Sepsis
Conditions
Brief summary
There is basic science evidence that GM-CSF reconstructs cellular immunity in septic patients. In this prospective, randomised double-blind, placebo-controlled trial, we investigate whether this can be achieved in patients with severe sepsis and septic shock.
Detailed description
GM-CSF reconstructs cellular immunity in septic patients. In this prospective, randomised double-blind, placebo-controlled trial, we investigate whether this can be achieved in patinets with severe sepsis and septic shock.
Interventions
sagramostim
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe sepsis or septic shock, * Presence of infection, * 2 SIRS criteria, * Acute organ dysfunction, * Immunoparalysis, * Informed consent
Exclusion criteria
* Pregnancy, * Known allergies to study medication or components, * Moribound patient, * Autoimmune disease, * HIV-infection, * Acute MI or pulmonary embolism, * Cpr during last 72 hours, * Patients who participate in a different clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| reconstitution of monocytic immunity as defined as a mHLA-DR expression >15,000 molecules per cell at study day 9 | after therapy |