NCT05688592

Brief Summary

The goal of this national multicenter prospective cohort study is to learn about the added value of 18F-FDG (18F-2-fluoro-2-deoxy-D-glucose) PET-CT in invasive fungal disease management. The main questions it aims to answer are:

  1. 1.Does the use of 18F-FDG PET-CT allow a better characterization of invasive fungal infection (IFI) (performance) compared to the exclusive use of conventional radiological studies in terms of extension/staging and monitoring of response/follow-up ?
  2. 2.Does the systematic and protocolized use of 18F-FDG PET-CT in IFI allow a better management of patients with IFI and increase the prognostic value of the initial evaluation? Participants will undergo systematically a 18F-FDG PET-CT as part of the work-up of their invasive fungal disease. Researchers will compare the performance of 18F-FDG PET-CT with standard management without 18F-FDG PET-CT to see if adds value (diagnostic, prognostic, and changes in management).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
224

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2023

Geographic Reach
1 country

14 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 20, 2022

Completed
29 days until next milestone

First Posted

Study publicly available on registry

January 18, 2023

Completed
3 months until next milestone

Study Start

First participant enrolled

April 27, 2023

Completed
1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2024

Completed
Last Updated

November 6, 2024

Status Verified

November 1, 2024

Enrollment Period

1.5 years

First QC Date

December 20, 2022

Last Update Submit

November 4, 2024

Conditions

Keywords

invasive fungal infectionPET-CTmanagementstagingmonitoring response

Outcome Measures

Primary Outcomes (2)

  • Duration of antifungal treatment

    Length of anti fungal therapy

    6 months

  • Survival

    Alive at the last visit

    6 months

Secondary Outcomes (2)

  • Resumption of chemotherapy or performance of stem cell transplantation

    6 months

  • Recurrence of invasive fungal infection

    6 months

Interventions

PET-CTPROCEDURE

This is a before-and-after study (not a clinical trial) * in the case of fungemia, 2 weeks after the initial staging 18F-FDG PET-CT. * in the case of focal IFIs, 2-4 and 12 weeks after the initial staging 18F-FDG PET-CT

Also known as: Before-and-after study

Eligibility Criteria

Age18 Years+
Sexall
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Adult patients admitted with a diagnosis of invasive fungal infection, both fungemia or focal fungal infection

You may qualify if:

  • year-old adult patients
  • who are admitted with a diagnosis of invasive fungal infection
  • who able to undergo a one 18F-FDG PET-CT
  • who give their informed consent.

You may not qualify if:

  • concomitant active bacterial infection likely to produce uptake in organs and tissues
  • recent surgery in the area of the IFI (in the previous 3 months)
  • other medical conditions that interfere with the development of the study ( e.g., inability to tolerate the performance of the test during the required time, pregnancy)
  • terminal situation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

Hospital Universitario Puerta de Hierro

Majadahonda, Madriid, 28222, Spain

RECRUITING

Hospital de Bellvitge

Barcelona, Spain

RECRUITING

Hospital Universitario Clinic

Barcelona, Spain

RECRUITING

Hospital Universitario Virgen de las Nieves

Granada, Spain

RECRUITING

Hospital Infanta Leonor Hospital

Madrid, Spain

RECRUITING

Hospital Universitario Gregorio Marañón

Madrid, Spain

RECRUITING

Hospital Universitario La Paz

Madrid, Spain

RECRUITING

Hospital Unversitario Ramón y Cajal

Madrid, Spain

RECRUITING

Hospital Virgen de la Victoria

Málaga, Spain

RECRUITING

Hospital Morales Messeguer

Murcia, Spain

NOT YET RECRUITING

Hospital Virgen de la Arrixaca

Murcia, Spain

NOT YET RECRUITING

Hospital Universitario Central de Asturias

Oviedo, Spain

RECRUITING

Hospital Unversitario de Salamanca

Salamanca, Spain

RECRUITING

Hospital Universitario Virgenn de la Macarena

Seville, Spain

RECRUITING

Related Publications (1)

  • Gutierrez A, Rodriguez B, Velasquez K, Gutierrez I, Garcia S, Munez E, Calderon-Parra J, Callejas-Diaz A, Ramos-Martinez A, Fernandez-Cruz A. Determining the usefulness of systematic 18F-FDG PET/CT for the management of invasive fungal infection (PETIFI project): a prospective national multicentre cohort study protocol. BMJ Open. 2023 Jun 23;13(6):e074240. doi: 10.1136/bmjopen-2023-074240.

MeSH Terms

Conditions

Invasive Fungal Infections

Interventions

Controlled Before-After Studies

Condition Hierarchy (Ancestors)

MycosesBacterial Infections and MycosesInfections

Intervention Hierarchy (Ancestors)

Epidemiologic StudiesEpidemiologic Study CharacteristicsEpidemiologic MethodsInvestigative TechniquesHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Ana Fernández Cruz, MDPhD

    Hospital Puerta de Hierro-Majadahonda

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Andrea Gutiérrez Villanueva, MD

CONTACT

Begoña Rodríguez Alfonso, MDPhD

CONTACT

Study Design

Study Type
observational
Observational Model
OTHER
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

December 20, 2022

First Posted

January 18, 2023

Study Start

April 27, 2023

Primary Completion

October 31, 2024

Study Completion

December 1, 2024

Last Updated

November 6, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will share

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Starting 6 months after publication
Access Criteria
The Individual Patient Data underlying results in a publication will be shared

Locations