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Trial registered on ANZCTR
Registration number
ACTRN12618001176257
Ethics application status
Approved
Date submitted
8/06/2018
Date registered
16/07/2018
Date last updated
16/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Value of circulating molecular biomarkers (microRNAs) in perioperative period of abdominal sepsis
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Scientific title
Evaluation of systemic inflammatory response and ischemic heart disease effects on the cardiovascular system and perioperative anesthetic management
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Secondary ID [1]
295008
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
abdominal sepsis
308137
0
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peritonitis
308138
0
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ishemic heart disease
308139
0
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Systemic inflammatory response syndrome
308140
0
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acute coronary syndrome
308141
0
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Condition category
Condition code
Infection
307172
307172
0
0
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Other infectious diseases
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Cardiovascular
307175
307175
0
0
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Coronary heart disease
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Anaesthesiology
307176
307176
0
0
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Other anaesthesiology
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
We will involve patients with abdominal sepsis, who are going surgery intervention, patients with acute coronary syndrome and patients without inflammation,non infection SIRS, ischemic heart disease, who are going minor elective surgery. We will collect data describing demographics, severity of illness (SOFA; APACHE II scores). Blood samples will be collected at the time of other standard-care assessments to minimize/eliminate the need for additional punctures in the first 24 hours of hospitalization. Blood samples from patients, who are going minor elective surgery, will be taken during venous puncture before the surgery intervention. Up to 30 ml of blood will be collected for measuring the levels of biomarkers expression. Follow up will occur within first 48 hours, death or hospitalization period up to 60 days.
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Intervention code [1]
301411
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Not applicable
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Comparator / control treatment
We will not provide control treatment for patients.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
306146
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Composite expression levels of miR-146a, miR-30d, miR-23a in patients with different severity of abdominal sepsis. RNA extraction kits will be using for extracting microRNA from blood serum. Levels of microRNA's expression will be assessed with PCR.
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Assessment method [1]
306146
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Timepoint [1]
306146
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Blood samples will be taken within the first 24 hours after hospitalization
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Primary outcome [2]
306191
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Composite expression levels of miR-146a, miR-30d, miR-23a in patients with acute cardiovascular syndrome. RNA extraction kits will be using for extracting microRNA from blood serum. Levels of microRNA's expression will be assessed with PCR.
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Assessment method [2]
306191
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Timepoint [2]
306191
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Blood samples will be taken within the first 24 hours after hospitalization
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Primary outcome [3]
306192
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Composite expression levels of miR-146a, miR-30d, miR-23a in patients without cardiovascular dysfunction or inflammation . RNA extraction kits will be using for extracting microRNA from blood serum. Levels of microRNA's expression will be assessed with PCR.
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Assessment method [3]
306192
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Timepoint [3]
306192
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Blood samples will be taken within the first 24 hours after hospitalization
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Secondary outcome [1]
347812
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Differential value of miR-146a, miR-30d, miR-23a in patients with different severity of abdominal sepsis and acute cardiovascular syndrome with high inflammatory biomarkers. Levels of microRNA's expression will be assessed with PCR. The expression will be compared using the statistical package.
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Assessment method [1]
347812
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Timepoint [1]
347812
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Duration of hospital stay
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Eligibility
Key inclusion criteria
Patients with abdominal sepsis (peritonitis) who undergo abdominal surgery, Patients with acute cardiovascular syndrome and high inflammatory biomarkers. Patients without inflammation,non infection SIRS, ischemic heart disease.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Oncological disease, pegnancy, refusal for participation, prisoners
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
20/07/2018
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
10535
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Lithuania
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State/province [1]
10535
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Kaunas
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Funding & Sponsors
Funding source category [1]
299592
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University
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Name [1]
299592
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Lithuanian University of Health Sciences
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Address [1]
299592
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A. Mickeviciaus g. 9, LT 44307 Kaunas
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Country [1]
299592
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Lithuania
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Funding source category [2]
299712
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Hospital
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Name [2]
299712
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
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Address [2]
299712
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Eiveniu g. 2, Kaunas 50009
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Country [2]
299712
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Lithuania
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Primary sponsor type
Individual
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Name
Andrius Macas
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Address
Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Eiveniu g. 2, Kaunas 50009
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Country
Lithuania
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Secondary sponsor category [1]
299044
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Individual
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Name [1]
299044
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Tomas Bukauskas
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Address [1]
299044
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Eiveniu g. 2, Kaunas 50009
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Country [1]
299044
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Lithuania
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300492
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Kaunas Regional Biomedical Research Ethics Committee
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Ethics committee address [1]
300492
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A. Mickeviciaus g. 9, LT-44307 Kaunas Lithuania
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Ethics committee country [1]
300492
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Lithuania
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Date submitted for ethics approval [1]
300492
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01/02/2016
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Approval date [1]
300492
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09/05/2016
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Ethics approval number [1]
300492
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BE-2-19
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Summary
Brief summary
There is not enough data in the medical literature to distinguish whether a systemic inflammatory response is caused by an infectious agent or aseptic inflammation due to acute coronary syndrome, especially during the perioperative period. Attention is drawn to microRNAs whose expression changes in patients with the infectious disease. The study will include 100 patients older than 18 years, who have the abdominal sepsis (peritonitis) and are going abdominal surgery intervention, patients with acute cardiovascular syndrome and high inflammatory biomarkers, patients without inflammation, ischemic heart disease who are who are going for minor elective surgery. All patients will be provided with complete study information before being asked to provide consent. We will collect data describing demographics, severity of illness (SOFA; APACHEII scores). Blood samples will be collected at the time of other standard-care assessments to minimize/eliminate the need for additional punctures in the first 24 hours of hospitalization. Up to 30 ml of blood will be collected for measuring the levels of biomarkers expression. Follow up will occur until the end of active surveillance, death or hospitalization period. Blood samples will be taken within the first 24 hours after hospitalization. The expression of microRNAs will be assessed in patients with different severity of abdominal sepsis, acute cardiovascular syndrome with high inflammatory biomarkers and control patients without cardiovascular dysfunction or inflammation. RNA extraction kits will be using for extracting microRNA from blood serum. Levels of microRNA's expression will be assessed with PCR. We will assess differential value of microRNAs in patients with different severity of abdominal sepsis and acute cardiovascular syndrome with high inflammatory biomarkers.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
83834
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Prof Andrius Macas
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Address
83834
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Eiveniu g. 2, Kaunas 50009, Kaunas
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Country
83834
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Lithuania
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Phone
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+37068639123
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Fax
83834
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Email
83834
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[email protected]
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Contact person for public queries
Name
83835
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Tomas Bukauskas
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Address
83835
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Eiveniu g. 2, Kaunas 50009, Kaunas
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Country
83835
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Lithuania
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Phone
83835
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+37061473836
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Fax
83835
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Email
83835
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[email protected]
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Contact person for scientific queries
Name
83836
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Tomas Bukauskas
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Address
83836
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Hospital of Lithuanian University of Health Sciences Kauno Klinikos
Eiveniu g. 2, Kaunas 50009, Kaunas
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Country
83836
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Lithuania
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Phone
83836
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+37061473836
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Fax
83836
0
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Email
83836
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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