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NCT05758246PHASE2Recruiting

Senolytics To slOw Progression of Sepsis (STOP-Sepsis) Trial

University of Minnesota

Start Date

8/23/2023

Completion Date

8/23/2026

Summary

The long-term goal is to test the clinical efficacy of senolytic therapies to reduce progression to and severity of sepsis in older patients. The central hypothesis is that a threshold burden of SnCs predisposes to a SASP mediated dysfunctional response to PAMPs, contributing to a disproportionate burden of sepsis in older patients. The study hypothesizes timely treatment with fisetin will interrupt this pathway. A multicenter, randomized, adaptive allocation clinical trial to identify the most efficacious dose of the senolytic fisetin to reduce the composite cardiovascular, respiratory, and renal sequential organ failure assessment score at 1 week, and predict the probability of success of a definitive phase III clinical trial.

Eligibility Criteria

Age Range: 65 years to No maximum

Inclusion Criteria: * Age \>=65 years * Primary diagnosis of acute infection (per investigator judgment) * SOFA \>1 * Admission order to the hospital * Expected length of stay \>=48 hours (per investigator judgment) Exclusion Criteria: * Admission to the ICU * Vasopressors, mechanical ventilation, or dialysis * Comfort care only * Total bilirubin \>3X or AST/ALT \>4x upper limit of normal * eGFR \< 25 ml/ min/ 1.73 m2 * Hemoglobin \<7 g/dL; white blood cell count ≤ 2,000/mm3; absolute neutrophil count ≤1 x 10\^9/;, or platelet count ≤ 40,000/μL * Known HIV, Hepatitis B, or Hepatitis C * Invasive fungal infection (per investigator judgment) * Uncontrolled effusions or ascites (per investigator judgment) * New/active invasive cancer except non-melanoma skin cancers * Known hypersensitivity or allergy to Fisetin. * Active treatment with potential drug-drug interactions * Enrolled in another sepsis clinical trial

Interventions

DRUG

Fisetin-dose 1

DRUG

Fisetin-dose 2

DRUG

Placebo

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Conditions

SepsisAcute InfectionOrgan Failure

Locations

University of Florida

Gainesville, Florida 32608

United States

University of Iowa

Iowa City, Iowa 52242

United States

Ridges

Burnsville, Minnesota 55337

United States

Southdale

Edina, Minnesota 55435

United States

M Health Fairview St. John's

Maplewood, Minnesota 55109

United States

St. John's

Maplewood, Minnesota 55109

United States

University of Minnesota

Minneapolis, Minnesota 55414

United States

HCMC

Minneapolis, Minnesota 55415

United States

UMMC

Minneapolis, Minnesota 55455

United States

University of Mississippi Medical Center

Jackson, Mississippi 39216

United States