Effect of a biomimetic pathogen adsorbing device on inflammatory biomarkers in COVID‐19 patients

Author:

Schmieszek Jan1,Fuehner Thomas12ORCID,Renger Isabelle1,Welte Tobias2,Menne Jan3,Fuge Jan2,van't Klooster Maria P.1ORCID,Paul Andrea1,Siegert Alina4,Borchina Dan‐Nicolae4,Falk Christine S.5,Kielstein Jan T.4ORCID

Affiliation:

1. Department of Respiratory Sleep and Intensive Care Medicine, Siloah Hospital Hannover Germany

2. Department of Respiratory Medicine and German Centre for Lung Research (DZL/BREATH) Hannover Medical School Hannover Germany

3. Department of Nephrology, Angiology, and Rheumatology Siloah Hospital Hannover Germany

4. Department of Nephrology, Rheumatology, Blood Purification Academic Teaching Hospital Braunschweig Braunschweig Germany

5. Institute of Transplant Immunology, Hannover Medical School Hannover Germany

Abstract

AbstractIntroductionThe Seraph 100 Microbind Affinity blood filter eliminate bacteria, viruses, fungi and toxins from blood stream.MethodsThis is a prospective multicenter observational biomarker trial in PCR‐positive SARS‐CoV‐2 patients with acute respiratory failure. Biomarkers were sequentially tested at three time points.ResultsForty‐two patients with SARS‐CoV‐2 detected by PCR with acute respiratory failure were included. When receiving hemoperfusion treatment, 27 (64%) patients were on mechanical ventilation, 41 (98%) patients were treated in the ICU. The 3‐month survival was 52%. After one hemoperfusion treatment cycle, D‐dimer (p = 0.014), hemoglobin (p = 0.003) and LDH (p = 0.001) concentrations were significantly reduced 4 days after treatment. From the multiplex assay IL‐1b, CXCL8/ IL‐8, IL‐10, IL‐13, IL‐15, CCL11/Eotaxin, G‐CSF, and CXCL10/IP‐10 were significantly reduced 1 h after treatment, however not 4 days later.ConclusionHemoperfusion with Seraph 100 Microbind Affinity Filter in patients with severe COVID‐19 can transiently reduce several inflammatory biomarkers in the blood.

Publisher

Wiley

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