ClinicalTrials.gg
Status unknownNCT03232242Updated Jul 27, 2017

Application of NGS Technique in Precise Diagnosis of Infectious Diseases

An observational study in Next Generation Sequencing and Infectious Disease, sponsored by Huashan Hospital. Status unknown at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-07-27.

Sponsored by Huashan Hospital · Observational

The sponsor has not verified this record recently (last verified Jul 2017), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,500
Ages
18 Years and older
Sex
All
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Study summary

Infectious disease leads to deaths that accounted for more than 25% of all causes of human mortality. But the traditional microbiological diagnostic methods such as specimen culture are sometimes time-consuming, and have limited sensitivity. And some bacteria, anaerobes and viruses may be difficult to cultivate and isolation. Therefore, the accurate identification and rapid classification of pathogenic microorganisms is very important for the patient's precise diagnosis and timely treatment.

Small-scale studies on the diagnostic efficacy and prognosis of infection in the next generation have been shown to provide early diagnosis and targeted medication guidance for bloodstream infections and respiratory infections, but the larger-scale validation of next-generation sequencing Technology in the diagnosis and treatment of infectious diseases in the human body is relatively rare.

The purpose of this study is to provide rapid etiological diagnosis of patients by means of next-generation sequencing, to change the way of treatment of patients under the existing traditional pathogen detection by means of accurate description of pathogens and monitoring their dynamic changes, and to provide patients with more accurate treatment.

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Conditions studied

  • Next Generation Sequencing
  • Infectious Disease
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In context

Communicable Diseases

4,448 studies on the registry are indexed under Communicable Diseases; 514 are open to participants now.

This study's planned enrollment of 1,500 is above the median of 240 across 1,501 observational studies indexed under Communicable Diseases.

Browse Communicable Diseases studies →

Lead sponsor

Huashan Hospital is the lead sponsor of 246 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients that are highly suspected of infectious diseases, and they will be selected mainly from infectious diseases departments .

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

  • Patients are highly suspected of fever of unknown origin
  • Patients are highly suspected of bloodstream infection
  • Patients are highly suspected of respiratory infections
  • Patients are highly suspected of central nervous system infection

Exclusion criteria

Exclusion Criteria:

  • Patients diagnosed as non-infectious diseases such as cancer and autoimmune diseases;
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,500 participants (estimated)
Patient registry
No

Interventions

  • Diagnostic testNext-generation sequencing

    To provide rapid etiological diagnosis of patients by means of next-generation sequencing.

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What researchers measure

Primary outcomes

  1. Diagnostic value (sensitivity and sensibility, positive/negative predictive value) of next-generation sequencing in the pathogen detection of infectious diseases

    We aim to collect samples from patients with fever, bacteremia and bloodstream infections, respiratory infections, central nervous system infections, and abscesses, including blood, cerebrospinal fluid, serous effusion, pus, sputum, alveolar lavage fluid, throat swab. Next-generation sequencing will be performed on the collected samples. Our analysis of the sequencing results will focus on the analysis and identification of pathogen genes and will compare the diagnostic performance of next-generation sequencing with conventional etiological diagnostic methods. We anticipate that next-generation sequencing in infectious patients will show a greater diagnostic value than the traditional methods (including culture, special pathogen serology, PCR detection of nucleic acids, etc.).

    Time frame: 3 years

Secondary outcomes

  1. Diagnostic value (sensitivity and sensibility, positive/negative predictive value) of traditional methods in the pathogen detection of infectious diseases

    We aim to collect samples from patients with fever, bacteremia and bloodstream infections, respiratory infections, central nervous system infections, and abscesses, including blood, cerebrospinal fluid, serous effusion, pus, sputum, alveolar lavage fluid, throat swab. Traditional methods including culture, special pathogen serology, PCR detection of nucleic acids, etc, will be performed on the collected samples. Our analysis aims to study the diagnostic power of the traditional diagnostic methods in infectious diseases.

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
  • Huashan Hospital of Fudan University
    Shanghai, Shanghai Municipality 200040, China
    Recruiting
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References and documents

Publications

  • Fu Z, Ai J, Zhang H, Cui P, Xu T, Zhang Y, Zhang Y, Wu H, Shen A, Lin K, Zhang M, Qiu C, Jiang N, Zhou Y, Zhang W. Pathogen quantitative efficacy of different spike-in internal controls and clinical application in central nervous system infection with metagenomic sequencing. Microbiol Spectr. 2023 Dec 12;11(6):e0113923. doi: 10.1128/spectrum.01139-23. Epub 2023 Nov 20. PubMed 37982612 ↗

Individual participant data

Plan to share: No

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Aug 2017; primary completion for Jul 2020, 35 months later.

Of 579 non-industry observational studies under Communicable Diseases, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 56. This study's planned 35 months is above that.

Counting every sponsor, half of 644 studies reached it within 27 months; a quarter within 13 and three quarters within 54.

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

Registered
Jul 25, 2017
First posted
Jul 27, 2017
StartEst.
Aug 1, 2017
Primary completionEst.
Jul 31, 2020
CompletionEst.
Dec 31, 2020
Last update
Jul 27, 2017
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 Jul 27, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03232242
Lead sponsor
Huashan Hospital
Collaborators
Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Children's Hospital of Fudan University
Responsible party
Wen-hong Zhang (Director, Huashan Hospital) — Principal investigator
First posted
Jul 27, 2017
Start date
Aug 1, 2017 (estimated)
Primary completion
Jul 31, 2020 (estimated)
Completion
Dec 31, 2020 (estimated)
Last update
Jul 27, 2017

Study contacts

Wenhong Zhang, PhD,MD
Contact
zhangwenhong@fudan.edu.cn
+86 21 52889999 ext. 8123
Jialin Jin, PhD,MD
Contact
jinjialin2002@126.com
+86 15601957225

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.

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