NCT06152848

Brief Summary

The latest data from the World Health Organization (WHO) shows that malnutrition in all its forms affects over 2.5 billion people globally. This condition is constantly increasing and affects the entire population, from childhood to the elderly. Malnutrition in all its forms negatively impacts the quality of life of patients affected and increases the risk of morbidity and mortality, as well as healthcare costs. Considering the complexity and multifactorial nature of malnutrition, the integration of multi-omics data obtained from analyzes with high-throughput technologies such as epigenomics, metagenomics, metabolomics, could benefit the prediction and evaluation of prognosis and/or response to specific treatments; this could pave the way for personalized precision medicine interventions for patients suffering from malnutrition. The SAM study aims to characterize malnutrition through the identification of specific biomarkers of the condition with the aim of developing innovative prevention and treatment programs.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
2,000

participants targeted

Target at P75+ for all trials

Timeline
2mo left

Started Jul 2023

Typical duration for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress96%
Jul 2023Jul 2026

Study Start

First participant enrolled

July 24, 2023

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

November 22, 2023

Completed
9 days until next milestone

First Posted

Study publicly available on registry

December 1, 2023

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 24, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 24, 2026

Last Updated

June 4, 2025

Status Verified

June 1, 2025

Enrollment Period

3 years

First QC Date

November 22, 2023

Last Update Submit

June 3, 2025

Conditions

Outcome Measures

Primary Outcomes (8)

  • Characterization of malnutrition through the identification of specific biomarkers of the condition.

    Data and samples analyses

    36 months

  • Untargeted microRNA expression profile in blood samples

    TruSeq Small RNA Sample Preparation Kit (Illumina)

    36 months

  • Plasmatic extracellular vesicles

    A transmission electron microscope will be used to analyze the morphology of extracellular vesicles and the total protein concentration of the extracellular vesicles will be measured with a Bradford assay and the quantitation of specific membrane proteins and specific intracellular proteins (Heat-Shock Proteins/HSP) will be carried out by ELISA.

    36 months

  • Metagenomic analysis of fecal samples

    Shotgun analysis

    36 months

  • Metabolomicanalysis of fecal samples

    Gas chromatography-mass spectrometry

    36 months

  • Untargeted microRNA expression profile in saliva samples

    TruSeq Small RNA Sample Preparation Kit (Illumina)

    36 months

  • Salivary extracellular vesicles

    A transmission electron microscope will be used to analyze the morphology of extracellular vesicles and the total protein concentration of the extracellular vesicles will be measured with a Bradford assay and the quantitation of specific membrane proteins and specific intracellular proteins (Heat-Shock Proteins/HSP) will be carried out by ELISA.

    36 months

  • Metagenomic analysis of salivary samples

    Shotgun analysis

    36 months

Study Arms (2)

Patients affected by malnutrition

Patients affected by malnutrition due to deficiency or excess

Other: Data and samples collection

Sex- and age- matched healthy controls

Sex- and age- matched healthy controls not affected by any pathology and/or malnutrition due to deficiency or excess

Other: Data and samples collection

Interventions

Collection of clinical, anamnestic and lifestyle data; collection of faecal, blood and saliva samples

Patients affected by malnutritionSex- and age- matched healthy controls

Eligibility Criteria

Age0 Years - 85 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

1000 patients affected by malnutrition due to deficiency or excess, associated with at least one of the pathological conditions(small for gestational age; metabolic syndrome; type 1 diabetes mellitus; neurological diseases; psychiatric; chronic infectious diseases; oncological pathologies; gastrointestinal diseases; cardiovascular diseases; kidney disease; lung pathologies) aged 0-85 years (50% male) and 1000 sex- and age- matched healthy controls not affected by any pathology and/or malnutrition due to deficiency or excess.

You may qualify if:

  • Caucasian ethnicity;
  • both sexes;
  • age between 0 and 85 years;
  • affected by malnutrition due to deficiency or excess in association with other patology and sex- and age-matched healthy controls not affected by malnutrition due to deficiency or excess and any pathology
  • Written informed consent

You may not qualify if:

  • Non-Caucasian ethnicity;
  • Age \> 85 years.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Traslational Medical Science - University of Naples Federico II

Naples, 80131, Italy

RECRUITING

MeSH Terms

Conditions

Malnutrition

Condition Hierarchy (Ancestors)

Nutrition DisordersNutritional and Metabolic Diseases

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medical Doctor, PhD, Professor

Study Record Dates

First Submitted

November 22, 2023

First Posted

December 1, 2023

Study Start

July 24, 2023

Primary Completion (Estimated)

July 24, 2026

Study Completion (Estimated)

July 24, 2026

Last Updated

June 4, 2025

Record last verified: 2025-06

Locations