Evidence map›Paper›PMID 30515242›Full record

ReviewJournal of the Intensive Care Society2018

Immune therapy in sepsis: Are we ready to try again?

Roger Davies, Kieran O'Dea, Anthony Gordon

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of the Intensive Care Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05093075 (Therapeutic Plasma Exchange in Septic Shock), which is not on this map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05093075 phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Therapeutic Plasma Exchange in Septic Shock: A Pilot Study

TypeinterventionalSponsorUniversity of ManitobaRan2023 to 2027Enrolled80ConditionsSeptic ShockArmsTherapeutic Plasma Exchange
3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Monocytes in pneumonia: Functional plasticity and innate memory (Review).International journal of molecular medicine · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Multidrug-Resistant Sepsis: A Critical Healthcare Challenge.Antibiotics (Basel, Switzerland) · 2024
    Review
  13. Article
  14. Article
  15. Review
  16. Less Severe Polymicrobial Sepsis in ConditionalInternational journal of molecular sciences · 2023
    Article
  17. Less Severe Lipopolysaccharide-Induced Inflammation in ConditionalInternational journal of molecular sciences · 2023
    Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Roger DaviesDepartment of Anaesthetics, Pain and Intensive Care Medicine, Imperial College London, UK.
Kieran O'DeaDepartment of Anaesthetics, Pain and Intensive Care Medicine, Imperial College London, UK.
Anthony GordonDepartment of Anaesthetics, Pain and Intensive Care Medicine, Imperial College London, UK.
Chelsea and Westminster Hospital NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBImperial College London · GB

Funding

Department of Health RP-2015-06-018
6 · The paper itself

Abstract

Immune therapy to ease the burden of sepsis has thus far failed to consistently improve patient outcomes. Advances in cancer immune therapy and awareness that prolonged immune-suppression in sepsis can leave patients vulnerable to secondary infection and death have driven resurgence in the field of sepsis immune-therapy investigation. As we develop and evaluate these novel therapies, we must learn from past experiences where single-mediator targeted immune therapies were blindly delivered to heterogeneous patient cohorts with complex and evolving immune responses. Advances in genomics, proteomics, metabolomics, and point-of-care technology, coupled with a better understanding of sepsis pathogenesis, have meant that personalised immune-therapy is on the horizon. Here, we review the complex immune pathogenesis in sepsis and the contemporary immune therapies that are being investigated to manipulate this response. An outline of the immune biomarkers that may be used to support this approach is also provided.

Indexed as

adjuvant immune-therapyimmune biomarkerimmune suppressionSepsissepsis immune pathogenesis

Identifiers

PMID30515242
PMCPMC6259080
OpenAlexW2796233583

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.