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Active, not recruitingNCT06970899Updated May 14, 2025

Initial Feasibility Study of the CycloPE® Device

An interventional study of PATH EX CycloPE® Device in Sepsis, Infection and Bacteremia Sepsis, sponsored by PATH EX, Inc.. Active, not recruiting at 1 site in Armenia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-05-14.

Sponsored by PATH EX, Inc. · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Jun 2024, registered May 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-center, prospective, single-arm clinical study to evaluate the feasibility, safety, and performance of the PATH EX CycloPE® device on suspected bacteremia-associated sepsis. All participants are adults diagnosed with suspected bacteremia-associated sepsis, admitted to the intensive care unit (ICU), and meet the inclusion criteria.

Read the detailed description

This is a single-center, prospective, single-arm clinical study designed to evaluate the feasibility, safety, and performance of the PATH EX CycloPE® device for the treatment of suspected bacteremia-associated sepsis in critically ill patients. Participants in the study will be adults diagnosed with suspected bacteremia-associated sepsis, admitted to the intensive care unit (ICU), and meeting all inclusion and exclusion criteria. Each patient will undergo two treatments with the PATH EX CycloPE® device. The second treatment will occur 24-36 hours after the start of the first treatment, with each session lasting 4 hours. Clinical and laboratory assessments will be conducted at baseline and predefined intervals during and after the treatment period to monitor safety and evaluate the device's performance.

The primary endpoints focus on feasibility and safety, including device-related adverse events and procedural success. Secondary endpoints will assess infection resolution through microbial eradication, reductions in biomarkers, and changes in hematology and chemistry indices.

The PATH EX CycloPE® device is a novel extracorporeal blood filtration system designed to directly target and remove bacteria from the bloodstream. By addressing the root cause of sepsis, the device has the potential to improve outcomes for critically ill patients.

This study will generate critical data to inform the design of future clinical trials and support the development of this breakthrough technology for the treatment of sepsis. All data will be collected, analyzed, and reported in compliance with Good Clinical Practice (GCP) guidelines and applicable regulatory requirements

02

Conditions studied

  • Sepsis
  • Infection
  • Bacteremia Sepsis
  • Systemic Inflammatory Response Syndrome (SIRS)
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 15 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

This is the only study on the registry with PATH EX, Inc. as lead sponsor.

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

Eligibility criteria

Inclusion Criteria: 1. Hospitalized adults (age >= 18 years, male and female) 2. Receiving IV antibiotic therapy 3. Presence of at least 2 of the 4 SIRS criteria:

  1. Body temperature > 101°F (38.3°C) or \< 96.8°F (36°C);
  2. Heart rate > 90 beats per minute;
  3. Respiratory rate > 20 breaths per minute;
  4. White blood cell count > 12,000/mm³, \< 4,000/mm³, or > 10% bands 4. Clinical evidence of new organ dysfunction 5. Procalcitonin (PCT) levels ≥ 0.5 ng/mL

Exclusion Criteria: 1. Inability to maintain a minimum mean arterial pressure of ≥ 65 mmHg despite vasopressor therapy and fluid resuscitation 2. Medical conditions requiring regular blood transfusion 3. Active bleeding (e.g., active GI bleeding, hematuria or epistaxis, untreated coagulopathy or bleeding from a non-compressible site) 4. Absolute neutrophil count less than 500 cells/mm3 5. Platelet count less than 50,000 cells/mm3 6. Pregnant or nursing subjects and those who plan pregnancy during the clinical investigation follow-up period 7. Known hypersensitivity to Polymyxin E 8. Known hypersensitivity to Vancomycin 9. Subject has known sensitivity/allergy to heparin or has a history of heparin induced thrombocytopenia (HIT) 10. IV antibiotic treatment initiated > 48 hours before baseline screening

This exclusion criterion is not applicable for two cases:

  1. IV antibiotic treatment initiated > 48 hours before baseline screening has been deemed ineffective based on the clinical judgment of the investigator.
  2. If the patient has discontinued IV antibiotic therapy for a continuous period of 24 hours or more within the 48-hour window immediately preceding baseline screening.

    1. Participated in an interventional clinical study within 28 days prior to Day 0 or undergoing treatment anticipated to require significant blood draws 12. Have been previously enrolled in this clinical trial 13. History of or known hypercoagulable state 14. Known history of a condition that may result in an increased risk for thrombosis 15. Any other condition, that in the opinion of the investigator, would preclude the subject from being a suitable candidate for enrollment 16. Unable to obtain informed consent from either patient or legally authorized representative 17. Patients who cannot tolerate placement of double-lumen catheter 18. Suspected or confirmed SARS-CoV-2 infection (COVID-19) that cannot be resolved before administration of investigational device.
05

Study design

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

Study arms

  • Experimental
    PATH EX CycloPE® Device

    Treated with PATH EX CycloPE® Device

    Device: PATH EX CycloPE® Device

Interventions

  • DevicePATH EX CycloPE® Device

    Participants in this arm will receive two extracorporeal blood filtration treatments using the PATH EX CycloPE® device. The first treatment will be initiated following baseline assessments, and the second treatment will occur 24-36 hours after the start of the first treatment. Each treatment will last up to 4 hours. The device is designed to target and remove bacteria from the bloodstream. All participants will also receive standard-of-care treatment for sepsis, including IV antibiotics, as determined by the treating physician.

06

What researchers measure

Primary outcomes

  1. Serious Adverse Events (SAEs) related to the investigational device

    The incidence and nature of serious adverse events (SAEs) that are related to the use of the PATH EX CycloPE® device will be assessed to evaluate the safety of the investigational device.

    Time frame: 7 days

Secondary outcomes

  1. Serious Adverse Events (SAEs) not related to the investigational device or procedure

    The incidence of SAEs occurring while connected to the device that are not deemed related to the investigational device or procedure will be assessed.

    Time frame: 7 days

  2. Clinically significant changes in hematology indices

    Clinically significant changes in hematology indices will be evaluated to monitor potential safety concerns.

    Time frame: 7 days

  3. Clinically significant changes in chemistry indices

    Clinically significant changes in chemistry indices will be evaluated to monitor potential safety concerns.

    Time frame: 7 days

  4. Device deficiencies and malfunctions

    Any deficiencies or malfunctions of the PATH EX CycloPE® device, including procedural or technical issues, will be recorded and analyzed.

    Time frame: 7 days

  5. Clinical and laboratory adverse events (AEs)

    The incidence of all clinical and laboratory adverse events (AEs) occurring up to 7 days post-enrollment will be assessed for potential safety concerns.

    Time frame: 7 days

  6. Pathogen reduction in the bloodstream

    Pathogen reduction will be evaluated by measuring the increase in time to positivity (TTP) of blood samples before versus after treatment with the PATH EX CycloPE® device. Only blood samples with a measurable positive TTP before treatment will be included in this analysis.

    Time frame: 7 days

07

Study locations

1 site
  • Erebuni Medical Cener
    Yerevan, 0087, Armenia
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 14, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06970899
Lead sponsor
PATH EX, Inc.
Responsible party
Sponsor
First posted
May 14, 2025
Start date
Jun 11, 2024
Primary completion
Apr 26, 2025
Completion
May 15, 2025 (estimated)
Last update
May 14, 2025

Study contacts

Harutyun N Mangoyan, MD. PhD
principal investigator · Erebuni Medical Center

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 active, not recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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