Biomarkers in Exhaled Breath Condensates of Septic Patients to Predict Development of Multi-organ Dysfunction Syndrome
Study Details
Study Description
Brief Summary
In this proposal, the investigators wish to investigate, identify and validate potential biomarkers in collected exhaled breath condensates (EBC) from patients with sepsis.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
In this proposed project, we will focus on the identification of potential biomarkers in EBC with ability to predict development of multi-organ failure. Currently, no tools could be used to evaluate the effect of mitochondrial dysfunction in sepsis. All the human studies discussing mitochondrial dysfunction in sepsis use tissue biopsies as study materials. Repeated tissue biopsy is invasive and not applicable. EBC could be collected non-invasively and conveniently. A study has demonstrated the use of metabolomic technologies in mitochondrial diseases. We believe that the metabolomic biomarkers of EBC could be used to demonstrate mitochondrial dysfunction in lungs and respiratory tracts of septic patients. Such metabolomic biomarkers may also reflect similar on-going mitochondrial dysfunction in other organ systems, and could potentially become a novel diagnostic tool and a therapeutic target in future sepsis therapy.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patients with sepsis Patients who are admitted to ICU with the diagnosis of sepsis |
Other: Determined by intended physician
We perform a prospective observational study. All the treatment for the patients are determined by intended physicians.
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Outcome Measures
Primary Outcome Measures
- Development and severity of sepsis [28 days]
To record APACHE II, SOFA, and MODS, etc.
Secondary Outcome Measures
- Mortality [28 days]
- Response to treatment and progression of organ failure [28 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
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above 20 years old
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admitted to ICU with the diagnosis of sepsis and treated with mechanical ventilation via an endotracheal tube
Exclusion Criteria:
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pregnant
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active malignancy
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in an immunosuppressed status such as HIV disease, neutropenia, being treated with immunosuppressive agents
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expected to have an unavoidable very short life expectancy after admission, i.e., < 3 days
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Taiwan University Hospital | Taipei | Taiwan | 100 |
Sponsors and Collaborators
- National Taiwan University Hospital
- National Science Council, Taiwan
Investigators
- Principal Investigator: Jih-Shuin Jerng, MD, PhD, National Taiwan University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 201106068RC