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RecruitingNCT07568132Updated Oct 23, 2026

Efferon LPS Hemoadsorption in in Patients With Thermal Burns

An interventional study of Efferon LPS in Burns, sponsored by Efferon JSC. Recruiting at 1 site in Russia. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Efferon JSC · Not applicable, Interventional, and Treatment

Updated Oct 23, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The aim of the study is to evaluate the safety and efficacy of multimodal (cytokine and lipopolysaccharide) hemoadsorption using the Efferon® LPS device to reduce the severity of clinical symptoms and to prevent the progression of multiple organ dysfunction or to arrest its development in patients with burn disease with an RFI score ≥71 and ≤181.

Patients will be randomized in two groups: control group receiving baseline therapy (including CRRT) and treatment group receiving baseline therapy and Efferon® LPS hemoadsorption in combination with CRRT.

Read the detailed description

Extensive burns are a severe form of trauma that, according to the World Health Organization, cause more than 180,000 deaths worldwide each year. Burn injury is not only a local tissue injury at the site of the damaging agent, but also triggers a complex systemic response to trauma. Severe burn injury induces a systemic inflammatory response associated with generalized microcirculatory disturbances in organs and tissues, cellular dystrophy and destruction, and the development of multiple organ dysfunction and failure. Burn trauma causes massive release of damage-associated molecular patterns (DAMPs) and pro-inflammatory cytokines, leading to systemic inflammatory response syndrome (SIRS), which may result in multiple organ failure and death. Mortality associated with multiple organ failure in burn patients reaches 81-87% among patients who develop this condition, and multiple organ failure remains the leading cause of death in burn patients. Among patients with a Sequential Organ Failure Assessment (SOFA) score ≥4 within the first 24 hours after injury, mortality reaches 81%.

The Efferon LPS hemoadsorption device was developed for use in sepsis, leveraging its ability to effectively target both primary and secondary inflammatory mediators. However, this approach also has significant potential in the treatment of burn injury, a condition characterized by a complex inflammatory response.

The goal of this study is to evaluate the safety and efficacy of multimodal (cytokine and lipopolysaccharide) hemoadsorption using the Efferon LPS device to reduce the severity of clinical manifestations and to prevent progression of multiple organ dysfunction, or mitigate it if already developed, in patients with burn disease and an RFI score ≥71 and ≤181.

02

Conditions studied

  • Burns

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Keywords

  • Hemoadsorption
  • Hemoperfusion
  • Extracorporeal therapy
  • LPS adsorption
03

In context

Burns

905 studies on the registry are indexed under Burns; 164 are open to participants now.

This study's planned enrollment of 50 is above the median of 40 across 663 interventional studies indexed under Burns.

Browse Burns studies →

Lead sponsor

Efferon JSC is the lead sponsor of 20 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  • Thermal burns (flame, scald, or contact burns), including cases combined with inhalation injury
  • Revised Frank Index (RFI) score ≥71 and ≤181
  • Indication for extracorporeal therapy within the first 10 days after injury
  • The patient's condition allows Efferon LPS therapy to be performed for at least 6 hours

Exclusion criteria

Exclusion Criteria:

  • Isolated thermal-inhalation injury
  • Chemical, electrical, or solar burns of the skin
  • Combined skin burns with frostbite and/or general hypothermia
  • Combined trauma (electrical injury; traumatic brain injury other than concussion or mild cerebral contusion; skull, spinal, thoracic, pelvic, or femoral fractures) or acute pre-existing pathology prior to hospital admission (acute myocardial infarction, stroke, community-acquired pneumonia, or acute surgical conditions) that may influence the course and outcome of burn disease
  • Cardiopulmonary resuscitation at the pre-hospital stage
  • End-stage renal disease
  • Acute pulmonary embolism confirmed by imaging
  • Emergency surgical treatment
  • Any other condition which, in the investigator's opinion, precludes inclusion of the patient in the study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (estimated)

Study arms

  • No intervention
    Baseline therapy

    Patients receiving standard treatment for the treatment of thermal burns without the use of hemoadsorption methods, but who are prescribed continuous renal replacement therapy (CRRT) for renal and non-renal indications.

  • Experimental
    Baseline therapy + Efferon LPS

    Patients receiving standard therapy for the treatment of thermal burns, along with Efferon LPS hemoadsorption procedures in combination with continuous renal replacement therapy (CRRT).

    Device: Efferon LPS

Interventions

  • DeviceEfferon LPS

    Efferon LPS, a medical device, which is a single-use cartridge filled with a polymeric adsorbent that selectively adsorbs endotoxin via surface-immobilized ligand and excessive cytokines via its intrinsic porosity.hemoadsorption procedures, each lasting 6-12 hours, with an interval of at least 24 hours between hemoadsorption sessions (from the start of the first procedure). The procedures are performed in combination with continuous renal replacement therapy (CRRT).

06

What researchers measure

Primary outcomes

  1. Need for vasopressor support

    Need for vasopressors according to the Vasoactive inotropic score (VIS 2020) heart rate scale. VIS is calculated as a weighted sum of all administered vasoactive inotropic agents.

    Time frame: 1-28 days

Secondary outcomes

  1. Horowitz oxygenation index

    Value of oxygenation index (Pa02 / Fi02 (Pa).

    Time frame: 1-28 days

  2. Renal replacement therapy (RRT) free days

    RRT-free days = 0 if the subject dies within 28 days of starting renal replacement therapy. RRT-free days = 28 - x if RRT is successfully discontinued x days after initiation. RRT-free days = 0 if the subject requires RRT for more than 28 days.

    Time frame: 1-28 days

  3. 28 and 60 days mortality

    Mortality rate

    Time frame: 1-60 days

  4. Length of stay in the intensive care unit

    Time (number of days) from study enrollment to transfer from the intensive care unit within 60 days

    Time frame: 1-60 days

  5. Duration of hospitalization

    Time (number of days) from study enrollment to discharge from the hospital

    Time frame: 1-60 days

  6. Frequency of septic complications

    Percentage of patients with septic complications

    Time frame: 1-28 days

  7. Frequency of surgical interventions

    Percentage of patients requiring surgery

    Time frame: 1-28 days

07

Study locations

1 of 1 sites recruiting
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2026 (actual). Primary completion is estimated for Dec 2027, 14 months after the start.

Of 29 industry-sponsored interventional studies with no phase under Burns, half reached primary completion within 11 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 27. This study's planned 14 months is above that.

Counting every sponsor, half of 239 studies reached it within 15 months; a quarter within 6 and three quarters within 38.

Start moved once since we started tracking on Sep 25, 2026: May 2026 → Oct 2026, on Oct 23, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Apr 28, 2026
First posted
May 5, 2026
StartActual
Oct 21, 2026was May 2026
Primary completionEst.
Dec 31, 2027
CompletionEst.
Feb 27, 2028
Last update
Oct 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Oct 23, 2026
Sites
N.V. Sklifosovsky Research Institute for Emergency Medicine is now Recruiting
Oct 23, 2026
Start date
May 15, 2026→Oct 21, 2026 (actual)
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    Not yet recruiting→Recruiting
    N.V. Sklifosovsky Research Institute for Emergency Medicine is now Recruiting
    Start date May 15, 2026→Oct 21, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07568132
Lead sponsor
Efferon JSC
Responsible party
Sponsor
First posted
May 5, 2026
Start date
Oct 21, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Feb 27, 2028 (estimated)
Last update
Oct 23, 2026

Study contacts

Alexandr Shelehov-Kravchenko, PhD, MD
Contact
ais@efferon.ru
+79636564765
Vladimir Kulabukhov, PhD, MD
principal investigator · N.V. Sklifosovsky Research Institute for Emergency Medicine

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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