Clinical trial Recruiting at 1 site Observational Ages 18 to 80

Comparison of neutrophil-to-lymphocyte ratio and lactate-to-albumin ratio as predictive inflammatory markers for sepsis

Official title: A Comparative Study Between Neutrophil/Lymphocyte Ratio and Lactate/Albumin Ratio as Predictive Inflammatory Markers for Sepsis in Patients With Lower Respiratory Tract Infection in ICU

Run by Ain Shams University · NCT07089524 · Data updated 2026-11-12

This study will test whether the neutrophil-to-lymphocyte ratio or the lactate-to-albumin ratio better predicts outcomes for adults (18–80) with sepsis or septic shock from lower respiratory tract infections admitted to the ICU.

More Sepsis trials

Quick facts

Study typeObservational
Ages18 Years to 80 Years
SexAll
Enrollment160 (estimated)
SponsorAin Shams University
Academic / other
Locations1 site (Cairo, Abbassia)
StatusRecruiting
StartedSeptember 11, 2024
Main results expectedSeptember 11, 2025
Study endsDecember 1, 2025
Registry record updatedJuly 28, 2025
Trial IDNCT07089524 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–80 with confirmed sepsis or septic shock due to lower respiratory tract infection who are admitted to the ICU and do not have conditions that affect serum albumin are eligible.

Probably not a fit

Patients under 18 or over 80, pregnant patients, those with malignancy, liver cirrhosis, nephrotic syndrome, prior intestinal resection, or other conditions altering albumin or immune counts may not receive benefit from this study's findings.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a prospective observational comparison of two blood‑based inflammatory markers (neutrophil/lymphocyte ratio and lactate/albumin ratio) measured in adults admitted to the ICU with lower respiratory tract infection and sepsis or septic shock by Sepsis‑3 criteria. Researchers will record these ratios on admission and link them to clinical outcomes including mortality and organ dysfunction, then compare sensitivity and specificity for outcome prediction. Patients with conditions that alter serum albumin (malnutrition, nephrotic syndrome, liver cirrhosis, prior intestinal resection) and those outside the 18–80 age range are excluded. The work is conducted at a single center (Ain Shams University Hospital, Abbassia, Cairo).

Why it matters

Potential benefit: If successful, clinicians could use routine blood tests to identify sepsis patients at higher risk of poor outcomes and prioritize earlier or more aggressive care.

How similar studies have gone: Previous observational studies have frequently shown NLR correlates with sepsis severity and several reports support lactate/albumin ratio as prognostic, but direct head‑to‑head comparisons are relatively limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults with lower respiratory tract infection
* Confirmed septic patients (under the third international consensus definitions of sepsis and septic shock),
* Admitted to intensive care unit.
* Age (18-80) years.
* Both genders.

Exclusion Criteria:

* Age: \< 18 years old, \> 80 years old
* Patient refusal.
* Pregnancy.
* Malignancy.
* Pathology that could affect serum albumin concentrations prior to ICU admission as Malnutrition
* Nephrotic syndrome
* Liver Cirrhosis
* Intestinal resection surgeries

Where it's running

  • Ain Shams university
    Cairo, Abbassia, Egypt
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.