ClinicalTrials.gg
RecruitingNCT07694648Updated Jul 10, 2026

Clinical Multimodal Surveillance of Respiratory Syndrome Pathogens

An observational study in Respiratory Tract Infections (RTI), Respiratory Syndrome, Acute, Severe and Acute Respiratory Infections (ARIs), sponsored by Huashan Hospital. Recruiting at 31 sites in China. Per ClinicalTrials.gov, last updated 2026-07-10.

Primary conditionSevere Acute Respiratory SyndromeRegistry: Respiratory Tract InfectionsReclassifiedWhy we changed it
Registry
Respiratory Tract Infections — the first condition term the registry derived for this study.
ClinicalTrials.gg
Severe Acute Respiratory Syndrome
Why
  1. The study's listed conditions name Severe Acute Respiratory Syndrome, a narrower term within Respiratory Tract Infections.
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 Huashan Hospital · Observational

From the registry’s dates

  • Started Sep 2025; still recruiting 1 year 2 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
2,398
Sex
All
01

Study summary

This nationwide, multicenter observational study will establish and improve a hospital-based clinical surveillance and early warning system for respiratory syndrome pathogens. Clinical data and biospecimens generated during routine care will be collected from participating medical institutions every two weeks to monitor pathogen trends, support risk assessment, and provide evidence for prevention and control measures.

Read the detailed description

This study will enroll eligible patients with respiratory syndrome from fever clinics, emergency departments, outpatient clinics, and inpatient wards in participating hospitals across seven administrative regions in China. Standardized clinical data, including demographic information, symptoms, diagnoses, laboratory tests, medication orders, oxygen therapy, hospitalization, ICU admission, and outcomes, will be reported through encrypted data channels every two weeks. For eligible participants meeting the tiered diagnostic criteria, respiratory samples and clinically remaining biospecimens will be tested using routine pathogen testing, multiplex PCR or targeted sequencing, metagenomic next-generation sequencing, antibody testing, cytokine testing, and exploratory multi-omics assays as clinically appropriate. The study aims to generate national and regional surveillance reports and support early warning, pathogen identification, and prevention and control strategies.

02

Conditions studied

  • Respiratory Tract Infections (RTI)
  • Respiratory Syndrome, Acute, Severe
  • Acute Respiratory Infections (ARIs)

Browse trials for

Keywords

  • Respiratory syndrome
  • respiratory pathogens
  • clinical surveillance
  • early warning
  • multiplex PCR
  • metagenomic next-generation sequencing
  • multi-omics
  • nationwide multicenter study
03

In context

Severe Acute Respiratory Syndrome Reclassified

376 studies on the registry are indexed under Severe Acute Respiratory Syndrome; 15 are open to participants now.

This study's planned enrollment of 2,398 is above the median of 300 across 129 observational studies indexed under Severe Acute Respiratory Syndrome.

Browse Severe Acute Respiratory Syndrome studies →

Lead sponsor

Huashan Hospital is the lead sponsor of 247 studies on the registry; 104 are open to participants now.

Compared within Severe Acute Respiratory Syndrome, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Respiratory Tract Infections. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with respiratory syndrome treated in fever clinics, emergency departments, outpatient clinics, or inpatient wards of participating medical institutions across China.

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

  • Patients with respiratory syndrome: Eligible patients are those diagnosed with respiratory syndrome based on the predefined data dictionary and the following ICD-10 (International Statistical Classification of Diseases, 10th Revision) diagnosis codes: R05, R50, J00, J01, J02, J03, J04, J06, J07, J08, J09, J10, J11, J12, J13, J14, J15, J16, J17, J18, J20, J21, J98.414, and J98.802.
  • Patients with respiratory syndrome: Eligible patients are identified using the following search criteria. Patients meeting any one of the following criteria should be included:

    1. Medical history (History of Present Illness): Positive test result for a respiratory syndrome-related pathogen.
    2. Laboratory testing: Positive test result for a respiratory syndrome-related pathogen.
    3. Medication: Receipt of any of the following antiviral agents:

      Nirmatrelvir/Ritonavir Leritrelvir Xiannuotewei/Ritonavir Molnupiravir Azvudine Deuremidevir

    4. Diagnosis: Diagnosis containing the term "respiratory tract infection."

Exclusion criteria

Exclusion Criteria:

  • Participants who may compromise the study results: Patients who are unable to provide a specimen or whose specimen volume is insufficient for laboratory testing.
  • Participants who are unable to comply with study procedures.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
2,398 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Respiratory syndrome cohort

    Patients entering fever clinics, emergency departments, outpatient clinics, or inpatient wards who meet the respiratory syndrome screening and diagnostic criteria.

    Diagnostic Test: Tiered pathogen testing and multi-omics analysis

Interventions

  • Diagnostic testTiered pathogen testing and multi-omics analysis

    Participants will undergo clinically indicated tiered testing, including SARS-CoV-2 nucleic acid testing, influenza A/B antigen or nucleic acid testing, routine blood testing, targeted sequencing or multiplex PCR, metagenomic next-generation sequencing, respiratory pathogen antibody testing, cytokine testing, and exploratory transcriptomics, metabolomics, proteomics, single-cell, microbiome, and related analyses using collected or clinically remaining samples.

06

What researchers measure

Primary outcomes

  1. Detection rate and pathogen spectrum of respiratory syndrome pathogens among enrolled participants

    Time frame: 3 years

  2. Immune response and antibody levels after respiratory syndrome-related infection or vaccination

    Time frame: 3 years

07

Study locations

31 of 31 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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 Sep 2025 (actual). Primary completion is estimated for Aug 2028, 35 months after the start.

Of 70 non-industry observational studies under Severe Acute Respiratory Syndrome, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 4 and three quarters within 30. This study's planned 35 months is above that.

Counting every sponsor, half of 79 studies reached it within 12 months; a quarter within 4 and three quarters within 26.

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

Registered
Jul 3, 2026
First posted
Jul 10, 2026
StartActual
Sep 1, 2025
Primary completionEst.
Aug 31, 2028
CompletionEst.
Sep 30, 2028
Last update
Jul 10, 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 Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07694648
Lead sponsor
Huashan Hospital
Responsible party
Jingwen Ai (Doctor, Huashan Hospital) — Principal investigator
First posted
Jul 10, 2026
Start date
Sep 1, 2025
Primary completion
Aug 31, 2028 (estimated)
Completion
Sep 30, 2028 (estimated)
Last update
Jul 10, 2026

Study contacts

Jingwen Ai, M.D.
Contact
jingwenai@fudan.edu.cn
+86 17317958269

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion