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Acute Myeloid LeukemiaSEIFEM 2010NCT01315925

Pre-hospital Risk Factors for Invasive Fungal Infection

An observational study of Acute Myeloid Leukemia and Aspergillosis, run by Catholic University of the Sacred Heart at 42 sites in Italy.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

SEIFEM 2010 study is a prospective, multicenter registry designed to identify and analyze risk factors for developing an invasive fungal infection in patients with newly diagnosed Acute Myeloid Leukemia, with particular interest on pre-hospital risk factors (i.e. Read more about this study

Who is it for?
Any age
Conditions the study is for
Acute Myeloid Leukemia, Aspergillosis, Candidiasis
How many people
1,000 participants
Where
42 sitesItaly
Study dates
Jan 2010to not given
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Adult and pediatric patients with newly diagnosed acute myeloid leukemia, both eligible and not eligible for intensive chemotherapy.

Who may be able to join

  • all newly diagnosed AML who accept to take part to the registry and sign an informed consent

Who cannot join

  • relapsing/refractory AML
  • patients who do not sign informed consent

Trial locations and contacts

42 sites in 1 country.

42 sites in 1 country

Italy42 sites, 35 recruiting
  • University of Ancona

    Ancona, AN

    Massimo Offidani, MD, m.offidani@ao-umbertoprimo.marche.it

    Massimo Offidani, MD

    Recruiting
  • University of Bary

    Bari, BA

    Mario Delia, MD, mario.delia74@gmail.com

    Giorgina Specchia

    Recruiting
  • University of Bologna

    Bologna, BO

    Nicola Vianelli, nicola.vianelli@unibo.it

    Nicola Vianelli

    Recruiting
  • Hospital of Brescia

    Brescia

    Chiara Cattaneo, MD, chiara.cattaneo@libero.it

    Chiara Cattaneo

    Recruiting
  • University of Cagliari

    Cagliari

    Adriana Vacca, vaccaadriana@gmail.com

    Recruiting
  • Catholic University

    Campobasso, Campobasso

    Cristina Gasbarrino, gasbacri@virgilio.it

    Sergio Storti

    Recruiting
  • Cuneo Hospital

    Cuneo

    Active, not recruiting
  • University of Firenze

    Florence, FI

    Rosa Fanci, MD, r.fanci@dac.unifi.it

    Rosa Fanci

    Recruiting
  • Istotuto Meyer

    Florence

    Desiree Caselli, d.caselli@meyer.it

    Recruiting
  • Gaslini Hospital

    Genova

    Elio Castagnola, eliocastagnola@ospedale-gaslini.ge.it

    Recruiting
  • La Spezia Hospital

    La Spezia

    Annunziata Manna, annunziata.manna@asl5.liguria.it

    Recruiting
  • Lecce Hospital

    Lecce

    De Paolis, depaolis.ematolecce@libero.it

    Recruiting
  • Lecce Pediatric Hospital

    Lecce

    Active, not recruiting
  • Niguarda Hospital

    Milan, MI

    Annamaria Nosari, MD, annamaria.nosari@ospedaleniguarda.it

    Annamaria Nosari, MD

    Recruiting
  • University of Modena e Reggio

    Modena

    Mario Luppi, mluppi@unimore.it

    Mario Luppi

    Recruiting
  • Monza Hospital

    Monza

    Luisa Verga, luisa.verga@libero.it

    Recruiting
  • San Gerardo Hospital

    Monza

    Active, not recruiting
  • "Federico II" University

    Naples

    Marco Picardi, MD, picardi@ceinge.unina.it

    Recruiting
  • Cardarelli Hospital

    Naples

    Active, not recruiting
  • Pausilion Hospital

    Naples

    Active, not recruiting
  • University of Palermo

    Palermo

    Maria Enza Mitra, memitra@yahoo.com

    Maria Enza Mitra

    Recruiting
  • University of Parma

    Parma

    Cecilia Caramatti, cecilia.caramatti@unipr.it

    Recruiting
  • S.Matteo Hospital, Department of Hematology

    Pavia

    Carlo Castagnola, castagnola@smatteo.pv.it

    Carlo Castagnola

    Recruiting
  • S.Matteo Hospital, Department of Medicine

    Pavia

    Rosangela Invernizzi, r.invernizzi@smatteo.pv.it

    Recruiting
  • University of Perugia, Pediatric Hematology

    Perugia

    Franco Aversa, aversa@unipg.it

    Recruiting
  • University of Perugia

    Perugia

    Franco Aversa, aversa@unipg.it

    Franco Aversa

    Recruiting
  • Pescara Hospital

    Pescara

    Prassede Salutari, prassede.salutari@email.it

    Recruiting
  • Reggio Calabria Hospital

    Reggio Calabria

    Bruno Martino, brunmartin@libero.it

    Recruiting
  • Reggio Emilia Hospital

    Reggio Emilia

    Alessandro Bonini, Alessandro.Bonini@asmn.re.it

    Recruiting
  • Catholic University

    Rome, RM, 00168

    Livio Pagano, MD, +390630154180, lpagano@rm.unicatt.it

    Livio Pagano, MD

    Recruiting
  • IFO

    Rome, RM

    Active, not recruiting
  • S.Camillo Hospital

    Rome, RM

    Maria Grazia Garzia, mariagraziagarzia@hotmail.com

    Recruiting
  • S.Giovanni Hospital

    Rome, RM

    Anna Chierichini, annachierichini@hotmail.com

    Recruiting
  • University of Tor Vergata

    Rome, RM

    Adriano Venditti, adriano.venditti@uniroma2.it

    Recruiting
  • "Padre Pio" Hospital

    San Giovanni Rotondo

    Lorella Melillo, l.melillo@operapadrepio.it

    Recruiting
  • Le Molinette Hospital

    Torino, TO

    Alessandro Busca, abusca@molinette.piemonte.it

    Recruiting
  • Regina Margherita Hospital

    Torino

    Active, not recruiting
  • S.Anna Hospital

    Torino

    Mareva Giacchino, mareva.giacchino@unito.it

    Recruiting
  • Tricase Hospital

    Tricase, LE

    Vincenzo Pavone, salentoematologia@piafondazionepanico.it

    Recruiting
  • University of Udine

    Udine

    Anna Candoni, candoni.anna@aoud.sanita.fvg.it

    Recruiting
  • University of Verona

    Verona

    Gianpaolo Nadali, gianpaolo.nadali@univr.it

    Recruiting
  • Verona Hospital

    Verona

    Simone Cesaro, simone.cesaro@azosp.vr.it

    Recruiting

Other trials in Italy

About this study

Official title: SEIFEM 2010: Epidemiological Survey on Possible Pre-Hospital Risk Factors for Developing Invasive Fungal Infections in Patients Affected by Acute Myeloid Leukemia

SEIFEM 2010 study is a prospective, multicenter registry designed to identify and analyze risk factors for developing an invasive fungal infection in patients with newly diagnosed Acute Myeloid Leukemia, with particular interest on pre-hospital risk factors (i.e. those related to normal activities of daily life, such as occupation, location and type of residence, consume of tobacco, alcohol and others).

Read the detailed description

SEIFEM 2010:

EPIDEMIOLOGICAL SURVEY ON POSSIBLE PRE-HOSPITAL RISK FACTORS FOR DEVELOPING INVASIVE FUNGAL INFECTIONS IN PATIENTS AFFECTED BY ACUTE MYELOID LEUKEMIA

Background:

In two different multicenter surveys conducted in Italy from 1988-1997 and 1999-2003, (Invasive Fungal Infections) IFIs were found to be a frequent cause of morbidity and mortality in patients treated with conventional chemotherapies, particularly in those suffering from acute myeloid leukemia (AML).

In general, the major factors that have been recognized as influencing the likelihood of invasive fungal infection are the patient's immune status, the degree of any organ damage (e.g., mucositis), and overall microbial exposure (i.e., colonization, environment, and prior infection). Since the 1990s, different risk-stratification strategies have been evaluated in order to identify those patients who may benefit from intensive prophylactic and diagnostic measures. However, despite having similar risk profiles, only a subset of AML patients will develop an IFI. One of the most exciting recent advances in the understanding of the epidemiology of IFIs is the recognition of the complexity of the host and the identification of new host-related risk factors.

Aim of this study is to identify and analyze risk factors for developing an invasive fungal infection in patients with newly diagnosed Acute Myeloid Leukemia, with particular interest on pre-hospital risk factors.

Aims and objective:

  • To identify high risk subjects that can take advantage of an antifungal prophylaxis or an early antifungal treatment (preemptive treatment).
  • To identify possible fungal infections sources for the period preceding the diagnosis of leukemia, in particular those related to normal activities of daily life (e.g. occupation, location and type of residence, consume of tobacco, alcohol or illicit drugs and others).
  • To analyze hospital-related sources of fungal infection, from well known predisposing factors (i.e. duration and severity of neutropenia) to other like central venous catheter, urinary catheter, comorbidities, etc.
  • To analyze the impact of both the prophylactic regimen adopted and the antifungal treatment.

Design:

  • Prospective, multicenter, observational and clinical-epidemiological study.
  • The study is expected to enroll at least 500 patients with newly diagnosed acute myeloid leukemia, those eligible for treatment and those not eligible, within 2 years or until the achievement of a statistically evaluable number of cases.
  • SEIFEM 2010 is a noninterventional registry and therefore there will not be any any change physicians' diagnostic and therapeutic choices, that remain related to local guidelines.
  • Every patient who accept to take part to the study, will be asked to read and sign an informed consent.
  • An apposite form, with a detailed epidemiological section, should be compiled by clinicians for each enrolled patient.
  • A complete information page on the study is supplied to each patient enrolled.

Data collection:

In the questionnaire, possible risk factors for invasive fungal infections, prior to the onset of acute leukemia, are evaluated. The module consists of several sections:

  • Personal information (age, sex, observation time of the case, AML subtype, performance status at admission), patient data will be anonymous.
  • Comorbidities (diabetes, chronic renal failure, COPD, chronic liver disease, previous TBC)
  • A section compiled by the patient about possible risk factors related to the daily living habits (location and type of residence, profession, hobbies, pets, personal hygiene, ambiental exposures, consume of tobacco, alcohol or illicit drugs and others)
  • A second part of the form will be compiled at the time of evaluation after induction chemotherapy (between 30 and 40 days after chemotherapy) or, for those not suitable for conventional treatment, 30-40 days after diagnosis.

At the time of a diagnosis of fungal infection data on the type of infection, treatment and course of infection will be evaluated.

Eligibility:

Adult and pediatric patients with newly diagnosed acute myeloid leukemia, both eligible and not eligible for intensive chemotherapy. Since this is a noninterventional study, therapeutic strategies remains related to local guidelines. Will be treated as cases all patients with acute leukemia in first induction developing an Invasive Fungal Infection according to international EORTC criteria for possible/probable/proven infections. Patients who do not develop the infection will be used as a control group.

Participating centers:

Forty-three Italian divisions of Hematology will take part to the study, distributed among universities and highly specialized hospitals located throughout the country.

Keywords
Acute myeloid leukemia, invasive fungal infection, Aspergillosis, candidiasis
Medical subject headings
Leukemia, Myeloid, Acute, Aspergillosis, Candidiasis, Mycoses, Invasive Fungal Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01315925
Study groupRoleWhat they receive
Newly disgnosed AMLAdult and pediatric patients with newly diagnosed acute myeloid leukemia, both eligible and not eligible for intensive chemotherapy. Since this is a non-interventional study, therapeutic strategies remains related to local guidelines. Will be treated as cases all patients with acute leukemia in first induction developing an Invasive Fungal Infection according to international EORTC criteria for possible/probable/proven infections. Patients who do not develop the infection will be used as a control group.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Invasive fungal infections

    To identify possible fungal infections sources for the period preceding the diagnosis of leukemia, in particular those related to normal activities of daily life (e.g. occupation, location and type of residence, consume of tobacco, alcohol or illicit drugs and others).

    Measured: 30th day after the end of first line chemotherapy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Mar 2011 (estimated)
  2. Study startJan 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01315925
Sponsor's protocol ID
751/2009
Acronym
SEIFEM 2010
Status last verified
Mar 2011
First submitted
15 Mar 2011
Last updated
16 Mar 2011
Results posted
No

Publications

  • Caira M, Mancinelli M, Leone G, Pagano L. Invasive aspergillosis in acute leukemias: old and new risk factors and epidemiological trends. Med Mycol. 2011 Apr;49 Suppl 1:S13-6. doi: 10.3109/13693786.2010.509138. Epub 2010 Aug 26.

    PubMed 20795761
  • Muhlemann K, Wenger C, Zenhausern R, Tauber MG. Risk factors for invasive aspergillosis in neutropenic patients with hematologic malignancies. Leukemia. 2005 Apr;19(4):545-50. doi: 10.1038/sj.leu.2403674.

    PubMed 15729382
  • Pagano L, Caira M, Candoni A, Offidani M, Martino B, Specchia G, Pastore D, Stanzani M, Cattaneo C, Fanci R, Caramatti C, Rossini F, Luppi M, Potenza L, Ferrara F, Mitra ME, Fadda RM, Invernizzi R, Aloisi T, Picardi M, Bonini A, Vacca A, Chierichini A, Melillo L, de Waure C, Fianchi L, Riva M, Leone G, Aversa F, Nosari A. Invasive aspergillosis in patients with acute myeloid leukemia: a SEIFEM-2008 registry study. Haematologica. 2010 Apr;95(4):644-50. doi: 10.3324/haematol.2009.012054. Epub 2009 Oct 22.

    PubMed 19850903
  • Caira M, Candoni A, Verga L, Busca A, Delia M, Nosari A, Caramatti C, Castagnola C, Cattaneo C, Fanci R, Chierichini A, Melillo L, Mitra ME, Picardi M, Potenza L, Salutari P, Vianelli N, Facchini L, Cesarini M, De Paolis MR, Di Blasi R, Farina F, Venditti A, Ferrari A, Garzia M, Gasbarrino C, Invernizzi R, Lessi F, Manna A, Martino B, Nadali G, Offidani M, Paris L, Pavone V, Rossi G, Spadea A, Specchia G, Trecarichi EM, Vacca A, Cesaro S, Perriello V, Aversa F, Tumbarello M, Pagano L; SEIFEM Group (Sorveglianza Epidemiologica Infezioni Fungine in Emopatie Maligne). Pre-chemotherapy risk factors for invasive fungal diseases: prospective analysis of 1,192 patients with newly diagnosed acute myeloid leukemia (SEIFEM 2010-a multicenter study). Haematologica. 2015 Feb;100(2):284-92. doi: 10.3324/haematol.2014.113399.

    PubMed 25638805
  • Pagano L, Verga L, Busca A, Martino B, Mitra ME, Fanci R, Ballanti S, Picardi M, Castagnola C, Cattaneo C, Nadali G, Nosari A, Candoni A, Caira M, Salutari P, Lessi F, Aversa F, Tumbarello M. Systemic antifungal treatment after posaconazole prophylaxis: results from the SEIFEM 2010-C survey. J Antimicrob Chemother. 2014 Nov;69(11):3142-7. doi: 10.1093/jac/dku227. Epub 2014 Jun 19.

    PubMed 24948702
  • Pagano L, Caira M, Candoni A, Aversa F, Castagnola C, Caramatti C, Cattaneo C, Delia M, De Paolis MR, Di Blasi R, Di Caprio L, Fanci R, Garzia M, Martino B, Melillo L, Mitra ME, Nadali G, Nosari A, Picardi M, Potenza L, Salutari P, Trecarichi EM, Tumbarello M, Verga L, Vianelli N, Busca A; SEIFEM Group. Evaluation of the practice of antifungal prophylaxis use in patients with newly diagnosed acute myeloid leukemia: results from the SEIFEM 2010-B registry. Clin Infect Dis. 2012 Dec;55(11):1515-21. doi: 10.1093/cid/cis773. Epub 2012 Sep 5.

    PubMed 22955439

Questions about this trial

What is this clinical trial studying?

An observational study of Acute Myeloid Leukemia and Aspergillosis, run by Catholic University of the Sacred Heart at 42 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 16 Mar 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 42 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Invasive fungal infections (time frame: 30th day after the end of first line chemotherapy). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01315925, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Mar 2011.

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