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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 80 Years |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Ain Shams University Academic / other |
| Locations | 1 site (Cairo, Abbassia) |
| Status | Recruiting |
| Started | September 11, 2024 |
| Main results expected | September 11, 2025 |
| Study ends | December 1, 2025 |
| Registry record updated | July 28, 2025 |
| Trial ID | NCT07089524 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
- Study coordinator: Ahmed Gamal Ahmed, M.BB.CH,M.Sc
- Email: ahmed_gamal@med.asu.edu.eg
- Phone: 01141164417
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Ruta C and Vitamin C in Sepsis: Adding antioxidants to standard care
This trial tests whether adding Ruta C (rutin plus vitamin C) or vitamin C alone to standard sepsis treatment helps adults in the ICU stay shorter and recover better.
-
Early detection of sepsis-related blood clotting problems in severe burn patients
This study tests how well the JAAM-2 score can detect sepsis-induced coagulopathy early in adults with severe burns who develop sepsis in the ICU.
-
Neutrophil EMR3 as a biomarker for sepsis in ICU patients
Researchers will test whether measuring EMR3 on neutrophils helps diagnose sepsis, monitor progression, and predict outcomes in adults in Chinese ICUs.
-
Thymalfasin added to standard care for adults with sepsis and immune dysfunction
This study tests whether thymosin alpha-1 helps restore immune function in adults with sepsis who have weakened immunity.
-
Multicenter group study of sepsis and ARDS in China
This study tests how sepsis and ARDS differ among adults across several Chinese hospitals and builds a biobank to understand why some patients do better or worse.
-
Non-invasive hemodynamic guidance for sepsis care on medical wards
This trial tests whether guiding fluid and vasopressor therapy for sepsis using non-invasive hemodynamic measurements works better than standard care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.