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出境医 / 临床实验 / Retrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients

Retrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients

Study Description
Brief Summary:

The analysis of a cohort of consecutive non-selected patients from the Strasbourg University Hospital, and therefore representative of the real life, will allow better identifying the risk factors for these infections (by comparison with a cohort of patient with similar conditions of immunosuppression and no infection) and improving the diagnosis and therapeutic management.

The primary objective is to identify prognosis factors affecting survival in patients with opportunistic infections


Condition or disease
Hematologic Disease Neoplams Transplantation Immunologic Deficiency Syndromes Critical Illness

Study Design
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Study Type : Observational
Estimated Enrollment : 1000 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Retrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients
Actual Study Start Date : March 15, 2017
Estimated Primary Completion Date : July 15, 2019
Estimated Study Completion Date : July 15, 2019
Arms and Interventions
Group/Cohort
Opportunistic infection
Immunocompromised or frail patients with an opportunistic infection
Control group
Immunocompromised or frail patients with no opportunistic infection
Outcome Measures
Primary Outcome Measures :
  1. Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Long-term time point : 1st may 2019 ]
  2. Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 1 month ]
  3. Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 3 months ]
  4. Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 6 months ]

Secondary Outcome Measures :
  1. Risk factors predisposing to opportunistic infections - age - gender - Type of work - Location - Tobacco use [ Time Frame: first day of opportunistic infection ]
  2. Prognosis factors in patients with opportunistic infection affecting the response to antimicrobial therapy (using response criteria defined by EORTC/MSG) [ Time Frame: first day of opportunistic infection ]
  3. Identification of baseline prognosis factors affecting the 3 months survival [ Time Frame: first day of opportunistic infection ]
  4. Identification of baseline prognosis factors affecting the 6 months survival [ Time Frame: first day of opportunistic infection ]
  5. Incidence of specific opportunistic infections in different host groups [ Time Frame: evolution of a 20-year-period ]
  6. Description of imaging patterns opportunistic infections: analysis of chest CT-scan and cerebral CT-scan and MRI by radiologists [ Time Frame: at first day of infection and up to 12 weeks ]
  7. Assessment of performance of Aspergillus galactomannan detection test in serum [ Time Frame: at onset and up to 1 week ]
  8. Assessment of performance of Aspergillus galactomannan detection test in bronchoalveolar lavage [ Time Frame: at onset and up to 1 week ]
  9. Response rate [ Time Frame: at 1, 3 and 6 months ]

Eligibility Criteria
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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Sampling Method:   Non-Probability Sample
Study Population

Patients hospitalized in any department of the University Hospital of Strasbourg since 1997 Opportunistic infectious disease occurrence in immunocompromised or frail patients.

In case of epidemiological study, patients from a control group with the same characteristics but without infection can be included.

Criteria

Inclusion criteria:

  • Non selected consecutive immunocompromised or frail patients with an opportunistic infection
  • Hospitalized in any of the department of the University Hospital of Strasbourg
  • For epidemiological study, patients with similar immunodepression of frail condition and no opportunistic infection

Exclusion criteria:

- Opposition of the patient to use his personal data

Contacts and Locations

Contacts
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Contact: Raoul HERBRECHT, MD 03 88 12 83 79 ext 0033 raoul.herbrecht@chru-strasbourg.fr

Locations
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France
University Hospital, Strasbourg, france Recruiting
Strasbourg, France, 67091
Contact: Raoul HERBRECHT, MD    03 88 12 83 79 ext 0033    raoul.herbrecht@chru-strasbourg.fr   
Principal Investigator: Raoul Raoul, MD         
Sponsors and Collaborators
University Hospital, Strasbourg, France
Investigators
Layout table for investigator information
Principal Investigator: Raoul HERBRECHT, MD University Hospital, Strasbourg, France
Tracking Information
First Submitted Date August 6, 2018
First Posted Date April 19, 2019
Last Update Posted Date April 19, 2019
Actual Study Start Date March 15, 2017
Estimated Primary Completion Date July 15, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: April 15, 2019)
  • Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Long-term time point : 1st may 2019 ]
  • Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 1 month ]
  • Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 3 months ]
  • Short- and long-term survival, overall and in specific subgroups of patients [ Time Frame: Short term : 6 months ]
Original Primary Outcome Measures Same as current
Change History No Changes Posted
Current Secondary Outcome Measures
 (submitted: April 15, 2019)
  • Risk factors predisposing to opportunistic infections - age - gender - Type of work - Location - Tobacco use [ Time Frame: first day of opportunistic infection ]
  • Prognosis factors in patients with opportunistic infection affecting the response to antimicrobial therapy (using response criteria defined by EORTC/MSG) [ Time Frame: first day of opportunistic infection ]
  • Identification of baseline prognosis factors affecting the 3 months survival [ Time Frame: first day of opportunistic infection ]
  • Identification of baseline prognosis factors affecting the 6 months survival [ Time Frame: first day of opportunistic infection ]
  • Incidence of specific opportunistic infections in different host groups [ Time Frame: evolution of a 20-year-period ]
  • Description of imaging patterns opportunistic infections: analysis of chest CT-scan and cerebral CT-scan and MRI by radiologists [ Time Frame: at first day of infection and up to 12 weeks ]
  • Assessment of performance of Aspergillus galactomannan detection test in serum [ Time Frame: at onset and up to 1 week ]
  • Assessment of performance of Aspergillus galactomannan detection test in bronchoalveolar lavage [ Time Frame: at onset and up to 1 week ]
  • Response rate [ Time Frame: at 1, 3 and 6 months ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Retrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients
Official Title Retrospective Non-interventional Analysis of Opportunistic Infections in Immunocompromised and Frail Patients
Brief Summary

The analysis of a cohort of consecutive non-selected patients from the Strasbourg University Hospital, and therefore representative of the real life, will allow better identifying the risk factors for these infections (by comparison with a cohort of patient with similar conditions of immunosuppression and no infection) and improving the diagnosis and therapeutic management.

The primary objective is to identify prognosis factors affecting survival in patients with opportunistic infections

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population

Patients hospitalized in any department of the University Hospital of Strasbourg since 1997 Opportunistic infectious disease occurrence in immunocompromised or frail patients.

In case of epidemiological study, patients from a control group with the same characteristics but without infection can be included.

Condition
  • Hematologic Disease
  • Neoplams
  • Transplantation
  • Immunologic Deficiency Syndromes
  • Critical Illness
Intervention Not Provided
Study Groups/Cohorts
  • Opportunistic infection
    Immunocompromised or frail patients with an opportunistic infection
  • Control group
    Immunocompromised or frail patients with no opportunistic infection
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Unknown status
Estimated Enrollment
 (submitted: April 15, 2019)
1000
Original Estimated Enrollment Same as current
Estimated Study Completion Date July 15, 2019
Estimated Primary Completion Date July 15, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion criteria:

  • Non selected consecutive immunocompromised or frail patients with an opportunistic infection
  • Hospitalized in any of the department of the University Hospital of Strasbourg
  • For epidemiological study, patients with similar immunodepression of frail condition and no opportunistic infection

Exclusion criteria:

- Opposition of the patient to use his personal data

Sex/Gender
Sexes Eligible for Study: All
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers Not Provided
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries France
Removed Location Countries  
 
Administrative Information
NCT Number NCT03920735
Other Study ID Numbers 1INFOPP
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: Undecided
Responsible Party University Hospital, Strasbourg, France
Study Sponsor University Hospital, Strasbourg, France
Collaborators Not Provided
Investigators
Principal Investigator: Raoul HERBRECHT, MD University Hospital, Strasbourg, France
PRS Account University Hospital, Strasbourg, France
Verification Date September 2018