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PneumoniaGAinSNCT00131196

Functional Genomic Influences on Disease Progression and Outcome in Sepsis

An observational study of Pneumonia and Peritonitis, run by University of Oxford at 50 sites in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The proposal is aimed at identifying genetic factors that determine the incidence and severity of, and the outcome from life-threatening infections (severe sepsis/septic shock) in patients admitted to High Dependency Units (HDUs) or Intensive Care Units (ICUs) with pneumonia which developed outside the hospital… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Pneumonia, Peritonitis
How many people
4,000 participants
Where
50 sitesUnited Kingdom
Study dates
Sep 2005to Dec 2017
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients admitted to Intensive Care Units or High Dependency Units in the UK with faecal peritonitis or community acquired pneumonia

Who may be able to join

  • Patient, or legal representative, is able to give informed consent
  • Male or female of 18 years or more
  • Patient admitted to ICU/HDU with faecal peritonitis or community acquired pneumonia

Who cannot join

  • Patient or legal representative is unwilling to consent
  • Patient is under the age of 18 years
  • Patient is already enrolled in an interventional study
  • Patient is immunocompromised
  • Patient is pregnant
  • There is an advance directive to withhold or withdraw life-sustaining treatment or patient is admitted for palliative care only.

Trial locations and contacts

50 sites in 1 country.

Charles J Hinds, MD contact

+44 20346 57294

c.j.hinds@qmul.ac.uk

Christopher S Garrard, MD PhD contact

+44 1865 220621

chris.garrard@ndm.ox.ac.uk

50 sites in 1 country

United Kingdom50 sites, 7 recruiting
  • Aberdeen Royal Infirmary

    Aberdeen, AB25 2ZN

    Completed
  • Antrim Hospital

    Antrim, County Antrim, BT41 2RL

    Completed
  • Queen Elizabeth Hospital

    Birmingham, West Midlands, B15 2TH

    Julian Bion, MD, 0121 627 1627, j.f.bion@bham.ac.uk

    Julian Bion, MD

    Recruiting
  • Royal Blackburn Hospital

    Blackburn, Lancashire, BB2 3HH

    Completed
  • Blackpool Victoria Hospital

    Blackpool, Lancashire, FY3 8NR

    Completed
  • Royal Sussex County Hospital

    Brighton, Sussex, BN2 5BE

    Completed
  • Southmead Hospital

    Bristol, Avon, BS10 5NB

    Completed
  • Bristol Royal Infirmary

    Bristol, Gloucestershire, BS2 8HW

    Completed
  • Frenchay Hospital

    Bristol, South Gloucestershire, BS16 1LE

    Completed
  • Addenbrooke's Hospital

    Cambridge, Cambridgeshire, CB2 2QQ

    Completed
  • University Hospital of Wales

    Cardiff, South Glamorgan, CF14 4XW

    Completed
  • Broomfield Hospital

    Chelmsford, Essex, CM1 7ET

    Completed
  • Cheltenham General Hospital

    Cheltenham, Gloucestershire, GL53 7AN

    Completed
  • Colchester General Hospital

    Colchester, Essex, CO4 5JL

    Completed
  • Castle Hill Hospital

    Cottingham, East Riding of Yorkshire, HU16 5JQ

    Completed
  • University Hospital

    Coventry, Warwickshire, CV2 2DX

    Completed
  • Frimley Park Hospital

    Frimley, Surrey, GU16 7UJ

    Completed
  • Calderdale Royal Hospital

    Halifax, West Yorkshire, HX3 0PW

    Completed
  • Huddersfield Royal Infirmary

    Huddersfield, West Yorkshire, HD3 3EA

    Completed
  • Hull Royal Infirmary

    Hull, Yorkshire, HU3 2JZ

    Completed
  • The Ipswich Hospital

    Ipswich, Suffolk, IP4 5PD

    Completed
  • Kettering General Hospital

    Kettering, Northants, NN16 8UZ

    Completed
  • Queen Elizabeth Hospital

    Kings Lynn, Norfolk, PE30 4ET

    Completed
  • St James's University Hospital

    Leeds, West Yorkshire, LS9 7TF

    Completed
  • Leicester Royal Infirmary

    Leicester, Leicestershire, LE1 5WW

    Jonathan Thompson, MD, 0300 303 1573, jonathan.thompson@uhl-tr.nhs.uk

    Jonathan Thompson, MD

    Recruiting
  • Glenfield Hospital

    Leicester, LE3 9QP

    Jonathan Thompson, MD, 0300 303 1573, jonathan.thompson@uhl-tr.nhs.uk

    Jonathan Thompson, MD

    Recruiting
  • Leicester General Hospital

    Leicester, LE5 4PW

    Jonathon Thompson, MD, jonathan.thompson@uhl-tr.nhs.uk

    Jonathon Thompson, MD

    Recruiting
  • University Hospital Lewisham

    Lewisham, London, SE13 6LH

    Completed
  • Homerton Hospital

    London, E9 6SR

    Completed
  • St Bartholomew's Hospital

    London, EC1A 7BE

    Charles Hinds, MD, 020 7377 7000, C.J.Hinds@qmul.ac.uk

    Charles Hinds, MD

    Recruiting
  • North Middlesex University Hospital

    London, N18 1QX

    Completed
  • Chelsea and Westminster Hospital

    London, SW10 9NH

    Completed
  • Hammersmith Hospital

    London, W12 0HS

    Completed
  • UCLH Middlesex Hospital

    London, W1T 3AA

    Completed
  • St Mary's Hospital

    London, W2 1NY

    Completed
  • Charing Cross Hospital

    London, W6 8RF

    Completed
  • Withington Hospital

    Manchester, Greater Manchester, M20 2LR

    Completed
  • Wythenshawe Hospital

    Manchester, Greater Manchester, M23 9LT

    Completed
  • Hope Hospital

    Manchester, Greater Manchester, M6 8HD

    Completed
  • James Cook University Hospital

    Middlesbrough, Cleveland, TS4 3BW

    Completed
  • Royal Victoria Infirmary

    Newcastle upon Tyne, Tyne and Wear, NE1 4LP

    Completed
  • Norfolk and Norwich University Hospitals

    Norwich, Norfolk, NR4 7UZ

    Completed
  • John Radcliffe Hospital

    Oxford, Oxon, OX3 9DU

    Christopher Garrard, MD, 01865 220621, chris.garrard@ndm.ox.ac.uk

    Christopher Garrard, MD

    Recruiting
  • Royal Preston Hospital

    Preston, Lancashire, PR2 9HT

    Completed
  • Royal Berkshire Hospital

    Reading, Berkshire, RG1 5AN

    Atul Kapila, MD, 0118 9875111, Atul.Kapila@rbbh-tr.nhs.uk

    Atul Kapila, MD

    Recruiting
  • Royal Halamshire Hospital

    Sheffield, S10 2JF

    Completed
  • Southend General Hospital

    Southend, Essex, SS0 0RY

    Completed
  • The Great Western Hospital

    Swindon, SN3 6BB

    Completed
  • Walsall Manor Hospital

    Walsall, West Midlands, WS2 9PS

    Completed
  • Worthing and Southlands Hospitals NHS Trust

    Worthing, West Sussex, BN11 2DH

    Completed

Other trials in United Kingdom

About this study

Official title: Functional Genomic Influences on Disease Progression and Outcome in Sepsis Due to Pneumonia or Peritonitis

The proposal is aimed at identifying genetic factors that determine the incidence and severity of, and the outcome from life-threatening infections (severe sepsis/septic shock) in patients admitted to High Dependency Units (HDUs) or Intensive Care Units (ICUs) with pneumonia which developed outside the hospital (community acquired pneumonia - CAP) or contamination of the abdominal cavity with faeces due to a leak in the bowel (faecal peritonitis). This will require the acquisition of a large, high quality resource of genetic material (DNA), plasma, urine, white blood cells and clinical information from well characterized groups of similar patients with, or at risk for, severe sepsis/septic shock. The principal objective is to perform studies which are sufficiently large to establish beyond doubt the influence of a series of selected "candidate" genes on the development, progress and outcome of sepsis.

Read the detailed description

The investigators plan to recruit 2,000 cases of community acquired pneumonia (CAP) and 2,000 cases of faecal peritonitis (FP) from 30 UK ICUs and HDUs (members of the UK Critical Care Genomics group - UKCCG). The large number of patients is required to satisfy the power calculations based upon the predicted allele frequencies of candidate genes and the level of functional expression of the gene polymorphisms.

If a patient is eligible, written, informed consent will be obtained either from the patient or, if the patient is incompetent via the patient's legal representative. Patients will be characterized clinically in terms of admission diagnosis, severity of illness (APACHE II), organ failures (SOFA) and final outcome (ICU and hospital mortality, death or survival 6 months following ICU admission. Date of death will be recorded when appropriate). Clinical status will be assessed daily for days 1, 2, 3, 5 and 7 of ICU admission using the Sepsis criteria, SOFA score, microbiological culture results and antibiotic therapy.

Selected ICUs will, following consent, also undertake blood and urine sampling on days 1, 3 and 5 for genomic, proteomic and metabolomic studies. Information will be recorded on a bar-coded paper clinical report form (CRF) at the bedside. The CRFs will be securely stored locally and copied to the research coordinator, where they will be archived. The data will be entered independently by the research coordinator and one of the investigators into a secure, central web-based electronic database for storage of clinical data and the calculation of derived values. The patient codes for genetic analysis will be derived directly from the clinical database. Those undertaking genotyping will be blinded to the clinical details and these two databases will be brought together at the time of analysis only under the direct supervision of one of the principal investigators.

Keywords
pneumonia, peritonitis, sepsis, outcome, genomics
Medical subject headings
Pneumonia, Peritonitis, Sepsis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. ICU and hospital Mortality

    Measured: ICU discharge, hospital discharge and 6 month. The date of death will be recorded, as appropriate, for each patient.

Secondary outcomes (1)
  1. Severity of illness, duration of organ support, shock reversal, duration of ICU and hospital stay

    Measured: From ICU admission to discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Aug 2005 (estimated)
  2. Study startSep 2005
  3. Primary completionDec 2017 (estimated)
  4. Study completionDec 2017 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
4,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00131196
Sponsor's protocol ID
N8518
Acronym
GAinS
Status last verified
May 2016
First submitted
15 Aug 2005
Last updated
16 May 2016
Results posted
No
Data monitoring committee
Yes

Publications

  • Vincent JL, Angus D, Annane D, Bernard G, Faist E, Giroir B, Reinhart K. Clinical expert round table discussion (session 5) at the Margaux Conference on Critical Illness: outcomes of clinical trials in sepsis: lessons learned. Crit Care Med. 2001 Jul;29(7 Suppl):S136-7. doi: 10.1097/00003246-200107001-00040. No abstract available.

    PubMed 11445749
  • Brun-Buisson C, Doyon F, Carlet J, Dellamonica P, Gouin F, Lepoutre A, Mercier JC, Offenstadt G, Regnier B. Incidence, risk factors, and outcome of severe sepsis and septic shock in adults. A multicenter prospective study in intensive care units. French ICU Group for Severe Sepsis. JAMA. 1995 Sep 27;274(12):968-74.

    PubMed 7674528
  • File TM. Community-acquired pneumonia. Lancet. 2003 Dec 13;362(9400):1991-2001. doi: 10.1016/S0140-6736(03)15021-0.

    PubMed 14683661
  • Gordon AC, Lagan AL, Aganna E, Cheung L, Peters CJ, McDermott MF, Millo JL, Welsh KI, Holloway P, Hitman GA, Piper RD, Garrard CS, Hinds CJ. TNF and TNFR polymorphisms in severe sepsis and septic shock: a prospective multicentre study. Genes Immun. 2004 Dec;5(8):631-40. doi: 10.1038/sj.gene.6364136.

    PubMed 15526005
  • Mira JP, Cariou A, Grall F, Delclaux C, Losser MR, Heshmati F, Cheval C, Monchi M, Teboul JL, Riche F, Leleu G, Arbibe L, Mignon A, Delpech M, Dhainaut JF. Association of TNF2, a TNF-alpha promoter polymorphism, with septic shock susceptibility and mortality: a multicenter study. JAMA. 1999 Aug 11;282(6):561-8. doi: 10.1001/jama.282.6.561.

    PubMed 10450718
  • Sands KE, Bates DW, Lanken PN, Graman PS, Hibberd PL, Kahn KL, Parsonnet J, Panzer R, Orav EJ, Snydman DR, Black E, Schwartz JS, Moore R, Johnson BL Jr, Platt R; Academic Medical Center Consortium Sepsis Project Working Group. Epidemiology of sepsis syndrome in 8 academic medical centers. JAMA. 1997 Jul 16;278(3):234-40.

    PubMed 9218672
  • Sorensen TI, Nielsen GG, Andersen PK, Teasdale TW. Genetic and environmental influences on premature death in adult adoptees. N Engl J Med. 1988 Mar 24;318(12):727-32. doi: 10.1056/NEJM198803243181202.

    PubMed 3347221
  • Roy S, Knox K, Segal S, Griffiths D, Moore CE, Welsh KI, Smarason A, Day NP, McPheat WL, Crook DW, Hill AV; Oxford Pneumoccocal Surveillance Group. MBL genotype and risk of invasive pneumococcal disease: a case-control study. Lancet. 2002 May 4;359(9317):1569-73. doi: 10.1016/S0140-6736(02)08516-1.

    PubMed 12047967
  • Scicluna BP, Cano-Gamez K, Burnham KL, Davenport EE, Moore AR, Khan S, Hinds CJ, Cremer OL, Khatri P, Sweeney TE, Knight JC, van der Poll T. A consensus blood transcriptomic framework for sepsis. Nat Med. 2025 Dec;31(12):4119-4130. doi: 10.1038/s41591-025-03964-5. Epub 2025 Sep 30.

    PubMed 41028542

Questions about this trial

What is this clinical trial studying?

An observational study of Pneumonia and Peritonitis, run by University of Oxford at 50 sites in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 16 May 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Charles J Hinds, MD (+44 20346 57294, c.j.hinds@qmul.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ICU and hospital Mortality (time frame: ICU discharge, hospital discharge and 6 month. The date of death will be recorded, as appropriate, for each patient.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00131196, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 May 2016.

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