Modulation of Molecular Fingerprinting in Pediatric Sepsis
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: miRNA in Sepsis.
- Who it may be relevant to
- Registry conditions: Systemic Inflammatory Response Syndrome. Basic parameters: 1 year — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this study is to demonstrate the sensitivity and specificity of detecting circulating micro RNA (miRNA) biomarkers in pediatric septic patients. It will also follow expression and modulation of levels in response to therapy in comparison to current biomarkers.
Detailed description
This study will aid in the evaluation of determining the accuracy of these miRNAs in pediatric patients and help in establishing pilot data for additional studies in the future. The testing will include blood samples, urine samples and buccal swabs from patients who meet eligibility at 5 time points to analyze biomarkers. Study participants will receive standard of care with antimicrobials and any additional appropriate cardiovascular or respiratory support per the clinical team. The samples will collected and stored at -80 until analysis can be performed. In addition to, during the course of the hospitalization, the enrolled patient will have data collected to calculate severity scores, including updated Pediatric Risk of Mortality (PRISM III) scores and simplified Therapeutic Intervention Scoring System(TISS-28) scores. All patient information will be de-identified. A standard procedure manual will be developed detailing the methods for data collection and entry. Data will be recorded in a de-identified manner on a Microsoft Excel database on a secure institutional server by the institutional staff. Data will then be analyzed to determine correlation of biomarkers to morbidity and mortality for these patients.
Interventions
- Procedure miRNA in Sepsis
miRNA in Sepsis
Primary outcome measures
- Risk of Mortality [Time frame: Duration of hospital stay, an expected average of 3 weeks]
Secondary outcome measures (3)
- Organ Failure [Time frame: Duration of hospital stay, an expected average of 3 weeks]
- Organ Dysfunction [Time frame: Duration of hospital stay, an expected average of 3 weeks]
- Patient acuity [Time frame: Duration of hospital stay, an expected average of 3 weeks]
Eligibility criteria
Inclusion criteria
- Age 1 through 18 years
- Patients admitted to the PICU with concerns for sepsis or those developing sepsis during their admission to the hospital.
- Patients must be enrolled int he study from arrival time tot he ED up to 24 hours from the time of initiation of antibiotic therapy for treatment of sepsis or septic shock.
- Signed informed consent.
Exclusion criteria
- Patients <1 year of age and greater than 18 years of age.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
United States · 2 centers
- Phoenix Children's Hospital — Phoenix
- Phoenix Children's Hospital — Phoenix
Identifiers
NCT: NCT02055105 · PHNX-biosep-12159