CLEAR Sepsis Clinical Study

NCT ID: NCT03231956

Last Updated: 2020-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

182 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-06-29

Study Completion Date

2022-06-30

Brief Summary

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To investigate the relationship between initial ClearSight™ derived hemodynamic parameters and outcomes (death, ongoing organ dysfunction or delayed ICU admission) in patients with acute infection and possible sepsis, with a focus on venous blood lactate (\< 2.0, 2.0-3.9, and ≥ 4.0 mmol/dL) and hemodynamic subgroups, using ED patients presenting with minor infections or asthma/COPD exacerbations as controls (henceforth referred to as Sepsis Mimic Group).

Detailed Description

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Conditions

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Sepsis

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 0

Control Sepsis Mimic Group (minor infections or asthma/COPD exacerbations) venous blood lactate levels are not required for this subgroup.

ClearSight™ / EV1000NI Clinical Platform

Intervention Type DEVICE

Noninvasive Hemodynamic Monitoring utilizing ClearSight TM System

Group 1

Suspected infection plus Initial Venous Blood Lactate ≥ 0 - 1.9 mmol/dL

ClearSight™ / EV1000NI Clinical Platform

Intervention Type DEVICE

Noninvasive Hemodynamic Monitoring utilizing ClearSight TM System

Group 2

Suspected infection plus Initial Venous Blood Lactate ≥ 2.0 - 3.9 mmol/dL

ClearSight™ / EV1000NI Clinical Platform

Intervention Type DEVICE

Noninvasive Hemodynamic Monitoring utilizing ClearSight TM System

Group 3

Suspected infection plus Initial Venous Blood Lactate ≥ 4.0 mmol/dL

ClearSight™ / EV1000NI Clinical Platform

Intervention Type DEVICE

Noninvasive Hemodynamic Monitoring utilizing ClearSight TM System

Interventions

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ClearSight™ / EV1000NI Clinical Platform

Noninvasive Hemodynamic Monitoring utilizing ClearSight TM System

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age at the time of enrollment
* Any combination of acute symptoms and signs that the treating ED physician, after initial history and physical examination, attributes to a systemic infection
* ED Physician confirms likely hospital admission (\> 50%) due to suspicion of infection
* ED Physician confirms intention to order both blood cultures and venous blood lactate levels
* Ability to enroll patient and begin ClearSight™ monitoring within three (3) hours of ED presentation


* ≥18 years of age at the time of enrollment
* Presents to the ED with a chief complaint consistent with a minor infection (upper respiratory infection, soft tissue infection, viral infection) or an asthma or COPD exacerbation on whom the treating physician is not ordering labs for blood cultures or lactate levels
* Ability to enroll patient and begin ClearSight™ monitoring within three (3) hours of ED presentation.

Exclusion Criteria

* Initial venous blood lactate measured \> 3 hours after ED arrival
* Pre-existing infection for which patient is being treated with antibiotics as an outpatient
* Prisoners
* Pregnant women
* Any previous medical condition with life expectancy of \< 3 months (patients with ESRD and heart failure are not excluded)
* DNR or comfort care order preexisting to ED visit or established in the ED
* Palliative care or hospice consult in the ED
* Known severe aortic insufficiency
* Known history of Raynaud's disease
* Poor follow-up candidate in the opinion of the Investigator
* Current or planned enrollment in an investigational trial that in the opinion of the Investigator may significantly affect hemodynamic data collection.

Control Sepsis Mimic


* Pre-existing infection for which patient is being treated with antibiotics as an outpatient
* Prisoners
* Pregnant women
* Any previous medical condition with life expectancy of \< 3 months (patients with ESRD and heart failure are not excluded)
* DNR or comfort care order preexisting to ED visit or established in the ED
* Palliative care or hospice consult in the ED
* Known severe aortic insufficiency
* Known history of Raynaud's disease
* Poor follow-up candidate in the opinion of the Investigator
* Current or planned enrollment in an investigational trial that in the opinion of the Investigator may significantly affect hemodynamic data collection.
* Treating physician is planning on ordering either a lactate or blood cultures on the patient.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Edwards Lifesciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Detroit Receiving Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Sinai-Grace Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Ascension St. John Hospital

Detroit, Michigan, United States

Site Status RECRUITING

Beaumont Hospital, Royal Oak

Royal Oak, Michigan, United States

Site Status TERMINATED

Beaumont Hospital, Troy

Troy, Michigan, United States

Site Status TERMINATED

Countries

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United States

Central Contacts

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Jurandir Araujo, BA

Role: CONTACT

949-250-5469

Ryan Zafra, BS

Role: CONTACT

949-250-1354

Facility Contacts

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James Paxton, MD

Role: primary

313-993-8464

Theodore Falcon

Role: backup

313-993-8464

Robert Sherwin, MD

Role: primary

313-966-9114

Joshua Phillips

Role: backup

313-966-9114

Claire Pearson, MD

Role: primary

313-966-1829

Thomas Mazzocco

Role: backup

313-966-1829

Other Identifiers

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2017-04

Identifier Type: -

Identifier Source: org_study_id

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