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CompletedNCT03391492Updated Jul 30, 2021

Invasive Pulmonary Aspergillosis Complicating Influenza Infection

An observational study in Influenza With Pneumonia and Aspergillosis Invasive, sponsored by Universitaire Ziekenhuizen KU Leuven. Completed at 2 sites in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-30.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
298
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies in Aspergillosis with a site in Belgium — 1 open to participants now, 1 under way, none of them phase 3. Aspergillosis · Belgium.

Started
2018
the only one that year
Observational
Only one
of the 14
Registered
8th of 14
by date
Lead sponsor
3 of 14
Universitaire Ziekenhuizen KU Leuven

Among the 14 studies in Aspergillosis with a site in Belgium, this one is the only one that started in 2018, is the only observational one, and was the 8th registered.

By phase

14 studies; the count open now beside each. This study's row is marked.

Phase 26 · 0 open
Phase 34 · 0 open
No phase2 · 1 open
Observationalthis study1 · 0 open
Phase 41 · 0 open

By the year they started

First in 2006; this study’s year is marked. 1 started in 2018.

Size and results

Median enrollment 66 across the 13 interventional studies, 298 across the 1 observational. Of the 13 that completed or were terminated, 9 (69%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 14 studies in Aspergillosis with a site in Belgium, or all of them as a file.
02

Study summary

Study the incidence and outcome of invasive pulmonary aspergillosis (IPA) in ICU patients with severe influenza and in influenza-negative control patients with severe community-acquired pneumonia

Read the detailed description

This prospective multicentre case-control registration study in Dutch and Belgian ICUs will assess the difference in incidence and outcome of invasive pulmonary aspergillosis (IPA) in ICU patients with severe influenza compared with influenza-negative control patients with severe community-acquired pneumonia during the coming three influenza seasons (2017-2020). The study will further assess the differences in clinical characteristics and risk factors between influenza patients with and without invasive aspergillosis.

All consecutive patients aged 18 or older admitted to ICU during the inclusion period with respiratory distress due to influenza positive/negative community acquired pneumonia (CAP) will be included.

03

Conditions studied

  • Influenza With Pneumonia
  • Aspergillosis Invasive

Keywords

  • ICU
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

All consecutive patients admitted from home to ICU with respiratory distress, with documented pulmonary infiltrates and initiation of antimicrobial therapy because community acquired pneumonia is the primary diagnosis or in the differential diagnosis.

Confirmation of presence or absence of influenza is based on probe-based reverse-transcriptase polymerase chain reaction (RT-PCR) for influenza A or B directly on sputum, bronchial aspirate, broncho-alveolar (BAL) fluid or a nasopharyngeal swab.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patient older than 18 years,admitted to ICU with respiratory distress with microbiologically confirmed diagnosis of influenza (for inclusion in the influenza group)
  • patients older than 18 years, admitted to ICU for respiratory distress due to community-acquired pneumonia , with a microbiologically confirmed absence of influenza (for inclusion in the control group)

Exclusion criteria

Exclusion Criteria:

  • age \< 18 year
  • no
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
298 participants (actual)
Patient registry
No

Groups and cohorts

  • influenza group

    All consecutive patients older than 18 years ,admitted to the ICU with respiratory distress with microbiologically confirmed diagnosis of influenza

  • control group

    All consecutive patients older than 18 years, admitted to the ICU for respiratory distress due to community-acquired pneumonia (CAP) and with a microbiologically confirmed absence of influenza,

06

What researchers measure

Primary outcomes

  1. incidence IPA between ICU patients with severe influenza and in influenza-negative control patients

    incidence of mycological evidence of Aspergillus and at least one Aspergillus compatible sign or symptom and radiological abnormalities based on Chest CT or Chest X ray. Mycological evidence can be provided by either (A) a positive culture of Aspergillus cultured from bronchoalveolar lavage (BAL) sample, (B) ≥2 positive cultures of Aspergillus cultured from a sputum or a bronchial aspirate or (C) a galactomannan (GM) optical density of ≥1 in BAL or ≥0.5 in serum. Aspergillus compatible signs or symptoms are defined as at least one of the following: * Worsening respiratory insufficiency in spite of proper antibiotic and ventilator support * Dyspnea * Haemoptysis * Fever refractory to at least 3 days of appropriate antibiotic (AB) therapy. Recrudescent fever after a period of defervescence of at least 48 h while still on AB without apparent cause. The presence of hyphae in lung biopsy or autopsy are also considered as sufficient evidence for IPA.

    Time frame: from date of admission in ICU assessed up to ICU discharge, approximately 21 days

Secondary outcomes

  1. variations in baseline factors and risk factors between influenza and non-influenza patients in ICU

    difference in baseline factors: demographic, biochemical, microbiological and radiological data

    Time frame: from date of admission in ICU to date of ICU discharge, approximately 21 days

  2. rate of IPA disease progression

    rate of IPA disease progression in the subgroup of patients with IPA

    Time frame: from date of admission to ICU to date of discharge from ICU, approximately 21 days

  3. rate of presence of azole resistance

    rate of presence of azole resistance in the subgroup of patients with IPA

    Time frame: from date of admission to ICU to date of discharge from ICU, approximately 21 days

07

Study locations

2 sites
  • AZ sint Jan
    Brugge, 8000, Belgium
  • Jessa AH
    Hasselt, 3500, Belgium
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2018 to primary completion in Jun 2021, 41 months.

Of 19 observational studies under Aspergillosis, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 56. This study's 41 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 8, 2017
First posted
Jan 5, 2018
StartActual
Jan 20, 2018
Primary completionActual
Jun 30, 2021
CompletionActual
Jun 30, 2021
Last update
Jul 30, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03391492
Responsible party
Sponsor
First posted
Jan 5, 2018
Start date
Jan 20, 2018
Primary completion
Jun 30, 2021
Completion
Jun 30, 2021
Last update
Jul 30, 2021

Study contacts

Joost Wauters, Phd
principal investigator · UZ Leuven

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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