NCT03777670

Brief Summary

Diagnosis of neonatal sepsis remains a challenge due to non-specific signs and diagnostic inaccuracies. Studies have shown that this could lead to overdiagnosis and overuse of antibiotic treatment, with potential long-term adverse effects. A systems approach towards diagnosing neonatal sepsis has been shown to have high accuracy in initial studies. This study aims to recruit a large validation cohort to confirm findings.

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
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2020

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 13, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 17, 2018

Completed
1.2 years until next milestone

Study Start

First participant enrolled

February 26, 2020

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2023

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

February 28, 2024

Completed
Last Updated

April 7, 2020

Status Verified

April 1, 2020

Enrollment Period

3 years

First QC Date

December 13, 2018

Last Update Submit

April 4, 2020

Conditions

Keywords

Newborn

Outcome Measures

Primary Outcomes (1)

  • Sepsis

    Immune signature of sepsis

    5-years

Study Arms (2)

Cases

Infants with suspected sepsis

Diagnostic Test: Blood test

Controls

Infants with no suspicion of sepsis

Diagnostic Test: Blood test

Interventions

Blood testDIAGNOSTIC_TEST

Drop of blood for RNA and metabolic analysis

CasesControls

Eligibility Criteria

AgeUp to 4 Months
Sexall
Age GroupsChild (0-17)
Sampling MethodProbability Sample
Study Population

Newborn infants in the neonatal unit with a suspicion of sepsis

You may qualify if:

  • Screened with traditional tests (full-blood count \[FBC\], inflammatory markers like C-reactive protein \[CRP\], and blood-culture) for suspected sepsis (including non-infective inflammatory conditions) and started on antibiotics - potential cases.
  • Being sampled for non-septic conditions (bloods sampling for routine monitoring, jaundice, hypoglycaemia, etc.) - controls.
  • Informed consent from parents to use blood and stool samples (initial sample and 24-hour sample) and clinical data for study.

You may not qualify if:

  • Language and communication issues, which will make it difficult to explain study and request informed consent.
  • When an infant has a high chance of mortality in the next 24-hours.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University Hospital of Wales

Cardiff, South Glamorgan, CF14 4XN, United Kingdom

RECRUITING

Related Publications (1)

  • Chakraborty M, Rodrigues PRS, Watkins WJ, Hayward A, Sharma A, Hayward R, Smit E, Jones R, Goel N, Asokkumar A, Calvert J, Odd D, Morris I, Doherty C, Elliott S, Strang A, Andrews R, Zaher S, Sharma S, Bell S, Oruganti S, Smith C, Orme J, Edkins S, Craigon M, White D, Dantoft W, Davies LC, Moet L, McLaren JE, Clarkstone S, Watson GL, Hood K, Kotecha S, Morgan BP, O'Donnell VB, Ghazal P. nSeP: immune and metabolic biomarkers for early detection of neonatal sepsis-protocol for a prospective multicohort study. BMJ Open. 2021 Dec 30;11(12):e050100. doi: 10.1136/bmjopen-2021-050100.

Biospecimen

Retention: SAMPLES WITHOUT DNA

RNA

MeSH Terms

Conditions

Sepsis

Interventions

Hematologic Tests

Condition Hierarchy (Ancestors)

InfectionsSystemic Inflammatory Response SyndromeInflammationPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Clinical Laboratory TechniquesDiagnostic Techniques and ProceduresDiagnosisInvestigative Techniques

Central Study Contacts

Peter Ghazal, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Consultant in Neonatal Medicine

Study Record Dates

First Submitted

December 13, 2018

First Posted

December 17, 2018

Study Start

February 26, 2020

Primary Completion

February 28, 2023

Study Completion

February 28, 2024

Last Updated

April 7, 2020

Record last verified: 2020-04

Locations