Trial Outcomes & Findings for The Etiology of Acute Febrile Illness Requiring Hospitalization (NCT NCT02763462)

NCT ID: NCT02763462

Last Updated: 2023-05-03

Results Overview

Any pathogens identified as a caused of febrile illness based on laboratory tests such as blood culture, other culture (sputum/ pus/ urine/ feces), serology, and molecular.

Recruitment status

COMPLETED

Target enrollment

1492 participants

Primary outcome timeframe

Total length of time the subject will be in the study is 3 months after enrollment or until cured or maximum 1 year.

Results posted on

2023-05-03

Participant Flow

Recruitment period was done from July 2013 until October 2016

From total target 1600 subjects only achieved 1492 subjects enrolled.

Participant milestones

Participant milestones
Measure
Hospitalized Participants With Acute Febrile Illness.
Hospitalized patients with any infectious diseases with cardinal symptoms at acute fever (\<= 2 weeks)
Overall Study
STARTED
1492
Overall Study
COMPLETED
1486
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Hospitalized Participants With Acute Febrile Illness.
Hospitalized patients with any infectious diseases with cardinal symptoms at acute fever (\<= 2 weeks)
Overall Study
Protocol Violation
6

Baseline Characteristics

The Etiology of Acute Febrile Illness Requiring Hospitalization

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hospitalized Participants With Acute Febrile Illness
n=1486 Participants
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<= 2 weeks).
Age, Categorical
<=18 years
623 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
793 Participants
n=5 Participants
Age, Categorical
>=65 years
70 Participants
n=5 Participants
Age, Continuous
25.6 years
STANDARD_DEVIATION 19.7 • n=5 Participants
Sex: Female, Male
Female
656 Participants
n=5 Participants
Sex: Female, Male
Male
830 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1486 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1486 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Indonesia
1486 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Total length of time the subject will be in the study is 3 months after enrollment or until cured or maximum 1 year.

Population: All participants who have specimens to be tested

Any pathogens identified as a caused of febrile illness based on laboratory tests such as blood culture, other culture (sputum/ pus/ urine/ feces), serology, and molecular.

Outcome measures

Outcome measures
Measure
Hospitalized Participants With Acute Febrile Illness
n=1486 Participants
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<=2 weeks)
Upper Respiratory
Organ system affected based on identified pathogens.
Lower Respiratory
Organ system affected based on identified pathogens.
Skin and Soft Tissue
Organ system affected based on identified pathogens.
Gastrointestinal
Organ system affected based on identified pathogens.
Genitourinary
Organ system affected based on identified pathogens.
Constitutional
Organ system affected based on identified pathogens.
Multiorgan
Organ system affected based on identified pathogens.
The Etiologies (Bacteria, Viruses, Parasites, Fungi and Others) of Fever Illness Expressed in Percentages of Enrolled Subjects.
Viruses
621 Participants
The Etiologies (Bacteria, Viruses, Parasites, Fungi and Others) of Fever Illness Expressed in Percentages of Enrolled Subjects.
Bacteria
362 Participants
The Etiologies (Bacteria, Viruses, Parasites, Fungi and Others) of Fever Illness Expressed in Percentages of Enrolled Subjects.
Parasites
15 Participants
The Etiologies (Bacteria, Viruses, Parasites, Fungi and Others) of Fever Illness Expressed in Percentages of Enrolled Subjects.
Multiple pathogens
5 Participants
The Etiologies (Bacteria, Viruses, Parasites, Fungi and Others) of Fever Illness Expressed in Percentages of Enrolled Subjects.
Unidentified pathogens
483 Participants

SECONDARY outcome

Timeframe: 3 years

Population: The organ system affected induced clinical symptoms that provide essential information for improving clinical management in differentiating between each identified pathogen.

The organ system affected induced clinical symptoms that provide essential information for improving clinical management in differentiating between each identified pathogen.

Outcome measures

Outcome measures
Measure
Hospitalized Participants With Acute Febrile Illness
n=9 Participants
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<=2 weeks)
Upper Respiratory
n=22 Participants
Organ system affected based on identified pathogens.
Lower Respiratory
n=43 Participants
Organ system affected based on identified pathogens.
Skin and Soft Tissue
n=20 Participants
Organ system affected based on identified pathogens.
Gastrointestinal
n=378 Participants
Organ system affected based on identified pathogens.
Genitourinary
n=1 Participants
Organ system affected based on identified pathogens.
Constitutional
n=41 Participants
Organ system affected based on identified pathogens.
Multiorgan
n=489 Participants
Organ system affected based on identified pathogens.
Number of Participants With Affected Organ System by Each Specific Pathogen
Dengue
4 participants
7 participants
0 participants
8 participants
226 participants
1 participants
27 participants
194 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Salmonella spp.
1 participants
3 participants
1 participants
0 participants
37 participants
0 participants
5 participants
56 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Rickettsia spp.
0 participants
0 participants
1 participants
3 participants
48 participants
0 participants
6 participants
45 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Influenza
1 participants
4 participants
10 participants
0 participants
4 participants
0 participants
0 participants
49 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Leptospira spp.
0 participants
1 participants
0 participants
0 participants
19 participants
0 participants
0 participants
24 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Chikungunya
1 participants
1 participants
1 participants
1 participants
10 participants
0 participants
2 participants
21 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
E.Coli
0 participants
1 participants
2 participants
0 participants
9 participants
0 participants
0 participants
9 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
S. pneumoniae
1 participants
0 participants
1 participants
0 participants
1 participants
0 participants
0 participants
17 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
M. tuberculosis
0 participants
2 participants
5 participants
0 participants
1 participants
0 participants
0 participants
12 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Multiple pathogens
0 participants
1 participants
0 participants
1 participants
0 participants
0 participants
0 participants
3 participants
Number of Participants With Affected Organ System by Each Specific Pathogen
Other single pathogen
1 participants
2 participants
22 participants
7 participants
23 participants
0 participants
1 participants
59 participants

SECONDARY outcome

Timeframe: 3 years

Population: Eight clinical research sites in 7 cities in Indonesia have been established to conduct clinical research that improved research capacity and networking for Infectious diseases in Indonesia.

Eight clinical research sites in 7 cities in Indonesia have been established to conduct clinical research that improved research capacity and networking for Infectious diseases in Indonesia.

Outcome measures

Outcome measures
Measure
Hospitalized Participants With Acute Febrile Illness
n=1486 Participants
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<=2 weeks)
Upper Respiratory
Organ system affected based on identified pathogens.
Lower Respiratory
Organ system affected based on identified pathogens.
Skin and Soft Tissue
Organ system affected based on identified pathogens.
Gastrointestinal
Organ system affected based on identified pathogens.
Genitourinary
Organ system affected based on identified pathogens.
Constitutional
Organ system affected based on identified pathogens.
Multiorgan
Organ system affected based on identified pathogens.
Number of Participants Enrolled Per Each Clinical Research Site
RSUP dr Hasan Sadikin
269 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUP Sanglah
213 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUPN Dr Cipto Mangunkusumo
65 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSPI Prof Dr Sulianti Saroso
91 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUP dr Wahidin Sudirohusodo
201 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUP dr Kariadi
257 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUD dr Soetomo
221 Participants
Number of Participants Enrolled Per Each Clinical Research Site
RSUP dr Sardjito
169 Participants

SECONDARY outcome

Timeframe: 3 years

Population: Each clinical research site and reference laboratory have been established to have capability to store repository specimen for future study.

Each clinical research site and reference laboratory have been established to have capability to store repository specimen for future study.

Outcome measures

Outcome measures
Measure
Hospitalized Participants With Acute Febrile Illness
n=14099 vials
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<=2 weeks)
Upper Respiratory
Organ system affected based on identified pathogens.
Lower Respiratory
Organ system affected based on identified pathogens.
Skin and Soft Tissue
Organ system affected based on identified pathogens.
Gastrointestinal
Organ system affected based on identified pathogens.
Genitourinary
Organ system affected based on identified pathogens.
Constitutional
Organ system affected based on identified pathogens.
Multiorgan
Organ system affected based on identified pathogens.
Number of Vials Stored Based on Specimen Type
Plasma EDTA
7032 vials
Number of Vials Stored Based on Specimen Type
Buffy coat
2311 vials
Number of Vials Stored Based on Specimen Type
Sputum
29 vials
Number of Vials Stored Based on Specimen Type
Pleural fluid
2 vials
Number of Vials Stored Based on Specimen Type
Feces
27 vials
Number of Vials Stored Based on Specimen Type
Nasopharyngeal swab
114 vials
Number of Vials Stored Based on Specimen Type
Urine
205 vials
Number of Vials Stored Based on Specimen Type
LCS
4 vials
Number of Vials Stored Based on Specimen Type
Pus
4 vials
Number of Vials Stored Based on Specimen Type
DNA
2487 vials
Number of Vials Stored Based on Specimen Type
RNA
1884 vials

Adverse Events

Hospitalized Participants With Acute Febrile Illness

Serious events: 0 serious events
Other events: 8 other events
Deaths: 89 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Hospitalized Participants With Acute Febrile Illness
n=1486 participants at risk
Hospitalized patients with any infectious disease with cardinal symptoms of acute fever (\<=2 weeks)
Skin and subcutaneous tissue disorders
Hematoma
0.40%
6/1486 • Number of events 7 • 48 hours after study related blood drawn
Any untoward or unfavorable medical occurrence in a human subject that occurs within 48 hours of a study-related blood draw that is possibly, probably, or definitely related to the blood draw. Any event outside of this 48 hour window period will not be considered an AE for this study.
General disorders
Fever
0.07%
1/1486 • Number of events 1 • 48 hours after study related blood drawn
Any untoward or unfavorable medical occurrence in a human subject that occurs within 48 hours of a study-related blood draw that is possibly, probably, or definitely related to the blood draw. Any event outside of this 48 hour window period will not be considered an AE for this study.
Nervous system disorders
Convulsion
0.07%
1/1486 • Number of events 1 • 48 hours after study related blood drawn
Any untoward or unfavorable medical occurrence in a human subject that occurs within 48 hours of a study-related blood draw that is possibly, probably, or definitely related to the blood draw. Any event outside of this 48 hour window period will not be considered an AE for this study.

Additional Information

Publication Division

INA-RESPOND

Phone: +62214208693

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place