Pediatric FN Definition 2012 Bern

NCT ID: NCT01683370

Last Updated: 2020-11-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

39 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-08-31

Study Completion Date

2013-08-31

Brief Summary

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STUDY AIMS Based on prospectively collected information on ear temperatures, ANC values, emergency calls and consultations for fever, and on hospitalizations for FN in children and adolescents with cancer

* to describe the frequency of episodes of FN, and of other clinically relevant FN-related measures
* to compare these frequencies and measures in reality vs. applying Bernese standard limits for defining fever (ear temperature ≥39.0°C)
* to compare these frequencies and measures applying the Bernese standard limit of ≥39.0°C (LimitStandard) vs. a range of hypothetically lower limits defining fever (LimitLow)
* to determine if it would be useful to perform an interventional study on the question of different fever limits, powered to study both efficacy (frequency of FN) and safety (AE in delayed FN diagnosis)
* to use the platform of this prospective study to explore if the serum level of cortisol is associated with adverse events in FN

HYPOTHESIS In children and adolescents with cancer, hypothetically modifying the definitions of fever from ear temperature 39.0°C to lower limits would

* increase the rate of FN episodes diagnosed during chemotherapy (primary endpoint).
* increase the rate of other clinically important FN-related measures related to chemotherapy exposure time (secondary endpoints 1,2,3) and outcome/treatment-related measures during treatment of FN episodes diagnosed in reality (secondary endpoints 4,5,6).
* not relevantly decrease the proportion of FN with AE (secondary endpoint 7).

Detailed Description

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Conditions

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Cancer in Children/Adolescents Fever in Neutropenia

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients

Pediatric patients with cancer, receiving standard chemotherapy, and receiving standard supportive therapy in case of fever in neutropenia (FN) (No intervention for study purposes)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* \>1 year and ≤17 years at time of recruitment
* Chemotherapy treatment because of any malignancy for at least 2 months at time of recruitment
* Written informed consent from patients and/or parents for the study

Exclusion Criteria

* Infants ≤1 year old (reason: differences in standard fever limit and method to measure temperature)
* Denied written informed consent from patients and/or parents for the study
Minimum Eligible Age

1 Year

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Swiss Cancer League

OTHER

Sponsor Role collaborator

Dr. Roland Ammann

OTHER

Sponsor Role lead

Responsible Party

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Dr. Roland Ammann

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Roland A Ammann, MD

Role: STUDY_CHAIR

Pediatric Hematology/Oncology, Department of Pediatrics, University of Bern, Bern, Switzerland

Locations

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Division of Hematology/Oncology, Department of Pediatrics, University of Bern / Inselspital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Ammann RA, Teuffel O, Agyeman P, Amport N, Leibundgut K. The influence of different fever definitions on the rate of fever in neutropenia diagnosed in children with cancer. PLoS One. 2015 Feb 11;10(2):e0117528. doi: 10.1371/journal.pone.0117528. eCollection 2015.

Reference Type RESULT
PMID: 25671574 (View on PubMed)

Wagner S, Brack EK, Stutz-Grunder E, Agyeman P, Leibundgut K, Teuffel O, Ammann RA. The influence of different fever definitions on diagnostics and treatment after diagnosis of fever in chemotherapy-induced neutropenia in children with cancer. PLoS One. 2018 Feb 20;13(2):e0193227. doi: 10.1371/journal.pone.0193227. eCollection 2018.

Reference Type RESULT
PMID: 29462193 (View on PubMed)

Brack E, Wagner S, Stutz-Grunder E, Agyeman PKA, Ammann RA. Temperatures, diagnostics and treatment in pediatric cancer patients with fever in neutropenia, NCT01683370. Sci Data. 2020 May 26;7(1):156. doi: 10.1038/s41597-020-0504-9.

Reference Type RESULT
PMID: 32457478 (View on PubMed)

Lavieri L, Koenig C, Teuffel O, Agyeman P, Ammann RA. Temperatures and blood counts in pediatric patients treated with chemotherapy for cancer, NCT01683370. Sci Data. 2019 Jul 3;6(1):108. doi: 10.1038/s41597-019-0112-8.

Reference Type RESULT
PMID: 31270328 (View on PubMed)

Other Identifiers

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KFS-2933-02-2012

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

PFND2012B

Identifier Type: -

Identifier Source: org_study_id