About this trial
Sepsis-induced immunosuppression (SIS) is a common complication in patients with septic shock. Reduced expression of Human leukocyte antigen isotype DR (HLA-DR) on circulating monocytes is a marker for SIS and correlates with risk of secondary infections and mortality. The miRSep study aims to improve the understanding of early microRNA (miRNA) mediated changes in HLA-DR on monocytes in patients with septic shock.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
New onset (<24h) of septic shock diagnosis according to Sepsis-3 definition
(suspected) infection
Vasopressors required to maintain mean arterial pressure ≥65mm Hg (despite adequate fluid resuscitation)
Serum lactate level > 2mmol/L
Disqualifiers
Age < 18 years
Patients known not to speak German or French
Patients with known.
Pre-existing congenital or acquired severe immune deficiency (e.g. severe combined immunodeficiency, HIV infection, AIDS) or
Trial population
Patients receiving treatment in the ICU department of the University Hospital Bern, CH.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Difference in the miRNA-expression pattern in critically ill patients with/without sepsis-induced immunosuppression
Determine the early expression of specific miRNA candidates in monocytes of patients with sepsis induced immunosuppression compared to critically ill patients without sepsis induced immunosuppression using quantification by RT-qPCR
Secondary outcomes
Correlation between miRNA expression and sepsis outcome (30-day mortality)
Sponsors and contacts
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