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CompletedNCT03350113INTELLIGENCEUpdated May 2, 2018

Hemospec Device for Sepsis Diagnosis

An interventional study of Blood sampling for analysis in Sepsis, sponsored by University of Athens. Completed at 3 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-05-02.

Sponsored by University of Athens · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
129
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 44 studies in Sepsis with a site in Greece — 9 open to participants now, 11 under way, 4 of them phase 3. Sepsis · Greece.

Enrollment
19th of 26
129 · median 210
Started
2017
with 7 others
No phase
6 of 44
1 open now
Registered
20th of 44
by date
Lead sponsor
7 of 44
University of Athens

Among the 44 studies in Sepsis with a site in Greece, this one is the 19th largest by enrollment of the 26 interventional ones, is one of 8 that started in 2017, is one of 6 with no phase, and was the 20th registered.

By phase

44 studies; the count open now beside each. This study's row is marked.

Observational18 · 4 open
Phase 310 · 3 open
Phase 27 · 1 open
No phasethis study6 · 1 open
Phase 2/32 · 0 open
Phase 41 · 0 open

By the year they started

First in 2004; this study’s year is marked. 8 started in 2017.

Size and results

Median enrollment 210 across the 26 interventional studies, 200 across the 17 observational. Of the 28 that completed or were terminated, 5 (18%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 44 studies in Sepsis with a site in Greece, or all of them as a file.
02

Study summary

A diagnostic devise, namely HemoSpec, had been developed that integrates clinical information, along with information on circulating protein biomarkers and the morphology of white blood cells to achieve early diagnosis of sepsis. The current study is aiming to validate and improve performance of HemoSpec for the rapid assessment of the critically ill patient in the Emergency Department.

Read the detailed description

Sepsis is a life-threating organ dysfunction resulting from the dysregulated response of the host to an infection. It is estimated that 1.5 million people present with sepsis annually in Northern America and another 1.5 million people in Europe; 30 to 50% of them die making sepsis the leading cause of death. The key-point in the management of sepsis is the early resuscitation with broad- spectrum antimicrobials and intravenous fluids, if possible within the first hour. However, it is not easy to achieve this goal, especially among patients assessed in the Emergency Department (ED), as the diagnosis of an infection is often delayed until the patient's laboratory and imaging tests are completed.

In an attempt to improve the failure of physicians for early sepsis recognition in the ED, several markers have been developed. The most widely used biomarkers are the absolute number of neutrophils, C-reactive protein (CRP) and procalcitonin (PCT). HemoSpec is a device capable of incorporating clinical information from the patient with laboratory data. The analysis provides information on white blood cell morphology, CRP, PCT, interleukin (IL) -6 and suPAR. The device software has been created from all of the above information collected from prospective cohorts of patients from Greece and Germany. The diagnostic function of HemoSpec has so far been validated in two Phase II studies. The first study took place in Germany and involved 60 patients (20 controls, 20 with systemic inflammatory response and 20 with sepsis) who were hospitalized at the University Hospital in Jena. The second study is currently being conducted in Greece and aims to use the information from the HemoSpec device for the prospective categorization of patients with confirmed infection in patients with sepsis and in patients without sepsis.

The above two studies share a common Phase II design in order to validate HemoSpec's diagnostic ability among patients who are clinically diagnosed with sepsis. The clinical reliability of HemoSpec can be verified in a multicenter prospective trial involving patients assessed in the ED. The present study aims to assess the diagnostic ability of the device in ED patients with clinical signs of infection who have a significant risk of death that makes them likely to suffer from sepsis.

03

Conditions studied

  • Sepsis

Browse trials for

Keywords

  • prognosis
  • diagnosis
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Admission in the Emergency Department
  • Age above or equal to 18 years old
  • Both genders
  • Written consent provided from patients or their first-degree relatives for patients unable to consent
  • Considerable risk of death as indicated by the presence of at least one of the following: i) sudden alteration of mental status; ii) systolic blood pressure less than 100 mmHg; and iii) high respiratory rate defined as more than or equal to 22 breaths per minute.

Exclusion criteria

Exclusion Criteria:

  • Known infection by the -1
  • Acute myocardial infarction as evidenced by the electrocardiographic finding of ST- elevation.
  • Single trauma or multiple injuries
  • Known pregnancy and breastfeeding
  • Patients with a of less than 28 days and with limited treatment options
Terms in these criteria, in plain language(2)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
129 participants (actual)

Study arms

  • Experimental
    HemoSpec

    Blood Sampling for analysis in the HemoSpec device

    Device: Blood sampling for analysis

Interventions

  • DeviceBlood sampling for analysis

    Blood Sampling for Analysis

    Also known as: Hemospec

06

What researchers measure

Primary outcomes

  1. Sensitivity of HemoSpec for the diagnosis of sepsis

    The sensitivity of HemoSpec output to diagnose the presence of sepsis compared to the absence of sepsis. HemoSpec output will be considered to provide a satisfactory diagnosis of sepsis if sensitivity for the diagnosis is greater than 90%.

    Time frame: 4 days

Secondary outcomes

  1. Diagnostic performance for sepsis

    The diagnostic performance of HemoSpec output to diagnose the presence of sepsis compared to the absence of sepsis. The diagnostic performance is composed by the aggregation of specificity, positive predictive value and negative predictive value.

    Time frame: 4 days

  2. Prognostics performance for sepsis

    The prognostic performance of HemoSpec output to predict unfavorable outcome compared to survivors. The prognostic performance is composed by the aggregation of sensitivity, specificity, positive predictive value and negative predictive value.

    Time frame: 28 days

07

Study locations

3 sites
  • Univeristy of Jena
    Jena, 07743, Germany
  • General Hospital of Lamia
    Lamia, Phthiotis 35100, Greece
  • 4th Department of Internal Medicine, ATTIKON University Hospital
    Athens, 12462, Greece
08

References and documents

Publications

  • Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, Bellomo R, Bernard GR, Chiche JD, Coopersmith CM, Hotchkiss RS, Levy MM, Marshall JC, Martin GS, Opal SM, Rubenfeld GD, van der Poll T, Vincent JL, Angus DC. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016 Feb 23;315(8):801-10. doi: 10.1001/jama.2016.0287. PubMed 26903338 ↗
  • Becker KL, Snider R, Nylen ES. Procalcitonin assay in systemic inflammation, infection, and sepsis: clinical utility and limitations. Crit Care Med. 2008 Mar;36(3):941-52. doi: 10.1097/CCM.0B013E318165BABB. PubMed 18431284 ↗
  • Giamarellos-Bourboulis EJ, Norrby-Teglund A, Mylona V, Savva A, Tsangaris I, Dimopoulou I, Mouktaroudi M, Raftogiannis M, Georgitsi M, Linner A, Adamis G, Antonopoulou A, Apostolidou E, Chrisofos M, Katsenos C, Koutelidakis I, Kotzampassi K, Koratzanis G, Koupetori M, Kritselis I, Lymberopoulou K, Mandragos K, Marioli A, Sunden-Cullberg J, Mega A, Prekates A, Routsi C, Gogos C, Treutiger CJ, Armaganidis A, Dimopoulos G. Risk assessment in sepsis: a new prognostication rule by APACHE II score and serum soluble urokinase plasminogen activator receptor. Crit Care. 2012 Aug 8;16(4):R149. doi: 10.1186/cc11463. PubMed 22873681 ↗

Individual participant data

Plan to share: No

09

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

Ran from Oct 2017 to primary completion in Apr 2018, 6 months.

Of 301 non-industry interventional studies with no phase under Sepsis, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 42. This study's 6 months is below that.

Counting every sponsor, half of 324 studies reached it within 22 months; a quarter within 12 and three quarters within 40.

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

Registered
Nov 17, 2017
First posted
Nov 22, 2017
StartActual
Oct 2, 2017
Primary completionActual
Apr 30, 2018
CompletionActual
Apr 30, 2018
Last update
May 2, 2018
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 May 2, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03350113
Collaborators
General Hospital of Lamia, University of Jena
Responsible party
Evangelos J. Giamarellos-Bourboulis, M.D. (Associate Professor of Internal Medicine, University of Athens) — Principal investigator
First posted
Nov 22, 2017
Start date
Oct 2, 2017
Primary completion
Apr 30, 2018
Completion
Apr 30, 2018
Last update
May 2, 2018

Study contacts

Evangelos J Giamarellos-Bourboulis, MD, PhD
study chair · National and Kapodistrian University of Athens
Magdalini Bristianou, MD, PhD
principal investigator · General Hospital of Lamia
Michael Bauer, MD, PhD
principal investigator · Jena University Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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