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Acute Respiratory Distress SyndromeNCT07774338

Serum sRAGE, CC16, and Syndecan-1 as Predictors of ARDS and Mortality After Severe Chest Trauma

An observational study of Acute Respiratory Distress Syndrome and Chest Trauma, run by Assiut University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This prospective cohort study aims to evaluate whether blood levels of soluble receptor for advanced glycation end products (sRAGE), Club Cell Protein-16 (CC16), and Syndecan-1 measured early after severe chest trauma can predict the development of acute respiratory distress syndrome (ARDS) and in-hospital mortality. Read more about this study

Who is it for?
Ages 18 to 60 years
How many people
85 participants
Where
No sites listed yet
Study dates
Oct 2026to Dec 2028
Phase
Observational
Are there results?
Not yet: the study is under way

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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Study population: The study population will include adult patients aged 18 years or older admitted to the trauma unit with severe blunt or penetrating chest trauma. All eligible participants will undergo clinical assessment, routine laboratory and radiological evaluation, and single blood sampling for measurement of serum sRAGE, CC16, and Syndecan-1 levels. Participants will be followed prospectively for the development of ARDS during the first 7 days after admission, while in-hospital mortality will be recorded until hospital discharge or death.

Who may be able to join

  • Adult patients aged 18 - 60 years old.
  • Patients with blunt or penetrating severe chest trauma.
  • Chest Abbreviated Injury Scale (Chest AIS ≥3).
  • Admission within 24 hours of injury.
  • Patients admitted to the Trauma Unit or Trauma ICU.
  • Written informed consent obtained from the patient or legally authorized representative.

Who cannot join

  • h. Age below 18 years or above 60 years old (to ensure a homogeneous adult study population and avoid age- related physiological differences).
  • i. Hospital admission more than 24 hours after injury (to ensure early biomarker measurement before secondary inflammatory changes occur).
  • j. Previous diagnosis of acute respiratory distress syndrome before admission (to ensure that ARDS outcomes are attributable to the index chest trauma).
  • k. Pre-existing chronic interstitial lung disease (to avoid baseline pulmonary abnormalities that may influence biomarker levels and respiratory outcomes).
  • l. Acute exacerbation of chronic obstructive pulmonary disease requiring hospitalization (to minimize confounding from pre-existing acute pulmonary inflammation).
  • m. Active pulmonary infection before trauma (to exclude pre-existing pulmonary inflammation that may alter biomarker levels and increase the risk of ARDS independently of trauma).
Show all 17Show fewer
  • n. End-stage chronic liver disease (to avoid altered inflammatory responses and poor clinical outcomes unrelated to chest trauma).
  • o. End-stage renal disease requiring dialysis (to avoid altered clearance of circulating biomarkers and independently increased mortality risk).
  • p. Active malignancy receiving chemotherapy or radiotherapy (to exclude patients with cancer-related systemic inflammation and immunosuppression that may affect biomarker levels and outcomes).
  • q. Pregnancy (because physiological changes during pregnancy may influence biomarker levels and respiratory function).
  • r. Patients transferred from another hospital more than 24 hours after injury (to ensure standardized early clinical assessment and biomarker sampling within the predefined study period).
  • s. Refusal to participate in the study (because informed consent is required for study enrollment).
  • t. Connective tissue diseases
  • u. Severe burns and major inhalational injury v. Immunosuppressive therapy
  • w. Chronic systemic inflammatory diseases
  • x. Severe obesity ( BMI>40), if relevant.
  • y. Poly trauma with AIS> or = 3 outside the chest.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Wesam Mahran, Specialist of Emergency Medici contact

01028181966

Wesam.20134479@med.aun.edu.eg

About this study

Official title: Early Admission Serum Soluble Receptor for Advanced Glycation End Products (sRAGE), Club Cell Protein-16 (CC16), and Syndecan-1 as Independent Predictors of Acute Respiratory Distress Syndrome and In-Hospital Mortality Following Severe Isolated Chest Trauma: A Prospective Cohort Study.

This prospective cohort study aims to evaluate whether blood levels of soluble receptor for advanced glycation end products (sRAGE), Club Cell Protein-16 (CC16), and Syndecan-1 measured early after severe chest trauma can predict the development of acute respiratory distress syndrome (ARDS) and in-hospital mortality. Adult patients aged 18 years or older admitted with severe blunt or penetrating chest trauma will be enrolled. Clinical data, injury severity, laboratory findings, imaging results, and clinical outcomes will be recorded. Patients will be followed daily during the first 7 days after admission for the development of ARDS, and in-hospital mortality will be recorded until discharge or death. The findings may help identify patients at high risk of respiratory complications and poor outcomes after severe chest trauma.

Being tested
No intervention - observational study
Keywords
Severe chest trauma, Acute respiratory distress syndrome, sRANGE, CC16, Syndecan-1, Trauma biomarker
Medical subject headings
Respiratory Distress Syndrome, Thoracic Injuries

What participants receive

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

  • No intervention - observational studyOther

    No intervention is assigned. Participants receive standard clinical care, and the study prospectively observes clinical outcomes and biomarkers following severe chest trauma.

Study groups in NCT07774338
Study groupRoleWhat they receive
Severe Chest Trauma CohortAdults aged 18 years or older with severe blunt or penetrating chest trauma admitted to the trauma unit and enrolled in the study. Participants will be followed prospectively for the development of acute respiratory distress syndrome and in-hospital mortality.
Receives: Other: No intervention - observational study

What is being measured

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

  1. Development of acute respiratory distress syndrome (ARDS), diagnosed according to the 2024 Global Definition of ARDS.

    Acute respiratory distress syndrome (ARDS) will be diagnosed according to the 2024 Global Definition of ARDS, which updates and expands the Berlin Definition. ARDS is defined by acute hypoxemic respiratory failure occurring within one week of a known clinical insult, with bilateral pulmonary opacities on chest imaging (chest radiography, computed tomography, or lung ultrasound) not fully explained by cardiac failure or fluid overload, and impaired oxygenation (PaO₂/FiO₂ ≤300 mmHg or SpO₂/FiO₂ ≤315 under specified respiratory support). Severity is classified as mild, moderate, or severe according to the degree of hypoxemia). Two independent intensivists blinded to biomarker results will independently adjudicate ARDS diagnosis according to the 2024 Global Definition Two independent intensivists blinded to biomarker results will independently adjudicate ARDS diagnosis according to the 2024 Global Definition

    Measured: From admission through 7 days

Secondary outcomes (5)
  1. In-hospital mortality.

    Measured: From hospital admission until hospital discharge or death, whichever occurs first, assessed up to 28 days after admission.

  2. ICU length of stay.

    Measured: From ICU admission until ICU discharge or death, with the outcome assessed up to 28 days after ICU admission.

  3. Need for invasive mechanical ventilation

    Requirement for invasive mechanical ventilation during hospitalization following severe chest trauma.

    Measured: Assessed daily from hospital admission through Day 7, or until initiation of invasive mechanical ventilation, hospital discharge, or death, whichever occurs first.

  4. Duration of mechanical ventilation.

    Measured: From initiation of invasive mechanical ventilation through Day 7, with assessment daily until successful extubation, death, hospital discharge, or Day 7, whichever occurs first.

  5. Hospital length of stay.

    Measured: From hospital admission until hospital discharge or death, with hospital length of stay assessed up to 28 days after admission.

Timeline

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

  1. First posted19 Aug 2026
  2. Study startOct 2026 (estimated)
  3. Primary completionOct 2028 (estimated)
  4. Study completionDec 2028 (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
85 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07774338
Sponsor's protocol ID
Chest trauma Assiut2026
Status last verified
Aug 2026
First submitted
12 Aug 2026
Last updated
19 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared with other researchers.

Publications

  • Jabaudon M, Berthelin P, Pranal T, Roszyk L, Godet T, Faure JS, Chabanne R, Eisenmann N, Lautrette A, Belville C, Blondonnet R, Cayot S, Gillart T, Pascal J, Skrzypczak Y, Souweine B, Blanchon L, Sapin V, Pereira B, Constantin JM. Receptor for advanced glycation end-products and ARDS prediction: a multicentre observational study. Sci Rep. 2018 Feb 8;8(1):2603. doi: 10.1038/s41598-018-20994-x.

    PubMed 29422518
  • Bime C, Camp SM, Casanova N, Oita RC, Ndukum J, Lynn H, Garcia JGN. The acute respiratory distress syndrome biomarker pipeline: crippling gaps between discovery and clinical utility. Transl Res. 2020 Dec;226:105-115. doi: 10.1016/j.trsl.2020.06.010. Epub 2020 Jun 26.

    PubMed 32599095
  • Gao J, Rao T, Li Y, Gu W, Lu Q. Acute lung injury induced by traumatic hemorrhagic shock: pathogenesis, biomarkers and therapeutic perspectives. World J Emerg Med. 2025 Nov 1;16(6):532-542. doi: 10.5847/wjem.j.1920-8642.2025.119.

    PubMed 41246543
  • Xie WW, Ding YJ, Bhandari S, Li H, Chen HS, Jin SW, Weng HX, Hao Y. CLINICAL VALUE OF SYNDECAN-1 LEVELS IN TRAUMA BRAIN INJURY: A META-ANALYSIS. Shock. 2024 Jan 1;61(1):49-54. doi: 10.1097/SHK.0000000000002255. Epub 2023 Oct 12.

    PubMed 37878479
  • Negrin LL, Halat G, Kettner S, Gregori M, Ristl R, Hajdu S, Heinz T. Club cell protein 16 and cytokeratin fragment 21-1 as early predictors of pulmonary complications in polytraumatized patients with severe chest trauma. PLoS One. 2017 Apr 5;12(4):e0175303. doi: 10.1371/journal.pone.0175303. eCollection 2017.

    PubMed 28380043
  • Jabaudon M, Blondonnet R, Roszyk L, Bouvier D, Audard J, Clairefond G, Fournier M, Marceau G, Dechelotte P, Pereira B, Sapin V, Constantin JM. Soluble Receptor for Advanced Glycation End-Products Predicts Impaired Alveolar Fluid Clearance in Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2015 Jul 15;192(2):191-9. doi: 10.1164/rccm.201501-0020OC.

    PubMed 25932660
  • Ahs EF, Gunther M. Biomarkers in Traumatic Lung Injury - A Systematic Review. J Surg Res. 2026 May;321:127-142. doi: 10.1016/j.jss.2026.02.018. Epub 2026 Mar 20.

    PubMed 41864160
  • Dixon A, Kenny JE, Buzzard L, Holcomb J, Bulger E, Wade C, Fabian T, Schreiber M; PROPPR Study Group. Acute respiratory distress syndrome, acute kidney injury, and mortality after trauma are associated with increased circulation of syndecan-1, soluble thrombomodulin, and receptor for advanced glycation end products. J Trauma Acute Care Surg. 2024 Feb 1;96(2):319-325. doi: 10.1097/TA.0000000000004096. Epub 2023 Sep 6.

    PubMed 37678154
  • Wei Y, Ren X, Yuan Z, Hong J, Wang T, Chen W, Xu Y, Ding J, Lin J, Jiang W, Zhang P, Wu Q. Trauma diagnostic-related target proteins and their detection techniques. Expert Rev Mol Med. 2024 Apr 11;26:e7. doi: 10.1017/erm.2024.3.

    PubMed 38602081
  • Lin H, Liu Q, Zhao L, Liu Z, Cui H, Li P, Fan H, Guo L. Circulating Pulmonary-Originated Epithelial Biomarkers for Acute Respiratory Distress Syndrome: A Systematic Review and Meta-Analysis. Int J Mol Sci. 2023 Mar 23;24(7):6090. doi: 10.3390/ijms24076090.

    PubMed 37047065
  • Matthay MA, Arabi Y, Arroliga AC, Bernard G, Bersten AD, Brochard LJ, Calfee CS, Combes A, Daniel BM, Ferguson ND, Gong MN, Gotts JE, Herridge MS, Laffey JG, Liu KD, Machado FR, Martin TR, McAuley DF, Mercat A, Moss M, Mularski RA, Pesenti A, Qiu H, Ramakrishnan N, Ranieri VM, Riviello ED, Rubin E, Slutsky AS, Thompson BT, Twagirumugabe T, Ware LB, Wick KD. A New Global Definition of Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med. 2024 Jan 1;209(1):37-47. doi: 10.1164/rccm.202303-0558WS.

    PubMed 37487152
  • Ma W, Tang S, Yao P, Zhou T, Niu Q, Liu P, Tang S, Chen Y, Gan L, Cao Y. Advances in acute respiratory distress syndrome: focusing on heterogeneity, pathophysiology, and therapeutic strategies. Signal Transduct Target Ther. 2025 Mar 7;10(1):75. doi: 10.1038/s41392-025-02127-9.

    PubMed 40050633

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Respiratory Distress Syndrome and Chest Trauma, run by Assiut University.

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 6 inclusion and 17 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: opening soon, as of the sponsor's last update on 19 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Wesam Mahran, Specialist of Emergency Medici (01028181966, Wesam.20134479@med.aun.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Development of acute respiratory distress syndrome (ARDS), diagnosed according to the 2024 Global Definition of ARDS. (time frame: From admission through 7 days). 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 NCT07774338, which also lists 12 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 19 Aug 2026.

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