Pro-ADM vs PCT in Patients With Complications Post Hematopoietic Stem Cell Transplantation

NCT ID: NCT05523336

Last Updated: 2023-05-25

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

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-10-20

Study Completion Date

2025-03-31

Brief Summary

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Prospective, multicenter, spontaneous, non-interventional, non pharmacological. Study aimed at evaluate kinetics, diagnostic and prognostic value of pro-ADM (proadrenomedullin) as compared to PCT (procalcitonin) in patients presenting with infections or other complications post hematopoietic stem cell transplantation (HSCT)

Detailed Description

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Evaluation of diagnostic performance of pro-ADM as compared to palliative care therapy (PCT) in paediatric and young adult patients with any type of complications after hematopoietic stem cell transplantation or with transplant related complications.

Conditions

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Stem Cell Transplant Complications

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Paediatric patients receiving HCTS with infectious complications post HCTS

Paediatric patients receiving allogeneic hematopoietic stem cell transplantation (HCTS) and who present with infectious complications post HSCT or with transplant related complications (acute graft-versus-host disease- GvHD-, sinusoidal obstruction syndrome -SOS-, engraftment-ES- and pre-engraftment syndrome- pre-ES-, graft failure, thrombotic microangiopathy associated with HSCT- TA-TMA or those without complications post HSCT).

observation

Intervention Type OTHER

observation and prospective data collection

Paediatric patients receiving HCTS without infectious complications post HCTS

Paediatric patients receiving HCTS without infectious complications post HCTS

observation

Intervention Type OTHER

observation and prospective data collection

Interventions

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observation

observation and prospective data collection

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Written informed consent of the parents/legal guardians and patient's assent/consent according to national regulations. For subjects who turn 18 years of age during participation in this study, participation in the future use portion of the study after their 18th birthday requires that they sign the informed consent statement following turning 18 years of age.
* Age at time of registration from 28 days to less than 39 years of age.
* Malignant disease (i.e. Acute lymphocytic leukemia (ALL), Acute myeloid leukemia (AML), Myelodysplastic syndromes (MDS)) or nonmalignant disease (e.g. immunodeficiency or inherited disorders of metabolism or hemoglobinopathies etc.) indicated for allogeneic HSCT.

Exclusion Criteria

* Age less than 28 days
* Obese patients with body mass index: \> 30 kg/m\^2.
* Impaired cardiac function: severe cardiac insufficiency indicated by left ventricle ejection fraction (LVEF) ≤ 35%.
* Impaired liver function indicated by Bilirubin \>3 times the upper limit of normal (ULN), or aspartate aminotransferase/alanine aminotransferase (AST/ALT) \>10 times ULN
* Impaired renal function indicated by estimated glomerular filtration rate (GFR), according to the Schwartz formula for ages 1-17 and according to CDKEPI creatinine equation for ages above 17 years old) \< 60 mL/min/1,73m\^2.
* Concurrent severe active infection at the start of conditioning regimen
Minimum Eligible Age

28 Days

Maximum Eligible Age

39 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Azienda Ospedaliera Ospedale Infantile Regina Margherita Sant'Anna

OTHER

Sponsor Role lead

Responsible Party

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Prof. Franca Fagioli

Prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Franca Fagioli, MD

Role: PRINCIPAL_INVESTIGATOR

AOU Città della Salute e della Scienza di Torino - OIRM

Manuela Spadea, MD

Role: STUDY_CHAIR

AOU Città della Salute e della Scienza di Torino - OIRM

Locations

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AOU Città della Salute e della Scienza di Torino - Presidio Infantile Regina Margherita

Turin, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Celeste Cagnazzo, PhD

Role: CONTACT

00390113135171

Facility Contacts

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Franca Fagioli, MD

Role: primary

0039011313 ext. 5997

Other Identifiers

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Trap-ADM

Identifier Type: -

Identifier Source: org_study_id

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