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Pseudomonas AeruginosaSAMPANNCT05282082

Carbapenem-resistant Pseudomonas Aeruginosa: the SAMPAN Study.

An observational study of Pseudomonas Aeruginosa and Colonization, Asymptomatic, run by Erasmus Medical Center at 3 sites in 3 countries.

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

Pseudomonas aeruginosa causes severe infections in hospitalized patients. The worldwide emergence of carbapenem-resistant P. aeruginosa (CRPA) makes infections by these pathogens almost untreatable. The World Health Organization now ranks CRPA highest in the list of 'urgent threats'. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
How many people
2,105 participants
Where
3 sitesin 3 countries
Study dates
1 Mar 2022to 30 Jun 2024
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: Healthy volunteers are individuals living in "high-risk areas" in one of the three cities. "High-risk areas" are areas that we expect to have a high prevalence of CRPA which may affect humans. Patients will be included within 48 hours of their admission to the hospital (non-critical medical and surgical wards) in one of the three cities. The three participating hospitals are all university hospitals.

Who may be able to join

  • All healthy individuals (i.e., not hospitalized) aged 18 years or older and living in a "high-risk area" in Rotterdam, Rome or Jakarta.
  • Must be aged 18 years or older;
  • Should be capable of providing answers to the questions in the questionnaire by himself/herself;
  • Should have a minimum expected length of stay of at least 24 hours;

Who cannot join

  • No signed consent sheet.
  • Cystic fibrosis patients
  • No signed consent sheet.

Trial locations and contacts

3 sites in 3 countries.

3 sites in 3 countries

Indonesia1 site
  • Dr Cipto Mangunkusumo General Hospital

    Jakarta

Other trials in Indonesia

Italy1 site
  • Fondazione Policlinico Universitario Agostino Gemelli IRCCS

    Roma

Other trials in Italy

Netherlands1 site
  • Erasmus Medical Center

    Rotterdam, South Holland, 3015 GD

Other trials in Netherlands

About this study

Official title: A Smart Surveillance Strategy for Carbapenem-resistant Pseudomonas Aeruginosa: the SAMPAN Study.

Pseudomonas aeruginosa causes severe infections in hospitalized patients. The worldwide emergence of carbapenem-resistant P. aeruginosa (CRPA) makes infections by these pathogens almost untreatable. The World Health Organization now ranks CRPA highest in the list of 'urgent threats'. Information for action to prevent further emergence has to come from insight into sources and transmission routes through smart surveillance. At present, a smart surveillance strategy is not available for CRPA. The aim of this project is to develop a globally-applicable smart surveillance strategy to guide action against the spread of CRPA. Since P. aeruginosa prefers moist niches, we will focus on the human-water interface. First, highly-sensitive methods to detect CRPA in specific environmental and human niches will be developed. Subsequently, CRPA will be collected in three study sites with increasing prevalences of CRPA, increasingly warmer climates, and different water situations: Rotterdam (The Netherlands), Rome (Italy), Jakarta (Indonesia). CRPA will be searched for in a variety of niches in the environment outside and inside the hospital, and in healthy humans and hospitalized patients. Whole genome sequencing will be performed to compare the CRPA from different sources and identify transmission routes. Our project will provide insight into the relative contribution of the different potential reservoirs of CRPA to its spread in different settings which will be used for the development of a globally-applicable surveillance strategy for CRPA to guide preventive actions.

Medical subject headings
Pseudomonas Infections, Asymptomatic Infections, Cross Infection

What participants receive

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

Study groups in NCT05282082
Study groupRoleWhat they receive
Patients at the moment of their admission to the hospital in one of the three citiesSwabs will be taken from patients who are willing to participate.
Healthy volunteers living in "high-risk areas" in one of the three cities.Swabs will be taken from healthy volunteers who are willing to participate.

What is being measured

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

  1. Prevalence of CRPA carriage in healthy individuals and newly hospitalized patients, CRPA prevalence in wet hospital environments, CRPA concentrations in aquatic environments, and the frequency and transmission likelihood within epidemiological clusters

    Measured: 2022/2024

Secondary outcomes (1)
  1. Prevalence of body site-specific CRPA carriage in healthy individuals and newly hospitalized patients, prevalence of clinical CRPA isolates, and prevalence and geographic distribution of carbapenemase genes.

    Measured: 2022/2024

Timeline

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

  1. First posted16 Mar 2022
  2. Study start1 Mar 2022
  3. Primary completion30 Jun 2024
  4. Study completion30 Jun 2024

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
Cross-sectional
Enrolment
2,105 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05282082
Sponsor's protocol ID
5025
Acronym
SAMPAN
Status last verified
Mar 2026
First submitted
7 Mar 2022
Last updated
10 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Metadata for human, hospital environment, and water data are available through the data repository DataverseNL (https://doi.org/10.34894/1OFFVG). Raw reads, assembly data and metadata are available on the International Pseudomonas Consortium Database (https://ipcd.ibis.ulaval.ca/). Deidentified individual participant data and data from environmental, including water, sources that underlie the results reported in this Article can be shared with researchers following submission of a methodologically sound proposal, approval by the SAMPAN Project Board, and can only be made available upon signing a Data Transfer Agreement. Proposals should be directed to the corresponding author or the corresponding author's department (projectmanagement.mmiz@erasmusmc.nl).

Publications

  • Shahab et al. Development of a highly-sensitive method to detect the carriage of carbapenem-resistant Pseudomonas aeruginosa in humans. https://doi.org/10.1101/2024.08.27.609846

  • van Veen A, Rijfkogel A, Voor In 't Holt AF, Zandijk WHA, Vos MC, Klaassen CHW, Severin JA. Two-round point-prevalence study unveils shared blaVIM-2 integrons and spread of a blaIMP-15-encoding plasmid among carbapenem-resistant non-aeruginosa Pseudomonas species in the wet hospital environment. J Hosp Infect. 2026 Apr;170:25-33. doi: 10.1016/j.jhin.2026.01.003. Epub 2026 Jan 23.

    PubMed 41581609
  • Shahab SN, van Veen A, Kemper MA, Rijfkogel A, Vos MC, Karuniawati A, Severin JA, Schmitt H; SAMPAN Consortium. Detection methods for carbapenem-resistant Pseudomonas aeruginosa in surface water and wastewater. Sci Total Environ. 2025 Jan 20;961:178086. doi: 10.1016/j.scitotenv.2024.178086. Epub 2025 Jan 8.

    PubMed 39787647
  • van Veen A, Shahab SN, Rijfkogel A, Voor In 't Holt AF, Klaassen CHW, Vos MC, Saharman YR, Karuniawati A, Zelli S, De Lorenzis D, Menchinelli G, De Angelis G, Sanguinetti M, Kemper M, de Jong AEE, Mohammadi S, Renaud V, Kukavica-Ibrulj I, Potvin M, Nguyen GQ, Gauthier J, Levesque RC, Schmitt H, Severin JA. Sources and Transmission Routes of Carbapenem-Resistant Pseudomonas aeruginosa: Study Design and Methodology of the SAMPAN Study. Antibiotics (Basel). 2025 Jan 15;14(1):94. doi: 10.3390/antibiotics14010094.

    PubMed 39858379
  • van Veen A, Shahab SN, Rijfkogel A, Vos MC, Saharman YR, Karuniawati A, Zelli S, De Lorenzis D, Menchinelli G, De Angelis G, Sanguinetti M, Voor In 't Holt AF, Severin JA; SAMPAN Consortium. Pseudomonas aeruginosa carriage and associated risk factors in healthy individuals and patients from Rotterdam, Rome, and Jakarta. Sci Rep. 2025 Jul 21;15(1):26392. doi: 10.1038/s41598-025-10175-y.

    PubMed 40691185

Questions about this trial

What is this clinical trial studying?

An observational study of Pseudomonas Aeruginosa and Colonization, Asymptomatic, run by Erasmus Medical Center at 3 sites in 3 countries.

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 4 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 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in Indonesia, Italy, Netherlands. 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?

Prevalence of CRPA carriage in healthy individuals and newly hospitalized patients, CRPA prevalence in wet hospital environments, CRPA concentrations in aquatic environments, and the frequency and transmission likelihood within epidemiological clusters (time frame: 2022/2024). 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 NCT05282082, which also lists 5 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 10 Mar 2026.

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