ClinicalTrials.gg
Active, not recruitingNCT07425587SYMON IIIUpdated Sep 29, 2026

Multicenter Symphony™ IL-6 Monitoring Sepsis ED Pilot Study

An observational study in Sepsis, Septic Shock, sponsored by Bluejay Diagnostics, Inc.. Active, not recruiting at 5 sites in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

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 Bluejay Diagnostics, Inc. · Observational

Updated Sep 29, 2026Now Active, not recruitingGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
450
Ages
22 Years and older
Sex
All
01

Study summary

The primary objective of this study is to establish an IL-6 concentration cutoff that predicts sepsis or septic shock (according to the Third International Consensus Definitions (Sepsis-3 criteria)) in patients who are admitted or are intended to be admitted to the hospital from the emergency department with suspected infection.

02

Conditions studied

  • Sepsis, Septic Shock

Keywords

  • Interleukin-6
  • IL-6
  • Risk Stratification
  • Infections
  • Toxima
  • Systemic Inflammatory Response Syndrome
  • Inflammation
  • Sepsis
  • Septic Shock
  • Shock
  • Pathologic Process
  • Emergency Department
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 450 is above the median of 108 across 406 observational studies indexed under Shock, Septic.

Browse Shock, Septic studies →

Lead sponsor

Bluejay Diagnostics, Inc. is the lead sponsor of 7 studies on the registry; 2 are 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 →

04

Who can participate

Ages eligible
22 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Adult patients who are admitted or are intended to be admitted to the hospital from the emergency department with suspected infection.

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

  • Adult patients (≥22 years of age)
  • Intent to admit to hospital or admitted to the hospital via the emergency department
  • At least 0.6 mL plasma drawn (optimal 1 mL) and available for collection (or is anticipated to be able to be drawn and available) within 12 hours of (i.e., up to 12 hours after) presentation to the emergency department. For Cohort 1, Criterion #1 criteria should be met within 3 hours of sample collection (fresh or remnant).
  • Meets criteria for at least one of the 3 cohorts (patients may be included in more than one cohort) within 12 hours of emergency department presentation:

    1. Cohort 1 (Systemic inflammatory response or culture ordered):

  • Criterion #1 (2 of below within 3 hours of sample collection, of which 1 is at least (A) or (B))
  • A) body temperature >38C or \<36C,
  • B) HR>90 beats/min,
  • C) respiratory rate >20 breaths/min, or
  • D) white blood cell count > 12K or \<4K/microliters or over 10% immature forms or bands) OR:
  • Criterion #2 (order for culture of a body fluid (e.g., blood, urine, sputum))

    2. Cohort 2 (Treatment for suspected infection initiated):

  • Meets criteria for Cohort 1 and antimicrobials (antibiotics or antivirals) ordered.

    3. Cohort 3 (Confirmed or strong evidence of infection):

  • Meets criteria for Cohorts 1 and 2, AND 1 or more of the following criteria:
  • Temp >101F (38.3C)
  • pneumonia by x-ray or CT,
  • Urinalysis with WBC>10/HPF;
  • Intraabdominal-pelvis infection by CT, U/S, or MRI
  • Skin / soft tissue infection by clinical exam
  • Evidence of meningitis on LP;
  • Positive microbiological culture (cultures drawn within 3 days of presentation)
  • Suspected line infection (e.g. redness or pus around the line)

Exclusion criteria

Exclusion Criteria:

  • Prisoners or imprisonment at time of enrollment
  • Pregnant
  • Prior enrollment into this study
  • as approved by IRB is unable to be obtained.
  • Environmental exposure (e.g., heat exposure)
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
Prospective
Enrollment
450 participants (estimated)
Patient registry
No

Groups and cohorts

  • Cohort 1: Systemic inflammatory response or culture ordered

    Criterion #1: (2 of the following within 3 hours of sample collection, of which 1 is at least (A or B): A) body temp \>38c or \<36c B) HR \>90bpm C) respiratory rate \>20 breaths/min D) white blood cell count \>12k or \<4k/microliters or over 10% immature forms or bands, OR Criterion #2: order for culture of a body fluid (blood, urine, sputum)

  • Cohort 2: Treatment for suspected infection initiated

    Meets criteria for Cohort 1 and antimicrobials (antibiotics or antivirals) ordered

  • Cohort 3: Confirmed or strong evidence of infection

    Meets criteria for Cohorts 1 and 2, AND 1 or more of the following criteria: Temp \>101F (38.3c) Pneumonia by X-ray or CT Urinalysis with WBC \>10/HPF Intraabdominal-pelvis infection by CT U/S or MRI Skin/soft tissue infection by clinical exam Evidence of meningitis on LP Positive microbiological culture (cultures drawn within 3 days of presentation) Suspected line infection (e.g., redness or pus around the line)

06

What researchers measure

Primary outcomes

  1. Sepsis (according to the Third International Consensus Definitions (Sepsis-3 criteria)) within 3 days after inclusion.

    Time frame: Within 3 days after inclusion

Secondary outcomes

  1. In-hospital mortality up to 30 days

    Time frame: Within 30 days after inclusion

  2. In-hospital mortality up to 7 days

    Time frame: Within 7 days after inclusion

  3. Sequential Organ Failure Assessment (SOFA) score

    SOFA score has a range of 1 to 24, where higher scores represent higher degrees of single or multiple organ failure(s)

    Time frame: Within 3 days after inclusion

  4. Hospital Length of Stay

    Time frame: Participants will be followed up for hospital length of stay for up to 30 days

  5. ICU length of stay

    Time frame: Within 30 days after inclusion

  6. Bacterial vs viral infection (As assessed by cultures and/or viral testing)

    As assessed by cultures and/or viral testing.

    Time frame: Within 30 days after inclusion

  7. Progression to septic shock

    Participants will be followed up for progression to septic shock for up to 30 days

    Time frame: Within 30 days after inclusion

  8. 30-day all-cause mortality in patients with a final diagnosis of sepsis or septic shock

    Participants will be followed up for 30 days for all-cause mortality

    Time frame: Within 30 days after inclusion

  9. Initiation of vasopressor therapy (by hospital discharge or up to 30 days)

    Time frame: within 30 days after inclusion

  10. Initiation of renal replacement therapy (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

  11. Initiation of mechanical ventilation (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

  12. Free days from vasopressor therapy (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

  13. Free days from renal replacement therapy (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

  14. Free days from mechanical ventilation (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

  15. Free days from vasopressor therapy, renal replacement therapy, or mechanical ventilation, (by hospital discharge or up to 30 days)

    Time frame: Within 30 days after inclusion

07

Study locations

5 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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 May 2026 (actual). Primary completion is estimated for Dec 2026, 7 months after the start.

Of 202 observational studies under Shock, Septic, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 47. This study's planned 7 months is below that.

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

Registered
Feb 2, 2026
First posted
Feb 23, 2026
StartActual
May 4, 2026
Primary completionEst.
Dec 30, 2026
CompletionEst.
Dec 30, 2026
Last update
Sep 29, 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.
Status
Recruiting→Active, not recruiting
changed Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    Recruiting→Active, not recruiting
    + 3 other changes: verification date, contact details and site details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07425587
Lead sponsor
Bluejay Diagnostics, Inc.
Responsible party
Sponsor
First posted
Feb 23, 2026
Start date
May 4, 2026
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Sep 29, 2026

Study contacts

Shapiro
principal investigator · Beth Israel Deaconess Medical Center
Peltan
principal investigator · Intermountain Health
Marchick
principal investigator · University of Florida
Ware
principal investigator · Vanderbilt University Medical Center
Mahler
principal investigator · Wake Forest University Health Sciences

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 active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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