- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05215457
Severity Index of Diquat Poisoning in Evaluating the Prognosis of Acute Diquat Poisoning (SIDP)
Development and Validation of Outcome Prediction Models for Acute Diquat Poisoning : a Cohort Study
Study Overview
Status
Conditions
Detailed Description
Objective - To develop and validate a set of practical prediction tools that reliably estimate the outcome of acute diquat poisoning(ADP).
Design - Cohort study with logistic regression analysis to combine predictors and treatment modality.
Main outcome measure - The primary study outcome was death from any cause within 90 days after diquat ingestion.
Goals- To develop a prediction models that reliably estimates the outcome of patients who were managed in various settings for acute diquat poisoning.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Hao Sun, professor
- Phone Number: 86 13584017821
- Email: haosun@njmu.edu.cn
Study Locations
-
-
Jiangsu
-
Nanjing, Jiangsu, China
- Recruiting
- The First Affiliated Hospital with Nanjing Medical University
-
Contact:
- Jinghai Tang, professor
- Phone Number: 025-83284725
- Email: Jhtang305@126.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- all have a clear history of exposure to oral diquat solution;
- complete the toxicant test immediately after admission, and have certain initial blood drug concentration data;
- the clinical data is true and complete;
- the patients or family members are aware of and agree to the treatment plan.
Exclusion Criteria:
- ingested two or more toxicants;
- diquat was not detected in the blood or urine and the patient has no relevant clinical symptoms;
- suffer from primary disease relative to heart, lung, liver, kidney and brain .
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
---|
development set
50 cases are the development set, which is used to develop the prediction model of diquat acute poisoning.
These patients are all from the First Affiliated Hospital of Nanjing Medical University.
|
validation set
50 patients are the validation set, from more than ten tertiary a-level hospitals in the surrounding area, to verify the prediction model.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The primary study outcome was death from any cause within 90 days after diquat ingestion.
Time Frame: 90 days
|
Through relevant clinical data, find the predictors of death group and survival group
|
90 days
|
Collaborators and Investigators
Investigators
- Study Chair: Jingsong Zhang, professor, The First Affiliated Hospital with Nanjing Medical University
Publications and helpful links
General Publications
- Cao ZX, Zhao Y, Gao J, Feng SY, Wu CP, Zhai YZ, Zhang M, Nie S, Li Y. Comparison of severity index and plasma paraquat concentration for predicting survival after paraquat poisoning: A meta-analysis. Medicine (Baltimore). 2020 Feb;99(6):e19063. doi: 10.1097/MD.0000000000019063.
- Kim DS, Kang C, Kim DH, Kim SC, Lee SH, Jeong JH, Kang TS, Jung SM, Lee SB, Lee KW, Kim RB. External validation of the prognostic index in acute paraquat poisoning. Hum Exp Toxicol. 2016 Apr;35(4):366-70. doi: 10.1177/0960327115586821. Epub 2015 May 13.
- Chen CK, Chen YC, Megarbane B, Yeh YT, Chaou CH, Chang CH, Lin CC. The acute paraquat poisoning mortality (APPM) score to predict the risk of death in paraquat-poisoned patients. Clin Toxicol (Phila). 2022 Apr;60(4):446-450. doi: 10.1080/15563650.2021.1979234. Epub 2021 Sep 20.
- Xu S, Hu H, Jiang Z, Tang S, Zhou Y, Sheng J, Chen J, Cao Y. APACHE score, Severity Index of Paraquat Poisoning, and serum lactic acid concentration in the prognosis of paraquat poisoning of Chinese Patients. Pediatr Emerg Care. 2015 Feb;31(2):117-21. doi: 10.1097/PEC.0000000000000351.
- Du Y, Mou Y. [Predictive value of 3 methods in severity evaluation and prognosis of acute paraquat poisoning]. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Jul;38(7):737-42. doi: 10.3969/j.issn.1672-7347.2013.07.014. Chinese.
- Xing J, Chu Z, Han D, Jiang X, Zang X, Liu Y, Gao S, Sun L. Lethal diquat poisoning manifesting as central pontine myelinolysis and acute kidney injury: A case report and literature review. J Int Med Res. 2020 Jul;48(7):300060520943824. doi: 10.1177/0300060520943824.
- Magalhaes N, Carvalho F, Dinis-Oliveira RJ. Human and experimental toxicology of diquat poisoning: Toxicokinetics, mechanisms of toxicity, clinical features, and treatment. Hum Exp Toxicol. 2018 Nov;37(11):1131-1160. doi: 10.1177/0960327118765330. Epub 2018 Mar 23.
- Oreopoulos DG, McEvoy J. Diquat poisoning. Postgrad Med J. 1969 Sep;45(527):635-7. doi: 10.1136/pgmj.45.527.635. No abstract available.
- Cai XL, Teng F, Yu X, Liu LL, Li GQ. [Four cases of acute diquat poisoning with prominent epileptoid seizure and literature review]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 May 20;39(5):359-362. doi: 10.3760/cma.j.cn121094-20200224-00078. Chinese.
- Yuan G, Li R, Zhao Q, Kong X, Wang Y, Wang X, Guo R. Simultaneous determination of paraquat and diquat in human plasma by HPLC-DAD: Its application in acute poisoning patients induced by these two herbicides. J Clin Lab Anal. 2021 Mar;35(3):e23669. doi: 10.1002/jcla.23669. Epub 2020 Dec 9.
- Jones GM, Vale JA. Mechanisms of toxicity, clinical features, and management of diquat poisoning: a review. J Toxicol Clin Toxicol. 2000;38(2):123-8. doi: 10.1081/clt-100100926.
- Saeed SA, Wilks MF, Coupe M. Acute diquat poisoning with intracerebral bleeding. Postgrad Med J. 2001 May;77(907):329-32. doi: 10.1136/pmj.77.907.329.
- Huang Y, Zhang R, Meng M, Chen D, Deng Y. High-dose diquat poisoning: a case report. J Int Med Res. 2021 Jun;49(6):3000605211026117. doi: 10.1177/03000605211026117.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FirstNanjingMU2021ER
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Poisoning
-
National Institute of Environmental Health Sciences...Completed
-
National Institute of Environmental Health Sciences...Health Canada; Danish Institute for Public Health; Indian and Northern Affairs...Completed
-
Amani Hassan Abdel-WahabNot yet recruitingOrganophosphorus Poisoning
-
Rigshospitalet, DenmarkCompletedCarbon Monoxide Poisoning From Fire AccidentsDenmark
-
Sir Salimullah Medical College Mitford HospitalRecruitingOrganophosphorus PoisoningBangladesh
-
Ankara City Hospital BilkentRecruitingCarbon Monoxide PoisoningTurkey
-
TakedaCompletedEthylene Glycol Poisoning, Methanol PoisoningJapan
-
Nonin Medical, IncTerminated
-
Nonin Medical, IncCompleted
-
Rigshospitalet, DenmarkWithdrawn