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CompletedNCT05703802Updated Jun 4, 2024

Establishment of an ELISA for the Recognition of Procalcitonin Variants in Patients With Hyperprocalcitonemia.

An observational study in Sepsis, Pre-Eclampsia and Granulomatosis With Polyangiitis, sponsored by University Hospital Muenster. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-06-04.

Sponsored by University Hospital Muenster · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
30
Ages
18 Years and older
Sex
All
01

Study summary

Procalcitonin is a protein consisting of 116 amino-acids which can rapidly rise under inflammatory conditions and sepsis. More than 20 years ago it has been shown that dipeptidylpeptidase-4 (DPP-4) cleaves procalcitonin from the n-terminus, resulting in a truncated procalcitonin-variant which consists of 114 aminoacids. Within their workgroup the investigators found that the truncated procalcitonin-variant had deleterious effects on vascular integrity during sepsis in mice. However, it is unknown if this applies also in humans. By using an ELISA-assay the investigators want to examine the ratio between native and truncated human procalcitonin during diseases accompanied with hyperprocalcitoninemia and correlate the results with clinical data.

Read the detailed description

Procalcitonin is a protein consisting of 116 amino-acids which can rapidly rise under inflammatory conditions and sepsis. More than 20 years ago it has been shown that dipeptidylpeptidase-4 (DPP-4) cleaves procalcitonin from the n-terminus, resulting in a truncated procalcitonin-variant which consists of 114 aminoacids.

Within their workgroup the investigators found that the truncated procalcitonin-variant had deleterious effects on vascular integrity during sepsis in mice: They observed that binding of truncated procalcitonin to the CRLR/RAMP1-receptor on vascular endothelium lead to phosphorylation and destruction of VE-cadherin, an essential part of adherens junctions. Consequently, paracellular leakage of proteins and fluid from blood vessels developed.

It is unknown if these effects also apply to humans. By using an ELISA-assay the investigators want to examine the ratio between native and truncated human procalcitonin during diseases accompanied with hyperprocalcitoninemia and correlate the results with clinical data. Futhermore, they want to examine if the procalcitonin-variants have influence on cytokine levels and surface antigens on immune cells by performing multiplex immunoassays and FACS-analysis.

02

Conditions studied

  • Sepsis
  • Pre-Eclampsia
  • Granulomatosis With Polyangiitis
  • Microscopic Polyangiitis
  • Adiposity
  • SIRS
  • Procalcitonin
03

In context

Sepsis

2,416 studies on the registry are indexed under Sepsis; 541 are open to participants now.

This study's enrollment of 30 is below the median of 150 across 1,162 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

University Hospital Muenster is the lead sponsor of 192 studies on the registry; 20 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients from the University Hospital Münster who suffer from different diseases which are accompanied by hyperprocalcitoninemia.

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

  • Age >18
  • Patients with diagnosis...
  • Sepsis or,
  • SIRS after cardiothoracic surgery or,
  • adipositas or,
  • granulomatosis with polyangiitis/microscopic polyangiitis or,
  • pre-eclampsia
  • healthy control subjects
  • written

Exclusion criteria

Exclusion Criteria:

  • participation in an interventional study trial within the last 3 months
  • relationship to study investigator
Terms in these criteria, in plain language(1)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
30 participants (actual)
Target follow-up
1 Day
Patient registry
Yes

Groups and cohorts

  • Sepsis

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

  • SIRS

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

  • Adiposity

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

  • Granulomatosis with polyangiitis / microscopic polyangiitis

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

  • Pre-eclampsia

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

  • Healthy controls

    Withdrawal of 3 blood collection tubes for ELISA-measurements at a single time during hyperprocalcitoninemia.

    Diagnostic Test: Procalcitonin-variants ELISA-Assay

Interventions

  • Diagnostic testProcalcitonin-variants ELISA-Assay

    Observational study measuring procalcitonin-variants in different patient collectives by obtaining 3 blood collection tubes per patient.

06

What researchers measure

Primary outcomes

  1. Ratio between native and truncated procalcitonin during different conditions of hyperprocalcitoninemia

    Measurement performed by using ELISA-assay.

    Time frame: Blood withdrawal takes approximately 5 minutes per patient

Secondary outcomes

  1. DPP-4-activity

    Measurement performed by using a commercial DPP4-ELISA-kit.

    Time frame: Blood withdrawal takes approximately 5 minutes per patient

  2. Proinflammatory cytokines

    Measurement performed by using a commercial multiplex immunoassay kit.

    Time frame: Blood withdrawal takes approximately 5 minutes per patient

  3. Immun cell surface-antigens

    Measurement performed by using fluorescence-acivated cell sorting (FACS).

    Time frame: Blood withdrawal takes approximately 5 minutes per patient

07

Study locations

1 site
  • University Hospital Münster
    Münster, North Rhine-Westphalia 48147, Germany
08

References and documents

Publications

  • Wrenger S, Kahne T, Bohuon C, Weglohner W, Ansorge S, Reinhold D. Amino-terminal truncation of procalcitonin, a marker for systemic bacterial infections, by dipeptidyl peptidase IV (DP IV). FEBS Lett. 2000 Jan 21;466(1):155-9. doi: 10.1016/s0014-5793(99)01779-2. PubMed 10648832 ↗
  • Brabenec L, Muller M, Hellenthal KEM, Karsten OS, Pryvalov H, Otto M, Holthenrich A, Matos ALL, Weiss R, Kintrup S, Hessler M, Dell'Aquila A, Thomas K, Nass J, Margraf A, Nottebaum AF, Rossaint J, Zarbock A, Vestweber D, Gerke V, Wagner NM. Targeting Procalcitonin Protects Vascular Barrier Integrity. Am J Respir Crit Care Med. 2022 Aug 15;206(4):488-500. doi: 10.1164/rccm.202201-0054OC. PubMed 35699655 ↗
  • Weglohner W, Struck J, Fischer-Schulz C, Morgenthaler NG, Otto A, Bohuon C, Bergmann A. Isolation and characterization of serum procalcitonin from patients with sepsis. Peptides. 2001 Dec;22(12):2099-103. doi: 10.1016/s0196-9781(01)00541-1. PubMed 11786196 ↗

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 Jun 4, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05703802
Responsible party
Sebastian Kintrup (Principal Investigator, University Hospital Muenster) — Principal investigator
First posted
Jan 30, 2023
Start date
Feb 1, 2022
Primary completion
Nov 1, 2022
Completion
Nov 1, 2022
Last update
Jun 4, 2024

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

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