Clinical trial Recruiting at 1 site Observational

Monitoring antimicrobial resistance in pneumonia patients using metagenomics

Official title: Monitoring of Antimicrobial Resistance Based on Metagenomics Analyses in Pneumonia Patients: a Genomic Epidemiology Study

Run by Shanghai General Hospital, China · NCT06566898 · Data updated 2026-11-12

This study is trying to understand how different germs and their resistance to antibiotics affect patients with mild and severe pneumonia to improve diagnosis and treatment.

Quick facts

Study typeObservational
SexAll
Enrollment800 (estimated)
SponsorShanghai General Hospital, China
Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
StatusRecruiting
StartedAugust 1, 2024
Main results expectedApril 15, 2026
Study endsSeptember 30, 2026
Registry record updatedApril 23, 2026
Trial IDNCT06566898 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients diagnosed with either severe or mild pneumonia based on established clinical guidelines.

Probably not a fit

Patients whose biological samples are contaminated or do not meet the specified volume criteria may not benefit from this study.

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

What this trial studies

This observational study aims to analyze the microbiome and antimicrobial resistance genes in patients with severe and mild pneumonia. It will recruit patients from four hospitals in China over a six-year period, utilizing next-generation sequencing to gather comprehensive data on pathogen diversity and resistance. The study will focus on understanding the differences in microbiome composition and resistance profiles between severe and mild cases of pneumonia. By employing advanced metagenomic techniques, the research seeks to enhance clinical diagnosis and treatment strategies for pneumonia.

Why it matters

Potential benefit: If successful, this study could lead to improved diagnosis and treatment options for pneumonia patients by providing insights into antimicrobial resistance.

How similar studies have gone: Other studies utilizing metagenomics to analyze microbial communities and resistance patterns have shown promising results, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patients clinically diagnosed as severe pneumonia and mild pneumonia are diagnosed according to the Guidelines for the diagnosis and Treatment of community-acquired pneumonia in Adults (2019 edition) formulated by the American Thoracic Society (ATS) and the Infectious Diseases Society of America (IDSA), who meet 1 of the following major criteria or ≥3 minor criteria can be diagnosed. The diagnostic criteria for severe and mild pneumonia in children were adopted by the British Thoracic Society (BTS) in 2011.
* Clinical examination was performed, and there was biospecimen (nasopharyngeal swab, oropharyngeal swab, bronchoalveolar lavage fluid, sputum, blood, hydrothorax, lung tissue) remaining in the clinical microbiological examination.

Exclusion Criteria:

* Patients whose biological samples may be contaminated;
* Patients with alveolar lavage fluid or hydrothorax volume less than 200μl.

Where it's running

  • Mei Kang
    Shanghai, Shanghai Municipality, China
    Recruiting

Study contacts

  • Principal investigator: Mei Kang, MPH — Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine
  • Study coordinator: Mei Kang, MPH
  • Email: mei.kang@shgh.cn
  • Phone: 18501709576

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Other studies for the same condition or treatment. Recruiting studies are listed first.

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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.