Plasma Neprilysin for Predicting Sepsis Within 48 Hours in ICU Patients With Infection or Suspected Infection
NCT07796386 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 488
Last updated 2026-09-01
Summary
The goal of this multicenter prospective observational cohort study is to determine whether plasma neprilysin can predict the development of sepsis within 48 hours in adults admitted to an intensive care unit with confirmed or suspected infection who do not have sepsis at enrollment.
The study will be conducted at Zhujiang Hospital, Southern Medical University, and Guangzhou First Municipal People's Hospital. Plasma samples remaining after routine clinical testing will be used to measure neprilysin and conventional sepsis biomarkers. Sublingual microcirculation will also be assessed when feasible.
Participants will be assessed for the development of sepsis from enrollment through 48 hours and will be followed for survival through Day 28. No treatment or clinical intervention will be assigned by the study protocol.
Conditions
Interventions
- DIAGNOSTIC_TEST
-
Plasma Neprilysin Measurement
Plasma collected at enrollment will be tested for neprilysin using an enzyme-linked immunosorbent assay. The result will not be used to guide clinical treatment.
- DIAGNOSTIC_TEST
-
Conventional Sepsis Biomarker Measurement
Plasma will be batch-tested for interleukin-6, C-reactive protein, and procalcitonin for comparison with plasma neprilysin.
- DIAGNOSTIC_TEST
-
Sublingual Microcirculation Assessment
Sublingual microcirculation will be assessed when oral conditions permit. Measurements will include microvascular flow index, perfused vessel density, and perfused boundary region. The results will not be used to assign treatment.
Sponsors & Collaborators
-
Guangzhou First People's Hospital
collaborator OTHER -
Guangdong Basic and Applied Basic Science Foundation
collaborator UNKNOWN -
Zhujiang Hospital
lead OTHER
Principal Investigators
-
Zhanguo Liu · Department of Critical Care Medicine of Zhujiang Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-08-01
- Primary Completion
- 2027-12-31
- Completion
- 2028-04-30
Countries
- China
Study Locations
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