TRanscriptomic Analysis of Circulating Endothelial Cells During Sepsis - TRACES Study (TRACES)

April 8, 2021 updated by: Assistance Publique - Hôpitaux de Paris

Dysfunction and Endothelial Repair in Sepsis Shock : RNAseq Transcriptomic Analysis of Circulating Endothelial Cells

Vascular dysfunction is an important mechanism involved in organ failure, in the setting of sepsis condition, with different types of circulating endothelial cells.Transcriptom analysis via RNAseq in different types of circulating endothelial cells, comapring critically ill patients with or without sepsis will allow determining differential gene expression for signal pathways in endothelial alteration and restoration associated with sepsis.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Observational

Enrollment (Anticipated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
1000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Study Locations

  • France
      • Paris, France, 75010
        • AP-HP Hôpital Saint Louis
        • Contact:
          • Lara Zafrani, MD PhD

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years to 85 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Critically ill adult patients hospitalized in an intensive care unit, with or without sepsis.

Description

Inclusion Criteria:

  • Age between 18 and 85 years
  • Admission in intensive care with or without sepsis
  • Health insurance as per the national insurance system
  • Informed and unopposed patient for participation (or referend closed one)

Exclusion Criteria:

  • Patient under legal protection
  • Patient under national medical help system
  • Pregnancy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort

Group / Cohort

A group or subgroup of participants in an observational study that is assessed for biomedical or health outcomes.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Critically ill patients with sepsis
Other: Observational study
Observational study. Groups are defined based on baseline patients' characteristics : presence or absence of sepsis.
Critically ill patients without sepsis

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Gene expression based on transcriptom analysis of circulating endothelial cells
Time Frame: Day 1
Gene expression based on transcriptom analysis of circulating endothelial cells (RNAseq)
Day 1

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Counts of circulating endothelial cells
Time Frame: Day 1 and Day 3
Counts of circulating endothelial cells, including progenitor cells
Day 1 and Day 3
Sequential Organ Failure Assessment (SOFA) score
Time Frame: Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) score, ranging from 0 (best: absence of organ failure) to 24 (worse: multiple organ failure)
Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) hemodynamic sub-score
Time Frame: Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) hemodynamic sub-score, ranging from 0 (best: absence of hemodynamic failure) to 4 (worse: hemodynamic failure)
Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) respiratory sub-score
Time Frame: Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) respiratory sub-score, ranging from 0 (best: absence of respiratory failure) to 4 (worse: respiratory failure)
Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) neurological sub-score
Time Frame: Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) neurological sub-score, ranging from 0 (best: absence of neurological failure) to 4 (worse: neurological failure)
Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) hematological sub-score
Time Frame: Day 1, Day 3, Day 7
Sequential Organ Failure Assessment (SOFA) hematological sub-score, ranging from 0 (best: absence of hematological failure) to 4 (worse: hematological failure)
Day 1, Day 3, Day 7
Intensive care unit (ICU) mortality
Time Frame: ICU length of stay
Death during ICU stay
ICU length of stay
D28 mortality
Time Frame: Day 28
Death within 28 days of intensive care unit
Day 28
Hospital mortality
Time Frame: Day 90
Death within 90 days of intensive care unit
Day 90
Duration of ventilation
Time Frame: Day 28
Number of days alive without ventilation up to Day 28
Day 28
Duration of renal replacement therapy (RRT)
Time Frame: Day 28
Number of days alive without RRT up to Day 28
Day 28
Duration of vasopressors therapy
Time Frame: Day 28
Number of days alive without vasopressors up to Day 28
Day 28
Dose of vasopressors
Time Frame: ICU length of stay, assessed up to 90 days
Dose of vasopressors, in patients who received vasopressors
ICU length of stay, assessed up to 90 days
Duration of intensive care unit (ICU) stay
Time Frame: Day 28
Number of days alive outside the ICU up to D28
Day 28
Circulating endothelial cells cytokines profile
Time Frame: Day 1 and 3
Dosage of cytokines from circulating endothelial cells
Day 1 and 3
Circulating endothelial cells chemokines profile
Time Frame: Day 1 and 3
Dosage of chemokines from circulating endothelial cells
Day 1 and 3
Expression of membrane proteins of endothelial cells
Time Frame: Day 1 and 3
Expression of membrane proteins of endothelial cells by flow cytometry
Day 1 and 3
Infection site
Time Frame: Day 1
Infection site for patients with sepsis
Day 1
Infection identification
Time Frame: Day 1
Identified germs for patients with sepsis
Day 1
Number of participants with different types of antibiotic treatment
Time Frame: Length of ICU stay, assessed up to 90 days
Antibiotic treatments for patients with sepsis during intensive care unit (ICU) stay
Length of ICU stay, assessed up to 90 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Assistance Publique - Hôpitaux de Paris

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Anticipated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
April 1, 2021

Primary Completion (Anticipated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
April 1, 2026

Study Completion (Anticipated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
August 1, 2026

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
April 2, 2021

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 8, 2021

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
April 12, 2021

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
April 12, 2021

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
April 8, 2021

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
April 1, 2021

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • APHP201060

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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Conditions

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Dietary Supplements

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