Detection of Immune Changes as a Result of Surgical Trauma in Human Subject

Sponsor
Martin Angst (Other)
Overall Status
Completed
CT.gov ID
NCT01578798
Collaborator
(none)
50
1
16
3.1

Study Details

Study Description

Brief Summary

Surgical trauma triggers a massive inflammatory response. Over time, both the innate and adaptive branches of the immune system are affected by surgical trauma. The purpose of this study to characterize the cellular and molecular mechanisms immune response to surgical trauma. Additionally, detailed information about patients' recovery profile will be recorded over a period of 6 weeks, with the eventual goal of linking immune responses to recovery profiles.

Condition or Disease Intervention/Treatment Phase

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    50 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Detection of Immune Changes as a Result of Surgical Trauma in Human Subject
    Study Start Date :
    Mar 1, 2012
    Actual Primary Completion Date :
    Jul 1, 2013
    Actual Study Completion Date :
    Jul 1, 2013

    Outcome Measures

    Primary Outcome Measures

    1. Mass cytometry of immune signaling events [Blood samples for mass cytometry will be drawn at baseline, 1 hour post-op, 24 hours post-op, 3 days post-op, and 6 weeks post-op.]

      The primary molecular outcome is the fold change in phosphorylation of signaling proteins.

    Secondary Outcome Measures

    1. Surgical Recovery Scale (SRS) [Data will be collected at baseline, daily through the hospitalization, and every 3 days for 6 weeks.]

      The surgical recovery scale is a validated questionnaire yielding a numerical score and assessing postoperative recovery.

    2. Western Ontario and McMaster Universities Arthritis Index (WOMAC) [Data will be collected at baseline, daily through the hospitalization, and every 3 days for 6 weeks.]

      Western Ontario and McMaster Universities Arthritis Index is a validated questionnaires yielding a numerical score and assessing functional status and pain in patients suffering from osteoarthritis of the hip.

    3. Plasma cytokines [Blood samples will be drawn at baseline, 1 hour post-op, 24 hours post-op, 3 days post-op, and 6 weeks post-op.]

      The plasma concentration of plasma cytokines and chemokines will be measured with aid of a large protein array.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 90 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • 18 - 90

    • Planning to undergo hip surgery

    • Fluent in English

    • Willing and able to sign informed consent and HIPAA authorization

    Exclusion Criteria:
    • Any systemic disease that might compromise the immune system

    • Diagnosis of cancer within the last 5 years

    • Psychiatric, immunological, and neurological conditions that would interfere with the collection and interpretation of study data

    • Pregnancy

    • Any other conditions that, in the opinion of the investigators, may compromise a participant's safety or the integrity of the study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Stanford University Hospital Stanford California United States 94305

    Sponsors and Collaborators

    • Martin Angst

    Investigators

    • Principal Investigator: Martin S Angst, MD, Stanford University

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Martin Angst, Professor of Anesthesia, Stanford University
    ClinicalTrials.gov Identifier:
    NCT01578798
    Other Study ID Numbers:
    • 22678
    First Posted:
    Apr 17, 2012
    Last Update Posted:
    Oct 30, 2013
    Last Verified:
    Oct 1, 2013
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Oct 30, 2013