Clinical Trials Logo

Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT02017665
Other study ID # 2013/374/E
Secondary ID
Status Active, not recruiting
Phase N/A
First received November 4, 2013
Last updated April 25, 2017
Start date October 2013
Est. completion date December 2017

Study information

Verified date April 2017
Source Singapore General Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Observational [Patient Registry]

Clinical Trial Summary

Worldwide, central nervous system infections such as inflammation of brain (encephalitis), inflammation of meninges (meningitis) and sudden onset of weakness of muscles which maybe infectious in origin result in significant illness and death and healthcare costs. Vast majority of central nervous system infections remain without an identifiable cause. There is also concern about new and emerging infections.

This study thus intends to fill in the gaps in knowledge with regards to central nervous system infections in Singapore to give a thorough description of burden of causes of central nervous system infections and detection of outbreaks of new pathogens. Patients suspected of central nervous system infection will be recruited from 5 restructured Singapore hospitals and their blood and other clinical specimens will be sent for testing. Patients will also be followed up to assess long term outcomes and socio-economic costs of these infections. This will help clinicians, policymakers and public health officials in estimating financial and societal costs of CNs infections in Singapore.


Description:

The study aims to:

1. To describe the epidemiology of CNS infections in Singapore.

2. To improve the diagnosis of aetiologies of CNS infections through a systematic clinical, laboratory and neuro-radiological evaluation and extensive diagnostic testing.

3. To evaluate the prognosis, long-term outcomes and socio-economic costs of CNS infections.

4. To establish an archive of biological tissues from patients with encephalitis and CNS infections that can be utilized for future testing for emerging novel pathogens or non-infectious aetiologies.

The study will recruit 400 patients over 2 years from 5 restructured hospitals in Singapore. As this is not a comparative study, sample size was not determined.

The study involves clinical and laboratory data collection. Data will also be collected on quality of life and for health economic analysis. The quality of data and its integrity will be periodically reviewed by the Principal Investigator and members of the study team. All samples stored will be de-identified and all data will be de-identified during analysis.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 400
Est. completion date December 2017
Est. primary completion date December 2017
Accepts healthy volunteers No
Gender All
Age group 21 Years to 100 Years
Eligibility Inclusion Criteria:

1. Clinical suspicion for Central Nervous system (CNS) infections, OR

2. Any two of the following,

1. Fever or history of fever (= 38 °C) during the presenting illness

2. Seizures of new onset

3. Focal neurological deficits

4. Cerebrospinal fluid white cell count pleocytosis (> 4 White blood cells (WBC)/uL)

5. Abnormal neuroimaging suggestive of CNS infection.

6. Abnormal electroencephalogram (EEG) suggestive of CNS infection

7. Depressed or altered level of consciousness, OR

3. No alternative aetiology for acute paralysis identified (e.g stroke, trauma, myopathy etc)

Exclusion Criteria:

1. Patient or next of kin unwilling to give consent

2. Patients with indwelling ventricular devices such as EVD (external ventricular drain), VP (ventriculo-peritoneal) shunts

Study Design


Locations

Country Name City State
Singapore Singapore General Hospital Singapore

Sponsors (6)

Lead Sponsor Collaborator
Singapore General Hospital Changi General Hospital, Duke-NUS Graduate Medical School, Khoo Teck Puat Hospital, National University Health System, Singapore, Tan Tock Seng Hospital

Country where clinical trial is conducted

Singapore, 

Outcome

Type Measure Description Time frame Safety issue
Primary Incidence rate of the various infective etiologies causing CNS infections in Singapore Annual rates of the various infective causes from year 2013 to year 2016 36 months
Secondary Clinical features of patients with CNS infections in Singapore Between D1(day of recruitment)-D180(last day of follow up)
Secondary Clinical characteristics of patients diagnosed with CNS infections: . gender, presenting symptoms, duration between symptoms to diagnosis etc Day1- Day180
Secondary Clinical course of patients with CNS infections, development of any complications and their long term outcomes/prognosis Day1-Day180
Secondary Treatment modalities of the CNS infections Day 1-Day 180
See also
  Status Clinical Trial Phase
Completed NCT02506686 - Meropenem Penetration Across BBB in Patients With CNS Infection and Optimization of Meropenem Treatment Phase 4
Completed NCT01431326 - Pharmacokinetics of Understudied Drugs Administered to Children Per Standard of Care
Completed NCT01520597 - National Study on Listeriosis and Listeria
Not yet recruiting NCT06358209 - Safety and Efficacy of Ventricular Irrigation for Ventriculitis N/A
Not yet recruiting NCT06412549 - Effect of a Bundle of Interventions on the Outcomes of Patients With Intracranial Devices (ICP Monitor e EVD) N/A
Active, not recruiting NCT03776994 - Venezuelan Equine Encephalitis Monovalent Virus-Like Particle Vaccine Phase 1
Recruiting NCT05887037 - Economic Impact of mNGS on Diagnosis of Post-neurosurgical Central Nervous System Infection N/A
Active, not recruiting NCT04737785 - Central Nervous System Disorders Following Hematopoietic Stem Cell Transplantation
Recruiting NCT03418441 - Central Nervous System Infections in Denmark
Recruiting NCT06418048 - INfectious DIsease REgistry BIObank
Active, not recruiting NCT06412523 - Device-related Central Nervous System Infections in Adult Intensive Care Units in Brazil
Active, not recruiting NCT02334670 - Vietnam Cryptococcal Retention in Care Study Version 1.0 N/A
Completed NCT04796935 - A Study to Test Performance of Needle Placements for Neuraxial Procedures Using Tactile Imaging vs Control N/A
Not yet recruiting NCT04229511 - Development of Risk Score Model and Decision Tree Algorithm for Predicting Infections With CRKp in Colonized Patients