Meningitis Clinical Trial
— DASGIBOfficial title:
Danish Study Group of Infections of the Brain: A Nationwide Prospective Observational Cohort Study of All Central Nervous System Infections in Adults at Departments of Infectious Diseases in Denmark
NCT number | NCT03418441 |
Other study ID # | DASGIB |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | January 1, 2015 |
Est. completion date | January 1, 2030 |
The Danish Study Group of Infections of the Brain is a collaboration between all departments of infectious diseases in Denmark. The investigators aim to monitor epidemiological trends in central nervous system (CNS) infections by a prospective registration of clinical characteristics and outcome of all adult (>17 years of age) patients with community-acquired CNS infections diagnosed and/or treated at departments of infectious diseases in Denmark since 1st of January 2015.
Status | Recruiting |
Enrollment | 1900 |
Est. completion date | January 1, 2030 |
Est. primary completion date | January 1, 2030 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Definitions of central nervous system infections: For all cases with unproven aetiologies no alternative diagnosis than CNS infection is thought more likely after completed multidisciplinary diagnostic work-up. Viral meningitis inclusion criteria - All patients have to have a clinical presentation consistent with non-bacterial meningitis (e.g. headache, neck stiffness, photo- or phonophobia, fever) and Cerebrospinal fluid leukocytes>10 cells/ml Patients with viral meningitis with undetermined pathogen have to have: - CSF leukocytes> 10/mL and no other more probable diagnosis assessed by the local investigator. In case of doubt, patients are discussed with the DASGIB secretary and chair or at meetings. Bacterial meningitis inclusion criteria - All patients have to have a clinical presentation consistent with bacterial meningitis (e.g. headache, neck stiffness, fever, altered mental status) and Proven bacterial aetiology (CSF or blood culture/DNA based technology or antigen tests) Patients with bacterial meningitis in whom the bacteria cannot not be cultured or identified by DNA-based technologies have to have: - CSF leukocytes> 10/mL and no other more probable diagnosis assessed by the local investigator. In case of doubt, patients are discussed with the DASGIB secretary and chair or at meetings. Encephalitis inclusion criteria - All patients have to have a clinical presentation consistent with encephalitis (e.g. headache, fever, focal neurological deficit, altered mental status >24 hours) as defined by the International Encephalitis Consortium (Venkatesan A et al., Clin Infect Dis 2013; doi:10.1093/cid/cit458.). Encephalitis exclusion criteria - We exclude cases of proven or suspected autoimmune encephalitis. Primary brain abscess inclusion criteria - All patient have a clinical presentation consistent with brain abscess (e.g. headache, focal neurological deficit, mass lesion on cranial imaging) and - Proven microbiological aetiology by culture/DNA-based technology from pus from brain abscess or blood or CSF or - Aspiration of pus from the brain abscess or - Response to antimicrobial treatment or - Tumour ruled out or - Tumour thought less probable than abscess on MRI using diffusion weighted imaging (DWI) and apparent diffusion coefficient (ADC) sequences. Lyme neuroborreliosis inclusion criteria - A clinical presentation consistent with neuroborreliosis (e.g. radiculopathy) and - CSF pleocytosis>10 leukocytes/mL and - Positive intrathecal B.burgdorferi antibody production index. Neurosyphilis inclusion criteria - A clinical presentation consistent with neurosyphilis (e.g. 'encephalitis-like symptoms', dementia, ocular or otogenic syphilis) and either - Positive syphilis serology in serum combined with CSF leukocytes>10/mL or - CSF syphilis antibodies. |
Country | Name | City | State |
---|---|---|---|
Denmark | Department of Infectious Diseases, Aalborg University Hospital | Aalborg | |
Denmark | Department of Infectious Diseases, Aarhus University Hospital Skejby | Aarhus | |
Denmark | Department of Infectious Diseases, Rigshospitalet | Copenhagen | |
Denmark | Herlev-Gentofte Hospital | Copenhagen | |
Denmark | Department of Pulmonary and Infectious Diseases, Nordsjællands Hospital Hillerød | Hillerød | |
Denmark | Department of Infectious Diseases, Hvidovre Hospital | Hvidovre | |
Denmark | Department of Infectious Diseases, Odense University Hospital | Odense | |
Denmark | Department of Pulmonary and Infectious Diseases, Sjællands University Hospital Roskilde | Roskilde |
Lead Sponsor | Collaborator |
---|---|
Aalborg University Hospital | Danish Study Group of Infections of the Brain |
Denmark,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence | Incidence of CNS infections in the adult population (>17 years of age) in Denmark. | One year | |
Secondary | Glasgow Outcome Scale score | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | One month after end of treatment | |
Secondary | Glasgow Outcome Scale score for viral meningitis | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 30 days | |
Secondary | Glasgow Outcome Scale score for bacterial meningitis | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 30 days | |
Secondary | Glasgow Outcome Scale score for encephalitis | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 30 days | |
Secondary | Glasgow Outcome Scale score for neurosyphilis | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 2 weeks | |
Secondary | Glasgow Outcome Scale score for neuroborreliosis | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 2 weeks | |
Secondary | Glasgow Outcome Scale score for brain abscess | A five tier assessment of functional status, 1=Death, 2=vegetative state, 3=dependency on others for daily activities, 4=some sequelae but able to live independently, 5= No or only minor sequelae | 8 weeks |
Status | Clinical Trial | Phase | |
---|---|---|---|
Withdrawn |
NCT03445416 -
Increasing Healthcare Engagement Via Routine Vaccination Among Young Black Men Who Have Sex With Men
|
N/A | |
Completed |
NCT02526394 -
Pertussis and Meningitis C Concomitant Vaccination in Adolescents
|
Phase 4 | |
Completed |
NCT01442675 -
Study of a Single Dose of Menactra® Vaccine 4-6 Years After Prior Menactra Vaccine
|
Phase 2 | |
Completed |
NCT00539032 -
Immunology and Safety of Menactra® in Children in Saudi Arabia
|
Phase 3 | |
Terminated |
NCT00428051 -
Colombia Epidemiologic Surveillance Study
|
N/A | |
Recruiting |
NCT05496673 -
Meningitis: Burden, Causes, Screening and Prevention in Rural Northern Uganda
|
N/A | |
Completed |
NCT02003495 -
Immunogenicity and Safety of Meningococcal (A, C, Y and W135) Conjugate Vaccine
|
Phase 3 | |
Recruiting |
NCT00901602 -
Lebanese Interhospital Pneumococcal Surveillance Program
|
||
Completed |
NCT00850603 -
Safety and Immunogenicity of Intradermal Versus Subcutaneous Doses of Menomune®
|
Phase 4 | |
Completed |
NCT02591290 -
Immunogenicity and Safety of Two-Dose Series of Menactra® in Japanese Healthy Adult Subjects
|
Phase 4 | |
Completed |
NCT03112031 -
Treatment With Tamoxifen in Cryptococcal Meningitis
|
Phase 2 | |
Completed |
NCT02881957 -
Hypovitaminosis D in Neurocritical Patients
|
Phase 2/Phase 3 | |
Completed |
NCT06334796 -
Artificial Intelligence-powered Virtual Assistant for Emergency Triage in Neurology
|
Early Phase 1 | |
Completed |
NCT03378258 -
Petechiae In Children (PIC) Study: Defining A Clinical Decision Rule for The Management Of Fever and Non-Blanching Rashes In Children Including The Role Of Point Of Care Testing For Procalcitonin & Neisseria Meningitidis DNA.
|
||
Recruiting |
NCT05637645 -
Different Approaches of Spinal Anesthesia in Patients Undergoing Cesarean Section
|
N/A | |
Completed |
NCT02841254 -
Diagnostic Performance of Clinical Signs Patients Suspected of Meningitis to Emergencies
|
N/A | |
Completed |
NCT02003313 -
Immunogenicity and Safety of Group A, C, Y and W135 Meningococcal Polysaccharide Vaccine
|
Phase 3 | |
Recruiting |
NCT01619462 -
Safety and Immunogenicity of 10-valent and 13-valent Pneumococcal Conjugate Vaccines in Papua New Guinean Children
|
Phase 3 | |
Completed |
NCT01239043 -
Antibody Persistence and Response to Re-vaccination With Either Menactra® or Menomune® 3 Years After Initial Vaccination
|
Phase 2 | |
Completed |
NCT00495690 -
Impact of Daily Zinc Supplementation to Infants Born With Low Birth Weight on Death and Severe Disease
|
Phase 3 |