ClinicalTrials.gg
RecruitingNCT06392581ALL-IFIUpdated Aug 6, 2024

Observational Study on Invasive Fungal Infection Incidence in Ph-neg Acute Lymphoblastic Leukemia Patients

An observational study in Acute Lymphoblastic Leukemia, sponsored by Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia. Recruiting at 1 site in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-08-06.

Sponsored by Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · Observational

From the registry’s dates

  • Started Apr 2022; still recruiting 4 years 7 months later.

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Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
150
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 148 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in Italy — 29 open to participants now, 43 under way, 10 of them phase 3. Precursor Cell Lymphoblastic Leukemia-Lymphoma · Italy.

Planned enrollment
11th of 28
150 · median 100
Started
2022
with 11 others
Observational
28 of 148
9 open now
Primary completion
2024-03
later than 4 of 42 live
Registered
140th of 148
by date

Among the 148 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in Italy, this one is the 11th largest by planned enrollment of the 28 observational ones that give a count, is one of 12 that started in 2022, is one of 28 observational ones, reaches primary completion later than 4 of the 42 other live ones, and was the 140th registered.

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Open to participants now

29 of the 148 studies in Precursor Cell Lymphoblastic Leukemia-Lymphoma with a site in Italy are open now. Recruiting first, the newest first:

23 more — sign in →

All 29 open studies →

A study can be open while its sites in Italy have not opened yet or have stopped. Only those recruiting at a site in Italy →

Who these studies take

Of the 370 Precursor Cell Lymphoblastic Leukemia-Lymphoma studies recruiting now, 96 (26%) set no upper age limit and 257 (69%) stop at 75 or younger; 247 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Primary objective To document the occurrence of fungal infections during the early stages of chemotherapy (from onset to TP2, i.e., week 16) in adult Ph-neg ALL patients Secondary objectives

  • To document the occurrence of IFI in relation to antifungal prophylaxis adopted
  • To document the occurrence of IFI in relation to the age of the patients
  • Document the occurrence of IFI in relation to the duration of neutropenia
  • Document the occurrence of IFI in relation to the type of steroid treatment adopted (dexamethasone yes vs no)
  • Document any delays in the initiation of consolidation chemotherapy in LLA patients with IFI
  • Document the outcome of patients with ALL with IFI

Study design The study is prospective and observational, multicenter, real-life study involving 26 centers afferent to the SEIFEM group. All Ph-neg ALL patients aged 18 years or older treated with intensive chemotherapy starting from 01.06.22 for the duration of 18 months (+12 months follow-up) will be enrolled. The diagnosis of IFI will be defined according to EORTC 2019 criteria. Clinical information will be collected in paper CRFs, compiled anonymously.

The incidence of IFI and pulmonary aspergillosis during induction chemotherapy will be related to the following variables:

  • Age
  • Sex
  • Type of AF prophylaxis performed
  • LLA risk classification according to ESMO 2016 criteria
  • Dose of dexamethasone administered
  • Duration of neutropenia
  • Hematologic and molecular response
Read the detailed description

Primary objective To document the occurrence of fungal infections during the early stages of chemotherapy (from onset to TP2, i.e., week 16) in adult Ph-neg ALL patients Secondary objectives

  • To document the occurrence of IFI in relation to antifungal prophylaxis adopted
  • To document the occurrence of IFI in relation to the age of the patients
  • Document the occurrence of IFI in relation to the duration of neutropenia
  • Document the occurrence of IFI in relation to the type of steroid treatment adopted (dexamethasone yes vs no)
  • Document any delays in the initiation of consolidation chemotherapy in LLA patients with IFI
  • Document the outcome of patients with ALL with IFI

Study design The study is prospective and observational, multicenter, real-life study involving 26 centers afferent to the SEIFEM group. All Ph-neg ALL patients aged 18 years or older treated with intensive chemotherapy starting from 01.06.22 for the duration of 18 months (+12 months follow-up) will be enrolled. The diagnosis of IFI will be defined according to EORTC 2019 criteria. Clinical information will be collected in paper CRFs, compiled anonymously.

The incidence of IFI and pulmonary aspergillosis during induction chemotherapy will be related to the following variables:

  • Age
  • Sex
  • Type of AF prophylaxis performed
  • LLA risk classification according to ESMO 2016 criteria
  • Dose of dexamethasone administered
  • Duration of neutropenia
  • Hematologic and molecular response

Inclusion criteria

  • Patients with ALL B Ph-neg or T at onset
  • Age > 18 yr at the time of the study
  • Signature informed consent Exclusion criteria
  • Patients with Ph-pos ALL
  • Patients with relapsing ALL
  • Patients with B/T lymphoblastic lymphoma Primary endpoint
  • Incidence of IFI during the early stages of chemotherapy (from onset to TP2, i.e., week 16) in Ph-neg ALL patients.

Secondary endpoints

  • Incidence of IFI in Ph-neg ALL patients during induction in relation to antifungal prophylaxis adopted
  • Incidence of IFI in patients with Ph-neg ALL during induction in relation to age
  • Incidence of IFI in Ph-neg ALL patients during induction in relation to duration of neutropenia
  • Incidence of IFI in Ph-neg ALL patients in relation to type of steroid treatment adopted (dexamethasone yes vs no)
  • Median time elapsed between actual start of consolidation chemotherapy versus schedule in Ph-neg ALL patients with IFI
  • Patient mortality rate in Ph-neg ALL patients with IFI Study Duration All eligible patients will be enrolled from 01.03.2022 for a duration of 18 months. The follow-up time after enrollment will be 12 months.
03

Conditions studied

  • Acute Lymphoblastic Leukemia

Keywords

  • invasive fungal infections; acute lymphoblastic leukemia; outcome
04

Who can participate

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

Study population

Patients affected by Ph-pos ALL

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

  • Patients with B Ph-neg or T ALL at onset
  • Age > 18 yr at the time of the study
  • Signature

Exclusion criteria

Exclusion Criteria:

  • Patients with Ph-pos ALL
  • Patients with relapsing ALL
  • Patients with B/T lymphoblastic lymphoma
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
Cohort
Time perspective
Prospective
Enrollment
150 participants (estimated)
Patient registry
No
06

What researchers measure

Primary outcomes

  1. Incidence of IFI during the early stages of chemotherapy (from onset to TP2, i.e., week 16) in Ph-neg ALL patients

    Incidence of IFI during the early stages of chemotherapy (from onset to TP2, i.e., week 16) in Ph-neg ALL patients

    Time frame: 16 weeks

Secondary outcomes

  1. - Incidence of IFI in Ph-neg ALL patients during induction in relation to antifungal prophylaxis adopted

    - Incidence of IFI in Ph-neg ALL patients during induction in relation to antifungal prophylaxis adopted

    Time frame: 16 weeks

  2. - Incidence of IFI in patients with Ph-neg ALL during induction in relation to age

    - Incidence of IFI in patients with Ph-neg ALL during induction in relation to age

    Time frame: 16 weeks

  3. - Incidence of IFI in Ph-neg ALL patients during induction in relation to duration of neutropenia

    - Incidence of IFI in Ph-neg ALL patients during induction in relation to duration of neutropenia

    Time frame: 16 weeks

  4. - Incidence of IFI in Ph-neg ALL patients in relation to type of steroid treatment adopted (dexamethasone yes vs no)

    - Incidence of IFI in Ph-neg ALL patients in relation to type of steroid treatment adopted (dexamethasone yes vs no)

    Time frame: 16 weeks

  5. - Median time elapsed between actual start of consolidation chemotherapy versus schedule in Ph-neg ALL patients with IFI

    - Median time elapsed between actual start of consolidation chemotherapy versus schedule in Ph-neg ALL patients with IFI

    Time frame: 16 weeks

  6. Patient mortality rate in Ph-neg ALL patients with IFI

    Patient mortality rate in Ph-neg ALL patients with IFI

    Time frame: 16 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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 Apr 2022 to primary completion in Mar 2024, 22 months.

Of 145 non-industry observational studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 26 and three quarters within 143. This study's 22 months is below that.

Counting every sponsor, half of 163 studies reached it within 54 months; a quarter within 24 and three quarters within 142.

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

Registered
Mar 1, 2024
First posted
Apr 30, 2024
StartActual
Apr 14, 2022
Primary completionActual
Mar 12, 2024
CompletionEst.
Dec 30, 2025
Last update
Aug 6, 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 Aug 6, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06392581
Lead sponsor
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia
Responsible party
Chiara Cattaneo (Head of Hematology inpatient unit, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia) — Principal investigator
First posted
Apr 30, 2024
Start date
Apr 14, 2022
Primary completion
Mar 12, 2024
Completion
Dec 30, 2025 (estimated)
Last update
Aug 6, 2024

Study contacts

chiara cattaneo, md
Contact
chiara.cattaneo@asst-spedalicivili.it
03039951
chiara cattaneo, md
principal investigator · asst spedali civili di brescia

Oversight

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

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