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CompletedNCT05530330PARENTUpdated Jul 3, 2025

Markers of Platelet Activation foR Identification of Late Onset Sepsis in Preterm Infants

An observational study in Late-Onset Neonatal Sepsis, Necrotising Enterocolitis and Culture Negative Neonatal Sepsis, sponsored by University College Dublin. Completed at 2 sites in Ireland. Open to participants aged Up to 34 Weeks. Per ClinicalTrials.gov, last updated 2025-07-03.

Sponsored by University College Dublin · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
268
Ages
Up to 34 Weeks
Sex
All
01

Study summary

The PARENT study will examine platelet and endothelial associated proteins in preterm infants being investigated for late onset sepsis (LOS) to see if infants with fulminant sepsis can be prospectively identified using these markers

Read the detailed description

Infants who are less than 34 weeks corrected gestational age at time of birth will be enrolled prior to any late onset sepsis investigations. At point of clinical concern for the development of late onset sepsis a 0.5-1.3ml sodium citrate sample will be taken. A targeted proteomic analysis using mass spectroscopy and flow cytometry will be performed and compared with the clinical diagnosis of the infant to examine if this can be used prospectively to identify infants with late onset sepsis

02

Conditions studied

  • Late-Onset Neonatal Sepsis
  • Necrotising Enterocolitis
  • Culture Negative Neonatal Sepsis

Keywords

  • Sepsis
  • Neonatal
  • Preterm
03

In context

Neonatal Sepsis

183 studies on the registry are indexed under Neonatal Sepsis; 41 are open to participants now.

This study's enrollment of 268 is above the median of 200 across 84 observational studies indexed under Neonatal Sepsis.

Browse Neonatal Sepsis studies →

Lead sponsor

University College Dublin is the lead sponsor of 108 studies on the registry; 31 are open to participants now.

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

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Who can participate

Ages eligible
Up to 34 Weeks
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Preterm infants less than 34 weeks corrected gestational age at birth who are undergoing investigations for late onset sepsis

Inclusion criteria

  • \<34 weeks corrected gestational age at birth
  • Under investigation for Late Onset Neonatal Sepsis (Sepsis of onset >72 hours of age)

Exclusion criteria

Exclusion Criteria:

  • Major congenital anomaly
  • Suspicion of an underlying haematological disorder affecting platelets
  • Have received a platelet transfusion prior to sampling
05

Study design

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

Groups and cohorts

  • Infants with concern regarding late onset sepsis

    Infants who are being investigated for late onset sepsis will be included. These infants may ultimately be classified in a number of ways, including culture positive late onset sepsis, culture negative late onset sepsis, necrotising enterocolitis or non infectious etiologies suspected (i.e prematurity)

    Diagnostic Test: Platelet/Endothelial proteomics

Interventions

  • Diagnostic testPlatelet/Endothelial proteomics

    Samples taken will undergo a targeted proteomic investigation examining platelet/endothelial markers and associated extracellular vesicles

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What researchers measure

Primary outcomes

  1. A difference exists between infants with culture proven late onset sepsis and those without in platelet and endothelial proteomic profiles

    Proteomic profiles including extracellular vesicles will be compared between those with and without culture proven sepsis

    Time frame: 3 years

Secondary outcomes

  1. To examine platelet markers in this same cohort and determine if they can distinguish between culture negative sepsis and non-sepsis

    Proteomic profiles including extracellular vesicles will be compared between those with no culture proven sepsis and those without concern for sepsis/ a likely non infectious etiology

    Time frame: 3 years

  2. To determine if platelet activation markers correlate with severity of illness as established by prospective use of validated clinical scoring systems ( the novel neonatal Sequential organ failure assessment)

    Proteomic profiles including extracellular vesicles will be compared with the nSOFA to examine if fulminant sepsis (Culture proven/Culture negative) can be predicted

    Time frame: 3 years

  3. To determine if platelet activation markers predict the development of necrotising enterocolitis (Radiological/Surgical)

    Proteomic profiles including extracellular vesicles will be compared between those with and without radiological/surgical necrotising enterocolitis as final diagnosis

    Time frame: 3 years

07

Study locations

2 sites
  • The National Maternity Hospital
    Dublin, Dublin D2, Ireland
  • The Rotunda Hospital
    Dublin, Ireland
08

References and documents

Publications

  • O'Reilly D, Murphy CA, Moore CM, Ni Ainle F, Gormley IC, Morrell CN, Curley A, Mc Callion N, Maguire P. Markers of platelet activation foR identification of late onset sEpsis in infaNTs: PARENT study protocol. Pediatr Res. 2024 Feb;95(3):852-856. doi: 10.1038/s41390-023-02812-x. Epub 2023 Sep 27. PubMed 37758864 ↗

Individual participant data

Plan to share: Undecided — Summary data will be available to other researchers, individual data will be withheld as much as required by GDPR requirements

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 3, 2025, 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
NCT05530330
Lead sponsor
University College Dublin
Collaborators
The Rotunda Hospital, National Maternity Hospital, Ireland, Wellcome Trust, Health Research Board, Ireland
Responsible party
Sponsor
First posted
Sep 7, 2022
Start date
Sep 2, 2022
Primary completion
Feb 28, 2025
Completion
Jun 27, 2025
Last update
Jul 3, 2025

Study contacts

Patricia Maguire
principal investigator · University College Dublin

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 Dec 2024. You cannot join it, but the record below documents what was studied.

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