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SepsisEDGENCT03126032

Early Detection of Glycocalyx Damage in Emergency Room Patients

An observational study of Sepsis and SIRS, run by University Hospital Muenster at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Aim of the study is to evaluate to what extent a glycocalyx damage measured in the ER in patients presenting with sepsis correlates with their clinical course and if it can be used as a clinical stratification tool and mortality predictor. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Sepsis, SIRS
What is being tested?
GlycoCheck™-System
How many people
260 participants
Where
1 siteGermany
Study dates
3 Apr 2017to 31 Dec 2019
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
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Non consecutive patients presenting in the ER of the University Hospital in Muenster, Germany.

Who may be able to join

  • Patients with suspected sepsis
  • Adult patients presenting to the ER with the clinical suspicion of infection
  • Indication for hospital admission
  • Patients without sepsis
  • Adult patients presenting to the ER with other conditions apart from sepsis/infection.
  • Healthy individuals
  • Adult healthy individuals.

Who cannot join

  • Underage persons
  • Pregnant women
  • Oral mucosal injuries

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Universitiy Hospital Muenster

    Münster, 48149

Other trials in Germany

About this study

Aim of the study is to evaluate to what extent a glycocalyx damage measured in the ER in patients presenting with sepsis correlates with their clinical course and if it can be used as a clinical stratification tool and mortality predictor.

The study will focus on the changes of the microcirculation and how they correlate with the macrocirculation, as well as microbiologic parameters. In the study will participate ca. 300 patients with sepsis, as well as 30 patients without sepsis and 30 healthy individuals.

Conditions
Sepsis, SIRS
Being tested
GlycoCheck™-System
Keywords
Sepsis, SIRS, Glycocalyx, Glycocheck™-System, Infection
Medical subject headings
Sepsis, Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • GlycoCheck™-SystemOther

    Consecutive, sublingual measurements of endothelial glycocalyx with GlycoCheck™-System will be obtained at presentation, as well as during the inpatient treatment of the patients with suspected sepsis.

    Blood sample will be drawn in all groups at time of assessment. Besides that, in patients with suspected sepsis blood samples will be drawn for further microbiologic and laboratory analysis at day 1 and day 7 of their hospital stay.

Study groups in NCT03126032
Study groupRoleWhat they receive
Patients with suspected sepsisPatients presenting in the Emergency Room (ER) with the clinical suspicion of infection/sepsis. Evaluation of the glycocalyx damage with the use of GlycoCheck™-System, as well as blood sample at presentation, day 1 and day 7 of their hospital stay.
Receives: Other: GlycoCheck™-System
Non-Sepsis PatientsPatients presenting in the Emergency Room with other conditions apart from infection/sepsis. Evaluation of their sublingual glycocalyx and blood sample for further microbiologic and laboratory analysis at presentation.
Receives: Other: GlycoCheck™-System
Healthy IndividualsEvaluation of their sublingual glycocalyx and blood sample for further microbiologic and laboratory analysis at presentation.
Receives: Other: GlycoCheck™-System

What is being measured

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

  1. Correlation of glycocalyx thickness with clinical course.

    Glycocalyx thickness measured with the use of GlycoCheck System (Perfused Boundary Region - PBR, in µm) will be correlated with patients' clinical course (e.g. with the use of SOFA score - pts.).

    Measured: At time of presentation in the ER.

Secondary outcomes (3)
  1. Correlation of glycocalyx thickness with major events.

    Glycocalyx thickness (PBR, in µm) will be correlated with patients΄ major events (dialysis, intubation, ICU admission, death)

    Measured: Hospital stay, an expected average of 4 weeks.

  2. Correlation of glycocalyx thickness with 90-day mortality.

    Glycocalyx thickness (PBR, in µm) will be correlated with patients΄ 90-day mortality.

    Measured: Up to 90 days.

  3. Correlation of glycocalyx thickness with subsequent organ failure.

    Glycocalyx thickness (PBR, in µm) will be correlated with subsequent organ failure (e.g. kidney, lung, circulation).

    Measured: Hospital stay, an expected average of 4 weeks.

Timeline

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

  1. First posted24 Apr 2017
  2. Study start3 Apr 2017
  3. Primary completion31 Dec 2019
  4. Study completion31 Dec 2019

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
Case-control
Time perspective
Prospective
Enrolment
260 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03126032
Sponsor's protocol ID
EDGE 001
Acronym
EDGE
Status last verified
Apr 2020
First submitted
20 Feb 2017
Last updated
2 Apr 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Scarbeck MM, Kunnemann MD, Hunkemoller AM, Drost CC, Lukasz A, Birkner M, Fobker M, Nofer JR, Vink H, Pavenstadt H, Kumpers P, Rovas A. Early detection of glycocalyx and microvascular damage in suspected sepsis in the emergency department: the EDGE study. Crit Care. 2026 Apr 17;30(1):241. doi: 10.1186/s13054-026-05989-9.

    PubMed 41998704

Questions about this trial

What is this clinical trial studying?

An observational study of Sepsis and SIRS, run by University Hospital Muenster at 1 site in Germany.

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 7 inclusion and 3 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: finished, as of the sponsor's last update on 2 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Correlation of glycocalyx thickness with clinical course. (time frame: At time of presentation in the ER.). 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 NCT03126032, which also lists 1 linked publication.

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 2 Apr 2020.

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