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Can second-generation versions of existing therapeutics be successful in clinical trials of sepsis?Department of Pulmonary and Critical Care Medicine, The Cleveland Clinic Foundation, Cleveland, OH, USA Sepsis syndrome and septic shock remain as significant causes of morbidity and mortality. To date, clinical trials of immunotherapeutic agents have failed to establish conclusively a role for these agents despite considerable animal data to suggest a positive benefit. This article discusses the hypotheses upon which these therapies are based, the critical issues associated with clinical trials and the molecules which have been clinically tested. Recommendations for future clinical trials in sepsis are made.
Journal of Endotoxin Research, Vol. 2, No. 3,
227-232 (1995) |
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