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RecruitingNCT06287684MENDSEPUpdated Jul 16, 2025

Molecular Subtype-Specific Mechanisms and Therapeutic Strategies in Sepsis

An observational study in Sepsis and Septic Shock, sponsored by Mater Dei Hospital, Malta. Recruiting at 1 site in Malta. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-16.

Primary conditionShock, SepticRegistry: SepsisReclassifiedWhy we changed it
Registry
Sepsis — the first condition term the registry derived for this study.
ClinicalTrials.gg
Shock, Septic
Why
  1. The study's listed conditions name Shock, Septic, a narrower term within Sepsis.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Mater Dei Hospital, Malta · Observational

From the registry’s dates

  • Started Sep 2023; still recruiting 3 years 1 month later.
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
460
Ages
18 Years and older
Sex
All
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Study summary

Sepsis is a complex syndrome that causes lethal organ dysfunction due to an abnormal host response to infection. No drug specifically targeting sepsis has been approved. The heterogeneity in sepsis pathophysiology hinders the identification of patients who would benefit, or be harmed, from specific therapeutic interventions. Recent clinical genomics studies have shown that sepsis patients can be stratified as molecular subtypes, or subclasses, with clinical implications. Classifying sepsis patients as molecular subtypes revealed that a poor prognosis subtype was characterized by immunosuppression and septic shock. Therefore, it has become essential to identify patients who may benefit from or be adversely affected by specific treatments, thereby identifying bona fide treatable traits or endotypes. The goal of this study is to assist the physician at the bedside in tailoring the treatment of an individual patient suffering from sepsis by generating rapid molecular information about immune status.

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Conditions studied

  • Sepsis
  • Septic Shock

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03

In context

Shock, Septic Reclassified

1,078 studies on the registry are indexed under Shock, Septic; 232 are open to participants now.

This study's planned enrollment of 460 is above the median of 108 across 406 observational studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Mater Dei Hospital, Malta is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

Compared within Shock, Septic, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Sepsis. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

All-cause sepsis, non-infectious critical illness, and control participants

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 years
  • Consent card signed

Exclusion criteria

Exclusion criteria:

  • Consent card not signed
  • Pregnancy
  • Prisoners
  • Elective cardiac surgery patients with an uncomplicated stay.
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
460 participants (estimated)
Target follow-up
12 Months
Patient registry
Yes
Biospecimen retention
Samples without dna

Groups and cohorts

  • Sepsis (all-cause)

    Suspected infection accompanied by organ dysfunction identified as a total SOFA score ≥ 2 points diagnosed within 24 hours after ITU admission. Definition in line with the Sepsis-3 criteria.

  • Non-infectious critical illness

    Patients admitted to the ITU with non-infectious etiologies, including trauma.

  • Control subjects

    Age-, sex-, and comorbidity-matched participants from the community or long term care facility

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What researchers measure

Primary outcomes

  1. Molecular subtype assignments

    Molecular subtype classification of sepsis patients using a consensus transcriptomic subtype model

    Time frame: Through study completion, an average of 2 year

  2. Molecular information about the host response in patients with sepsis

    Measurement of soluble mediators of host immune responses, including inflammation, coagulation, endothelial function

    Time frame: Through study completion, an average of 2 year

Secondary outcomes

  1. Survival

    Assessment of survival

    Time frame: 3 years

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Study locations

1 of 1 sites recruiting
  • Mater Dei hospital, Intensive Therapy Unit
    Msida, MSD2080, Malta
    Recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 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
NCT06287684
Lead sponsor
Mater Dei Hospital, Malta
Collaborators
University of Malta
Responsible party
Brendon Scicluna, PhD (Assistant Professor and Principal Investigator, Mater Dei Hospital, Malta) — Principal investigator
First posted
Mar 1, 2024
Start date
Sep 13, 2023
Primary completion
Dec 30, 2028 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Jul 16, 2025

Study contacts

Brendon P. Scicluna, Ph.D.
Contact
brendon.scicluna@um.edu.mt
+35623403869
Stephen C. Sciberras, M.D.
Contact
stephen.sciberras@gov.mt
+35625450000

Oversight

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

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