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PROGRAM

The meeting will give outstanding researchers the opportunity to report on the
latest advances in immunomodulatory approaches to the adaptive immune response
in sepsis. Get up to date on the current state of knowledge!

INDUSTRY

The Sepsis Update 2023 is a central hub to meet key industry leaders, learn
about the latest developments and research, and expand and maintain your
network.

SPEAKERS

Get ready for controversial and trend-setting speeches by innovative thought
leaders.

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WELCOME

... to the 11th Weimar Sepsis Update of the German Sepsis Society (GSS)!

Dear colleagues,

In the past 36 months, the critical care community has been confronted with the
Corona pandemic, which has added SARS-CoV-2 as a new pathogen to the diverse
range of sepsis pathogens. This has accelerated vaccine and drug development in
a way that has never been seen before. SARS-CoV-2 has shown us once again how
different the specific (adaptive) immune response to a specific pathogen can be
and how differently organ dysfunctions may develop as a result.

In contrast to other sepsis pathogens, the immunotherapy of severe COVID-19 has
reached important advances, being the first sepsis pathogen in which a strong
level of evidence permits the recommendation of immunotherapy. Apparently
ineffective or even harmful therapeutic approaches based on evidence
extrapolated from other sepsis conditions may be appropriate in the face of
novel pathogens with a different immunopathology. Indeed, the initial expert
opinion to avoid corticosteroids and IL-6 receptor antagonists (IL-6ra) as an
immunomodulatory treatment for COVID-19, while later on, they became
standard-of-care (SoC), underscores the importance of obtaining solid evidence
based on robust clinical trials. These advances provide impetus to better
understand the effects of IL-6 on different compartments and pathways, i.e. the
endothelium, complement activation, and coagulation which might improve
management of other forms of sepsis in the future.

Another lesson from COVID-19 clinical research is that traditional trial designs
are not well-suited for efficient evaluation of differential treatment effects
in different patient groups. Most of the evidence supporting SoC options has
come from adaptive platform trials, such as RECOVERY or REMAP-CAP. These designs
are more flexible for the evaluation of combinations of therapies and evaluation
of effects across different subgroups.

However, as pointed out in a recent review by van de Veerdonk et al. (Nat Med
2022, 28, 39–50), the host response to SARS-CoV-2 – and other sepsis pathogens –
is complex, characterized by a plethora of pathways that can be both beneficial
and deleterious. Not surprisingly, agents that modify these pathways can be
beneficial for some patients and ineffective or even harmful for others. The way
forward is to perform trials based on robust biomarkers, so that patients that
are more likely to benefit from a given treatment will receive it.

The meeting will give outstanding researchers the opportunity to report on the
latest advances in immunomodulatory approaches to the adaptive immune response
in sepsis. Get up to date on the current state of knowledge!


Frank M. Brunkhorst
Secretary General GSS


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