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Not yet recruitingNCT07893223VENTUREUpdated Oct 23, 2026

Vancomycin Exposure and Biomarker Tracking Using Real-time Monitoring of Interstitial Fluid

An observational study in Biomarkers, Acute Kidney Injury and Sepsis, sponsored by Nutromics. Not yet recruiting at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-23.

Sponsored by Nutromics · Observational

Updated Oct 23, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this observational study is to understand whether a wearable sensor (the Nutromics Sensor Device) can accurately measure drug and biomarker levels in the fluid just under the skin (interstitial fluid), instead of needing repeated blood draws, in adults admitted to hospital who are being treated with the antibiotic vancomycin or who are being monitored for signs of sepsis. The main questions it aims to answer are:

  • How closely do interstitial fluid levels of vancomycin match levels measured in the blood at the same time?
  • How closely do interstitial fluid levels of creatinine, C-reactive protein, and lactate (biomarkers linked to kidney function, inflammation, and infection severity) match levels measured in the blood?
  • Can the device pick up on early biomarker trends that signal a patient may be developing acute kidney injury?
  • How well does the device work overall, and does it perform consistently across different patients (by age, sex, ethnicity, body size, and health conditions) and over time?
  • Is the device safe to wear?

There is no comparison group receiving a different treatment. This study looks at how well the device's readings line up with standard blood tests, not about testing a new treatment.

Participants will:

  • Wear up to two small sensor patches on their upper arm during their hospital stay (up to 5 days), with each patch replaced every 48 hours
  • Have blood samples taken as part of their routine care so results can be compared
  • Have their medical records reviewed 30 days after finishing the study to check on their health outcomes
02

Conditions studied

  • Biomarkers
  • Acute Kidney Injury
  • Sepsis

Keywords

  • Vancomycin
  • Wearable Electronic Devices
  • Biomarkers
  • Interstitial Fluid
  • Extracellular Fluid
03

In context

Acute Kidney Injury

1,641 studies on the registry are indexed under Acute Kidney Injury; 380 are open to participants now.

This study's planned enrollment of 200 is above the median of 156 across 795 observational studies indexed under Acute Kidney Injury.

Browse Acute Kidney Injury studies →

Lead sponsor

This is the only study on the registry with Nutromics as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Hospitalized participants in the US.

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

  • Capable of providing informed consent OR has a Medical Treatment Decision Maker who can provide informed consent per the informed consent form (ICF).
  • Aged 18 years at time of enrolment.
  • Prescribed vancomycin treatment for intravenous administration (Cohort 1 only); vancomycin treatment duration expected to be ≥48 hours from time of enrolment.
  • Has a central or arterial catheter and/or a large-bore cannula, or is willing to have intermittent peripheral blood sampling.

Exclusion criteria

Exclusion Criteria:

  • Currently receiving an investigational drug or device that, in the Investigator's opinion, may affect participation in this trial.
  • History of allergic reactions to metals, plastics and adhesives which, in the opinion of the Study Investigators, would increase the risk of allergic reaction associated with the Device.
  • Dermatological (or other) condition, or fragile skin, which in the opinion of the Investigators would prevent application of the Nutromics Sensor Device.
  • Severe oedema or local swelling at the intended application site that would likely impair ISF sampling.
  • Immediate life-threatening instability where study procedures would interfere with urgent care (participant may be screened once stable).
  • Pregnant, lactating, planning to become pregnant, breastfeed, or donate ova.
05

Study design

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

Groups and cohorts

  • Cohort 1

    Hospitalised participants receiving vancomycin (Vancomycin monitoring)

  • Cohort 2

    Hospitalised participants not receiving vancomycin (Biomarker Monitoring)

06

What researchers measure

Primary outcomes

  1. Accuracy of Device-measured vancomycin ISF concentration vs. paired serum concentration

    Comparison of vancomycin concentration-time profiles and pharmacokinetic parameters (Cmax, Tmax, Cmin, AUC0-24) derived from interstitial fluid (Sensor Device) against paired serum vancomycin immunoassay results.

    Time frame: Up to 5 Days

  2. Accuracy of Device-measured biomarker (creatinine, C-reactive protein, lactate) ISF concentration vs. paired serum concentration

    Determination of accuracy between Device-reported biomarker values and paired serum immunoassay results.

    Time frame: Up to 5 days

  3. Relationship between ISF analyte concentrations and clinical outcomes

    Descriptive summary of association between ISF concentration profiles (vancomycin, creatinine, C-reactive protein, lactate) and 30-day clinical outcomes (discharge/readmission, morbidity, mortality, treatment-emergent adverse events).

    Time frame: Through 30 days after study completion

  4. General performance characterisation of the Device

    Paired precision between simultaneously worn devices; device accuracy throughout wear duration; electrochemical sensor quality metrics.

    Time frame: Up to 5 days

Secondary outcomes

  1. Device performance across patient subgroups

    Exploratory analysis of Peak Plasma Concentration (Cmax) by demographic and clinical subgroup (age, sex, ethnicity, BMI, medical conditions/pathologies).

    Time frame: Up to 5 days

  2. Device performance across patient subgroups

    Exploratory analysis of Time to Peak Concentration (Tmax) by demographic and clinical subgroup (age, sex, ethnicity, BMI, medical conditions/pathologies).

    Time frame: Up to 5 days

  3. Device performance across patient subgroups

    Exploratory analysis of Minimum Blood Plasma Concentration (Cmin) by demographic and clinical subgroup (age, sex, ethnicity, BMI, medical conditions/pathologies).

    Time frame: Up to 5 days

  4. Device performance across patient subgroups

    Exploratory analysis of Area Under the Curve (AUC0-24) by demographic and clinical subgroup (age, sex, ethnicity, BMI, medical conditions/pathologies).

    Time frame: Up to 5 days

  5. Stability and precision of the Device over time, compared to standard laboratory assays

    Assessment of device reporting accuracy compared to reported values from standard laboratory assays across wear duration, including after 48-hour device replacement.

    Time frame: Up to 5 days

  6. Incidence of Adverse Events

    Frequency, severity and seriousness of adverse reactions associated with the Device; descriptive summary of application-site photographs.

    Time frame: From first device application to 30 days post study completion

  7. Accuracy of Device-reported trend toward Acute Kidney Injury (AKI)

    Determination of accuracy between Device-reported creatinine trend and serum creatinine; AKI assessed per KDIGO Clinical Practice Guideline for Acute Kidney Injury (2012).

    Time frame: Up to 5 days

07

Study locations

5 sites
  • Kaiser Permanente
    Oakland, California 94611, United States
  • University of California, San Francisco
    San Francisco, California 94143, United States
  • Stanford
    Stanford, California 94305, United States
  • Northwell Health
    New Hyde Park, New York 11040, United States
  • Columbia University
    New York, New York 10032, United States
08

References and documents

Individual participant data

Plan to share: Undecided

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

Start is estimated for Dec 2026; primary completion for Dec 2028, 24 months later.

Of 350 observational studies under Acute Kidney Injury, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 41. This study's planned 24 months is close to that.

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

Registered
Aug 26, 2026
First posted
Oct 23, 2026
StartEst.
Dec 2026
Primary completionEst.
Dec 2028
CompletionEst.
Dec 2028
Last update
Oct 23, 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.
Registered
First appeared on the registry. No changes since
Oct 23, 2026
Show all 1 update
  1. Oct 23, 2026
    First appeared on the registry

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
NCT07893223
Lead sponsor
Nutromics
Responsible party
Sponsor
First posted
Oct 23, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
Oct 23, 2026

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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