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RecruitingNCT07900542MESI-HMUpdated Oct 30, 2026

Middle East Study of Infections in Patients With Hematological Malignancies

An observational study in Hematological Malignancy, Hematopoetic Stem Cell Transplantation and Bloodstream Infection, sponsored by Hamad Medical Corporation. Recruiting at 9 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Hamad Medical Corporation · Observational

From the registry’s dates

  • Started Sep 2024; still recruiting 2 years 1 month later.
Updated Oct 30, 2026Eligibility revisedPrimary outcomes revised+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
1,000
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this prospective observational study is to is to prospectively study the epidemiology of bloodstream infection (BSI) in patients with hematological malignancies (HM) and hematopoietic stem cell transplant (HSCT) recipients across the Middle East.

The objectives are to describe the epidemiological trends, identify risk factors for inappropriate antimicrobial therapy, and predictors of persistent BSI, microbiological relapse, and all-cause mortality.

The study is entirely observational, participants will receive standard clinical care as directed by their treating doctors.

Read the detailed description

The study includes centers in Qatar, Saudi Arabia, Oman, the United Arab Emirates and Jordan. Patients age 18 years or more, who have an underlying hematological malignancy (HM) or past hematopoietic stem cell transplantation (HSCT), and experience a bloodstream infection (BSI) will be prospectively enrolled. Each participating center will enroll up to 100 BSI episodes.

Data collection will include demographics, clinical characteristics of the underlying HM and/or HSCT, Charlson Co-morbidity Score, Pitt bacteremia score, vital signs, baseline laboratory findings, suspected source of infection, the presence of any vascular lines or other prosthesis, invasive procedures, immune modulating/suppressive therapy; date, species, antimicrobial susceptibility, resistance genes of blood culture isolates, antimicrobial management (empiric and targeted), and need for critical care support (including vasopressor support, renal replacement, and/or mechanical ventilation). Follow up will include clinical and laboratory parameters and microbiological investigations up to 30 days after the date of the index blood culture.

Coded, de-identified data will be uploaded through a secure electronic data capture tool (Caster EDC). Access is controlled by the Principal Investigator.

Outcomes include:

  1. Overall BSI incidence per 1,000 patient days.
  2. BSI incidence per 1,000 patient days by type of microorganism.
  3. Risk factors for inappropriate empiric therapy.
  4. Rate and risk factors for persistent BSI (defined as the isolation of the same clinically significant microorganism(s) from blood cultures collected ≥7 days after the index blood culture).
  5. Rate and risk factor for microbiological relapse within 90 days (defined as the recovery of the same species as that isolated from the index blood culture from a blood culture drawn anytime between discontinuation of active therapy for the index culture and the end of follow up).
  6. Rate and risk factors for all-cause mortality at 7 days, 14 days, and 30 days.

Descriptive results for quantitative variables will be presented as the mean and standard deviation or median with interquartile range, depending of data distribution. Numbers (percentage) will be reported for qualitative variables. Bivariate analysis will be performed using Independent Sample t-test or Mann Whitney U-test for quantitative variables, and Chi-Square test or Fisher Exact test for qualitative variables.

BSI incidence per 1,000 patient days will be reported, with 95% confidence intervals. Logistic regression models will be used to identify associations with inappropriate empiric therapy, and persistent BSI. Kaplan-Meier survival curves with log-rank P values will be used to assess time to microbiological relapse and all-cause mortality. In addition, Cox proportional hazards will be used to identify independent predictors of microbiological relapse and all-cause mortality.

All statistical analyses will be performed on Stata Statistical Software (StataCorp., College Station, Texas).

This will be an entirely observational study without any direct or indirect intervention, with appropriate confidentiality protection measures. IRB has granted a waiver of informed consent for this project.

02

Conditions studied

  • Hematological Malignancy
  • Hematopoetic Stem Cell Transplantation
  • Bloodstream Infection

Keywords

  • bloodstream infection
  • bacteremia
  • candidemia
  • fungemia
  • HSCT
  • hematological malignancy
  • hematology
03

In context

Hematologic Neoplasms

1,497 studies on the registry are indexed under Hematologic Neoplasms; 441 are open to participants now.

This study's planned enrollment of 1,000 is above the median of 200 across 332 observational studies indexed under Hematologic Neoplasms.

Browse Hematologic Neoplasms studies →

Lead sponsor

Hamad Medical Corporation is the lead sponsor of 139 studies on the registry; 27 are open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 30, 2026. See what changed

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

Study population

Adults, aged 18 years or more, with active hematological malignancy or past receipt of hematopoietic stem cell transplant.

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

  • Active underlying hematological malignancy or hematopoietic stem cell transplant recipient.
  • Bloodstream infection ( a blood culture yielding a growth of ≥1 micro-organism that is considered to be clinically significant and is actively treated by the attending physicians).

Exclusion criteria

Exclusion Criteria:

  • A bloodstream infection within 14 days of an already enrolled bloodstream infection, or at any time before resolution of active signs of infections associated with an already enrolled episode.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
1,000 participants (estimated)
Target follow-up
30 Days
Patient registry
Yes

Groups and cohorts

  • Bloodstream infection

    Bloodstream infection

    Other: No Intervention: Observational Cohort

Interventions

  • OtherNo Intervention: Observational Cohort

    The study does not involve any investigational interventions. Participants will receive standard clinical care.

06

What researchers measure

Primary outcomes

  1. Overall bloodstream infection incidence per 1,000 patient days

    Overall bloodstream infection incidence per 1,000 patient days

    Time frame: 30 days

Secondary outcomes

  1. Persistent bloodstream infection

    The isolation of the same clinically significant microorganism(s) from blood cultures collected ≥7 days after the index blood culture.

    Time frame: 30 days

  2. Microbiological relapse

    The recovery of the same species as that isolated from the index blood culture from a blood culture drawn anytime between discontinuation of active therapy for the index culture and the end of follow up.

    Time frame: 90 days

  3. All-cause mortality

    All-cause mortality

    Time frame: 30 days

07

Study locations

9 of 9 sites recruiting
08

References and documents

Publications

  • Hadi HA, Al-Hail H, Aboidris LE, Al-Orphaly M, Ahmed MAS, Samuel BG, Mohamed HA, Sultan AA, Skariah S. Prevalence and genetic characterization of clinically relevant extended-spectrum beta-lactamase-producing Enterobacterales in the Gulf Cooperation Council countries. Front Antibiot. 2023 Jun 26;2:1177954. doi: 10.3389/frabi.2023.1177954. eCollection 2023. PubMed 39816644 ↗
  • El Omri H, Padmanabhan R, Taha RY, Kassem N, Elsabah H, Ellahie AY, Santimano AJJ, Al-Maslamani MA, Omrani AS, Elomri A, El Omri A. Dissecting bloodstream infections in febrile neutropenic patients with hematological malignancies, a decade-long single center retrospective observational study (2009-2019). J Infect Public Health. 2024 Jan;17(1):152-162. doi: 10.1016/j.jiph.2023.11.017. Epub 2023 Nov 21. PubMed 38029491 ↗
  • Cattaneo C, Di Blasi R, Skert C, Candoni A, Martino B, Di Renzo N, Delia M, Ballanti S, Marchesi F, Mancini V, Orciuolo E, Cesaro S, Prezioso L, Fanci R, Nadali G, Chierichini A, Facchini L, Picardi M, Malagola M, Orlando V, Trecarichi EM, Tumbarello M, Aversa F, Rossi G, Pagano L; SEIFEM Group. Bloodstream infections in haematological cancer patients colonized by multidrug-resistant bacteria. Ann Hematol. 2018 Sep;97(9):1717-1726. doi: 10.1007/s00277-018-3341-6. Epub 2018 Apr 28. PubMed 29705860 ↗
  • Martinez-Nadal G, Puerta-Alcalde P, Gudiol C, Cardozo C, Albasanz-Puig A, Marco F, Laporte-Amargos J, Moreno-Garcia E, Domingo-Domenech E, Chumbita M, Martinez JA, Soriano A, Carratala J, Garcia-Vidal C. Inappropriate Empirical Antibiotic Treatment in High-risk Neutropenic Patients With Bacteremia in the Era of Multidrug Resistance. Clin Infect Dis. 2020 Mar 3;70(6):1068-1074. doi: 10.1093/cid/ciz319. PubMed 31321410 ↗
  • Puerta-Alcalde P, Cardozo C, Marco F, Suarez-Lledo M, Moreno E, Morata L, Fernandez-Aviles F, Gutierrez-Garcia G, Chumbita M, Rosinol L, Martinez JA, Martinez C, Mensa J, Urbano A, Rovira M, Soriano A, Garcia-Vidal C. Changing epidemiology of bloodstream infection in a 25-years hematopoietic stem cell transplant program: current challenges and pitfalls on empiric antibiotic treatment impacting outcomes. Bone Marrow Transplant. 2020 Mar;55(3):603-612. doi: 10.1038/s41409-019-0701-3. Epub 2019 Sep 30. PubMed 31570779 ↗
  • Gudiol C, Aguilar-Guisado M, Azanza JR, Candel FJ, Canton R, Carratala J, Garcia-Vidal C, Jarque I, Lizasoain M, Gil-Bermejo JM, Ruiz-Camps I, Sanchez-Ortega I, Solano C, Suarez-Lledo M, Vazquez L, de la Camara R. Executive summary of the consensus document of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Network for Research in Infectious Diseases (REIPI) and the Spanish Society of Haematology and Haemotherapy (SEHH) on the management of febrile neutropenia in patients with hematological malignancies. Enferm Infecc Microbiol Clin (Engl Ed). 2020 Apr;38(4):174-181. doi: 10.1016/j.eimc.2019.01.013. Epub 2019 Mar 27. English, Spanish. PubMed 30926172 ↗
  • Omrani AS, Almaghrabi RS. Complications of hematopoietic stem cell transplantation: Bacterial infections. Hematol Oncol Stem Cell Ther. 2017 Dec;10(4):228-232. doi: 10.1016/j.hemonc.2017.05.018. Epub 2017 Jul 3. PubMed 28692817 ↗
  • de la Court JR, Bruns AHW, Roukens AHE, Baas IO, van Steeg K, Toren-Wielema ML, Tersmette M, Blijlevens NMA, Huis In 't Veld RAG, Wolfs TFW, Tissing WJE, Kyuchukova Y, Heijmans J. The Dutch Working Party on Antibiotic Policy (SWAB) Recommendations for the Diagnosis and Management of Febrile Neutropenia in Patients with Cancer. Infect Dis Ther. 2022 Dec;11(6):2063-2098. doi: 10.1007/s40121-022-00700-1. Epub 2022 Oct 14. PubMed 36229765 ↗
  • Averbuch D, Orasch C, Cordonnier C, Livermore DM, Mikulska M, Viscoli C, Gyssens IC, Kern WV, Klyasova G, Marchetti O, Engelhard D, Akova M; ECIL4, a joint venture of EBMT, EORTC, ICHS, ESGICH/ESCMID and ELN. European guidelines for empirical antibacterial therapy for febrile neutropenic patients in the era of growing resistance: summary of the 2011 4th European Conference on Infections in Leukemia. Haematologica. 2013 Dec;98(12):1826-35. doi: 10.3324/haematol.2013.091025. PubMed 24323983 ↗
  • Chumbita M, Puerta-Alcalde P, Yanez L, Angeles Cuesta M, Chinea A, Espanol-Morales I, Fernandez-Abellan P, Gudiol C, Gonzalez-Sierra P, Rojas R, Sanchez-Pina JM, Vadillo IS, Sanchez M, Varela R, Vazquez L, Guerreiro M, Monzo P, Lopera C, Aiello TF, Peyrony O, Soriano A, Garcia-Vidal C. High Rate of Inappropriate Antibiotics in Patients with Hematologic Malignancies and Pseudomonas aeruginosa Bacteremia following International Guideline Recommendations. Microbiol Spectr. 2023 Aug 17;11(4):e0067423. doi: 10.1128/spectrum.00674-23. Epub 2023 Jun 27. PubMed 37367629 ↗
  • Abid FB, Tsui CKM, Doi Y, Deshmukh A, McElheny CL, Bachman WC, Fowler EL, Albishawi A, Mushtaq K, Ibrahim EB, Doiphode SH, Hamed MM, Almaslmani MA, Alkhal A, Butt AA, Omrani AS. Molecular characterization of clinical carbapenem-resistant Enterobacterales from Qatar. Eur J Clin Microbiol Infect Dis. 2021 Aug;40(8):1779-1785. doi: 10.1007/s10096-021-04185-7. Epub 2021 Feb 22. PubMed 33616788 ↗
  • Cassini A, Hogberg LD, Plachouras D, Quattrocchi A, Hoxha A, Simonsen GS, Colomb-Cotinat M, Kretzschmar ME, Devleesschauwer B, Cecchini M, Ouakrim DA, Oliveira TC, Struelens MJ, Suetens C, Monnet DL; Burden of AMR Collaborative Group. Attributable deaths and disability-adjusted life-years caused by infections with antibiotic-resistant bacteria in the EU and the European Economic Area in 2015: a population-level modelling analysis. Lancet Infect Dis. 2019 Jan;19(1):56-66. doi: 10.1016/S1473-3099(18)30605-4. Epub 2018 Nov 5. PubMed 30409683 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — Will depend on organizational policies and permissions.

09

Updates

2 registry updates since Sep 25, 2026
Eligibility
1 inclusion criterion edited; 1 exclusion criterion edited
What changed in the criteria
Inclusion criteria
  • EditedActive underlying hematological malignancy or HSCThematopoietic stem cell transplant recipient.
Exclusion criteria
  • EditedA BSIbloodstream infection within 14 days of an already enrolled BSIbloodstream infection, or at any time before resolution of active signs of infections associated with an already enrolled episode.
Oct 30, 2026
Primary outcomes
1 edited
What changed in the outcomes
  • EditedOverall BSIbloodstream infection incidence per 1,000 patient daysTime frame: 30 days
Oct 30, 2026
Registered
First appeared on the registry
Oct 28, 2026
Show all 2 updates
  1. Oct 30, 2026
    Eligibility 1 inclusion criterion edited; 1 exclusion criterion edited
    What changed in the criteria
    Inclusion criteria
    • EditedActive underlying hematological malignancy or HSCThematopoietic stem cell transplant recipient.
    Exclusion criteria
    • EditedA BSIbloodstream infection within 14 days of an already enrolled BSIbloodstream infection, or at any time before resolution of active signs of infections associated with an already enrolled episode.
    Primary outcomes 1 edited
    What changed in the outcomes
    • EditedOverall BSIbloodstream infection incidence per 1,000 patient daysTime frame: 30 days
    + 1 other change: description
  2. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07900542
Collaborators
King Faisal Specialist Hospital & Research Center, King Fahad Specialist Hospital Dammam, King Abdullah International Medical Research Center, Sheikh Shakhbout Medical City, Royal Hospital, Oman, Rashid Hospital, King Hussein Cancer Center
Responsible party
Sponsor
First posted
Oct 28, 2026
Start date
Sep 15, 2024
Primary completion
Nov 30, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Oct 30, 2026

Oversight

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

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