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Novel Pleural Fluid, Biopsy and Serum Biomarkers for the Investigation of Pleural Effusions (INVEST)

2020年11月4日 更新者:University of Oxford

A Prospective Observational Study Examining the Clinical Utility of Novel Pleural Fluid, Biopsy and Serum Bio Markers for the Investigation of Pleural Effusions

The purpose of this study is to prospectively asses established biomarkers in the diagnosis and prognosis of patients and will include assessment of a number of biomarkers, genomics and proteomics.

研究概览

地位

完全的

详细说明

A prospective observation study examining the clinical utility of novel pleural fluid, biopsy and serum biomarkers for the investigation of pleural effusions (INVEST). The INVEST study will collect blood, pleural fluid and tissue samples from donors, allowing the opportunity to apply several novel blood and pleural fluid tests with interpretation of results in the context of clinical data and diagnostic suspicion. Through the prospective application of multiple tests, we aim to validate the sensitivity and specificity of existing biomarkers and identify novel markers that aid in the diagnostic pathway of pleural diseases. Because samples and data will be stored for future use, many other different tests, methods and techniques may be used in the future to provide information that we cannot foresee.

研究类型

观察性的

注册 (实际的)

313

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Oxfordshire
      • Oxford、Oxfordshire、英国、OX3 7LE
        • Oxford University Hospitals NHS Foundation Trust

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

有资格学习的性别

全部

取样方法

非概率样本

研究人群

This is a prospective single centre study looking to recruit 300 participants to help prospectively evaluate the sensitivity and specificity of known diagnostic biomarkers and discover novel biomarkers in pleural diseases. Patients aged 18 or over, requiring investigation and/or management of any undiagnosed pleural effusion or pleural thickening will be approached about the study within Oxford University Hospital NHS Foundation Trust.

描述

Inclusion Criteria:

  • Undiagnosed pleural effusion or pleural thickening requiring investigation by one of the following:

    • Pleural aspiration
    • Pleural biopsies from medical thoracoscopy or
    • Ultrasound guided biopsies as part of the clinical plan
  • Suspected lung cancer undergoing bronchoscopy and biopsies.

Exclusion Criteria:

  • Inability to give written informed consent
  • Inability to obtain pleural fluid, blood, endobronchial or pleural biopsies as applicable

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Protein expression levels of specific biomarkers
大体时间:At enrolment

All study samples will be analysed with specific laboratory based techniques (enzyme-linked immunosorbent assay, ELISA, or luminex assay.

- Existing biomarkers will be prospectively evaluated based on the underlying disease:

  • Mesothelin
  • Procalcitonin
  • Brain natriuretic peptide
  • Fibulin
  • Osteopontin
  • ADA
  • additional markers will be included on the panel depending on the patient's underlying disease this could include inflammatory markers, cancer related peptides and immune cell profiling.

The above tests have been demonstrated in the BTS Guidelines in pleural disease entitled "Investigation of a unilateral pleural effusion in adults" to have utility in the diagnosis of infectious, malignant, tuberculous and heart failure related effusion.

Samples will also be processed for the identification of novel markers with diagnostic or therapeutic importance. Specific cell population will be measured with flow cytometry to detect the immune response of different

At enrolment

次要结果测量

结果测量
措施说明
大体时间
The analysis of protein and gene expression profile in cell subpopulation of pleural fluid, pleural and endobronchial biopsies and blood samples.
大体时间:At enrolment
To correlate gene expression, immune sub population, protein levels with pleural disease prognoses
At enrolment

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2017年10月26日

初级完成 (实际的)

2019年12月31日

研究完成 (实际的)

2019年12月31日

研究注册日期

首次提交

2018年9月4日

首先提交符合 QC 标准的

2018年9月4日

首次发布 (实际的)

2018年9月7日

研究记录更新

最后更新发布 (实际的)

2020年11月5日

上次提交的符合 QC 标准的更新

2020年11月4日

最后验证

2020年11月1日

更多信息

与本研究相关的术语

其他研究编号

  • INVEST Version 1.0

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

研究美国 FDA 监管的设备产品

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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