Evidence map›Paper›PMID 39154299›Full record

ArticleInfectious diseases and therapy2024

Extracorporeal Elimination of Pro- and Anti-inflammatory Modulators by the Cytokine Adsorber CytoSorb

Helen Graf, Caroline Gräfe, Mathias Bruegel, Felix L Happich, Vassilissa Wustrow, Aljoscha Wegener, Wolfgang Wilfert, Michael Zoller, Uwe Liebchen, Michael Paal and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04913298 (Prospective Quality Assurance Study for the Application of Cytosorb® in Patients With Cytokine Storm, Rhabdomyolysis and Acute Liver Failure), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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.

NCT04913298 nacompletednot on this map

Prospective Quality Assurance Study for the Application of Cytosorb® in Patients With Cytokine Storm, Rhabdomyolysis and Acute Liver Failure

TypeinterventionalSponsorLudwig-Maximilians - University of MunichRan2021 to 2023Enrolled57ConditionsRhabdomyolysis, Acute Liver Injury, Cytokine StormArmsCytosorb therapy
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. CytoSorbBiomedicines · 2025
    Article
  8. Article
  9. Article
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

11 authors.

Helen Graf *Department of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Caroline Gräfe *Department of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Mathias BruegelInstitute of Laboratory Medicine, LMU Hospital, Munich, Germany.
Felix L HappichInstitute of Laboratory Medicine, LMU Hospital, Munich, Germany.
Vassilissa WustrowDepartment of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Aljoscha WegenerDepartment of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Wolfgang WilfertInstitute of Laboratory Medicine, LMU Hospital, Munich, Germany.
Michael ZollerDepartment of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Uwe LiebchenDepartment of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany.
Michael Paal *Institute of Laboratory Medicine, LMU Hospital, Munich, Germany.
Christina Scharf *Department of Anesthesiology, LMU Hospital, Marchioninistrasse 15, 81377, Munich, Germany. christina.scharf-janssen@med.uni-muenchen.de.

Funding

Else Kröner-Fresenius-Stiftung 2021_EKEA.101
6 · The paper itself

Abstract

introductionThe release of pro-inflammatory cytokines in critically ill patients with sepsis leads to endothelial dysfunction resulting in cardiocirculatory insufficiency. Their extracorporeal elimination using the cytokine adsorber CytoSorb

methodsThe prospective Cyto-SOLVE-study included 15 patients with sepsis or other hyperinflammatory conditions (interleukin 6 > 500 pg/ml), continuous kidney replacement therapy, and the application of CS. Various cytokines and chemokines were measured pre- and post-CS as well as in patients' blood at predefined timepoints. Significant changes in the concentrations were detected with the Wilcoxon test with associated samples. Clearance of the adsorber (ml/min) was calculated with:

conclusionsCS can adsorb pro- as well as anti-inflammatory mediators with no relevant difference regarding the adsorption rate. A fast saturation of the adsorber resulted in a rapid decrease of the clearance. The potential clinical benefit or harm of this unspecific cytokine adsorption needs to be evaluated in the future.

trial registrationClinicalTrials.gov NCT04913298, registration date June 4, 2021.

Indexed as

Anti-inflammatory cytokinesCritically ill patientsCytokinesCytoSorb®HyperinflammationMass-spectrometryPro-inflammatory cytokinesSepsis

Identifiers

PMID39154299
PMCPMC11343926

What OpenQuestion holds

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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.