UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058353
Receipt number R000066709
Scientific Title Development of a diagnostic prediction model for infective endocarditis according to 2023 Duke-International Society for Cardiovascular Infectious disease criteria: A multi-center based observational study
Date of disclosure of the study information 2025/07/03
Last modified on 2025/07/02 23:19:35

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Basic information

Public title

Development of a diagnostic prediction model for infective endocarditis according to 2023 Duke-International Society for Cardiovascular Infectious disease criteria: A multi-center based observational study

Acronym

Development of a diagnostic prediction model for infective endocarditis according to 2023 Duke-International Society for Cardiovascular Infectious disease criteria: A multi-center based observational study

Scientific Title

Development of a diagnostic prediction model for infective endocarditis according to 2023 Duke-International Society for Cardiovascular Infectious disease criteria: A multi-center based observational study

Scientific Title:Acronym

Development of a diagnostic prediction model for infective endocarditis according to 2023 Duke-International Society for Cardiovascular Infectious disease criteria: A multi-center based observational study

Region

Japan


Condition

Condition

Infective endocarditis

Classification by specialty

Medicine in general Gastroenterology Hepato-biliary-pancreatic medicine
Cardiology Pneumology Endocrinology and Metabolism
Hematology and clinical oncology Nephrology Neurology
Clinical immunology Infectious disease Dermatology
Oto-rhino-laryngology Orthopedics Emergency medicine
Intensive care medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Using the cohort for which the model was developed in our previous study, we will find alternative factors to "transfer by ambulance" and reconstruct a predictive model for diagnosis of IE to be diagnosed at 2023 Duke-ISCVID. In addition, we will validate the model using a cohort from four university hospitals.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Area under the curve, shrinkage coefficient, and stratum-specific likelihood ratio of the reconstructed prediction model for IE among patients with undiagnosed fever

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

Patients 20 years of age or older with International Statistical Classification of Diseases and Related Health Problems-10th Revision code I33.0 for IE or R50.9 for fever of unknown origin recorded during hospitalization.

Key exclusion criteria

Patients with no fever above 37 degree prior to admission; with hospital-onset or referral for valvular surgery after treatment by a previous physician or with non-definite the results of 2023 Duke-ISCVID among patients with I33.0; with a diagnosis confirmed before admission, with R50.9 in which the diagnosis was confirmed prior to admission and in which chest X-ray, blood test, and urinalysis were not performed prior to admission; cases with 2023 Duke-ISCVID of definite with a confirmed diagnosis of noninfectious disease; and cases who declared nonparticipation in the study.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name Shun
Middle name
Last name Yamashita

Organization

Faculty of Medicine, Saga University

Division name

Education and Research Center for Community Medicine

Zip code

849-8501

Address

5-1-1 Nabeshima, Saga, Japan

TEL

0952343238

Email

sy.hospitalist.japan@gmail.com


Public contact

Name of contact person

1st name Shun
Middle name
Last name Yamashita

Organization

Faculty of Medicine, Saga University

Division name

Education and Research Center for Community Medicine

Zip code

849-8501

Address

5-1-1 Nabeshima, Saga, Japan

TEL

0952343238

Homepage URL

https://chiken.med.saga-u.ac.jp/

Email

sy.hospitalist.japan@gmail.com


Sponsor or person

Institute

Faculty of Medicine, Saga University

Institute

Department

Personal name



Funding Source

Organization

The Japan Society for the Promotion of Science (JSPS KAKENHI grant numbers 23K14739

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Center, Saga University Hospital

Address

5-1-1 Nabeshima, Saga 849-8501, Japan

Tel

0952343200 / +81 0952343200

Email

kenkyu-shinsei@ml.cc.saga-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

佐賀大学医学部附属病院(佐賀県)/ Saga University Hospital (Saga)
獨協医科大学病院(栃木県)/ Dokkyo University Hospital (Tochigi)
順天堂大学医学部附属順天堂医院(東京)/ Juntendo University Hospital (Tokyo)
東邦大学大森病院(東京)/ Toho University Hospital(Tokyo)


Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 03 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 03 Month 01 Day

Date of IRB

2025 Year 04 Month 02 Day

Anticipated trial start date

2025 Year 04 Month 03 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

The following items of eligible patients were investigated from medical records and referral letters: patient characteristics (age, gender, length of hospital stay, presence or absence of death on discharge, presence or absence of death 30 days after admission, presence or absence of death during hospitalization, presence or absence of transfer by ambulance, presence or absence of antimicrobial therapy prior to obtaining blood culture samples, past history of chronic skin disease, diabetes mellitus, malignancy, steroid use, immunosuppressive drugs, chronic renal failure, and dental visits within 6 months), vital signs on admission (pulse rate, respiratory rate, presence of acute respiratory failure, and consciousness disorder), q-SOFA (quick sequential [sepsis-related] organ failure assessment) score, SIRS (systemic inflammatory response syndrome) score, presence of heart murmur on admission, chest imaging findings on admission (presence of pulmonary edema, pleural effusion), blood tests on admission (white blood cell count, neutrophil fraction, platelet count, albumin level, total bilirubin level, lactate dehydrogenase level, urea nitrogen level, serum creatinine level, C-reactive protein level), and items necessary for evaluation of 2023 Duke-ISCVID.


Management information

Registered date

2025 Year 07 Month 02 Day

Last modified on

2025 Year 07 Month 02 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066709