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CytoSorbents Announces FDA Approval to Commence Initial U.S. Cardiac Surgery Study

Monday February 2, 2015

MONMOUTH JUNCTION, N.J., Feb. 2, 2015 - CytoSorbents Corporation (NASDAQ CM: CTSO), a critical care immunotherapy company commercializing its CytoSorb® extracorporeal cytokine adsorber to treat critically-ill and cardiac surgery patients in multiple countries worldwide, announced that the U.S. Food and Drug Administration (FDA) has approved its Investigational Device Exemption (IDE) application to commence a planned U.S. cardiac surgery feasibility study. This single-arm study in 20 patients and three U.S. clinical sites represents the first part of a larger clinical trial strategy intended to support the U.S. approval of CytoSorb® for intra-operative use during cardiac surgery.

The study is designed to evaluate the safety of CytoSorb® when used intra-operatively in a heart-lung machine to reduce plasma free hemoglobin and cytokines in patients undergoing complex cardiac surgery. The length, complexity and invasiveness of these procedures cause hemolysis and inflammation, leading to high levels of plasma free hemoglobin, cytokines, activated complement, and other substances. These inflammatory mediators directly correlate with the incidence of serious post-operative complications such as kidney injury and failure. The goal of CytoSorb® is to actively remove these inflammatory and toxic substances as they are being generated during the surgery and reduce complications.

Concurrently, the Company is funding a non-interventional study amongst a broader array of U.S. cardiac surgery centers that will assess adverse event rates (e.g. incidence of acute kidney injury and respiratory failure) and levels of free hemoglobin and other inflammatory mediators in patients undergoing complex cardiac surgery. These patients will be selected using similar inclusion and exclusion criteria to the feasibility study. The data from these two studies will help to rapidly validate assumptions in this surgical patient population and help to appropriately power a U.S. pivotal cardiac surgery trial.

Dr. Gregory Di Russo, Senior Vice President of Clinical Development at CytoSorbents stated, "Pending institutional review board (IRB) approval at our selected sites, we look to rapidly execute the feasibility study and advance the non-interventional study. We plan to work with these same institutions to begin a pivotal trial in the future with critical mass. Positive data from a U.S. pivotal trial and from cardiac surgery trials ongoing in Europe may help to establish CytoSorb® as a standard component of the heart-lung machine during cardiac surgery and fill a significant unmet medical need."

Mr. Vincent Capponi, Chief Operating Officer of CytoSorbents stated, "We are excited to begin these trials, as they underscore our commitment to seeking U.S. approval of CytoSorb® for cardiac surgery. With strong interest from leading international cardiac surgery companies, and with success in our clinical trial programs, we believe that future approval in the U.S. will help pave the way for multiple commercialization options of CytoSorb® in the US and abroad. "

There are more than 500,000 cardiac surgeries performed in the United States, and more than 1.5 million surgeries worldwide each year for common applications such as coronary artery bypass graft (CABG) surgery, valve repair or replacement, congenital defect repair, heart/lung transplantation, implantation of left ventricular assist devices (LVAD) for heart failure, and others. This represents an estimated total addressable market of more than $1.5 billion for CytoSorb® in this indication alone, and adds to the overall $20 billion market potential of CytoSorb® for critical care applications worldwide.

About CytoSorbents Corporation

CytoSorbents Corporation is a critical care focused immunotherapy company using blood purification to control severe inflammation -- with the goal of preventing or treating multiple organ failure in life-threatening illnesses. Organ failure is the cause of nearly half of all deaths in the intensive care unit, with little to improve clinical outcome. CytoSorb®, the Company's flagship product, is approved in the European Union and marketed in 29 countries around the world, as a safe and effective extracorporeal cytokine adsorber, designed to reduce the "cytokine storm" that could otherwise cause massive inflammation, organ failure and death in common critical illnesses such as sepsis, burn injury, trauma, lung injury, and pancreatitis. These are conditions where the risk of death is extremely high, yet no effective treatments exist. CytoSorb® is also being used during and after cardiac surgery to remove inflammatory mediators, such as cytokines and free hemoglobin, which can lead to post-operative complications, including multiple organ failure.

CytoSorbents' purification technologies are based on biocompatible, highly porous polymer beads that can actively remove toxic substances from blood and other bodily fluids by pore capture and surface adsorption. CytoSorbents has numerous products under development based upon this unique blood purification technology, protected by 32 issued US patents and multiple applications pending, including HemoDefend™, ContrastSorb, DrugSorb, and others. Additional information is available for download on the Company's website: http://www.cytosorbents.com.

Forward-Looking Statements

This press release includes forward-looking statements intended to qualify for the safe harbor from liability established by the Private Securities Litigation Reform Act of 1995. These forward-looking statements include, but are not limited to, statements about our plans, objectives, representations and contentions and are not historical facts and typically are identified by use of terms such as "may," "should," "could," "expect," "plan," "anticipate," "believe," "estimate," "predict," "potential," "continue" and similar words, although some forward-looking statements are expressed differently. You should be aware that the forward-looking statements in this press release represent management's current judgment and expectations, but our actual results, events and performance could differ materially from those in the forward-looking statements. Factors which could cause or contribute to such differences include, but are not limited to, the risks discussed in our Annual Report on Form 10-K, filed with the SEC on March 31, 2014, as updated by the risks reported in our Quarterly Reports on Form 10-Q, and in the press releases and other communications to shareholders issued by us from time to time which attempt to advise interested parties of the risks and factors which may affect our business. We caution you not to place undue reliance upon any such forward-looking statements. We undertake no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events, or otherwise, other than as required under the Federal securities laws.

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Contact:

Company Contact
Amy Vogel
CytoSorbents, Inc
Investor Relations
(732) 329-8885 ext. *825
avogel@cytosorbents.com
Investor Contact
Lee Roth
The Ruth Group
(646) 536-7012
lroth@theruthgroup.com
Public Relations Contact
Melanie Sollid-Penton
The Ruth Group
(646) 536-7023
msollid@theruthgroup.com
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Source: CytoSorbents Corporation

 
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