New DNA test could speed up pneumonia diagnosis in ICU patients
NCT ID NCT05979350
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a new DNA-sequencing technique (metagenomic next-generation sequencing) can identify the cause of pneumonia faster than standard methods. About 114 ICU patients on ventilators will be randomly assigned to receive either the new test or usual care. The goal is to see if faster diagnosis leads to better antibiotic use, shorter hospital stays, and lower death rates.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- metagenomic next-generation sequencing (mNGS) test
- What this could lead to
- If successful, this could make pneumonia diagnosis faster and more accurate, helping doctors choose the right antibiotics sooner and potentially reducing hospital stays and deaths.
- What could go wrong
- This is a relatively small trial (114 participants) and focuses on diagnostic accuracy, not a new treatment. The test may not improve patient outcomes significantly, and its benefits may not apply to all pneumonia patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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114 people
The number who actually took part.
- Started
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Aug 2023
- Expected to finish
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Nov 2025
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Presenting to the ICU with a diagnosis of pneumonia (fulfilled with both radiographic and clinical criteria) 2. Adults aged ≥18 years 3. Orotracheally intubated 4. ICU admission for \<24 hours 5. APACHE II score \<35 on ICU admission Exclusion Criteria: 1. Life expectancy below 4 weeks 2. With an existing directive to withhold life-sustaining treatment 3. Patients not willing or able to provide a lower respiratory tract sample at ICU admission 4. Previous work-up has identified specific pathogens which can account for the index event of pneumonia 5. Multiplex PCR or NGS testing has been done for pathogen detection before screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
National Taiwan University Hospital
Taipei, Taiwan
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Other studies related to the condition(s) this trial covers.
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