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NCT Number: NCT04841824

TRanscriptomic Analysis of Circulating Endothelial Cells During Sepsis - TRACES Study

Vascular dysfunction is an important mechanism involved in organ failure, in the setting of sepsis condition, with different types of circulating endothelial cells.Transcriptom analysis via RNAseq in different types of circulating endothelial cells, comapring critically ill patients with or without sepsis will allow determining differential gene expression for signal pathways in endothelial alteration and restoration associated with sepsis.

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Key information

Age range

18 year–85 year

Sex eligibility

All sexes

Study type

Observational

Primary location

AP-HP Hôpital Saint Louis

Paris, 75010, France

Location contact

Lara Zafrani, MD PhD

CONTACT

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age between 18 and 85 years
  • Admission in intensive care with or without sepsis
  • Health insurance as per the national insurance system
  • Informed and unopposed patient for participation (or referend closed one)

Exclusion criteria

  • Patient under legal protection
  • Patient under national medical help system
  • Pregnancy

Treatment and study plan

observational study

Other

Observational study. Groups are defined based on baseline patients' characteristics : presence or absence of sepsis.

Primary outcomes

  1. Gene expression based on transcriptom analysis of circulating endothelial cells

    Time frame: Day 1

    Gene expression based on transcriptom analysis of circulating endothelial cells (RNAseq)

Secondary outcomes

  1. Counts of circulating endothelial cells

    Time frame: Day 1 and Day 3

    Counts of circulating endothelial cells, including progenitor cells

  2. Sequential Organ Failure Assessment (SOFA) score

    Time frame: Day 1, Day 3, Day 7

    Sequential Organ Failure Assessment (SOFA) score, ranging from 0 (best: absence of organ failure) to 24 (worse: multiple organ failure)

  3. Sequential Organ Failure Assessment (SOFA) hemodynamic sub-score

    Time frame: Day 1, Day 3, Day 7

    Sequential Organ Failure Assessment (SOFA) hemodynamic sub-score, ranging from 0 (best: absence of hemodynamic failure) to 4 (worse: hemodynamic failure)

  4. Sequential Organ Failure Assessment (SOFA) respiratory sub-score

    Time frame: Day 1, Day 3, Day 7

    Sequential Organ Failure Assessment (SOFA) respiratory sub-score, ranging from 0 (best: absence of respiratory failure) to 4 (worse: respiratory failure)

  5. Sequential Organ Failure Assessment (SOFA) neurological sub-score

    Time frame: Day 1, Day 3, Day 7

    Sequential Organ Failure Assessment (SOFA) neurological sub-score, ranging from 0 (best: absence of neurological failure) to 4 (worse: neurological failure)

  6. Sequential Organ Failure Assessment (SOFA) hematological sub-score

    Time frame: Day 1, Day 3, Day 7

    Sequential Organ Failure Assessment (SOFA) hematological sub-score, ranging from 0 (best: absence of hematological failure) to 4 (worse: hematological failure)

  7. Intensive care unit (ICU) mortality

    Time frame: ICU length of stay

    Death during ICU stay

  8. D28 mortality

    Time frame: Day 28

    Death within 28 days of intensive care unit

  9. Hospital mortality

    Time frame: Day 90

    Death within 90 days of intensive care unit

  10. Duration of ventilation

    Time frame: Day 28

    Number of days alive without ventilation up to Day 28

  11. Duration of renal replacement therapy (RRT)

    Time frame: Day 28

    Number of days alive without RRT up to Day 28

  12. Duration of vasopressors therapy

    Time frame: Day 28

    Number of days alive without vasopressors up to Day 28

  13. Dose of vasopressors

    Time frame: ICU length of stay, assessed up to 90 days

    Dose of vasopressors, in patients who received vasopressors

  14. Duration of intensive care unit (ICU) stay

    Time frame: Day 28

    Number of days alive outside the ICU up to D28

  15. Circulating endothelial cells cytokines profile

    Time frame: Day 1 and 3

    Dosage of cytokines from circulating endothelial cells

  16. Circulating endothelial cells chemokines profile

    Time frame: Day 1 and 3

    Dosage of chemokines from circulating endothelial cells

  17. Expression of membrane proteins of endothelial cells

    Time frame: Day 1 and 3

    Expression of membrane proteins of endothelial cells by flow cytometry

  18. Infection site

    Time frame: Day 1

    Infection site for patients with sepsis

  19. Infection identification

    Time frame: Day 1

    Identified germs for patients with sepsis

  20. Number of participants with different types of antibiotic treatment

    Time frame: Length of ICU stay, assessed up to 90 days

    Antibiotic treatments for patients with sepsis during intensive care unit (ICU) stay

Study contacts

Contact information is provided by the study sponsor or research team.

Lara Zafrani, MD PhD

CONTACT

[email protected]

+33 1 42 49 94 19

Sponsors and collaborators

Lead sponsor

Assistance Publique - Hôpitaux de Paris

Other

Registry information

Official study title

Dysfunction and Endothelial Repair in Sepsis Shock : RNAseq Transcriptomic Analysis of Circulating Endothelial Cells

Acronym: TRACES

Important dates

Study start
2021
Primary completion
2026
Study completion
2026
First posted
Apr 12, 2021
Registry last updated
Apr 12, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.