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Severe PneumoniaNCT06936683

Herpes Simplex Virus Type 1 Infection/Reactivation of Patients With Severe Pneumonia(the HSV-SP Study)

An observational study of Severe Pneumonia, run by Second Affiliated Hospital of Guangzhou Medical University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Severe pneumonia(SP) is a one of the main causes of death for critically ill patients.Samples of bronchoalveolar lavage fluid (BALF) from SP patients often report positive for herpes simplex virus type 1 (HSV-1) DNA. However, to date, it is unclear the impact and significance of this positive result on SP patients. Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Severe Pneumonia
What is being tested?
Bronchoalveolar Lavage (BAL) via Fiberoptic Bronchoscopy and throat Swab
How many people
323 participants
Where
No sites listed yet
Study dates
1 Jun 2025to 1 Oct 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Study Population Description :Patients with age>18 years old admitted to the ICU who meet the diagnostic criteria for severe pneumonia.

Who may be able to join

  • 1: Age>18 years old. 2: Clinical diagnosis for severe pneumonia. 3: ICU stay time >72 hours. 4: A written informed consent form was obtained from the members of the patients' family.

Who cannot join

  • 1: severe ventilation dysfunction, and effective respiratory support has not been used; 2: Aortic aneurysm and esophageal varices at risk of rupture; 3: Recent acute coronary syndrome, uncontrolled severe hypertension, and malignant arrhythmia; 4: Irreversible bleeding tendencies, such as severe coagulation dysfunction, massive hemoptysis, or gastrointestinal bleeding; 5: Multiple pulmonary bullae at risk of rupture. 6: Estimated survival time<24 hours. 7: Included in another interventional clinical study.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Prognostic Effect of Herpes Simplex Virus Type 1 Infection/Reactivation in the Lower Respiratory Tract of Critical Care Patients With Severe Pneumonia(the HSV-SP Study): a Study Protocol for a Multicenter, Prospective Cohort Study

Severe pneumonia(SP) is a one of the main causes of death for critically ill patients.Samples of bronchoalveolar lavage fluid (BALF) from SP patients often report positive for herpes simplex virus type 1 (HSV-1) DNA. However, to date, it is unclear the impact and significance of this positive result on SP patients. This study will evaluate the prognostic impact of lower respiratory tract HSV-1 infection/reactivation on ICU severe pneumonia patients.At the same time, by analyzing the risk factors that affect prognosis, we will identify populations with the potential for intervention benefits and provide a basis for further intervention treatment.

Being tested
Bronchoalveolar Lavage (BAL) via Fiberoptic Bronchoscopy, throat Swab
Keywords
Severe pneumonia, Herpes simplex virus type 1, infection/reactivation, Prognostic effect
Medical subject headings
Pneumonia, Latent Infection

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bronchoalveolar Lavage (BAL) via Fiberoptic BronchoscopyDiagnostic test

    Bronchoalveolar Lavage (BAL) via Fiberoptic Bronchoscopy

    1. Site selection: For patients with limited lesions, the lesion segment was chosen; For patients with diffuse lesions, the right middle lobe or left upper lobe tongue should be severed.
    2. Injecting physiological saline: After the top of the bronchoscope is embedded in the target bronchial segment or subsegment opening, 37 ℃ or room temperature physiological saline is rapidly injected through the operating channel, with a total volume of 60-120ml, injected in batches (20-50ml each time).
    3. Negative pressure suction: After injecting physiological saline, immediately use appropriate negative pressure (generally recommended below 100mmHg) to suction and obtain BALF, with a total recovery rate of ≥ 30%.
    4. BALF collection: Specimens used for pathogen analysis need to be collected in sterile containers; Cytological analysis requires the selection of plastic containers or siliconized glass containers to reduce cell adhesion.
  • throat SwabDiagnostic test

    A throat swab is a diagnostic sampling technique used to collect microbial specimens from the oropharynx and tonsillar areas. The standardized procedure involves:

    1. Positioning the patient with their head tilted slightly backward;
    2. Using a sterile, synthetic-fiber swab with a plastic shaft (avoiding calcium alginate or wooden shafts);
    3. Vigorously rubbing the swab over both tonsillar pillars and the posterior pharyngeal wall while avoiding contact with the tongue, teeth, or uvula;
    4. Immediately placing the swab into appropriate transport media viral/bacterial);
    5. Maintaining cold chain (2-8°C) for specimen transport if required.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 30 day mortality rate of critical care patients with severe pneumonia.

    Measured: From enrollment (Day 1) through Day 30

Secondary outcomes (3)
  1. The incidence rate of herpes simplex virus type 1 infection/reactivation in the lower respiratory tract of critical care patients with severe pneumonia

    Measured: From enrollment (Day 1) through Day 30

  2. ICU mortality and in-hospital mortality , ICU stay time and length of in-hospital stay

    Measured: From enrollment (Day 1) through the entire ICU stays and in-hospital stays

  3. success rate of ventilator withdrawal, ICU non ventilator survival time

    Measured: From enrollment (Day 1) through Day 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Apr 2025
  2. Study start1 Jun 2025 (estimated)
  3. Primary completion1 Jun 2027 (estimated)
  4. Study completion1 Oct 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
323 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06936683
Sponsor's protocol ID
MR-44-24-013041
Status last verified
Apr 2025
First submitted
14 Apr 2025
Last updated
25 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Severe Pneumonia, run by Second Affiliated Hospital of Guangzhou Medical University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 25 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Lili L Tao (+8613535107553, taollicu@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

30 day mortality rate of critical care patients with severe pneumonia. (time frame: From enrollment (Day 1) through Day 30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Apr 2025.

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