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Nontuberculous MycobacteriaIRENENCT03339063

The Italian REgistry of Pulmonary Non-tuberculous mycobactEria

An observational study of Nontuberculous Mycobacteria, run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico at 26 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 The sponsor has not verified this record for over two years, so it may be out of date.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
Search all trials

Trial summary

The Italian registry of pulmonary non-tuberculous mycobacteria (NTM) -IRENE- is an observational, multicenter, prospective, cohort study enrolling consecutive adult patients with either a NTM respiratory infection or NTM-Pulmonary Disease. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Nontuberculous Mycobacteria
How many people
500 participants
Where
26 sitesItaly
Study dates
21 Apr 2017to 31 Dec 2022
How long will I take part?
5 Years
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients included in the registry are mainly recruited among pulmonary and Infectious diseases out- and in-patient services. Adult cystic fibrosis, lung transplant, and tuberculosis clinics represent other recruitment centers. A heterogeneous population of patients with NTM infection/NTM-Pulmonary Disease sharing different clinical phenotypes is expected to be enrolled in the registry. IRENE has a special focus on four patients' categories: 1) immunocompetent/bronchiectatic, 2) HIV-positive, 3) cystic fibrosis and 4) lung transplanted patients.

Who may be able to join

  • Adult (>=18 years) patients
  • At least one positive culture for any NTM species from any respiratory sample
  • At least one positive culture for NTM isolated in the year prior the enrolment and/or prescribed NTM treatment in the year prior the enrollment
  • Given consent to inclusion in the study.

Who cannot join

  • No exclusion criteria are applied to the study

Trial locations and contacts

26 sites in 1 country.

Stefano Aliberti, MD contact

+390250320627

stefano.aliberti@unimi.it

26 sites in 1 country

Italy26 sites, 26 recruiting
  • Malattie Infettive, Alma Mater Studiorum Università di Bologna

    Bologna

    Pierluigi Viale, MD, pierluigi.viale@unibo.it

    Not yet recruiting
  • Pneumologia, Alma Mater Studiorum Università di Bologna

    Bologna

    Stefano Nava, MD, stefano.nava@aosp.bo.it

    Not yet recruiting
  • Clinica di Malattie Infettive e Malattie Tropicali, Spedali Civili di Brescia, Università di Brescia

    Brescia

    Alberto Matteelli, MD, matteelli@med.unibs.it

    Not yet recruiting
  • Malattie Infettive, Ospedale Garibaldi-NESIMA di Catania

    Catania

    Salvatore Tosto, MD, salvotosto56@yahoo.it

    Not yet recruiting
  • U.O.C. Malattie Infettive, Azienda Ospedaliera di Cosenza

    Cosenza

    Antonio Mastroianni, MD, antoniomastroianni@yahoo.it

    Not yet recruiting
  • Pneumologia, Azienda Ospedaliero-Universitaria di Ferrara

    Ferrara

    Marco Contoli, MD, marco.contoli@unife.it

    Not yet recruiting
  • Dipartimento Medicina Sperimentale e Clinica, SOD Malattie Infettive e Tropicali, Azienda Ospedaliero Universitaria Careggi

    Florence

    Filippo Bartalesi, MD, bartalesif@aou-careggi.toscana.it

    Not yet recruiting
  • Malattie Infettive, IRCCS-AOU San Martino

    Genova

    Antonio Di Biagio, MD, adibiagioa@gmail.com

    Not yet recruiting
  • Department of Pathophysiology and Transplantation, University of Milan Internal Medicine Department, Respiratory Unit and Cystic Fibrosis Adult Center Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Milan, 20122

    Stefano Aliberti, MD, +390250320627, stefano.aliberti@unimi.it

    Recruiting
  • Malattie Infettive, Ospedale Luigi Sacco

    Milan

    Fabio Franzetti, MD, fabio.franzetti@unimi.it

    Not yet recruiting
  • Pneumologia, Ospedale Luigi Sacco

    Milan

    Pierachille Santus, PhD, pierachille.santus@unimi.it

    Not yet recruiting
  • Regional TB Reference Centre, Istituto Villa Marelli, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy

    Milan

    Luigi Ruffo Codecasa, MD, +390264445833, luigiruffo.codecasa@ospedaleniguarda.it

    Not yet recruiting
  • Malattie Infettive, Ospedale di Modena

    Modena

    Cristina Mussini, MD, cristina.mussini@unimore.it

    Not yet recruiting
  • Pneumologia, Ospedale di Modena

    Modena

    Fabrizio Luppi, MD, fabrizio.luppi@unimore.it

    Not yet recruiting
  • Clinic of Infectious Diseases, 'San Gerardo" Hospital-ASST Monza, University Milano-Bicocca, Milano

    Monza, Monza Brianza

    Andrea Gori, MD, andrea.gori@unimib.it

    Not yet recruiting
  • Pneumologia, Fondazione IRCCS Policlinico San Matteo

    Pavia

    Angelo Corsico, MD, corsico@unipv.it

    Not yet recruiting
  • Pneumologia, Ospedale di Pisa

    Pisa

    Pierluigi Paggiaro, MD, pierluigi.paggiaro@unipi.it

    Not yet recruiting
  • S.O.C. Malattie Infettive II, AUSL Toscana Centro - Pistoia, Ospedale San Jacopo

    Pistoia

    Michele Trezzi, MD, michele.trezzi@gmail.com

    Not yet recruiting
  • Pneumologia, Policlinico Gemelli

    Roma

    Luca Richeldi, MD, Luca.richeldi@policlinicogemelli.it

    Not yet recruiting
  • UOC di Medicina Interna e Disfunzioni Respiratorie, Azienda Universitaria Ospedaliera Policlinico Umberto I di Roma

    Roma

    Paolo Palange, MD, paolo.palange@uniroma1.it

    Not yet recruiting
  • UOS Day Service Malattia Tubercolare afferente all'UOC Malattie Infettive dell'Apparato Respiratorio, Istituto Nazionale per le Malattie Infettive "L. Spallanzani" - IRCCS

    Roma

    Gina Gualano, MD, gina.gualano@inmi.it

    Not yet recruiting
  • Pneumologia, Dipartimento Di Medicina Clinica e Sperimentale, Università degli studi di Sassari

    Sassari

    Pietro Pirina, MD, pirina@uniss.it

    Not yet recruiting
  • Divisione di Pneumologia, AOU Città della Salute e della Scienza di Torino, Molinette

    Torino

    Paolo Solidoro, MD, psolidoro@cittadellasalute.to.it

    Not yet recruiting
  • Malattie Infettive, Università degli studi di Torino

    Torino

    Andrea Calcagno, MD, andrea.calcagno@unito.it

    Not yet recruiting
  • UO di Pneumotisiologia, Ospedale di Vittorio Veneto

    Treviso

    Stefano Nardini, MD, snardini.pneumologo@gmail.com

    Not yet recruiting
  • Dipartimento di Pneumologia, Ospedale Universitario di Cattinara

    Trieste

    Marco Confalonieri, MD, marco.confalonieri@aots.sanita.fvg.it

    Not yet recruiting

Other trials in Italy

About this study

Official title: The Italian Registry of Pulmonary Non-tuberculous Mycobacteria

The Italian registry of pulmonary non-tuberculous mycobacteria (NTM) -IRENE- is an observational, multicenter, prospective, cohort study enrolling consecutive adult patients with either a NTM respiratory infection or NTM-Pulmonary Disease. The coordinating center is located at the Pulmonary Department of the Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy. So far, more than 35 centers, including mainly pulmonary and infectious disease departments, joined the registry. The registry has been developed to accept an unlimited number of patients and no deadlines have been decided.

Read the detailed description

The epidemiology of patients suffering from a pulmonary disease due to NTM (NTM-PD), which is characterized by symptomatic, progressive inflammatory lung damage and defined in 2007 in the ATS/IDSA guidelines, still remains unclear. Reporting of NTM-PD to health authorities is often not mandated in several countries and the current estimates have been obtained from sentinel surveillance or laboratory-based studies, retrospective cohort studies, or audits of administrative databases. Until now no data have been published on the epidemiology of respiratory NTM infections in Italy.

The Italian registry of pulmonary NTM (IRENE) is an observational, multicenter, prospective, cohort study enrolling consecutive adult patients with either a NTM respiratory infection or NTM-PD. The coordinating center is located at the Pulmonary Department of the Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy. So far, more than 35 centers, including mainly pulmonary and infectious disease departments, joined the registry. The study is sponsored by the Policlinico Hospital in Milan. The study website is located at www.registroirene.it.

Adult (>=18 years) patients with all of the following are included in the registry: 1) at least one positive culture for any NTM species from any respiratory sample; 2) at least one positive culture for NTM isolated in the year prior the enrolment and/or prescribed NTM treatment in the year prior the enrolment; 3) Given consent to inclusion in the study. No exclusion criteria are applied to the study. Patients included in the registry are mainly recruited among pulmonary and ID out- and in-patient services. Adult cystic fibrosis, lung transplant, and tuberculosis clinics represent other recruitment centers. The registry has been developed to accept an unlimited number of patients and no deadlines have been decided.

Patients are managed according to standard operating procedures implemented in each IRENE clinical center without any interference from the study team. A baseline case report form is collected at patient's enrolment including demographics, comorbidities, microbiological, laboratory, functional, radiological, clinical, and treatment data. Then, study investigators enter follow-up data on an annual basis.

An IRENE biobank has also been developed within the network and linked to the clinical data of the registry. IRENE sites can collect samples, including blood, serum, plasma, respiratory specimens (sputum, induced sputum, tracheal aspirate, or bronchoalveolar lavage), urine, and NTM isolates at the first visit and during follow up on a voluntary basis.

Keywords
Nontuberculous Mycobacteria, Non-tuberculous mycobacteria, NTM-PD, NTM-LD, MAC, M. avium, M. intracellulare, M. abscessus, Atypical mycobacteria, NTM
Medical subject headings
Mycobacterium Infections, Nontuberculous

What is being measured

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

  1. Proportion of patients meeting the quality standards for NTM-PD care suggested by international guidelines (including the latest ERS 2017 guidelines)

    The number of patients with NTM-PD who have been managed or treated according to the recommendations published by international guidelines

    Measured: 5 years

Timeline

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

  1. First posted13 Nov 2017
  2. Study start21 Apr 2017
  3. Primary completion31 Dec 2022 (estimated)
  4. Study completion31 Dec 2022 (estimated)

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
500 participants (estimated)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT03339063
Sponsor's protocol ID
IRENE
Acronym
IRENE
Status last verified
Nov 2017
First submitted
22 Oct 2017
Last updated
26 Mar 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: IRENE is the official Italian network within the EMBARC European NTM registry. All Italian patients included in the European NTM registry will be enrolled through IRENE and IRENE data will be incorporated into the European NTM registry.

Publications

  • Haworth CS, Banks J, Capstick T, Fisher AJ, Gorsuch T, Laurenson IF, Leitch A, Loebinger MR, Milburn HJ, Nightingale M, Ormerod P, Shingadia D, Smith D, Whitehead N, Wilson R, Floto RA. British Thoracic Society guidelines for the management of non-tuberculous mycobacterial pulmonary disease (NTM-PD). Thorax. 2017 Nov;72(Suppl 2):ii1-ii64. doi: 10.1136/thoraxjnl-2017-210927. No abstract available.

    PubMed 29054853
  • Faverio P, Stainer A, Bonaiti G, Zucchetti SC, Simonetta E, Lapadula G, Marruchella A, Gori A, Blasi F, Codecasa L, Pesci A, Chalmers JD, Loebinger MR, Aliberti S. Characterizing Non-Tuberculous Mycobacteria Infection in Bronchiectasis. Int J Mol Sci. 2016 Nov 16;17(11):1913. doi: 10.3390/ijms17111913.

    PubMed 27854334
  • Bonaiti G, Pesci A, Marruchella A, Lapadula G, Gori A, Aliberti S. Nontuberculous Mycobacteria in Noncystic Fibrosis Bronchiectasis. Biomed Res Int. 2015;2015:197950. doi: 10.1155/2015/197950. Epub 2015 May 27.

    PubMed 26106603
  • Griffith DE, Aksamit T, Brown-Elliott BA, Catanzaro A, Daley C, Gordin F, Holland SM, Horsburgh R, Huitt G, Iademarco MF, Iseman M, Olivier K, Ruoss S, von Reyn CF, Wallace RJ Jr, Winthrop K; ATS Mycobacterial Diseases Subcommittee; American Thoracic Society; Infectious Disease Society of America. An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. Am J Respir Crit Care Med. 2007 Feb 15;175(4):367-416. doi: 10.1164/rccm.200604-571ST. No abstract available.

    PubMed 17277290
  • Floto RA, Olivier KN, Saiman L, Daley CL, Herrmann JL, Nick JA, Noone PG, Bilton D, Corris P, Gibson RL, Hempstead SE, Koetz K, Sabadosa KA, Sermet-Gaudelus I, Smyth AR, van Ingen J, Wallace RJ, Winthrop KL, Marshall BC, Haworth CS; US Cystic Fibrosis Foundation and European Cystic Fibrosis Society. US Cystic Fibrosis Foundation and European Cystic Fibrosis Society consensus recommendations for the management of non-tuberculous mycobacteria in individuals with cystic fibrosis. Thorax. 2016 Jan;71 Suppl 1(Suppl 1):i1-22. doi: 10.1136/thoraxjnl-2015-207360.

    PubMed 26666259
  • Aliberti S, Codecasa LR, Gori A, Sotgiu G, Spotti M, Di Biagio A, Calcagno A, Nardini S, Assael BM, Tortoli E, Besozzi G, Ferrarese M, Matteelli A, Girardi E, De Lorenzo S, Seia M, Gramegna A, Del Prato B, Terranova L, Oriano M, Sverzellati N, Mirsaeidi M, Chalmers JD, Haworth CS, Loebinger MR, Aksamit T, Winthrop K, Ringshausen FC, Previdi G, Blasi F; IRENE Network. The Italian registry of pulmonary non-tuberculous mycobacteria - IRENE: the study protocol. Multidiscip Respir Med. 2018 Aug 9;13(Suppl 1):33. doi: 10.1186/s40248-018-0141-8. eCollection 2018.

    PubMed 30151192

Questions about this trial

What is this clinical trial studying?

An observational study of Nontuberculous Mycobacteria, run by Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico at 26 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 4 inclusion and 1 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 26 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 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?

Contact Stefano Aliberti, MD (+390250320627, stefano.aliberti@unimi.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients meeting the quality standards for NTM-PD care suggested by international guidelines (including the latest ERS 2017 guidelines) (time frame: 5 years). 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 NCT03339063, 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 26 Mar 2018.

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