Comparative efficacy and safety of immunomodulatory therapies for sepsis: a systematic review and network meta-analysis - Takeaways - MDSpire

Comparative efficacy and safety of immunomodulatory therapies for sepsis: a systematic review and network meta-analysis

  • By

  • Rong Luo

  • Shunyao Xu

  • Yuting Chen

  • Zhenmi Liu

  • Xiaofan Deng

  • Chenxi Li

  • Kangping Hui

  • Youlian Chen

  • Chengying Hong

  • ChunBo Chen

  • Huaisheng Chen

  • May 12, 2026

  • 0 min

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  • 1

    The systematic review included 76 randomized controlled trials with 22,194 patients to compare immunomodulatory treatments for sepsis.

  • 2

    Ulinastatin demonstrated the most significant reduction in all-cause mortality among the treatments evaluated.

  • 3

    Combination therapies involving ulinastatin and thymosin-α1 showed reduced ICU length of stay and mechanical ventilation duration.

  • 4

    Polyunsaturated fatty acids (PUFA) were effective in shortening hospital length of stay and were associated with fewer serious adverse events.

  • 5

    The study highlights the need for large-scale RCTs to validate findings and improve clinical guidelines for sepsis treatment.

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