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Acute Respiratory InfectionsFACTSNCT07278700

The Fever Clinic Acute Respiratory Cohort

An observational study of Acute Respiratory Infections and Febrile Illnesses, run by Fudan University at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

This prospective cohort study aims to characterize the natural progression and outcomes of acute respiratory infections among patients presenting to fever clinics. At enrollment, patients' clinical symptoms, laboratory findings, and chest imaging data will be collected. Read more about this study

Who is it for?
Ages 18 years and older
How many people
1,000 participants
Where
1 siteChina
Study dates
10 Oct 2025to Oct 2028
How long will I take part?
30 Days
Phase
Observational

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients presenting to fever clinics with acute respiratory infections, aged 18 years or older, who provide informed consent. Both sexes are eligible. Participants are observed under standard clinical care without intervention

Who may be able to join

  • Age ≥ 18 years (based on official identification document).
  • Presence of fever at the time of visit or within 24 hours prior to the visit, defined as a documented temperature of ≥37.3°C axillary/tympanic, ≥37.8°C orally, or ≥38.0°C rectally.
  • The primary cause of fever, as determined by the attending physician, is a respiratory tract infection.
  • Blood draw is required as part of standard clinical care.
  • Ability to comprehend the study's purpose, procedures, and potential risks, and willingness to provide written informed consent.

Who cannot join

  • Inability to provide independent informed consent due to impaired consciousness or other reasons.
  • Inability to comply with the study procedures.
  • Medical contraindications to blood sampling, such as severe coagulopathy (e.g., INR > 3.0, platelet count < 50 × 10⁹/L).
  • Diagnosed with a terminal illness (e.g., advanced malignancy, severe multiple organ failure) and a life expectancy of less than 3 months.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

YingGang Zhu, Doctor contact

+8618001637153

robinzyg@gmail.com

China1 site, 1 recruiting
  • Huadong hospital

    Shanghai, Shanghai Municipality, 200040

    XINQI LI, 243138506@qq.com

    Recruiting

Other trials in China

About this study

Official title: The Fever Clinic Acute Respiratory Cohort (FACTS): A Prospective Real-World Cohort Study of Patients Presenting to Fever Clinics: Clinical Features, Laboratory and Radiographic Findings, and Long-Term Outcomes of Acute Respiratory Infections

This prospective cohort study aims to characterize the natural progression and outcomes of acute respiratory infections among patients presenting to fever clinics. At enrollment, patients' clinical symptoms, laboratory findings, and chest imaging data will be collected. Longitudinal follow-up will be conducted to evaluate disease progression, complications, and long-term outcomes.

As an observational study, no interventions are involved; all patients receive routine clinical management as directed by their attending physicians. This real-world study design enables the assessment of the natural course of acute respiratory infections and the identification of factors associated with clinical outcomes.

Read the detailed description

This prospective cohort study aims to characterize the natural history and outcomes of acute respiratory infection in patients presenting to fever clinics. Upon enrollment, patients' clinical symptoms, laboratory parameters, and chest imaging data will be collected. Subsequent longitudinal follow-up will be performed to assess disease progression, complications, and long-term outcomes.

As an observational study, no interventions are implemented; all patients receive standard-of-care management as determined by their attending physicians. This real-world study design allows for the evaluation of the natural progression of acute respiratory infections and the identification of factors associated with clinical outcomes.

Being tested
No intervention involved
Keywords
Respiratory Tract Infections, Fever, Community-Acquired Pneumonia, Anti-Bacterial Agents, Disease Progression
Medical subject headings
Community-Acquired Pneumonia, Respiratory Tract Infections, Fever, Disease Progression

What participants receive

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

  • No intervention involvedOther

    This is a observational study so no intervention involved.

Study groups in NCT07278700
Study groupRoleWhat they receive
Pneumonia CohortNot described
Receives: Other: No intervention involved
Non-Pneumonia CohortNot described
Receives: Other: No intervention involved

What is being measured

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

  1. Proportion of Participants Hospitalized for Pneumonia

    The percentage of patients who require hospitalization due to radiologically confirmed pneumonia within the 30-day follow-up period.

    Measured: 30 days

Secondary outcomes (10)
  1. Rate of Symptom Resolution at 24 Hours

    Proportion of participants achieving complete resolution of patient-reported symptoms (e.g., fever, myalgia) at 24 hours after enrollment.

    Measured: 24 hours

  2. Rate of Symptom Resolution at 7 Days

    Measured: 7 days

  3. Time to Sustained Symptom Resolution

    Measured: 30 days

  4. All-cause Mortality Rate at 30 Days

    Measured: 30 days

  5. Intensive Care Unit (ICU) Admission Rate at 30 Days

    Measured: 30 days

  6. Change in White Blood Cell (WBC) Count

    Measured: Baseline, Day 3

  7. Normalization Rate of C-reactive Protein (CRP)

    Measured: Baseline, Day 7

  8. Change in Procalcitonin (PCT) Level

    Measured: Baseline, Day 3

  9. Incidence of Acute Exacerbation of Underlying Chronic Diseases

    Measured: 30 days

  10. Rate of Unplanned Medical Visits

    Measured: 30 days

Timeline

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

  1. First posted12 Dec 2025
  2. Study start10 Oct 2025
  3. Primary completionOct 2028 (estimated)
  4. Study completionOct 2028 (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
1,000 participants (estimated)
Target duration
30 Days
IDs, dates and publications
ClinicalTrials.gov ID
NCT07278700
Sponsor's protocol ID
FACTS
Acronym
FACTS
Status last verified
Dec 2025
First submitted
24 Nov 2025
Last updated
12 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated device
No
Individual data sharing
Undecided: This is an observational real-world cohort study of patients presenting to fever clinics. Individual participant data (IPD) will not be shared because the dataset contains sensitive personal health information, including demographics, clinical findings, and follow-up details. Data privacy and confidentiality will be strictly maintained in accordance with institutional and ethical guidelines.

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