Severe Sepsis
Conditions
Keywords
sepsis, Immunotherapy, Thymosin
Brief summary
The purpose of this study is to evaluate the efficacy of thymosin alpha 1 for treating severe sepsis.
Detailed description
Severe sepsis is a disease of infectious origin with a high risk of death. Over the past decade, thymosin alpha1 have already provided clinicians with additional weapon in the fight against infectious diseases, but it is unknown whether thymosin alpha1 is effective in treating severe sepsis.
Interventions
1.6 mg s.c injection twice per day for 5 days, then 1.6 mg s.c injection once per day for 2 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe sepsis according to ACCP/CCM criteria * Patient or legally authorized representative able to provide informed consent
Exclusion criteria
* Subject is less than 18 years or more than 85 years of age * If female, the subject is pregnant or nursing * Subject is receiving immunosuppressive therapy such as cyclosporine, azothioprine,or cancer-related chemotherapy * Patient not expected to survive 28 days because of uncorrectable medical condition, such as poorly controlled neoplasm or other end-stage disease * History of bone marrow, lung, liver, pancreas, or small-bowel transplantation * Acute pancreatitis with no established source of infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 28-day Mortality | 28 days | The prospectively defined primary end point was death from any cause and was assessed 28 days after the start of the infusion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| SOFA score | 7 days | SOFA score was measured on day0, 3 and 7 after the start of the infusion in both groups. |
| Immune response to Thymosin alpha 1 | 7 days | HLA-DR expression on CD14+,ratio between CD4+ and CD8+, CRP on day 0, 3, 7 after the start of the infusion in both groups. |
Countries
China