ClinicalTrials.gg
Status unknownNCT06614088Updated Sep 26, 2024

Serum Calprotectin in Surgical Septic Patients

An observational study in Infection, Intraabdominal, Sepsis Abdominal and Biomarker, sponsored by Azienda Ospedaliero, Universitaria Pisana. Status unknown at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-26.

Sponsored by Azienda Ospedaliero, Universitaria Pisana · Observational

The sponsor has not verified this record recently (last verified Sep 2024), so the status shown — last known as Recruiting — may be out of date.

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Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
150
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 13 studies in Intraabdominal Infections with a site in Italy — 1 open to participants now, 1 under way, none of them phase 3. Intraabdominal Infections · Italy.

Started
2021
the only one that year
Observational
5 of 13
1 open now
Registered
13th of 13
by date
Lead sponsor
1 of 13
Azienda Ospedaliero, Universitaria Pisana

Among the 13 studies in Intraabdominal Infections with a site in Italy, this one is the only one that started in 2021, is one of 5 observational ones, and was the 13th registered.

Intraabdominal Infections

129 studies on the registry are indexed under Intraabdominal Infections; 15 are open to participants now.

Browse Intraabdominal Infections studies →

Open to participants now

1 of the 13 studies in Intraabdominal Infections with a site in Italy is open now. Recruiting first, the newest first:

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 10 Intraabdominal Infections studies recruiting now, 6 (60%) set no upper age limit and 3 (30%) stop at 75 or younger; 2 take children under 18; 2 take healthy volunteers.

This study: 18 Years and older · all sexes.

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02

Study summary

To early evaluate the serum levels of calprotectin in patients suffering from intra-abdominal sepsis requiring a surgical treatment. The research project aims to investigate the role of serum calprotectin in the diagnosis of sepsis and to establish whether its level significantly correlates with different degree of disease severity and with short and long-term outcomes. If these associations were confirmed, serum calprotectin would represent an easily and rapidly detectable biomarker able to predict the severity of sepsis.

Read the detailed description

Inclusion criteria are age>18 years; diagnosis of upper/lower gastro-intestinal perforation, intestinal occlusion, acute cholecystitis, acute appendicitis or intra-abdominal sepsis.

Enrolled patients will be divided in two groups according to the Calgary PIRO (CPIRO) score evaluation: group A includes patients with CPIRO score \</= 2 and represents patient with mild form of intra-abdominal sepsis while group B includes patients with CPIRO score >/= 3, therefore representing patients with more severe systemic forms. The control group (group C) will be made by elective surgical adult patients.

A blood sample will be collected in sample tubes without anticoagulant from all the eligible patients at admission. After centrifugation, the serum will be stored at -80°C until analysis. The serum level of calprotectin will be measured using a commercially available ELISA Kit based on polyclonal antibodies, according to the manufacturer instruction and fully blinded to any clinical data of the patients or controls.

To our knowledge, this is going to be the first study comparing the levels of serum calprotectin in a large cohort of surgical patients with different degree of intra-abdominal sepsis.

Our primary outcome is to determine whether the serum calprotectin level at the admission is increased in septic patients compared to the control group. We will correlate serum calprotectin level with PCT levels, to check which is the most accurate for the detection of sepsis. Our secondary outcome is to analyze if serum calprotectin level at admission correlates with the clinical severity of sepsis, evaluated trough the CPIRO score. Finally, we will verify if calprotectin level at admission is predictive of short and long-term morbidity and mortality, need for ICU admission and invasive/non-invasive post-operative reinterventions.

03

Conditions studied

  • Infection, Intraabdominal
  • Sepsis Abdominal
  • Biomarker

Keywords

  • Serum calprotectin
  • Surgical infections
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Sampling method
Probability sample

Study population

Septic patients requiring surgery at the Department of General and Emergency Surgery of the University of Pisa

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

  • diagnosis of upper/lower gastro-intestinal perforation
  • diagnosis of intestinal occlusion
  • diagnosis of acute cholecystitis
  • diagnosis of complicated acute appendicitis
  • radiological diagnosis of intra-abdominal sepsis

Exclusion criteria

Exclusion Criteria:

  • recent (\<3 months) surgery
  • recent (\<3 months) trauma
  • diagnosis of acute pancreatitis
  • diagnosis of burn
05

Study design

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

Groups and cohorts

  • Group A

    Eligible patients with CPIRO 0-2

    Diagnostic Test: serum calprotectin

  • Group B

    Eligible patients with CPIRO \>3

    Diagnostic Test: serum calprotectin

  • Group C

    Control group (elective surgical patients without any source of intra-abdominal infection)

    Diagnostic Test: serum calprotectin

Interventions

  • Diagnostic testserum calprotectin

    A blood sample is collected at time of admission to detect serum level of calprotectin

06

What researchers measure

Primary outcomes

  1. Sepsis detection

    We'll measure the serum calprotectin level in enrolled patients of the two groups (group A and B) and in patients of the control group.

    Time frame: admission

07

Study locations

1 of 1 sites recruiting
  • Azienda Ospedaliero Universitaria Pisana (AOUP)
    Pisa, 56126, Italy
    Recruiting
08

References and documents

Publications

  • Simm M, Soderberg E, Larsson A, Castegren M, Nilsen T, Eriksson M, Lipcsey M. Performance of plasma calprotectin as a biomarker of early sepsis: a pilot study. Biomark Med. 2016 Aug;10(8):811-8. doi: 10.2217/bmm-2016-0032. Epub 2016 Jul 14. PubMed 27414210 ↗
  • Larsson A, Tyden J, Johansson J, Lipcsey M, Bergquist M, Kultima K, Mandic-Havelka A. Calprotectin is superior to procalcitonin as a sepsis marker and predictor of 30-day mortality in intensive care patients. Scand J Clin Lab Invest. 2020 Feb-Apr;80(2):156-161. doi: 10.1080/00365513.2019.1703216. Epub 2019 Dec 14. PubMed 31841042 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2021 (actual). Primary completion is estimated for Nov 2024, 36 months after the start.

Of 24 observational studies under Intraabdominal Infections, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 35. This study's planned 36 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 11, 2023
First posted
Sep 26, 2024
StartActual
Nov 1, 2021
Primary completionEst.
Nov 1, 2024
CompletionEst.
Jan 1, 2025
Last update
Sep 26, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06614088
Lead sponsor
Azienda Ospedaliero, Universitaria Pisana
Responsible party
Dario Tartaglia (dr, Azienda Ospedaliero, Universitaria Pisana) — Principal investigator
First posted
Sep 26, 2024
Start date
Nov 1, 2021
Primary completion
Nov 1, 2024 (estimated)
Completion
Jan 1, 2025 (estimated)
Last update
Sep 26, 2024

Study contacts

SIlvia Strambi, MD
Contact
silvia.strambi@phd.unipi.it
+393334905867
Laura Caponi, MD
Contact
laura.caponi@unipi.it
+393287852635

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

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