Treatment for Severe Coronavirus Disease 2019 With the Seraph-100 Microbind Affinity Blood Filter

Stephen W Olson1,2, James D Oliver1,2, Jacob Collen2

  • 1Nephrology Service, Walter Reed National Military Medical Center, Bethesda, MD.

Insights

Seraph-100 treatment may stabilize hemodynamics in severe COVID-19 patients on mechanical ventilation and vasopressors. This novel device showed reduced vasopressor needs and inflammatory markers in early cases.

Area of Science:

  • Medical Devices
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Severe coronavirus disease 2019 (COVID-19) often necessitates mechanical ventilation and vasopressor support.
  • The Seraph-100 device is a novel extracorporeal treatment investigated for severe COVID-19.

Observation:

  • The first two patients in the U.S. receiving Seraph-100 treatment for severe COVID-19 were analyzed.
  • Data included vasopressor dose, mean arterial pressure, temperature, and inflammatory biomarkers (IL-6, CRP) pre- and post-treatment.

Findings:

  • Seraph-100 treatment was associated with decreased vasopressor requirements, lower temperature, and reduced levels of interleukin-6 and C-reactive protein.
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viremia cleared in the one patient tested after treatment.

Implications:

  • Seraph-100 may offer clinical benefit by improving hemodynamic stability in critically ill COVID-19 patients.
  • Further research with larger cohorts is needed to confirm these findings and assess impact on mortality and hospital stay.