Study of Protection And Repair of Endothelial-glycocalyx in Sepsis (SPARES)
- Sponsor
- Beth Israel Deaconess Medical Center
- Study ID
- NCT07160426
- Phase
- PHASE2
- Status
- Not Yet Recruiting
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Conditions
- Sepsis
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Fresh Frozen Plasma (blood product) — BIOLOGICALFresh Frozen Plasma
- MVI and lactated ringers — DRUGplacebo
Study Details
Sepsis damages the blood vessel lining and its protective "glycocalyx," contributing to organ failure and death. This pilot, randomized, blinded study will test whether giving fresh frozen plasma (FFP)-either as intermittent boluses or as a continuous infusion-protects or repairs the glycocalyx compared with look-alike placebo fluid (lactated Ringer's with multivitamins), and whether this leads to better clinical outcomes. We will measure blood and urine biomarkers of glycocalyx injury and track organ support needs, ICU/hospital-free days, and survival through 28-90 days.
Key Dates
- First listed
- Sep 8, 2025
- Start date
- Jul 1, 2026
- Status verified
- Apr 2026
- Primary completion
- Jun 1, 2028
- Completion
- Dec 1, 2028
Study Design
- Enrollment
- 45 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Experimental: FFP BolusTwo-unit initial FFP bolus, then one unit every 12 hours for 48 hours (total 5 units).
- Experimental: Experimental: FFP Continuous Infusion5 units FFP infused continuously at \~42 mL/hr over 48 hours.
- Placebo Comparator: Placebo Comparator: Lactated Ringer's + MultivitaminsPlacebo given as either (a) 500 mL LR bolus, then 250 mL q12h for 48h (total 1,250 mL), or (b) 500 mL over 12h, repeated to total 2,000 mL over 48h; prepared by pharmacy to match plasma appearance.
Primary Outcome Measure
Change in Median Syndecan-1 Concentration [ Time Frame: baseline to study days 1,3,5 ]
Central Contacts
- Nathan I. Shapiro, MD, MPH617-754-2323
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