NCT03499652

Brief Summary

Neonatal bacterial meningitis (BM) is a devastating infection that occurs more commonly in neonates than in any other age group, and is associated with significant morbidity and mortality, especially in developing countries. In this study, we aimed to develop a clinical risk score model, according to the available clinical syndromes and commonly laboratory tests, for screening BM among full-term neonates in a large-scale retrospective cohort, and prospectively validated the risk score in multicenter cohort.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
10,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Dec 2017

Longer than P75 for all trials

Geographic Reach
1 country

2 active sites

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

December 1, 2017

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

April 8, 2018

Completed
9 days until next milestone

First Posted

Study publicly available on registry

April 17, 2018

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2020

Completed
3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

April 17, 2018

Status Verified

April 1, 2018

Enrollment Period

3.1 years

First QC Date

April 8, 2018

Last Update Submit

April 15, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • neonatal bacterial meningitis risk score

    Our researchers grade the patients with the neonatal bacterial meningitis risk score to identify patients with bacterial meningitis, patients with risk score ≤ 3 points considered to be the low-risk group, and patients with risk score \> 3.1 points considered the high-risk group, and the risk score model has no maximum or minimum value.

    1 day

Study Arms (2)

derivation cohort

The data of derivation cohort are used to derive the neonatal bacterial meningitis risk score

Diagnostic Test: neonatal bacterial meningitis risk score

validation cohort

The data of validation cohort are used to validate the neonatal bacterial meningitis risk score

Diagnostic Test: neonatal bacterial meningitis risk score

Interventions

In the validation cohort,according to the neonatal bacterial meningitis risk score, we will suggest neonates who reach certain score to take a lumbar puncture, but we will not interfere with clinicians' decision

derivation cohortvalidation cohort

Eligibility Criteria

Age1 Day - 28 Days
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

Eligible participants were full-term neonates, aged older than 3 days, who were suspected with BM and received LPs.

You may qualify if:

  • Subject has a positive cerebrospinal fluid culture of bacterial pathogen(s)
  • Subject has a positive blood culture of bacterial pathogen and counts of white blood cells in cerebrospinal fluid ≥ 20×106/L
  • Subject has counts of white blood cells in cerebrospinal fluid ≥ 20×106/L and counts of neutrophils ≥ 10×106/L as well as suspected clinical symptoms

You may not qualify if:

  • History of brain trauma, brain tumor, cerebral palsy, epilepsy, and ventricular shunt device
  • History of accepting neurosurgery
  • Subject has missing data

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Shanghai, Shanghai Municipality, 200092, China

RECRUITING

Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine

Shanghai, 200092, China

RECRUITING

Biospecimen

Retention: SAMPLES WITH DNA

cerebrospinal fluid, blood, urine, excrement

MeSH Terms

Conditions

Meningitis, Bacterial

Condition Hierarchy (Ancestors)

Central Nervous System Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsCentral Nervous System InfectionsCentral Nervous System DiseasesNervous System DiseasesMeningitisNeuroinflammatory Diseases

Central Study Contacts

Yongjun Zhang, doctor

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
OTHER
Target Duration
2 Years
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 8, 2018

First Posted

April 17, 2018

Study Start

December 1, 2017

Primary Completion

December 31, 2020

Study Completion

December 31, 2023

Last Updated

April 17, 2018

Record last verified: 2018-04

Locations