title: A new immunomodulatory therapy for severe sepsis: Ulinastatin Plus Thymosin {alpha} 1.
abstract: OBJECTIVE
  To study the effect of immunomodulatory therapy with ulinastatin plus thymosin alpha( 1) on septic patients.
  
  
  METHODS
  A total of 56 sepsis patients were randomized into a treatment group, receiving immunomodulatory therapy, and a placebo group, a placebo. Acute Physiology and Chronic Health Evaluation II scores, clinical data, lymphocyte subsets, immunological indexes, and coagulation parameters were determined before admission and on the 3rd, 8th, and 28th day after admission to the Intensive Care Unit.
  
  
  RESULTS
  The treatment group experienced a 78% cumulative survival, the placebo group experienced a 60% cumulative survival; the survival difference was mirrored by Acute Physiology and Chronic Health Evaluation II scores and more quickly improved leukocyte counts, lymphocyte counts, coagulation parameters, and cytokine levels in the treatment.
  
  
  CONCLUSIONS
  Combined immunomodulatory therapy with ulinastatin plus thymosin alpha(1) appears to yield improved survival for patients with sepsis; this finding should be verified in larger clinical trials.
authors.affiliation: Department of General Surgery, The First Hospital of Lanzhou University, Lanzhou, China.
authors.lastname: Li Yumin
authors.lastname: Chen Hao
authors.lastname: Li Xun
authors.lastname: Zhou Wence
authors.lastname: He Minyan
authors.forename: M
authors.initials: M
authors.lastname: Chiriva-Internati
authors.forename: M S
authors.initials: MS
authors.lastname: Wachtel
authors.forename: E E
authors.initials: EE
authors.lastname: Frezza
mesh_terms: D000276:Adjuvants, Immunologic / Q000627:therapeutic use*; D000328:Adult; D004311:Double-Blind Method; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D006023:Glycoproteins / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D018805:Sepsis / Q000188:drug therapy* / Q000401:mortality; D015996:Survival Rate; D000077596:Thymalfasin; D013947:Thymosin / Q000031:analogs & derivatives* / Q000627:therapeutic use; D016896:Treatment Outcome; D014361:Trypsin Inhibitors / Q000627:therapeutic use*
chemical_list: D000276:Adjuvants, Immunologic; D006023:Glycoproteins; D014361:Trypsin Inhibitors; D013947:Thymosin; C028665:urinastatin; D000077596:Thymalfasin