Incidence and Risk Factors for Infections in Patient Treated With Corticosteroids, Immunosuppressive Drugs or Biotherapy for Immunologic and Inflammatory Diseases
INFIM
1 other identifier
observational
72
1 country
7
Brief Summary
Infections represent the first cause of death and of morbidity in people treated for immunologic and inflammatory diseases with corticosteroids, immunosuppressive drugs or biotherapy. Epidemiological, clinical, biological and therapeutic determinants of these infections are poorly understood. There is no recommendation for the prevention and treatment of infections in this particular field. Purpose : Recent therapeutic trials evaluating immunosuppressive and biotherapy (cyclophosphamide, mycophenolate mofetil, rituximab, belimumab) in the field of immunologic and inflammatory diseases have found a risk of severe infection of 7 to 18% during the first year after the beginning of the treatment. Thus, the main objective of the study is to describe the incidence and risk-factors for infections in people treated with such agents for immunologic and inflammatory diseases.
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 Feb 2016
Longer than P75 for all trials
7 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
September 19, 2014
CompletedFirst Posted
Study publicly available on registry
November 3, 2014
CompletedStudy Start
First participant enrolled
February 16, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 19, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
November 19, 2021
CompletedFebruary 3, 2022
February 1, 2022
5.8 years
September 19, 2014
February 2, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Viral, bacterila, fungal or parasitic infection leading to hospitalization
30 months after the inclusion
Secondary Outcomes (2)
Biological and immunological markers
Each 6 months from baseline for 30 months
Morbidity
Each 6 months from baseline for 30 months
Study Arms (1)
Patient with immunologic and inflammatory diseases
Patient treated with corticosteroids, immunosuppressive drugs or biotherapy for immunologic and inflammatory diseases
Interventions
Systematic follow-up (M3, M6, M12, M18, M24, M30) will be implemented to complete epidemiologic, clinical, therapeutic and biological data during a 30 months period. Specific measure of immune cells, markers of immune activation, immunoglobulins as described above will be performed at M3, M6, M12 and M24. A biologic collection (serum and cells) will be performed at the same time points for future prognostic studies.
Eligibility Criteria
Patient treated with corticosteroids, immunosuppressive drugs or biotherapy for immunologic and inflammatory diseases
You may qualify if:
- Age \> 18 years
- Immune or inflammatory disease : Lupus, antiphospholipid syndrome, Sjogren syndrome, inflammatory myositis, immunologic thrombopenic purpura, autoimmune hemolytic anemia, Evan's syndrome, systemic vasculitis, Behcet disease.
- Indication of corticosteroid therapy \> 20 mg for at least 3 months and/or immunosuppressive or biologic agent.
- Information consent
You may not qualify if:
- Previous treatment with immunosuppressive or biological agents, or cumulative dose of steroids \> 1g last 6 months
- Splenectomy
- Pregnancy
- Evoluting Cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Service de Médecine Interne - CH d'Agen
Agen, 47923, France
Service de Médecine Interne et maladies Infectieuses - Hôpital Saint-André
Bordeaux, 33075, France
service de médecine interne - CH de Libourne
Libourne, France
Service de Médecine Interne - CHU de Limoges
Limoges, 87042, France
Service de Médecine Interne - CH de Pau
Pau, 64000, France
service Médecine Interne - CHU de Toulouse - Hôpital Purpan (5)
Toulouse, 31300, France
service Médecine Interne - CHU de Toulouse - Hôpital Purpan (7)
Toulouse, France
Biospecimen
\- Blood sampling
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fabrice BONNET, Prof.
University Hospital Bordeaux, France
- STUDY CHAIR
Rodolphe THIEBAUT, Prof.
University Hospital Bordeaux, France
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 19, 2014
First Posted
November 3, 2014
Study Start
February 16, 2016
Primary Completion
November 19, 2021
Study Completion
November 19, 2021
Last Updated
February 3, 2022
Record last verified: 2022-02