ClinicalTrials.gg
RecruitingNCT03827694DOMINICUpdated Sep 25, 2024

Non-Invasive Diagnosis of Pediatric Pulmonary Invasive Mold Infections

An observational study in Pulmonary Invasive Fungal Infections and Pulmonary Invasive Aspergillosis, sponsored by Arkansas Children's Hospital Research Institute. Recruiting at 33 sites in 2 countries. Open to participants aged 120 Days to 21 Years. Per ClinicalTrials.gov, last updated 2024-09-25.

Sponsored by Arkansas Children's Hospital Research Institute · Observational

From the registry’s dates

  • Primary completion was expected by Dec 2025, 10 months ago, but the record still lists the study as recruiting.
  • Started Oct 2018; still recruiting 8 years later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
400
Ages
120 Days to 21 Years
Sex
All
01

Study summary

This study will establish a non-invasive diagnostic approach and evaluate clinical outcomes for children at high-risk for pulmonary invasive fungal infection (PIFI).

02

Conditions studied

  • Pulmonary Invasive Fungal Infections
  • Pulmonary Invasive Aspergillosis
03

In context

Invasive Pulmonary Aspergillosis

43 studies on the registry are indexed under Invasive Pulmonary Aspergillosis; 9 are open to participants now.

This study's planned enrollment of 400 is above the median of 130 across 27 observational studies indexed under Invasive Pulmonary Aspergillosis.

Browse Invasive Pulmonary Aspergillosis studies →

Lead sponsor

Arkansas Children's Hospital Research Institute is the lead sponsor of 122 studies on the registry; 25 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
120 Days to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients receiving care at a participating study site

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

  • Males or females age > 120 days and \< 22 years at any participating site
  • Have at least one of the following conditions associated with a known high incidence of IFI: hematopoietic stem cell transplantation (), aplastic anemia, bone marrow failure, primary or acquired immune deficiency, or
  • New (last 96 hours) radiographic evidence of at least one of the following: at least one nodular lesion greater than or equal to 5 mm in size, a wedge-shaped and segmental or lobar consolidation, a cavitary lesion, a lesion with a halo sign, a lesion with a reverse halo sign, or a lesion with an air crescent sign
  • Prolonged neutropenia ( \< 500 cells/µl for a period of ≥ 5 consecutive days) in 30 days prior to and including the day of qualifying chest MRI or CT scan date OR currently receiving systemic therapy for acute or chronic (GVHD) OR presence of neutrophil dysfunction because of underlying acquired or primary immune deficiency (e.g. chronic granulomatous disease) on the date of the qualifying chest MRI or CT scan
  • Subject consent or parental/guardian permission () and if appropriate, child assent

Exclusion criteria

Exclusion Criteria:

  • Weight \<3 kg, so as to not exceed 3 ml/kg in a single blood draw
  • Previous inclusion in this study
Terms in these criteria, in plain language(5)

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

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
Cohort
Time perspective
Prospective
Enrollment
400 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Patients with possible PIFI

    Diagnostic Test: Non-Invasive Testing for PIFI

Interventions

  • Diagnostic testNon-Invasive Testing for PIFI

    galactomannan assay, fungal PCRs, cell-free next-generation DNA/RNA sequencing, RNAseq

06

What researchers measure

Primary outcomes

  1. Likelihood ratio of the galactomannan assay to return a positive result among subjects determined to have PIFI

    Time frame: Baseline

  2. Likelihood ratio of galactomannan assay to return a negative result among subjects determined not to have PIFI

    Time frame: Baseline

  3. Likelihood ratio of fungal PCRs (Aspergillus PCR, Mucorales PCR) to return a positive result among subjects determined to have PIFI

    Time frame: Baseline

  4. Likelihood ratio of fungal PCRs (Aspergillus PCR, Mucorales PCR) to return a negative result among subjects determined not to have PIFI

    Time frame: Baseline

  5. Likelihood ratio of cell-free next generation DNA/RNA sequencing identifying a fungal pathogen to return a positive result among subjects determined to have PIFI

    Time frame: Baseline

  6. Likelihood ratio of cell-free next generation DNA/RNA sequencing identifying a fungal pathogen to return a negative result among subjects determined not to have PIFI

    Time frame: Baseline

  7. Likelihood ratio of molecular RNAseq platform assessing host immune response to return a positive result among subjects determined to have PIFI

    Time frame: Baseline

  8. Likelihood ratio of molecular RNAseq platform assessing host immune response to return a negative result among subjects determined not to have PIFI

    Time frame: Baseline

Secondary outcomes

  1. Composite outcome score between patients with possible pulmonary invasive fungal infection managed with empirical antifungal therapy versus an invasive diagnostic procedure

    Outcome score inclusive of outcomes and adverse events. Comprehensive clinical outcome score from most to least desirable are score of 1 (survival, improvement in pulmonary nodules, no adverse events related to anti-fungal therapy or invasive diagnostic intervention) to score of 7 (death)

    Time frame: 49 days

07

Study locations

28 of 33 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Oct 2018 (actual). Primary completion is estimated for Dec 2025, 86 months after the start.

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

Registered
Jan 31, 2019
First posted
Feb 1, 2019
StartActual
Oct 30, 2018
Primary completionEst.
Dec 31, 2025
CompletionEst.
Dec 31, 2026
Last update
Sep 25, 2024
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 Sep 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03827694
Responsible party
Sponsor
First posted
Feb 1, 2019
Start date
Oct 30, 2018
Primary completion
Dec 31, 2025 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
Sep 25, 2024

Study contacts

PFN Central Coordinator
Contact
PFNClinical@uams.edu
501-364-3057
William Steinbach
principal investigator · University of Arkansas
Brian Fisher
principal investigator · Children's Hospital of Philadelphia

Oversight

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

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