Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Laboratory confirmed diagnosis of COVID-19 infection with any of the following disease characteristics 1A Early acute lung injury (ALI)/early acute respiratory distress syndrome (ARDS) 1B Severe disease, defined as one of the following dyspnea, respiratory frequency more than or equal to 30/min blood oxygen saturation less than or equal to 93 percentage partial pressure of arterial oxygen to fraction of inspired oxygen ratio of more than 300 and or lung infiltrates more than 50 percentage within 24 to 48 hours 1C Life-threatening disease, defined as one of the following respiratory failure septic shock and or 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 Informed consent from the patient or legal representative 4. Age more than 18 years
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 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 26 weeks duration or chronic Childs Pugh C liver disease 4 Known preexisting non COVID 19 related hypercoagulability or another coagulopathy 5 Inability to maintain a mean arterial pressure of more or 65 mm Hg despite vasopressors and fluid resuscitation 6 Patients with known hypersensitivity to any component of the Hemopurifier 7 Lack of commitment for full medical support 8 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 less than 50000 cells microliter 9 Recent history of unstable or untreated intradialytic hypotension 10 Subject is currently enrolled in an investigational drug or device trial Patient may be enrolled if they have received an investigational agent previously and it is more than 5 half lives since the last dose 11 Any condition that in the opinion of the investigator would preclude the subject from being a suitable candidate for enrolment such as end stage chronic illness with no reasonable expectation of survival to hospital discharge
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The goal of the study is to evaluate the use of the Hemopurifier device in the treatment of SARS CoV 2 Virus Disease COVID-19Timepoint: After each Hemopurifier treatment on day 1 to day 4 48 hours 96 hours 7 day 15 day and 28 day | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary objective is to evaluate efficacy of the Hemopurifier in patients with COVID 19 based on in hospital morbidity and mortalityTimepoint: After each Hemopurifier treatment on day 1 to day 4 48 hours 96 hours 7 day 15 day and 28 day | — |
Countries
India
Contacts
Medanta The Medicity