ClinicalTrials.gg
RecruitingNCT03044223MIPSAUpdated Jan 17, 2024

Monocyte Profiles in Critically Ill Patients With Pseudomonas Aeruginosa Sepsis

An observational study in Pseudomonas Infections, Pseudomonas Septicemia and Pseudomonas; Pneumonia, sponsored by University of Ulm. Recruiting at 1 site in Germany. Open to participants aged 18 Years to 90 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-17.

Sponsored by University of Ulm · Observational

From the registry’s dates

  • Primary completion was expected by Nov 2025, 1 year ago, but the record still lists the study as recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years to 90 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 15 studies in Pseudomonas Infections with a site in Germany — 1 open to participants now, 1 under way, none of them phase 3. Pseudomonas Infections · Germany.

Started
2014
the only one that year
Observational
Only one
of the 15
Registered
15th of 15
by date
Lead sponsor
1 of 15
University of Ulm

Among the 15 studies in Pseudomonas Infections with a site in Germany, this one is the only one that started in 2014, is the only observational one, and was the 15th registered.

Pseudomonas Infections

136 studies on the registry are indexed under Pseudomonas Infections; 27 are open to participants now.

Browse Pseudomonas Infections studies →

Open to participants now

1 of the 15 studies in Pseudomonas Infections with a site in Germany is open now.

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 20 Pseudomonas Infections studies recruiting now, 11 (55%) set no upper age limit and 2 (10%) stop at 75 or younger; 4 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 90 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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02

Study summary

The present study focuses on patients with Pseudomonas aeruginosa (PSA) sepsis. The aim of the present study is to find out whether the M1 (pro-inflammatory) or M2 (anti-inflammatory) phenotype predominates in blood monocytes in critically ill patients with PSA-sepsis, and whether the severity of sepsis and outcome is associated with distinct monocyte phenotype and function.

Read the detailed description

During bacterial related sepsis, one of the key playing cells are macrophages, monocytes and T-lymphocytes (Hotchkiss et al., 2003). Macrophages and monocytes are supposed to be essential for the septic reaction to Gram-negative bacteria (Hotchkiss et al. 2003). Generally, there are two dominant types of macrophages: the pro-inflammatory M1 macrophage and the anti-inflammatory M2 macrophage (Mantovani et al., 2006). Similar to this macrophage characteristics, monocytes can also be categorized into pro-or anti-inflammatory. These macrophage/monocyte phenotypes can be differentiated in vitro from freshly isolated human blood monocytes using either GM-CSF giving raise to M1 macrophage/monocyte or M-CSF resulting in M2 macrophage/monocyte (Mantovani et al., 2006; Neu et al., 2013). Brunialti et al. (2012) have already demonstrated that the population of antiinflammatory M2 monocytes in septic patients is bigger than the pro-inflammatory M1 population. However, the authors did not further analyze the underlying mechanisms of M2 polarization nor did they identify the sepsis-causing pathogens.

In the present study, monocytes and macrophages of patients with Pseudomonas aeruginosa (PSA) sepsis are characterized by their surface marker expression profile via flow cytometry and cytokine pattern by ELISA in vivo and after ex-vivo LPS stimulation. In addition, an ex-vivo model system for PSA induced sepsis is validated. Blood of critically ill patients in the ICU infected with PSA is sampled to isolate peripheral blood mononuclear cells (PBMCs). Blood monocytes are analyzed for surface marker expression to determine the relative proportions of M1 and M2 monocytes in these patients and in healthy controls by flow cytometry

03

Conditions studied

  • Pseudomonas Infections
  • Pseudomonas Septicemia
  • Pseudomonas; Pneumonia
  • Pseudomonal Bacteraemia
  • Pseudomonas Urinary Tract Infection
  • Pseudomonas Gastrointestinal Tract Infection
  • Sepsis
  • Sepsis, Severe
  • Critically Ill

Keywords

  • pseudomonas aeruginosa
  • critically ill patient
  • sepsis
  • monocyte
  • macrophage
  • cytokine
  • severity of disease
04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Critically ill patients with sepsis with microbiologically proven infection with Pseudomonas aeruginosa

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • age > 18 years
  • critically ill patients with sepsis
  • microbiologically proven infection with Pseudomonas aeruginosa

Exclusion criteria

Exclusion Criteria:

  • \< 24 hours
  • participation in other studies
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna
06

What researchers measure

Primary outcomes

  1. Monocyte surface marker expression in critically ill patients with Pseudomonas aeruginosa sepsis

    Monocyte type 1, type 2 surface marker expression

    Time frame: two years

Secondary outcomes

  1. Cytokine concentrations in serum and production after ex-vivo stimulation of isolated monocytes of critically ill patients with Pseudomonas aeruginosa sepsis with LPS

    IL-8 and IFN-gamma

    Time frame: four years

07

Study locations

1 of 1 sites recruiting
  • Clinic of Anesthesiology
    Ulm, 89070, Germany
    Recruiting
    • Manfred Weiss, MD, MBA · Contactmanfred.weiss@uniklinik-ulm.de · +49-(0)731-500-60226
    • Eberhard Barth, MD · Contacteberhard.barth@uniklinik-ulm.de · +49-(0)731-500-60050
    • Eberhard Barth, MD · Sub investigator
    • Michael Goergieff, MD · Sub investigator
    • Hendrik Bracht, MD · Sub investigator
    • Florian Gebhard, MD · Sub investigator
    • Doris Henne-Bruns, MD · Sub investigator
    • Marc-Eric Halatsch, MD · Sub investigator
    • Karl-Heinz Orend, MD · Sub investigator
    • Andreas Essig, MD · Sub investigator
    • Christian Riedel, PhD · Sub investigator
    • Anne Sedlag, Biochemist · Principal investigator
08

References and documents

Publications

  • Brunialti MK, Santos MC, Rigato O, Machado FR, Silva E, Salomao R. Increased percentages of T helper cells producing IL-17 and monocytes expressing markers of alternative activation in patients with sepsis. PLoS One. 2012;7(5):e37393. doi: 10.1371/journal.pone.0037393. Epub 2012 May 31. PubMed 22693573 ↗
  • Hotchkiss RS, Karl IE. The pathophysiology and treatment of sepsis. N Engl J Med. 2003 Jan 9;348(2):138-50. doi: 10.1056/NEJMra021333. No abstract available. PubMed 12519925 ↗
  • Mantovani A, Sica A, Locati M. New vistas on macrophage differentiation and activation. Eur J Immunol. 2007 Jan;37(1):14-6. doi: 10.1002/eji.200636910. PubMed 17183610 ↗
  • Neu C, Sedlag A, Bayer C, Forster S, Crauwels P, Niess JH, van Zandbergen G, Frascaroli G, Riedel CU. CD14-dependent monocyte isolation enhances phagocytosis of listeria monocytogenes by proinflammatory, GM-CSF-derived macrophages. PLoS One. 2013 Jun 11;8(6):e66898. doi: 10.1371/journal.pone.0066898. Print 2013. PubMed 23776701 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2014, a primary completion of Nov 2025 and a completion of Dec 2026. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 2, 2017
First posted
Feb 6, 2017
Start
Aug 2014
Primary completionEst.
Nov 2025
CompletionEst.
Dec 2026
Last update
Jan 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03044223
Lead sponsor
University of Ulm
Responsible party
Manfred Weiss (Professor, MD, University of Ulm) — Principal investigator
First posted
Feb 6, 2017
Start date
Aug 2014
Primary completion
Nov 2025 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jan 17, 2024

Study contacts

Manfred Weiss, MD, MBA
Contact
manfred.weiss@uniklinik-ulm.de
+49 731 500 60226
Eberhard Barth, MD
Contact
eberhard.barth@uniklinik-ulm.de
+49 731 500 60050
Manfred Weiss, MD, MBA
principal investigator · University Ulm, University Hospital Ulm
Anne Sedlag, Biochemist
principal investigator · University Ulm, Institute of Microbiology and Biotechnology

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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