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Status unknownNCT05023954Updated Aug 27, 2021

mSEP: Testing of Physiological and Immune-metabolic Blood Markers for Maternal Sepsis

An observational study in Sepsis, Maternal Sepsis and Maternal Sepsis During Labor, sponsored by Cardiff University. Status unknown at 1 site in United Kingdom. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-08-27.

Sponsored by Cardiff University · Observational

The sponsor has not verified this record recently (last verified Aug 2021), so the status shown — last known as Recruiting — may be out of date.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
330
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

A prospective observational cohort study investigating physiological parameters vs biological markers of whole blood in septic and non-septic pregnant woman to predict systemic immune health

Read the detailed description

The altered physiology of pregnancy makes the signs and symptoms of sepsis less distinctive in the pregnant population. This can lead to both over treatment (with antibiotics) and late identification of sepsis. The progression of sepsis can be rapid in this population, resulting in severe morbidity and mortality. The mortality associated with sepsis in the general population is over 10%, while septic shock can increase this figure up to 30%. A study looking at maternal mortality due to sepsis recognised that the time from the onset of infection to death was less than 24 hours in 50% of patients. A review of the literature shows that half of the fatal cases of maternal sepsis could have been prevented with early detection of sepsis.

The unmet need is therefore a diagnostic bedside tool that can be performed on women identified as high risk via physiological parameters. The tool needs to be quick and easy to use whilst accurate at diagnosing sepsis.

Study Objectives

To evaluate the effectiveness of physiological parameters in predicting maternal sepsis.

To evaluate the effectiveness of alternative biomarkers in diagnosing maternal sepsis including a genomic sepsis-test.

Investigation of the systemic immune health of women undergoing an uncomplicated pregnancy and labour.

02

Conditions studied

  • Sepsis
  • Maternal Sepsis
  • Maternal Sepsis During Labor
  • SIRS
  • Pregnancy; Infection
03

In context

Sepsis

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

This study's planned enrollment of 330 is above the median of 160 across 931 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Cardiff University is the lead sponsor of 43 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Pregnant women attending University Hospital of Wales Cardiff for their pregnancy care

Inclusion criteria

Pregnant with viable pregnancy confirmed on ultrasound at dating scan and over 18 years of age Able to provide informed consent (a translation service will be provided for women where English is not the first language);

Women recruited into Cohort B will have deferred consent taken to avoid interference with clinical care.

Exclusion criteria

Exclusion Criteria:

  • Pregnant woman under the age of 18 or wishing not to consent, withdrawing consent or lacking capacity.
05

Study design

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

Groups and cohorts

  • A

    A longitudinal observational study looking at the pregnancy journey of 200 women Bloods taken for sepsis biomarkers including a genomic sepsis-test throughout the pregnancy journey

    Diagnostic Test: Blood test

  • B

    A consecutive collection of data from 100 pregnant women with suspected sepsis Bloods taken for Sepsis Biomarkers including a genomic sepsis-test throughout the sepsis episode

    Diagnostic Test: Blood test

Interventions

  • Diagnostic testBlood test

    Drop of blood for RNA and metabolic analysis

06

What researchers measure

Primary outcomes

  1. Positive predictive value of genomic sepsis-test biomarker in identifying participants with confirmed sepsis

    New genomic sepsis-test biomarker tested to see if it compares to clinically known biomarkers in identifying sepsis

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • Sir Geraint Evans, Cardiff University
    Cardiff, CF14 4ED, United Kingdom
    Recruiting
08

References and documents

Publications

  • Sharma S, Zaher S, Rodrigues PRS, Davies LC, Edkins S, Strang A, Chakraborty M, Watkins WJ, Andrews R, Parkinson E, Angelopoulos N, Moet L, Shepherd F, Davies KMM, White D, Oram S, Siddall K, Keeping V, Simpson K, Faggian F, Bray M, Bertorelli C, Bell S, Collis RE, McLaren JE, Labeta M, O'Donnell VB, Ghazal P. mSep: investigating physiological and immune-metabolic biomarkers in septic and healthy pregnant women to predict feto-maternal immune health - a prospective observational cohort study protocol. BMJ Open. 2022 Sep 17;12(9):e066382. doi: 10.1136/bmjopen-2022-066382. PubMed 36115679 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 27, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05023954
Lead sponsor
Cardiff University
Collaborators
Cardiff and Vale University Health Board
Responsible party
Sponsor
First posted
Aug 27, 2021
Start date
Oct 12, 2020
Primary completion
Apr 1, 2022 (estimated)
Completion
Sep 1, 2022 (estimated)
Last update
Aug 27, 2021

Study contacts

Simran Sharma, MBBCH
Contact
SharmaS44@cardiff.ac.uk
07800885790
Summia Zaher, MD
Contact
ZaherS@cardiff.ac.uk
Peter Ghazal, PHD
principal investigator · Cardiff University

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 status unknown, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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