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TerminatedNCT06885528MDWUpdated Aug 31, 2026

Adult MDW Dual Cut-Off Accuracy Study

An observational study in Sepsis, sponsored by Beckman Coulter, Inc.. Terminated at 5 sites in United States. Open to participants aged 18 Years to 89 Years. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by Beckman Coulter, Inc. (part of Danaher Corporation) · Observational

Why this study was terminated
The study was discontinued due to a change in the company's strategic priorities for its hematology platform and was not related to concerns regarding the clinical performance, validity, or safety of MDW.
Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
524
Ages
18 Years to 89 Years
Sex
All
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Study summary

This study will establish the clinical performance of the Monocyte Distribution Width (MDW) parameter on the DxH 900/ DxH 690T hematology analyzers to aid in the detection and risk assessment of patients in the Emergency Department (ED) for progression to sepsis.

Read the detailed description

The objective of this study is to validate the MDW dual cut-off values established during characterization and demonstrate the performance of MDW to detect sepsis in a multi-center study of adults presenting to the ED who have CBC w/diff ordered within 12 hours of presentation.

This study is designed to enroll all-comers from selected sites that currently have a DxH 900 in use as part of routine testing in the ED. All subjects who meet the Inclusion Criteria will be included in the study, without enrichment. Data from all subjects meeting the Inclusion Criteria will be provided to a panel of independent adjudicators. Adjudicators will be blinded to the MDW result and any sepsis diagnostic determinations which may or may not be in the original medical record.

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Conditions studied

  • Sepsis

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Keywords

  • Sepsis Diagnosis
  • MDW
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In context

Sepsis

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

This study's enrollment of 524 is above the median of 150 across 1,162 observational studies indexed under Sepsis.

Browse Sepsis studies →

Lead sponsor

Beckman Coulter, Inc. is the lead sponsor of 31 studies on the registry; 1 is open to participants now.

First submitted after Beckman Coulter, Inc. became part of Danaher Corporation.

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

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Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

All-comers study of adult patients (18 to 89 years) of all races and ethnicities presenting to the ED

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

  • Adults (18 to 89 years) of all races and ethnicities presenting to the ED
  • Whole Blood venous samples collected in K2EDTA while the patient was in the ED
  • First CBC w/diff test ordered within 12 hours of presentation to ED as part of their standard medical care
  • CBC w/diff tested within 2 hours of specimen collection
  • Subjects with at least ≥12 hours of follow-up in the ED (or inpatient, if admitted) from presentation

Exclusion criteria

Exclusion Criteria:

  • CBC w/diff test ordered after 12 hours of presentation to ED
  • Subjects previously enrolled in this study (i.e. subjects may not be enrolled more than once in this study)
  • Subjects discharged from ED \<12 hours from ED presentation
  • ED Transfer Patients

Data Exclusions Post Enrollment:

  • Samples that have a system generated flag from the Standard of Care (SOC) CBC w/diff testing will be excluded.
  • Samples with instrument flags, including vote outs and review flags for MDW will also be excluded (i.e. invalid MDW results).
  • Subjects' data collected with Instrument Quality Control failure(s).
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Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
524 participants (actual)
Patient registry
No

Groups and cohorts

  • Adults presenting to Emergency Department

    All-comers study of adults (18 to 89 years) of all races and ethnicities presenting to the Emergency Department

    Diagnostic Test: Complete Blood Count with differential

Interventions

  • Diagnostic testComplete Blood Count with differential

    First CBC w/diff test ordered within 12 hours of presentation to ED as part of standard medical care. The MDW result will be used as diagnostic marker to predict the risk of developing sepsis.

06

What researchers measure

Primary outcomes

  1. Clinical performance of MDW

    Clinical performance of MDW (expressed in terms of its interpretation bands and likelihood ratios) in diagnosing sepsis determined by clinical adjudication.

    Time frame: through study completion, an average of 1 year

07

Study locations

5 sites
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • Kansas University Medical Center
    Kansas City, Kansas 66160, United States
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
  • Truman Medical Center
    Kansas City, Missouri 64108, United States
  • Hackensack University Medical center
    Hackensack, New Jersey 07601, United States
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References and documents

Publications

  • Levy MM, Fink MP, Marshall JC, Abraham E, Angus D, Cook D, Cohen J, Opal SM, Vincent JL, Ramsay G; International Sepsis Definitions Conference. 2001 SCCM/ESICM/ACCP/ATS/SIS International Sepsis Definitions Conference. Intensive Care Med. 2003 Apr;29(4):530-8. doi: 10.1007/s00134-003-1662-x. Epub 2003 Mar 28. PubMed 12664219 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jun 2025 to primary completion in Jul 2026, 12 months.

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

Registered
Mar 13, 2025
First posted
Mar 20, 2025
StartActual
Jun 12, 2025
Primary completionActual
Jul 8, 2026
CompletionActual
Jul 8, 2026
Last update
Aug 31, 2026
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 Aug 31, 2026, 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
NCT06885528
Collaborators
Indiana University Health, University of Kansas Medical Center, Hackensack Meridian Health
Responsible party
Sponsor
First posted
Mar 20, 2025
Start date
Jun 12, 2025
Primary completion
Jul 8, 2026
Completion
Jul 8, 2026
Last update
Aug 31, 2026

Study contacts

Alicia Drain, BSc
study director · Beckman Coulter, Inc.

Oversight

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

Not currently enrolling

This study is terminated, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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