This clinical study is to evaluate a novel biomarker - CNA Rapid Sepsis Dx - to predict the development of sepsis in patients admitted to the hospital with non-sepsis conditions. Using circulating cell-free DNA (cfDNA) in the blood stream, it has been demonstrated to detect infection response days before clinical evidence of sepsis manifests. The hypothesis is that blood biomarkers drawn daily in the hospital will identify patients who develop sepsis within seven days of hospital presentation.
This is a prospective observational trial evaluating CNA Rapid Sepsis Dx -novel biomarkers (CNA Diagnostics Inc.; Calgary, Canada) based on circulating cell-free DNA (cfDNA) in the blood stream to identify patients originally admitted with non-sepsis conditions who ultimately develop sepsis according to Sepsis-3 criteria within seven days of hospital presentation. This novel technology has been demonstrated to detect host-related response to infection days before clinical evidence of sepsis manifests. The primary objective of this study is to assess the performance of the novel diagnostic assay, CNA Rapid Sepsis Dx, based on the biomarkers, drawn daily from the day of hospital presentation, to identify patients who ultimately develop sepsis according to Sepsis-3-definition within seven days of hospital presentation. The secondary objective is to correlate the CNA Rapid Sepsis Dx with clinically relevant outcomes such as infections that otherwise do not meet Sepsis-3 criteria, intensive care unit (ICU) length of stay, hospital length of stay, fluid culture results, and hospital mortality.
Study Type
OBSERVATIONAL
Enrollment
2,000
Novel biomarker based on circulating cell-free DNA (cfDNA) in the human blood stream
University of Alabama Birmingham
Birmingham, Alabama, United States
Detroit Receiving Hospital
Detroit, Michigan, United States
Harper University Hospital
Detroit, Michigan, United States
Sinai-Grace Hospital
Detroit, Michigan, United States
Clinical development of sepsis
Sepsis determined according to Sepsis-3 definition
Time frame: Seven Days from hospital presentation
SIRS sepsis
Infection with systemic inflammatory response syndrome (SIRS) criteria
Time frame: Seven Days from hospital presentation
Hospital Length of Stay
Duration of hospital stay in survivors and non-survivors from date/time of hospital presentation to order for discharge.
Time frame: Up to 12 months
Intensive Care Unit Length of Stay
Duration of ICU stay in survivors and non-survivors from date/time of ICU admission to date/time order for transfer / discharge from ICU.
Time frame: Up to 6 months
Development of non-Sepsis 3 Infections
An infection is suspected (by any degree of confidence) but the subject does not meet criteria for either Sepsis-3 or SIRS sepsis.
Time frame: Seven Days from hospital presentation
Body Fluid Culture Results
All fluid culture results (blood, CSF, urine, synovial, ascitic, abscess, etc) collected during the study period will be recorded
Time frame: Seven Days from hospital presentation
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Northwell Health
New York, New York, United States