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Trial registered on ANZCTR
Registration number
ACTRN12623001222639
Ethics application status
Approved
Date submitted
1/11/2023
Date registered
28/11/2023
Date last updated
28/11/2023
Date data sharing statement initially provided
28/11/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
Bacterial evolution during golden staph infections
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Scientific title
Bacterial Adaptation during Invasive Staphylococcus aureus infections
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Secondary ID [1]
310883
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None
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Universal Trial Number (UTN)
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Trial acronym
BARISTA
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Staphylococcus aureus infections
331930
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Sepsis
331932
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Bone and joint infections
331933
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Infective endocarditis
331934
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Condition category
Condition code
Infection
328661
328661
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0
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Studies of infection and infectious agents
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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
Invasive S. aureus infection (at least 1 sterile sample with growth of S. aureus [e.g. blood, valve, bone]) admitted at Austin and Royal Melbourne Hospitals in Melbourne, Victoria
Following samples are collected:
1. At enrolment and during the initial admission:
- all clinical samples with growth of S. aureus: blood cultures, tissue biopsies (e.g. bone, muscle), body liquids (e.g. joint fluid), pus from abscesses. These samples are already collected for clinical reasons, no additional intervention required
- a nasal swab (collected by a registered nurse)
- a 9 ml blood sample at enrolment, after 3 days and after 7 days (collected by a registered nurse)
2. At follow-up at 6 and 12 months after enrolment:
- nasal swab (self collection)
3. At infection recurrence within 12 months:
- all clinical samples with growth of S. aureus: blood cultures, tissue biopsies (e.g. bone, muscle), body liquids (e.g. joint fluid), pus from abscesses. These samples are already collected for clinical reasons, no additional intervention required
- a nasal swab (collected by a registered nurse)
- a 9 ml blood sample at enrolment, after 3 days and after 7 days (collected by a registered nurse)
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Intervention code [1]
327303
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Any adaptative changes, defined as point mutations, chromosoma structural changes acquired withih the host overt the course of the infection with S. aureus
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Assessment method [1]
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Whole-genome sequencing of concomitant and sequential S. aureus isolates collected from participants with invasive S. aureus infections
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Timepoint [1]
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One year post enrolment
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Primary outcome [2]
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Bacterial diversity within clinical samples (i.e genetic heterogeneity of the S. aureus population)
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Assessment method [2]
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High-coverage whole-genome sequencing
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Timepoint [2]
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At time of enrolment, at 6 and 12 months follow-up and at infection recurrence
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Secondary outcome [1]
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Treatment failure (mortality at 30 days, persistent bacteraemia > 7 days or recurrence within a year)
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Assessment method [1]
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Review of medical records
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Timepoint [1]
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One year post enrolment
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Eligibility
Key inclusion criteria
• Age greater or equal to 18 years
• Admitted to a participating centre
• Invasive S. aureus infection (at least 1 sterile sample with growth of S. aureus [e.g. blood, valve, bone])
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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?
No
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Key exclusion criteria
• Polymicrobial infection at time of inclusion
• Treating team deems enrolment in the study is not in the best interest of the patient
• Death is deemed to be imminent and inevitable within the next 48 hours
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/05/2021
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Date of last participant enrolment
Anticipated
31/12/2024
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
200
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Accrual to date
32
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Austin Health - Austin Hospital - Heidelberg
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Recruitment hospital [2]
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Royal Melbourne Hospital - City campus - Parkville
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Recruitment postcode(s) [1]
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3084 - Heidelberg
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Recruitment postcode(s) [2]
41625
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3050 - Parkville
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
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Grattan Street, Parkville, Victoria, 3010
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Grattan Street, Parkville, Victoria, 3010
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
317162
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Country [1]
317162
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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SNAP trial steering committee (principal investigators: Prof. Steve Tong and Prof. Josh Davis)
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Address [1]
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Doherty Institute, 792 Elizabeth Street, Melbourne, VIC 3000
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Country [1]
282864
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics committee
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Ethics committee address [1]
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145 Studley Rd, Heidelberg, VIC 3084
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Ethics committee country [1]
314080
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Australia
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Date submitted for ethics approval [1]
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26/02/2021
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Approval date [1]
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03/03/2021
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Ethics approval number [1]
314080
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HREC/64786/Austin-2020
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Summary
Brief summary
BARISTA is a prospective, multi-centre bacterial genomics study of invasive Staphylococcus aureus infections that is currently recruiting the Austin Hospital and Royal Melbourne Hospital in Melbourne. Adult patients admitted for a monomicrobial sterile site infection (eg. blood, bone, or joint) are included, with up to a year follow-up. The study collects all clinical samples with growth of S. aureus (blood cultures but also bone, muscle, joint), and samples from recurrent infections within a year. Nasal swabs are collected at enrolment and after 6 and 12 months and in case of recurrence. EDTA blood is collected to extract cell-free DNA (cf-DNA).
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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
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Prof Ben Howden
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Address
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The Doherty Institute, 792 Elizabeth Street, Melbourne VIC 3000
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Country
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Australia
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Phone
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+61 3 8344 5701
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Stefano Giulieri
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Address
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The Doherty Institute, 792 Elizabeth Street, Melbourne VIC 3000
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Country
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Australia
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Phone
130339
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+61 3 8344 5701
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Fax
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Email
130339
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[email protected]
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Contact person for scientific queries
Name
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Stefano Giulieri
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Address
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The Doherty Institute, 792 Elizabeth Street, Melbourne VIC 3000
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Country
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Australia
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Phone
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+61 3 8344 5701
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Fax
130340
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Email
130340
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Clinical data
Bacterial genomes
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When will data be available (start and end dates)?
Data available as soon as manuscript published (2026). No end date.
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Available to whom?
In public repositories or a supplementary data
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Available for what types of analyses?
Genomic analyses
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How or where can data be obtained?
From public repositories or a supplementary data. Contact coordinator Stefano Giulieri,
[email protected]
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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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