Fungal Biomarkers to Reduce Duration of Empirical Antifungal Therapy: a Randomized Comparative Study (STAFE)

NCT ID: NCT02154178

Last Updated: 2025-12-22

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

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2016-12-31

Brief Summary

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The investigators hypothesized that the use of biomarkers of invasive fungal infections would increase the percentage of early discontinuation of empirical antifungal therapy and thus reduce the duration of treatment in ICU patients.

Detailed Description

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The duration of empirical/preemptive anti fungal treatment will be based in the intervention group on biomarker results.

Biomarkers of fungal disease will performed before starting anti fungal treatment and at day 4.

Conditions

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Fungal Infection Critical Illness

Keywords

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Candida empiric antifungal therapy biomarkers invasive fungal infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Biomarker group

Intervention group, in which the duration of empirical antifungal therapy will be based on the results of biomarkers.

Biomarker group

Group Type EXPERIMENTAL

Biomarker group

Intervention Type OTHER

use of invasive fungal disease biomarkers (β-1,3-glucan, mannan/anti-mannan antibodies)

Control group

Control group, in which the duration of empirical antifungal therapy will be based on international recommendations (14 days).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Biomarker group

use of invasive fungal disease biomarkers (β-1,3-glucan, mannan/anti-mannan antibodies)

Intervention Type OTHER

Other Intervention Names

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intervention group

Eligibility Criteria

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Inclusion Criteria

* Age \> or = 18 years
* Patients requiring empiric antifungal therapy the first time in the ICU
* Predictable duration of hospitalization in the ICU ≥ 6 days

Exclusion Criteria

* Neutropenia (WBC \<1000 or neutrophils \<500/mm3)
* Immunosuppressive therapy (chemotherapy within 3 months prior to the ICU admission, solid organ graft under immunosuppressive therapy)
* invasive fungal infection documented in the three previous months
* Antifungal treatment in the three previous months
* Pregnant or lactating women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Saad Nseir, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Univ Hosp of Lille, France

Locations

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ICU, Salengro Hospital, University Hospital of Lille

Lille, Nord, France

Site Status

Countries

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France

References

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Rouze A, Loridant S, Poissy J, Dervaux B, Sendid B, Cornu M, Nseir S; S-TAFE study group. Biomarker-based strategy for early discontinuation of empirical antifungal treatment in critically ill patients: a randomized controlled trial. Intensive Care Med. 2017 Nov;43(11):1668-1677. doi: 10.1007/s00134-017-4932-8. Epub 2017 Sep 22.

Reference Type BACKGROUND
PMID: 28936678 (View on PubMed)

Other Identifiers

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2013 A00756 39

Identifier Type: OTHER

Identifier Source: secondary_id

2012_53

Identifier Type: -

Identifier Source: org_study_id