Evaluation of Performance of An Aspergillus PCR in Tissue and Pleural Effusion Samples of Immunocompromised Patients
Diagnostic Study of Performance of an Aspergillus Specific Polymerase Chain Reaction in Tissue and Pleural Effusion Samples of Immunocompromised Patients for the Diagnosis of Invasive Aspergillosis
1 other identifier
observational
100
1 country
12
Brief Summary
Although being a frequent and lethal complication in patients (pts) with hematologic malignancies, diagnosing invasive aspergillosis (IA) still remains a difficult issue as culture-based methods show low sensitivity especially under the current clinical practice of antifungal prophylaxis or rapid antifungal therapy. In certain clinical settings, performing biopsies for identification of the underlying infectious organism becomes important. However, as culture-based methods only yield results in a minority of patients, using non-culture-based methods like Aspergillus specific polymerase chain reaction (PCR) for detection of IA directly in clinical specimens is becoming increasingly important and might help to characterize the causative pathogen. Therefore the performance of an established Aspergillus-specific nested PCR in biopsies, re-section material or pleural effusions is evaluated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jan 2014
Longer than P75 for all trials
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 27, 2013
CompletedFirst Posted
Study publicly available on registry
July 17, 2013
CompletedStudy Start
First participant enrolled
January 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2020
CompletedApril 20, 2020
April 1, 2020
6.9 years
June 27, 2013
April 17, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Calculation of sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio
Evaluation of Sensitivity, Specificity, positive predictive value, negative predictive value and diagnostic odds ratio of aspergillus specific PCR in tissue and effusion samples by comparing the population with proven / probable invasive aspergillosis with patients suffering from No IA according to recent EORTC/MSG criteria of PCR in Biopsies/Effusion samples of Patients
3 months
Study Arms (2)
Proven/Probable IA Patients
Case Population
possible/No IA Patients
Control population
Eligibility Criteria
* Immunocompromised individuals with suspicion of harbouring an invasive fungal infection
You may qualify if:
- Immunocompromised individuals with suspicion of harbouring an invasive fungal infection
- Definition by 2008 EORTC/MSG Criteria (de Pauw CID 2008)
You may not qualify if:
- none
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Cologne University Hospital
Cologne, 50937, Germany
Duesseldorf University Hospital
Düsseldorf, 40225, Germany
Eschweiler General Hospital
Eschweiler, 52249, Germany
Frankfurt (Oder) General Hospital
Frankfurt (Oder), 15236, Germany
Freiburg University Hospital
Freiburg im Breisgau, 79106, Germany
Halle University Hospital
Halle, Germany
Thoraxklinik at Heidelberg University Hospital
Heidelberg, 68167, Germany
Marienhospital Herne
Herne, 44625, Germany
Mannheim University Hospital
Mannheim, 68167, Germany
Prosper Hospital Recklinghausen
Recklinghausen, Germany
Wiesbaden Bone Marrow transplantation center
Wiesbaden, Germany
Wuerzburg University Hospital
Würzburg, 97080, Germany
Related Publications (2)
Spiess B, Seifarth W, Hummel M, Frank O, Fabarius A, Zheng C, Morz H, Hehlmann R, Buchheidt D. DNA microarray-based detection and identification of fungal pathogens in clinical samples from neutropenic patients. J Clin Microbiol. 2007 Nov;45(11):3743-53. doi: 10.1128/JCM.00942-07. Epub 2007 Aug 22.
PMID: 17715373BACKGROUNDBoch T, Reinwald M, Postina P, Cornely OA, Vehreschild JJ, Heussel CP, Heinz WJ, Hoenigl M, Eigl S, Lehrnbecher T, Hahn J, Claus B, Lauten M, Egerer G, Muller MC, Will S, Merker N, Hofmann WK, Buchheidt D, Spiess B. Identification of invasive fungal diseases in immunocompromised patients by combining an Aspergillus specific PCR with a multifungal DNA-microarray from primary clinical samples. Mycoses. 2015 Dec;58(12):735-45. doi: 10.1111/myc.12424. Epub 2015 Oct 26.
PMID: 26497302DERIVED
Biospecimen
Fungal DNA, no human DNA
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dieter Buchheidt, MD
Heidelberg University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
June 27, 2013
First Posted
July 17, 2013
Study Start
January 1, 2014
Primary Completion
December 1, 2020
Study Completion
December 1, 2020
Last Updated
April 20, 2020
Record last verified: 2020-04