ClinicalTrials.gg
RecruitingNCT07831057TOASTUpdated Sep 21, 2026

Temperature Optimization in Afebrile Septic PatienTs

An interventional study of External Warming in Sepsis and Temperature, sponsored by Matt Harmon. Recruiting at 1 site in Netherlands. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by Matt Harmon · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this interventional study is to learn if external warming works to treat patients with a serious systemic infection (i.e. sepsis) that do not have fever. These patients have a higher risk of dying than patients with fever. It is possible that these patients might benefit from artificial external warming with the means to increase body temperature. It is unknown what the mechanism is, but it might be related to the immune system and how the body manages blood pressure and perfusion.

The main questions to answer are:

  • Does external warming of the body influence certain inflammatory proteins in the blood?
  • Does external warming of the body influence prognosis and/or clinical condition? Researchers will compare external warming to standard clinical practice to see if external warming works to treat sepsis without fever.

Participants will:

- receive treatment with external warming or treatment according to clinical practice

02

Conditions studied

  • Sepsis
  • Temperature

Keywords

  • Sepsis
  • Temperature Optimization
  • Temperature Management
  • Afebrile
  • Hypothermic
  • TOAST
  • Septic Patients
  • External Warming
  • Therapeutic Hyperthermia
03

In context

Sepsis

2,416 studies on the registry are indexed under Sepsis; 541 are open to participants now.

This study's planned enrollment of 50 is below the median of 102 across 1,165 interventional studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

This is the only study on the registry with Matt Harmon 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

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

  • Sepsis according to the SEPSIS-3 definition
  • Sedated and intubated
  • Highest temperature \< 38,3 degrees Celsius

Exclusion criteria

Exclusion Criteria:

A potential participant who meets any of the following criteria will be excluded from participation in this study:

  • Patients with immunologic diseases:
  • neutropenia
  • history of chronic infection with or C virus

Patients using immune suppressing medications:

  • treatment with at a dose of > 300 mg/day hydrocortisone or equivalent at the time of enrollment;
  • Tacrolimus
  • Mycophenolate mofetil
  • Ciclofosfamide

Patients with a for therapeutic hyperthermia:

  • cardiac arrest
  • acute ischemic stroke
  • acute coronary syndrome
  • traumatic brain injury
  • spinal cord injury
  • sickle cell disease
  • multiple sclerosis
  • Pregnancy
  • Moribund patients (expected death within 48 hours)
  • Contraindications to forced air warming devices per manufacture instructions (i.e. ischemic limbs)
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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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

  • Experimental
    External Warming

    Intervention with External Warming

    Other: External Warming

  • No intervention
    Control

    Control group according to standard clinical practice

Interventions

  • OtherExternal Warming

    External Warming with the Arctic Sun 5000

    Also known as: Therapeutic Hyperthermia

06

What researchers measure

Primary outcomes

  1. Proteomics

    Delta proteomics pathway analysis between baseline and after 48 hours of enrollment.

    Time frame: From enrollment until 48 hours after enrollment

Secondary outcomes

  1. Mortality

    The effect of external warming of afebrile septic patients on mortality

    Time frame: 30 days

  2. Organ failure

    To assess the effect of external warming of afebrile septic patients on organ failure.

    Time frame: until end of ICU stay, approximately 30 days

  3. Length of ICU stay

    To assess the effect of external warming of afebrile septic patients on length of ICU-stay

    Time frame: until end of ICU stay, approximately 30 days

  4. Nosocomial infections

    To assess the effect of external warming of afebrile septic patients on nosocomial infections.

    Time frame: until end of ICU stay, approximately 30 days

  5. Length of hospital stay

    To assess the effect of external warming of afebrile septic patients on length of ICU-stay

    Time frame: until discharge, approximately 30 days until 3 months

  6. Microcirculation

    To assess the impact of therapeutic hyperthermia in afebrile septic patients on microcirculation measured sublingually

    Time frame: From enrollment until 48 hours after enrollment

  7. Hemodynamics

    To assess the impact of external warming in afebrile septic patients on hemodynamics

    Time frame: From enrollment until 48 hours after enrollment

  8. Mitochondrial oxygen tension

    To assess the impact of external warming in afebrile septic patients on mitochondrial oxygen tension

    Time frame: From enrollment until 48 hours after enrollment

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data collected during this study that underlie the results reported in publications (including participant-level efficacy and safety data), together with the corresponding data dictionary, will be made available. Data will be prepared to minimize the risk of participant identification in accordance with applicable laws, regulations, institutional policies, and informed consent provisions. Informed consent form will not be shared as it is in Dutch.

Supporting information: Study protocol, Statistical analysis plan

Time frame: De-identified IPD and supporting documentation will be available beginning 6 months after publication of the primary study results and will remain available for 5 years. Data sharing may be extended at the discretion of the sponsor, subject to applicable legal, ethical, and institutional requirements

Access criteria: Access will be considered to qualified researchers who submit a scientifically sound research proposal that is consistent with the study objectives and receives approval from the study sponsor or designated data access committee. Investigators must sign a data sharing agreement and comply with applicable data protection and confidentiality requirements. If data will be shared, data sharing will be done through a secure data-sharing platform or other controlled-access mechanism and may be used only for the approved research purposes. If applicable, additional informed consent will be obtained. URL is not available at the time of registration. Information on requesting access will be provided by the study sponsor upon publication of the primary study results.

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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07831057
Lead sponsor
Matt Harmon
Collaborators
BD Technologies, Research Triangle Park, NC
Responsible party
Matt Harmon (Principal Investigator, Erasmus Medical Center) — Sponsor-investigator
First posted
Sep 21, 2026
Start date
Jul 17, 2026
Primary completion
Jul 2027 (estimated)
Completion
Jul 2027 (estimated)
Last update
Sep 21, 2026

Study contacts

Denyse Paalvast
Contact
d.paalvast@erasmusmc.nl
+31639311643
Matthew B.A. Harmon
Contact
m.harmon@erasmusmc.nl

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

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