A study to determine which bacteria and viruses are detected in patients who develop pneumonia while in hospital

ISRCTN ISRCTN20805366
DOI https://doi.org/10.1186/ISRCTN20805366
IRAS number 268957
Secondary identifying numbers UoL001494, IRAS 268957, CPMS 44564
Submission date
09/02/2022
Registration date
04/05/2022
Last edited
07/06/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Infections and Infestations
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Hospital-Acquired Pneumonia (HAP) is a common and serious lung infection that occurs in all hospitals and on all wards. It particularly affects elderly patients. A new test called is available to help doctors decide which treatment to use for a patient with HAP. The test is called the BIOFIRE® FILMARRAY® PNEUMONIA PANEL - FAPP for short. The FAPP is approved for use in the EU and USA (CE marked and FDA approved). It detects the bacteria and viruses that cause HAP and genes that indicate resistance to certain antibiotics.
HAPOSS is a preliminary study aimed at describing how oftern different casues of HAP the FAPP would be detected if it were it were to be used in an NHS hospital.

Who can participate?
Adult patients (18 years or older) whose doctor wants to treat them for HAP.

What does the study involve?
HAPOSS involves using the FAPP to test a patient's sputum sample.

What are the benefits and risks of participating?
There are no direct benefits to patients who participate in HAPOSS however the results obtained will benefit future patients with HAP.
There are no risks associated with participation in HAPOSS.
FAPP can be used outside of a laboratory and requires only brief training and no prior laboratory experience. Results take 75 minutes, which is much quicker than standard microbiological tests.

Where is the study run from?
The study is run by a team who work at the University of Liverpool and the Liverpool University Hospitals NHS Foundation Trust (UK).

When is the study starting and how long is it expected to run for?
September 2018 to August 2022

Who is funding the study?
University of Liverpool (UK)

Who is the main contact?
Dr Dan Wootton, dwootton@liverpool.ac.uk

Contact information

Dr Dan Wootton
Scientific

Ronald Ross Building
8 West Derby Street
Liverpool
L7 3EA
United Kingdom

ORCiD logoORCID ID 0000-0002-5903-3881
Phone +44 151 795 9647
Email dwootton@liverpool.ac.uk

Study information

Study designObservational cohort study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeDiagnostic
Participant information sheet 41128 HAPOSS PIL v2 13Feb2020.pdf
Scientific titleHospital Acquired Pneumonia Study of Sputum
Study acronymHAPOSS
Study objectivesThe aim of HAPOSS is to describe the pattern of pathogen detections made by the bioFire Film Array Pneumonia Panel when used to sample a representative cohort of patients treated for non-ventilator acquired Hospital Acquired Pneumonia.
Ethics approval(s)Approved 05/03/2020, East of England - Cambridge Central Research Ethics Committee (Royal Standard Place, Nottingham, NG1 6FS, UK; +44 2071048270; CambridgeCentral.rec@hra.nhs.uk), ref: 20/EE/0004
Health condition(s) or problem(s) studiedNon ventilator acquired hospital acquired pneumonia
InterventionThe population of interest are patients who are about to be treated for non-ventilator acquired hospital acquired pneumonia (HAP).
At the descretion of the treating clinical team, sputum samples, obtained as part of standard clinical practice, are sub-sampled and tested using the bioFire FilmArray Pneumonia Panel.
The remaining sputum is sent for standard microbiological investigations which are reported in the usual way.
Results of the bioFire FilmArray Pneumonia Panel test are not revealed to the clinical team but are stored and analysed retrospectively.
Analysis will be descriptive and the results will be summary statistics such as frequency counts and proportions of individual pathogens detected, multiple pathogen detections and resistance genes detected.
The interpretation will be perfomed in the light of local and national treatment guidelines.
Intervention typeDevice
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)bioFire FilmArray Pneumonia Panel
Primary outcome measurePneumonia pathogens are detected at baseline using the bioFire® FilmArray® Pneumonia Panel Plus
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date11/09/2018
Completion date01/08/2022

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants100
Key inclusion criteriaAdults of 16 years or older who are treated as HAP within the two recruiting hospitals
Key exclusion criteria1. Intention is to palliate rather than cure
2. Non-English speaking
3. Patients from whom a sputum sample cannot be obtained within 6 hours of the administration
Date of first enrolment01/08/2021
Date of final enrolment01/08/2021

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Liverpool University Hospitals NHS Foundation Trust
Royal Liverpool University Hospital
Prescot Street
Liverpool
L7 8XP
United Kingdom

Sponsor information

University of Liverpool
University/education

Clinical Directorate
4th Floor Thompson Yates Building
Faculty of Health and Life Sciences
Liverpool
L69 3GB
England
United Kingdom

Phone +44 7717 863747
Email sponsor@liverpool.ac.uk
Website https://www.liverpool.ac.uk/
ROR logo "ROR" https://ror.org/04xs57h96

Funders

Funder type

University/education

University of Liverpool
Government organisation / Universities (academic only)
Alternative name(s)
The University of Liverpool, 利物浦大学, Universidad de Liverpool, UoL
Location
United Kingdom

Results and Publications

Intention to publish date01/12/2022
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in high-impact peer-reviewed journal
IPD sharing planThe data-sharing plans for the current study are unknown and will be made available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 2 13/02/2020 15/02/2022 No Yes
Protocol file version 5 10/02/2020 15/02/2022 No No
HRA research summary 28/06/2023 No No

Additional files

41128 HAPOSS PIL v2 13Feb2020.pdf
41128 HAPOSS Protocol v5 10Feb2020.pdf

Editorial Notes

07/06/2022: Internal review.
15/02/2022: Trial's existence confirmed by East of England - Cambridge Central Research Ethics Committee.