Near Patient Molecular Testing in Sepsis

NCT ID: NCT05469048

Last Updated: 2024-10-02

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

COMPLETED

Total Enrollment

63 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-03-12

Study Completion Date

2022-10-31

Brief Summary

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The purpose of the study is to evaluate the real-time performance of a new host response test (SeptiCyte RAPID) for differentiating sepsis from non-infection/systemic inflammatory response syndrome among patients suspected of sepsis within the first 24 hours of intensive care unit (ICU) admission.

Detailed Description

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The ability of SeptiCyte RAPID to differentiate sepsis from infection-negative systemic inflammation will be determined using retrospective physician diagnosis performed by an external panel of three physicians not involved with the care of the patients.

Conditions

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Sepsis Systemic Inflammatory Response Syndrome

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Critically ill patients sepsis suspected

Patients suspected of sepsis and admitted to ICU

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. ≥18 years old on the date of ICU admission
2. Systemic Inflammatory Response Syndrome (SIRS) present, as defined by the presence of two or more of the following:

1. Temperature \> 38°C or \< 36°C
2. Heart Rate \> 90 beat/min
3. Tachypnea \> 20/min or PaCO2 \< 32 mmHg
4. WBC count \> 12 000/mm3 or \< 4 000/mm3 or \> 10% immature neutrophils (bands)
3. Consent to study inclusion, either by patient or legal surrogate before study-related sample processing
4. Study sample collection within 24 hours of ICU admission order

Exclusion Criteria

1. Age less than 18 years old on the day of ICU admission
2. No order to admit to ICU
3. Not physically admitted to ICU
4. Commencement of non-prophylactic antibiotics ≥ 24 hours prior to ICU admission
5. Study sample collection \> 24 hours from ICU admission order
6. No clinical cultures or serologic tests obtained when sepsis was suspected
7. Elective cardiac surgery patients with an expected duration in ICU of less than 24 hours
8. Transfer from another ICU where subject was admitted for ≥ 24 hours.
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rush University Medical Center

OTHER

Sponsor Role collaborator

Grady Memorial Hospital

OTHER

Sponsor Role collaborator

University of Southern California

OTHER

Sponsor Role collaborator

Immunexpress

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roy Davis, MD, PhD, MHA

Role: STUDY_DIRECTOR

Immunexpress

Locations

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Keck Hospital of University of Southern California (USC) and Los Angeles County and USC Medical Center

Los Angeles, California, United States

Site Status

Grady Memorial Hospital

Atlanta, Georgia, United States

Site Status

Rush University Medical Center

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Balk R, Esper AM, Martin GS, Miller RR 3rd, Lopansri BK, Burke JP, Levy M, Opal S, Rothman RE, D'Alessio FR, Sidhaye VK, Aggarwal NR, Greenberg JA, Yoder M, Patel G, Gilbert E, Parada JP, Afshar M, Kempker JA, van der Poll T, Schultz MJ, Scicluna BP, Klein Klouwenberg PMC, Liebler J, Blodget E, Kumar S, Navalkar K, Yager TD, Sampson D, Kirk JT, Cermelli S, Davis RF, Brandon RB. Validation of SeptiCyte RAPID to Discriminate Sepsis from Non-Infectious Systemic Inflammation. J Clin Med. 2024 Feb 20;13(5):1194. doi: 10.3390/jcm13051194.

Reference Type RESULT
PMID: 38592057 (View on PubMed)

Other Identifiers

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NEPTUNE IXP-181

Identifier Type: -

Identifier Source: org_study_id

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