Study of Biomarkers in Patients of Sepsis Complicated With Gastrointestinal Dysfunction
Study of Biomarkers in Blood and Tissue Samples of Septic Patients Complicated With Gastrointestinal Dysfunction
- Title: Study of Biomarkers in Patients of Sepsis Complicated With Gastrointestinal Dysfunction
- Research center: Single-center study.
- Design of the research: A prospective and cohort study.
- Object of the research: Patients with age≥18 years those who meet the diagnostic criteria of sepsis 3.0 complicated with GI and grouped into GI group and non-GI adults as control.
- Sample size of the research: Not less than 30 patients in each group.
- Research approach: After admission to ICU, patients were assigned to the indicated groups according to the criteria. In addition, blood samples were collected within 24 hours for detecting serum levels of HO-1, PINK1, PLK1as well as oxidative stress and inflammatory markers.For those who requiring intestinal surgery as treatment, the intestinal tissue specimens are retained.
- Aim of the research: The find out the potential biomarkers in serum to help the diagnose and management of gastrointestinal dysfunction in septic patients.
- Statistical analysis: Analytical study.
- The estimated duration of the study#1-2 years.
Study Overview
Status
Status
Conditions
Conditions
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Yingya Cao, MD
- Phone Number: 15055324662
- Email: caoyingya1990@126.com
Study Contact Backup
- Name: Jianbo Yu, PhD
Study Locations
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-
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Tianjin, China, 300100
- Tianjin Nankai Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- At least 18 years old
- Patients with sepsis who meet the criteria for sepsis 3.0
- Patients complicated gastrointestinal dysfunction with AGI grade II or above
- Agree to participate in this study and sign informed consent
Exclusion Criteria:
- Refuse to participate in this study
- Those who have chronic gastrointestinal diseases such as Crohn's disease and ulcerative colitis
- Those who have recently used gastrointestinal motility drugs and within 5 times the half-life
- Those who are participating in other drug clinical trials
- Patient with HIV infection, patients in pregnancy or breast stage
- In the opinion of the attending physician or researcher, there are other conditions that are not appropriate for the study
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
|---|
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Control
Non-sepsis and non-GI adults
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Sepsis patients without GI
Patients who meet the criteria of sepsis3.0 with AGI grade I or less
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Sepsis patients with GI
Patients who meet the criteria of sepsis3.0 with AGI grade II or above
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Multivariate data analysis of the metabolites
Time Frame: an average of one year
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Record the different metabolites between the control group and septic patients
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an average of one year
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Multivariate data analysis of the metabolites
Time Frame: an average of one year
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Record the different metabolites between the septic patient with or without GI
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an average of one year
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Screening of differentially expressed metabolites as potential mortality predictors for sepsis complicated with GI
Time Frame: an average of one year
|
Investigated the metabolites to distinguish the non-survivors from the survivors of sepsis complicated with GI
|
an average of one year
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Jianbo Yu, PhD, Tianjin Nankai Hospital
Publications and helpful links
General Publications
- Reintam Blaser A, Poeze M, Malbrain ML, Bjorck M, Oudemans-van Straaten HM, Starkopf J; Gastro-Intestinal Failure Trial Group. Gastrointestinal symptoms during the first week of intensive care are associated with poor outcome: a prospective multicentre study. Intensive Care Med. 2013 May;39(5):899-909. doi: 10.1007/s00134-013-2831-1. Epub 2013 Jan 31.
- Assimakopoulos SF, Triantos C, Thomopoulos K, Fligou F, Maroulis I, Marangos M, Gogos CA. Gut-origin sepsis in the critically ill patient: pathophysiology and treatment. Infection. 2018 Dec;46(6):751-760. doi: 10.1007/s15010-018-1178-5. Epub 2018 Jul 12.
- Blaser A, Padar M, Tang J, Dutton J, Forbes A. Citrulline and intestinal fatty acid-binding protein as biomarkers for gastrointestinal dysfunction in the critically ill. Anaesthesiol Intensive Ther. 2019;51(3):230-239. doi: 10.5114/ait.2019.86049.
- Reintam Blaser A, Regli A, De Keulenaer B, Kimball EJ, Starkopf L, Davis WA, Greiffenstein P, Starkopf J; Incidence, Risk Factors, and Outcomes of Intra-Abdominal (IROI) Study Investigators. Incidence, Risk Factors, and Outcomes of Intra-Abdominal Hypertension in Critically Ill Patients-A Prospective Multicenter Study (IROI Study). Crit Care Med. 2019 Apr;47(4):535-542. doi: 10.1097/CCM.0000000000003623.
- Greis C, Rasuly Z, Janosi RA, Kordelas L, Beelen DW, Liebregts T. Intestinal T lymphocyte homing is associated with gastric emptying and epithelial barrier function in critically ill: a prospective observational study. Crit Care. 2017 Mar 22;21(1):70. doi: 10.1186/s13054-017-1654-9.
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- SGI-2020-11
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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