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CompletedNCT03588325Updated Nov 22, 2019

Evaluation of MDW for Early Detection of Sepsis, Clinical Validity

An observational study in Severe Infection, Sepsis and Severe Sepsis, sponsored by Beckman Coulter, Inc.. Completed at 2 sites in 2 countries. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2019-11-22.

Sponsored by Beckman Coulter, Inc. · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
947
Ages
18 Years to 89 Years
Sex
All
01

Study summary

The purpose of this study is to confirm the clinical validity and the performance of the Monocyte Width Distribution (MDW) parameter to detect the development of sepsis in a prospective study of Emergency Department (ED) adults who have blood draw including Complete Blood Count with differential (CBC-DIFF) ordered upon presentation in a Spanish \& French hospital and to verify cut-off for Tri-potassium ethylenediaminetetraacetic acid (K3EDTA).

Read the detailed description

To confirm the clinical validity and performance of the Monocyte Width Distribution (MDW) parameter to detect the development of sepsis in a prospective study of ED adults who have blood draw including CBC with Differential ordered upon ED presentation. Septic patients are identified as those with values equal to or above the MDW threshold and non-septic patients are those with MDW values below the threshold. As the anticoagulant used at the sites is K3EDTA, the cut-off value will be assessed using sepsis cases and all corresponding non-sepsis to confirm optimal cut-off.

To explore the added value of this parameter in a patient diagnostic pathway that includes the use of procalcitonin (PCT) or C reactive protein (CRP) for the identification of septic patients All enrolled subjects will have PCT/ CRP assay performed per protocol Plasma will be aliquot and stored frozen for subsequent testing at Beckman Coulter for other sepsis biomarker tests (additional PCT\& CRP tests and interleukin-6 (IL-6) on the sponsor's devices

02

Conditions studied

  • Severe Infection
  • Sepsis
  • Severe Sepsis

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Keywords

  • MDW
  • Sepsis
03

In context

Sepsis

1,899 studies on the registry are indexed under Sepsis; 462 are open to participants now.

This study's enrollment of 947 is above the median of 160 across 931 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Beckman Coulter, Inc. is the lead sponsor of 31 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Sampling method
Probability sample

Study population

All adults with suspicion of infection who present to the Emergency Department and for whom a CBC-DIFF is ordered upon presentation

Inclusion criteria

  • CBC-DIFF upon presentation
  • Adults (18-89) of all races \& ethnicities
  • Signed Informed Consent

Exclusion criteria

Exclusion Criteria:

  • Previously enrolled
  • Incomplete Informed Consent
  • Subject discharged \<4 hours from presentation
  • PCT or CRP not performed per protocol
  • Pregnancy
  • Prisoners
  • Subjects Under Custody or Guardianship
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
947 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Interventions

  • Diagnostic testCBC-DIFF with MDW, PCT, CRP

    Tests will be run to determine early identification of sepsis and added value of the combination of tests. Results will not be used to manage patients

06

What researchers measure

Primary outcomes

  1. Identification of sepsis based on Sepsis-2 criteria

    Determination of diagnostic accuracy based on Receiver Operating Characteristic Curves

    Time frame: Within 4 hours of presentation

Secondary outcomes

  1. Identification of sepsis based on Sepsis-3 criteria

    Determination of diagnostic accuracy based on Receiver Operating Characteristic Curves

    Time frame: Within 4 hours of presentation

07

Study locations

2 sites
  • La Pitié-Salpétrière
    Paris, 75651, France
  • Hospital Universitari Germans Trias I Pujol
    Badalona, 08910, Spain
08

References and documents

Publications

  • Hausfater P, Robert Boter N, Morales Indiano C, Cancella de Abreu M, Marin AM, Pernet J, Quesada D, Castro I, Careaga D, Arock M, Tejidor L, Velly L. Monocyte distribution width (MDW) performance as an early sepsis indicator in the emergency department: comparison with CRP and procalcitonin in a multicenter international European prospective study. Crit Care. 2021 Jun 30;25(1):227. doi: 10.1186/s13054-021-03622-5. PubMed 34193208 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 22, 2019, 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
NCT03588325
Lead sponsor
Beckman Coulter, Inc.
Responsible party
Sponsor
First posted
Jul 17, 2018
Start date
Aug 8, 2018
Primary completion
Aug 2, 2019
Completion
Aug 30, 2019
Last update
Nov 22, 2019

Study contacts

Pierre Hausfater, MD
principal investigator · Groupe Hospitalier Pitié-Salpêtrière

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 Nov 2019. You cannot join it, but the record below documents what was studied.

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