on the registry are indexed under COVID-19; 482 are open to participants now.

This study's enrollment of 1 is below the median of 100 across 4,175 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Aethlon Medical Inc. is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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

  1. Laboratory diagnosis of COVID-19 infection with any of the following disease characteristics:

    i. Early acute lung injury (ALI)/early acute respiratory distress syndrome (ARDS) ii. Severe disease, defined as:

    • dyspnea,
    • respiratory frequency ≥ 30/min,
    • blood oxygen saturation ≤ 93%,,
    • partial pressure of arterial oxygen to fraction of inspired oxygen ratio of \<300 and/or
    • lung infiltrates >50% within 24 to 48 hours; iii. Life-threatening disease, defined as:

      1. respiratory failure,
      2. septic shock, and/or
      3. multiple organ dysfunction or failure.
  2. Admission to the ICU or area of the hospital repurposed to function as an ICU for surge capacity management
  3. Subject has maintained a MAP of > or = 65 without an increased dose of vasopressors for at least 2 hours and has clinical evidence of adequate volume status per investigative site criteria
  4. Informed consent from the patient or legally authorized representative
  5. Age > 18

Exclusion criteria

Exclusion Criteria:

  1. Stroke (known or suspected) within the last 3 months.
  2. Severe congestive heart failure (NYHA III and IV classes).
  3. Biopsy proven cancer not in remission.
  4. Acute (an international normalized ratio (INR) of greater than 1.5, and any degree of mental alteration (encephalopathy) in a patient without preexisting cirrhosis and with an illness of less than 26weeks' duration or chronic (Child Pugh C) liver disease.
  5. Known pre-existing non-COVID-19 related hypercoagulability or other coagulopathy
  6. Terminal illness with a life expectancy of \< 28 days or for whom a decision of withdrawal of care is in place or imminently anticipated or patients who have received prior extracorporeal therapy and had persistent, unstable hypotension.
  7. Patients with known hypersensitivity to any component of the Hemopurifier.
  8. Advance directive indicating to withhold life-sustaining treatment (except Cardiopulmonary Resuscitation).
  9. Contraindications to extracorporeal blood purification therapy such as:

    i. Clinically relevant bleeding disorder, ii. Contraindication to anti-coagulation, iii. Pregnancy, iv. Inability to establish functional vascular access, v. Participation in another competing investigational drug, device or vaccine trial vi. Administration of an angiotensin converting enzyme (ACE) inhibitor in the previous 14 days. vii. Platelet count \< 50,000 cells/microliter

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    Hemopurifier®

    The Hemopurifier® will be placed within the extracorporeal circuit, all connections secured, treatment will utilize a blood pump at a flow rate of up to 200mL/min. The patients will be monitored for adverse events, device deficiencies and the development of hemodynamic instability. The treatment session will be for 4-6 hours once daily for 4 consecutive days.

    Device: Hemopurifier

Interventions

  • DeviceHemopurifier

    Hemopurifier treatments will be one four to six hour treatment session daily for up to 4 days

06

What researchers measure

Primary outcomes

  1. Incidence of treatment emergent adverse events

    Safety and tolerability

    Time frame: Day 1 (Date of Consent) to Day 28

  2. 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

  3. Incidence of serious adverse events

    Safety and tolerability

    Time frame: Day 1 (Date of Consent) to Day 28

Secondary outcomes

  1. Length if Stay in ICU

    Length of ICU stay in days

    Time frame: Day 1 (Date of Consent) to Day 28

  2. In-hospital mortality

    Number of deaths during hospitalization

    Time frame: Day 1 (Date of Consent) to Day 28

  3. Days free of ventilatory dependency

    Number of days without ventilatory support

    Time frame: Day 1 (Date of Consent) to Day 28

  4. Vasopressor-free days

    Number of days without vasopressor support

    Time frame: Day 1 (Date of Consent) to Day 28

  5. 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)

  6. 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)

  7. 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

  8. 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)

  9. 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)

  10. 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)

  11. 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)

  12. 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

  13. 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

07

Study locations

9 sites
  • Hoag Hospital - Irvine
    Irvine, California 92618, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Hoag Memorial Hospital Presbyterian
    Newport Beach, California 92663, United States
  • UC Davis Health System
    Sacramento, California 95817, United States
  • University of Miami Hospital
    Miami, Florida 33136, United States
  • LSU Health Sciences Center
    Shreveport, Louisiana 71103, United States
  • Cooper University Hospital
    Camden, New Jersey 08103, United States
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
  • Valley Baptist Medical Center
    Harlingen, Texas 78550, United States
08

References and documents

Publications

  • Amundson DE, Shah US, de Necochea-Campion R, Jacobs M, LaRosa SP, Fisher CJ Jr. Removal of COVID-19 Spike Protein, Whole Virus, Exosomes, and Exosomal MicroRNAs by the Hemopurifier(R) Lectin-Affinity Cartridge in Critically Ill Patients With COVID-19 Infection. Front Med (Lausanne). 2021 Oct 8;8:744141. doi: 10.3389/fmed.2021.744141. eCollection 2021. PubMed 34692735 ↗
  • Gooldy M, Roux CM, LaRosa SP, Spaulding N, Fisher CJ Jr. Removal of clinically relevant SARS-CoV-2 variants by an affinity resin containing Galanthus nivalis agglutinin. PLoS One. 2022 Jul 28;17(7):e0272377. doi: 10.1371/journal.pone.0272377. eCollection 2022. PubMed 35901224 ↗

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04595903
Lead sponsor
Aethlon Medical Inc.
Responsible party
Sponsor
First posted
Oct 22, 2020
Start date
Jun 1, 2022
Primary completion
Nov 14, 2022
Completion
Nov 14, 2022
Last update
Dec 20, 2022

Study contacts

Steven LaRosa, MD
study director · Aethlon Medical Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Dec 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion