NCT04353388

Brief Summary

The purpose of this study is to demonstrate that addition of the Monocyte Width Distribution (MDW) parameter to current standard of care improves a clinician's ability to recognize sepsis in the Emergency Department, resulting in earlier decision to administer antibiotics from time of ED presentation for sepsis patients (simulated primary endpoint), with concomitant reductions in length of stay and in-hospital mortality for those patients (secondary endpoints).

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,139

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Feb 2020

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

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

February 3, 2020

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

April 16, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

April 20, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 17, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 17, 2020

Completed
Last Updated

March 17, 2021

Status Verified

July 1, 2020

Enrollment Period

6 months

First QC Date

April 16, 2020

Last Update Submit

March 15, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • Potential reduction of Time to Antibiotics

    Validate MDW's ability to reduce time to first antibiotics ordered by physician (decision to treat)-Simulated

    12 hours after ED presentation

Secondary Outcomes (1)

  • Performance

    12 hours after ED presentation

Other Outcomes (4)

  • Health & Economic Benefits for Time to Antibiotics - Simulated

    12 hours after ED presentation

  • Health & Economic Benefits for Hospital Stay - Simulated

    12 hours after ED presentation

  • Health & Economic Benefits for Mortality - Simulated

    12 hours after ED presentation

  • +1 more other outcomes

Study Arms (1)

CBC-Diff Monocyte Volume Width Distribution

Monocyte Volume Width Distribution (MDW) is part of the CBC with Differential

Diagnostic Test: CBC-DIFF Monocyte Volume Width Distribution (MDW)

Interventions

MDW measurement will be used to detect sepsis. Results will not be used to manage patients.

CBC-Diff Monocyte Volume Width Distribution

Eligibility Criteria

Age18 Years - 89 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

All adult patients presenting to the ED where a CBC-Diff has been ordered by standard of care

You may qualify if:

  • All race and ethnicities
  • Presenting to the emergency department with suspicion of infection
  • Whose assessment includes a CBC with differential
  • Meets EMR Sepsis Definition

You may not qualify if:

  • Pregnancy
  • Prisoners
  • Transfers from other ED
  • Previously enrolled

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Washington University

St Louis, Missouri, 63110, United States

Location

MeSH Terms

Conditions

SepsisDiseaseEmergencies

Condition Hierarchy (Ancestors)

InfectionsSystemic Inflammatory Response SyndromeInflammationPathologic ProcessesPathological Conditions, Signs and SymptomsDisease Attributes

Study Officials

  • Tiffany Osborn, MD

    Washington University School of Medicine

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 16, 2020

First Posted

April 20, 2020

Study Start

February 3, 2020

Primary Completion

July 17, 2020

Study Completion

July 17, 2020

Last Updated

March 17, 2021

Record last verified: 2020-07

Locations