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RecruitingNCT07807410Updated Sep 8, 2026

Early Endotoxin Burden Reduction With oXiris in Septic Shock Patients Requiring CRRT

An interventional study of oXiris Hemofilter in Septic Shock and Acute Kidney Injury, sponsored by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether continuous renal replacement therapy (CRRT) using the oXiris filter can lower the amount of endotoxin in the blood of adults with septic shock who need CRRT. Septic shock is a life-threatening condition caused by infection and severe organ dysfunction. CRRT is a form of continuous blood purification used to support the kidneys and manage fluid and waste products. The oXiris filter is designed to provide CRRT while also removing endotoxin and inflammatory substances from the blood.

The main questions this study aims to answer are:

Does 24 hours of CRRT with the oXiris filter lower blood endotoxin levels compared with levels before treatment? What changes occur in inflammation, organ function, and the need for medicines that raise blood pressure? What medical problems or treatment-related complications occur during the study?

This is a single-center study with no comparison group. About 13 participants will take part, and all participants will receive CRRT with the oXiris filter for a planned period of 24 hours. Other treatments for septic shock, including treatment for infection, fluids, medicines to support blood pressure, and other organ support, will be provided according to the hospital's usual care.

Researchers will:

Collect blood samples before and after the 24-hour oXiris treatment to measure endotoxin and markers of inflammation.

Record blood pressure, blood lactate, circulation, organ function, use of blood pressure medicines, and CRRT treatment information.

Continue selected blood tests and clinical assessments during the first 7 days Record any medical problems, including serious medical problems, during the study.

Check whether participants are alive at 28 days and 90 days after enrollment The study may help researchers better understand the biological effects and safety of the oXiris filter and provide information for larger future studies.

02

Conditions studied

  • Septic Shock
  • Acute Kidney Injury

Keywords

  • oXiris
  • CRRT
  • Endotoxin
  • Sepsis-Associated Acute Kidney Injury
03

In context

Shock, Septic

1,078 studies on the registry are indexed under Shock, Septic; 232 are open to participants now.

This study's planned enrollment of 13 is below the median of 79 across 636 interventional studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University is the lead sponsor of 483 studies on the registry; 283 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

  • Age 18 years or older.
  • Diagnosis of septic shock according to Sepsis-3 criteria: sepsis with persistent hypotension requiring vasopressors to maintain a mean arterial pressure of at least 65 mmHg and a blood lactate level greater than 2 mmol/L despite adequate fluid resuscitation.
  • Acute kidney injury classified as KDIGO stage 2 or 3.
  • A clinical decision by the treating team to initiate continuous renal replacement therapy (CRRT).

Exclusion criteria

Exclusion Criteria:

  • The decision to initiate CRRT was made 24 hours or more before enrollment.
  • A documented decision to limit life-sustaining treatment or not to pursue invasive treatment.
  • Active major bleeding, a major bleeding event within the previous 48 hours, or severe uncorrected bleeding tendency.
  • Confirmed or suspected heparin-induced thrombocytopenia, or a known severe allergy to heparin or the filter materials.
  • Severe irreversible end-stage organ failure with an expected survival of 48 hours or less.
  • Pregnancy or breastfeeding.
  • Participation within the previous 6 months in another interventional study that may affect the outcomes of this study.
  • Written not obtained from the participant or legally authorized representative.
Terms in these criteria, in plain language(1)

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

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05

Study design

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

Study arms

  • Experimental
    oXiris Hemofilter With CRRT

    Participants will receive CRRT using the oXiris hemofilter in continuous venovenous hemofiltration mode for a planned duration of 24 hours. CRRT settings, anticoagulation, fluid management, antimicrobial treatment, vasopressor support, and other organ support will follow standardized institutional protocols and clinical judgment. Blood samples and clinical assessments will be obtained before treatment and at the end of the 24-hour treatment period to evaluate changes in endotoxin levels, inflammatory markers, hemodynamics, organ function, and treatment-related safety events.

    Device: oXiris Hemofilter

Interventions

  • DeviceoXiris Hemofilter

    The oXiris hemofilter will be integrated into a continuous renal replacement therapy circuit using the Prismaflex system. Continuous venovenous hemofiltration will be performed for a planned duration of 24 hours. The prescribed effluent dose will be 25-30 mL/kg/hour, with a blood flow rate of 100-150 mL/min and a replacement fluid rate of 1,000-1,500 mL/hour. Regional citrate anticoagulation will be preferred unless contraindicated. The filter may be replaced earlier if clotting, increased transmembrane pressure, or other clinical or technical conditions require replacement. Treatment after the planned 24-hour study period will be determined by the treating clinicians according to the participant's clinical condition.

    Also known as: oXiris Membrane, Endotoxin- and Cytokine-Adsorbing Hemofilter

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Blood Endotoxin Level at 24 Hours

    Blood endotoxin concentration will be measured in venous blood using the Limulus amebocyte lysate (LAL) kinetic turbidimetric assay before initiation of oXiris-CRRT and immediately after completion of the planned 24-hour treatment. Change will be calculated as the post-treatment value minus the baseline value. A negative value indicates a reduction in blood endotoxin level.

    Time frame: Baseline and 24 hours

Secondary outcomes

  1. Intensive Care Unit Length of Stay

    The number of days from study enrollment to discharge from the intensive care unit or death in the intensive care unit.

    Time frame: From enrollment through ICU discharge or death, assessed up to 90 days

  2. All-Cause Mortality at Day 28

    The number and percentage of participants who die from any cause within 28 days after enrollment.

    Time frame: Day 28

  3. All-Cause Mortality at Day 90

    The number and percentage of participants who die from any cause within 90 days after enrollment.

    Time frame: Day 90

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07807410
Responsible party
Sponsor
First posted
Sep 8, 2026
Start date
Aug 1, 2026
Primary completion
May 1, 2027 (estimated)
Completion
Aug 1, 2027 (estimated)
Last update
Sep 8, 2026

Study contacts

Zhijie He, MD
Contact
wuyouqixian@163.com
+8615923831885

Oversight

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

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