- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04647201
Study of Biomarkers in Patients of Sepsis Complicated With Gastrointestinal Dysfunction
November 22, 2020 updated by: Jianbo Yu
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
Unknown
Conditions
Detailed Description
This study is a single-center, prospective, cohort study.
In this study, the serum samples of septic patients complicated with or without GI are detected.
The serum levels of HO-1, PINK1, PLK1as well as oxidative stress and inflammatory markers are compared in different groups.
For those who requiring intestinal surgery as treatment, the intestinal tissue specimens are retained.
Meanwhile, the clinical symptoms, intestinal motility indicators and intestinal barrier indicators are recorded.
In addition, a biomarker model was established to provide important reference for diagnose and management of gastrointestinal dysfunction in septic patients.
Study Type
Observational
Enrollment (Anticipated)
90
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Tianjin, China, 300100
- Tianjin Nankai Hospital
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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
Ages Eligible for Study
18 years to 90 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Probability Sample
Study Population
Adult patients with sepsis complicated with GI
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
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 |
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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
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
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
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Investigated the metabolites to distinguish the non-survivors from the survivors of sepsis complicated with GI
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an average of one year
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Chair: Jianbo Yu, PhD, Tianjin Nankai Hospital
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
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
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)
November 23, 2020
Primary Completion (Anticipated)
December 31, 2021
Study Completion (Anticipated)
June 30, 2022
Study Registration Dates
First Submitted
November 22, 2020
First Submitted That Met QC Criteria
November 22, 2020
First Posted (Actual)
November 30, 2020
Study Record Updates
Last Update Posted (Actual)
November 30, 2020
Last Update Submitted That Met QC Criteria
November 22, 2020
Last Verified
November 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SGI-2020-11
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
All of the individual participant data collected during the trial,after de-identification will be shared.And anyone who wishes to acess the date will beavailable for any purpose
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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