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Trial · NCT07889544

Prospective Comparison of Pro-Adrenomedullin, C-Reactive Protein, and Neutrophil-to-Lymphocyte Ratio for Diagnosing Acute Appendicitis

NCT07889544, Recruiting, Bursa Yuksek Ihtisas Training and Research Hospital

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Prospective Comparison of Pro-Adrenomedullin, C-Reactive Protein, and Neutrophil-to-Lymphocyte Ratio for Diagnosing Acute Appendicitis. Trials, record NCT07889544. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT07889544

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Prospective Comparison of Pro-Adrenomedullin, C-Reactive Protein, and Neutrophil-to-Lymphocyte Ratio for Diagnosing Acute Appendicitis
NCT number
NCT07889544
Status
Recruiting
Enrollment
400 participants, estimated
Lead sponsor
Bursa Yuksek Ihtisas Training and Research Hospital
Conditions
Acute Appendicitis
Interventions
Serum Pro-Adrenomedullin Measurement
First posted
2026-10-22
Last updated
2026-10-26

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDiagnostic Accuracy of Serum Pro-Adrenomedullin for Acute AppendicitisAt initial clinical assessment (baseline); diagnostic status confirmed during the index hospitalization.
The diagnostic accuracy of serum pro-adrenomedullin (Pro-ADM) for distinguishing patients with acute appendicitis from healthy controls will be assessed using the area under the receiver operating characteristic curve (AUC-ROC). Higher AUC values indicate better diagnostic discrimination. Sensitivity and specificity at the identified diagnostic cutoff will also be calculated.
SecondaryComparison of the Diagnostic Accuracy of Pro-Adrenomedullin, C-Reactive Protein, and Neutrophil-to-Lymphocyte RatioAt initial clinical assessment (baseline).
The diagnostic performance of Pro-Adrenomedullin (Pro-ADM), C-reactive protein (CRP), and neutrophil-to-lymphocyte ratio (NLR) will be evaluated using receiver operating characteristic (ROC) curve analysis. The area under the ROC curve (AUC) will be calculated for each biomarker, and their discriminatory performance for acute appendicitis will be compared.
SecondaryOptimal Diagnostic Cutoff Value of Serum Pro-AdrenomedullinAt initial clinical assessment (baseline).
A diagnostic cutoff value for serum Pro-Adrenomedullin (Pro-ADM) will be identified using receiver operating characteristic (ROC) curve analysis. Diagnostic sensitivity and specificity at the selected cutoff will be calculated to evaluate its ability to distinguish patients with acute appendicitis from healthy controls.
SecondaryPredictive Performance of Serum Pro-Adrenomedullin for Complicated Acute AppendicitisFrom initial clinical assessment to completion of the index hospitalization.
The ability of serum Pro-Adrenomedullin (Pro-ADM) concentrations to discriminate complicated from uncomplicated acute appendicitis will be evaluated among patients with acute appendicitis. Receiver operating characteristic (ROC) curve analysis will be used to assess discriminatory performance, expressed as the area under the curve (AUC).
SecondaryIndependent Diagnostic Contribution of Serum Pro-AdrenomedullinAt initial clinical assessment (baseline); diagnostic status confirmed during the index hospitalization.
The independent association between serum Pro-Adrenomedullin (Pro-ADM) concentration and acute appendicitis diagnosis will be evaluated using multivariable regression analysis, adjusting for available conventional inflammatory biomarkers and relevant clinical variables. The adjusted effect estimate and its 95% confidence interval will be reported.

Outcomes0

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

None in this release.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow0

How many started, completed or left each group, period by period.

None in this release.

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals0

The totals the trial posted for each group.

None in this release.

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
25727811BACKGROUNDPubMed
27609121BACKGROUNDPubMed
30287129BACKGROUNDPubMed
41821289BACKGROUNDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT07889544

GET https://conductscience.org/api/trials/v1/NCT07889544/registered