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SepsisNCT07863908

Multicenter Prospective Cohort of Sepsis and ARDS in China

An observational study of Sepsis and ARDS, run by Shanghai Zhongshan Hospital at 24 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This prospective, multicenter, observational cohort study enrolls 6,000 adults with sepsis and/or acute respiratory distress syndrome (ARDS) at multiple hospitals in China. Clinical data, treatment information, biological samples, and follow-up data are collected to characterize patient features and outcomes and to… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sepsis, ARDS
What is being tested?
Surveys, 6-Minute Walk Test and Blood collection
How many people
6,000 participants
Where
24 sitesChina
Study dates
1 May 2022to 31 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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: A total of 6,000 adult patients with sepsis and/or acute respiratory distress syndrome (ARDS) will be enrolled across multiple medical centers in China. The cohort will include hospitalized adults who meet the study diagnostic criteria for sepsis and/or ARDS. Clinical data and biological samples will be collected during hospitalization to characterize the clinical and biological features of sepsis and ARDS. Biological samples will support biomarker and multi-omics analyses, and survivors with ARDS will be followed after hospital discharge to assess long-term survival, pulmonary and physical function, quality of life, psychological health, and rehospitalization.

Who may be able to join

  • Age ≥18 years.
  • Meets the diagnostic criteria for sepsis and/or acute respiratory distress syndrome (ARDS):
  • Sepsis: Sepsis is defined according to the Sepsis-3 criteria as suspected or confirmed infection accompanied by acute organ dysfunction attributable to infection, operationalized as an increase in the Sequential Organ Failure Assessment (SOFA) score of ≥2 points from baseline.
  • ARDS: ARDS is diagnosed according to the 2024 Global Definition of ARDS, including an acute predisposing condition or risk factor, acute onset or worsening of respiratory symptoms, bilateral pulmonary opacities on chest imaging or lung ultrasound not fully explained by pleural effusion, atelectasis, or pulmonary nodules, hypoxemia meeting the corresponding oxygenation criteria, and pulmonary edema not primarily attributable to cardiogenic causes or fluid overload.
  • Admitted to an ICU or other designated inpatient unit at a participating study center, including emergency or respiratory care units where appropriate.
  • Written informed consent is obtained from the participant or a legally authorized representative, or deferred consent is used when permitted by local ethical requirements.

Who cannot join

  • The acute clinical condition is primarily explained by an alternative diagnosis without sepsis or ARDS, such as isolated cardiogenic pulmonary edema or fluid overload without ARDS.
  • Terminal illness with an expected survival of <24 hours, or a decision for comfort measures only has been made before enrollment.
  • Informed consent cannot be obtained in accordance with applicable ethical requirements.
  • Previous enrollment in this cohort. Each participant may be enrolled only once; subsequent episodes of sepsis and/or ARDS may be recorded as clinical events but will not result in repeated enrollment.
  • Any other condition that, in the investigator's judgment, makes participation inappropriate.
  • Withdrawal and Loss to Follow-up:
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  • Participant withdrawal: Participants or their legally authorized representatives may withdraw consent at any time. No new study-specific data will be collected after withdrawal. The use of previously collected data and stored biological samples will follow the participant's consent and applicable ethical requirements.
  • Investigator-initiated withdrawal: Participants may be withdrawn if subsequent review identifies a major protocol violation, duplicate enrollment, unreliable study data, or another condition that makes continued participation inappropriate.
  • Loss to follow-up: Participants who cannot be contacted after repeated attempts and for whom follow-up information cannot be obtained through other permitted sources will be considered lost to follow-up. Data collected before loss to follow-up may be retained and analyzed according to the statistical analysis plan.

Trial locations and contacts

24 sites in 1 country. Contact the study team or a site near you to ask about taking part.

24 sites in 1 country

China24 sites, 24 recruiting
  • Guangdong Provincial People's Hospital

    Guangzhou, Guangdong, 510080

    Yiyu Deng, MD, +86 15013287340, yiyudeng666@163.com

    Recruiting
  • The Second Affiliated Hospital, Zhejiang University School of Medicine

    Hangzhou, Zhejiang, 310009

    Zhaocai He, MD, +86 13758131998, zhangzhaocai@zju.edu.cn

    Recruiting
  • Jiangyin People's Hospital

    Jiangyin, Jiangsu, 214400

    Jianing Xu, MD, +86 18921251155, shipnew@yeah.net

    Recruiting
  • Jiaxing First Hospital

    Jiaxing, Zhejiang, 314001

    Jiangang Zhu, MD, +86 13586464970, smilezhumz@163.com

    Recruiting
  • Affiliated Hospital of Jining Medical University

    Jining, Shandong, 272029

    Yong Li, MD, +86 13515374839, 13515374839@163.com

    Recruiting
  • Tenth People's Hospital of Tongji University

    Shanghai, 200072

    Hu Peng, MD, +86 18917683122, penghu@tongji.edu.cn

    Recruiting
  • Shanghai General Hospital

    Shanghai, 200080

    Ruilan Wang, MD, +86 13917138008, wangyusun@hotmail.com

    Recruiting
  • Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, 200092

    Chengjin Gao, MD, +86 15801985172, gaochengjin@xinhuamed.com.cn

    Recruiting
  • Shanghai East Hospital

    Shanghai, 200120

    Lunxian Tang, MD, +86 13621759045, 456tlx@163.com

    Recruiting
  • Renji Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, 200127

    Zhenyu He, MD, +86 15900909475, hzyyy@163.com

    Recruiting
  • Renji Hospital, Shanghai Jiao Tong University School of Medicine

    Shanghai, 200127

    Xueling Wu, PhD, +86 18321035326, wuxueling76@126.com

    Recruiting
  • Shanghai Gongli Hospital

    Shanghai, 200135

    Miao Chen, MD, +86 13916161843, marcy_cm@hotmail.com

    Recruiting
  • Shanghai Xuhui District Central Hospital

    Shanghai, 200237

    Weifeng Huang, MD, +86 15821636060, breeze-huang@hotmail.com

    Recruiting
  • Minhang Hospital, Fudan University

    Shanghai, 201199

    Keyu Sun, MD, +86 18930536861, hoceima@126.com

    Recruiting
  • Pudong Hospital, Fudan University

    Shanghai, 201399

    Yao Shen, MD, +86 136111692261, 136111692261@163.com

    Recruiting
  • Jinshan Hospital, Fudan University

    Shanghai, 201508

    Lin Zhang, MD, +86 18930819256, linzhang0315@fudan.edu.cn

    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430022

    Xiaojing Zou, MD, +86 13995518630, 249126734@qq.com

    Recruiting
  • Renmin Hospital of Wuhan University

    Wuhan, Hubei, 430060

    Liying Zhan, MD, +86 15327408448, zhanliying@whu.edu.cn

    Recruiting
  • Wuxi People's Hospital Affiliated to Nanjing Medical University

    Wuxi, Jiangsu, 214023

    Yun Zhang, MD, +86 15722991660, zhangyun@njmu.edu.cn

    Recruiting
  • Wuxi Huishan District People's Hospital

    Wuxi, Jiangsu, 214187

    Feng Lu, MD, +86 18921194863, lfwx@163.com

    Recruiting
  • Fudan University Zhongshan Hospital Xiamen Hospital

    Xiamen, Fujian, 361015

    Zhenju Song, MD, +86 138 1660 7453, song.zhenju@zs-hospital.sh.cn

    Recruiting
  • Northern Jiangsu People's Hospital

    Yangzhou, Jiangsu, 225001

    Dingyu Tan, MD, +86 18051061672, tandingyu1981@163.com

    Recruiting
  • Yixing People's Hospital

    Yixing, Jiangsu, 214200

    Junjie Lu, MD, +86 13606157979, staff806@yxph.com

    Recruiting
  • The First Affiliated Hospital of Zhengzhou University

    Zhengzhou, Henan, 450000

    QI Liu, MD, +86 15981898607, qi.liu@vip.163.com

    Recruiting

Other trials in China

About this study

Official title: Sepsis and Acute Respiratory Distress Syndrome in China (SEARCH): A Multicenter Prospective Observational Study of Clinical and Biological Phenotypes

This prospective, multicenter, observational cohort study enrolls 6,000 adults with sepsis and/or acute respiratory distress syndrome (ARDS) at multiple hospitals in China. Clinical data, treatment information, biological samples, and follow-up data are collected to characterize patient features and outcomes and to establish a multicenter clinical cohort and biobank.

The study focuses on the clinical and biological heterogeneity of sepsis and ARDS. Longitudinal clinical data are integrated with information on organ function, inflammatory and immune responses, and multi-omics profiles to identify clinically relevant phenotypes and biological subgroups. Biomarkers associated with disease severity, organ dysfunction, treatment response, and mortality are explored, together with models for outcome prediction. Follow-up after hospitalization evaluates long-term survival and recovery, including pulmonary function, physical function, quality of life, and psychological health.

Read the detailed description

Background:

Sepsis and acute respiratory distress syndrome (ARDS) are common life-threatening conditions in critically ill patients and are associated with high mortality and long-term functional impairment. Sepsis is an important cause of ARDS, and the two conditions frequently overlap. Both syndromes show substantial heterogeneity in clinical presentation, organ dysfunction, inflammatory and immune responses, and outcomes. Better characterization of this heterogeneity may improve disease classification, risk assessment, and prognostic prediction.

Study Design and Data Collection:

This is a prospective, multicenter, observational cohort study enrolling 6,000 adults with sepsis and/or ARDS at multiple hospitals in China.

Clinical data collected during hospitalization include demographic characteristics, comorbidities, disease severity, laboratory findings, organ function, treatments, organ support, complications, and clinical outcomes. Longitudinal data are collected to assess changes in disease status and organ function over time. Peripheral blood and other available biological samples are collected at predefined time points and stored for subsequent biomarker and multi-omics studies, forming a multicenter clinical cohort and biobank.

Biological and Phenotypic Analyses:

Clinical data are integrated with inflammatory and immune markers and multi-omics profiles to investigate the clinical and biological heterogeneity of sepsis and ARDS. Analyses focus on identifying relevant phenotypes and biological subgroups and exploring biomarkers associated with disease severity, organ dysfunction, treatment response, and mortality. Clinical and biological data will also be used to develop and evaluate models for risk stratification and outcome prediction.

Outcomes and Long-term Follow-up:

The primary outcome is all-cause mortality at 90 days. Secondary outcomes include 28-day mortality, in-hospital mortality, ventilator-free days alive through day 28, organ support-free days alive through day 28, and other clinically relevant outcomes during hospitalization.

Survivors of ARDS are followed at 1, 6, 12, and 24 months after hospital discharge. Follow-up assessments include survival status, rehospitalization, pulmonary function, respiratory muscle strength, six-minute walk distance, chest computed tomography, inflammatory markers, quality of life, and psychological health.

The overall objective is to establish a large, multicenter clinical cohort and biobank for sepsis and ARDS in China, characterize their clinical and biological heterogeneity, identify clinically relevant phenotypes and biomarkers, and develop models for risk stratification and outcome prediction.

Conditions
Sepsis, ARDS
Being tested
Surveys, 6-Minute Walk Test, Blood collection, Pulmonary & Respiratory Muscle Function Testing, CT Scan
Medical subject headings
Sepsis

What participants receive

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

  • SurveysOther

    Participants will complete the EuroQol-5 Dimension-5 Level (EQ-5D-5L) quality of life assessment in person. Assessments will be conducted at 1, 6, 12, and 24 month(s) following hospitalization. For participants who do not attend in-person follow-up visits, surveys will be conducted via email, text message, or phone.

  • 6-Minute Walk TestOther

    The patient sits at rest while baseline vital signs and exertion scores are taken.The patient then walks back and forth along a flat, marked corridor at their own pace for 6 minutes, followed immediately by repeating vital signs and exertion measurements at the finish.

    At visits 1, 6, 12 and 24 month(s) following hospitalization.

  • Blood collectionOther

    Venous blood is collected via direct needle stick into a vein. Arterial blood is collected by a direct needle puncture into an artery (typically the radial artery) using a heparinized syringe.

    At visits 1, 6, 12 and 24 month(s) following hospitalization.

  • Pulmonary & Respiratory Muscle Function TestingDiagnostic test

    The patient sits upright, wears a nose clip, and breathes through a mouthpiece connected to the testing device, performing guided forced breathing and single-breath hold maneuvers. Respiratory muscle strength is measured by having the patient inhale and exhale forcefully against a temporarily blocked mouthpiece.

    At visits 1, 6, 12 and 24 month(s) following hospitalization.

  • CT ScanRadiation

    The patient lies flat on the CT scanner bed and follows automated breathing prompts to hold their breath for a few seconds while images are acquired. Additional body regions may be scanned if clinically indicated.

    At visits 1, 6, 12 and 24 month(s) following hospitalization.

  • Blood CollectionOther

    Blood samples will be collected on Day 1, Day 3, and Day 7. Day 1 samples will be collected within 48 hours after ARDS diagnosis. Day 7 samples can be collected between Day 6 and Day 8.

    Plasma、 PBMCs and Serum will be collected in each corresponding tube and will be separated and stored for later testing.

    Citrate plasma will be collected in sodium citrate tubes and then will be centrifuged within 1 hour, and the plasma will be stored at -80°C for later testing.

  • Bronchoalveolar Lavage FluidOther

    Bronchoalveolar lavage fluid (BALF) will be collected on Day 1, Day 3, and Day 7 and stored for later testing.

  • HME filter samplesOther

    HME filter samples will be collected on Day 1, Day 3, and Day 7 and stored for later testing.

    If the patient is extubated, dies, or leaves the hospital before the planned BALF or HME sample collection, the last sample will be collected before or on the same day.

Study groups in NCT07863908
Study groupRoleWhat they receive
Hospitalized CohortPatients with Sepsis/ARDS enrolled during hospitalization will undergo prospective collection of clinical data and biospecimens during the acute phase of illness. Clinical characteristics, treatments, organ support, and in-hospital outcomes will also be recorded.
Receives: Other: Blood Collection; Other: Bronchoalveolar Lavage Fluid; Other: HME filter samples
Long-term Follow-up CohortParticipants enrolled in the hospitalized Sepsis/ARDS cohort who survive and are available for follow-up will undergo longitudinal assessments at 1, 6, 12, and 24 months following hospital discharge, including evaluation of quality of life, physical function, pulmonary function, imaging, and biospecimen collection.
Receives: Other: Surveys; Other: 6-Minute Walk Test; Other: Blood collection; Diagnostic Test: Pulmonary & Respiratory Muscle Function Testing; Radiation: CT Scan

What is being measured

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

  1. All cause mortality

    Measured: 28-day mortality

  2. EuroQol-5 Dimension-5 Level (EQ-5D-5L) quality of life assessment

    The EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire assesses health-related quality of life across five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. For each dimension, participants select one of five response levels, ranging from no problems to extreme problems or inability to perform the activity; the distribution of response levels within each dimension will be summarized as percentages. Responses across the five dimensions will also be converted to an EQ-5D-5L index score using a prespecified value set, with higher index scores indicating better health-related quality of life. Participants will additionally rate their overall health using the EQ Visual Analogue Scale (EQ VAS), ranging from 0 to 100, where 0 represents the worst imaginable health state and 100 represents the best imaginable health state.

    Measured: 1, 6, 12, 24 month(s)

Secondary outcomes (4)
  1. 60-day all-cause mortality

    Death from any cause within 60 days after ARDS diagnosis

    Measured: 60 days after ARDS diagnosis

  2. 90-day all-cause mortality

    Death from any cause within 90 days after ARDS diagnosis

    Measured: 90 days after ARDS diagnosis

  3. ICU mortality

    Death occurring during the ICU stay

    Measured: From ICU admission through ICU discharge, up to 90 days

  4. In-hospital mortality

    Death occurring during the index hospitalization

    Measured: From hospital admission through hospital discharge, up to 90 days

Timeline

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

  1. First posted7 Oct 2026
  2. Study start1 May 2022
  3. Primary completion1 May 2028 (estimated)
  4. Study completion31 Dec 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
6,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07863908
Sponsor's protocol ID
B2022-175
Status last verified
Sep 2026
First submitted
22 Sep 2026
Last updated
7 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Sepsis and ARDS, run by Shanghai Zhongshan Hospital at 24 sites in China.

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 9 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: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in China. 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?

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 Zhenju Song, MD (+86 138 1660 7453, song.zhenju@zs-hospital.sh.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

All cause mortality (time frame: 28-day mortality). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Oct 2026.

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