About this trial
Mucormycosis (MM) is one of the main invasive fungal infection (IFI), and is determined by filamentous fungi belonging to the order of Mucorales, with a mortality rate ranging from 20 to 60% according to localization. Prompt initiation of adequate antifungal therapy is critical for treating mucormycosis. Early diagnostic is therefore essential. The presence in the Mucorales' cell wall of uncommon monosaccharides open interesting perspectives for the development of specific diagnostic biomarkers.
This study evaluate a diagnostic test for mucormycosis in a cohort of patients with MM and in control groups (high-risk patients without MM and patients with another IFI).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Men and women
Age : Children and adults from 3 to 64 years old (18 to 64 for controls)
In patients whose consent has been collected after information. In the case of children, information on the study will be given to the holders of parental authority and then to the child to obtain their consent.
Patient social insured
Disqualifiers
Patients for whom the inclusion criteria are not met
Co-infection mucormycosis/other IFI
Trial population
Patients cared for at the University Hospitals of Lille and Amiens (France)
Trial design
Case-control
Prospective
Treatments tested in this trial
Venous sample
Biological/Vaccineat Day 0, Day 3, Day 7, Day 14, Day 28 (7 ml blood sample collecting on dry tube) D0 = Diagnostic day
Treatment groups
Trial outcomes
Primary outcomes
Values of the biomarker studied in the patient group versus control groups, expressed as Optical density (OD).
Detection and quantification of the oligosaccharide biomarker will be performed using a sandwich type enzyme-linked immunosorbent assay (ELISA).Biomarker values could also be reported in arbitrary units / mL (plotting the calibration curve).
Secondary outcomes
Kinetics of the biomarker value measured for hospitalized patients, expressed as Optical density (OD).
At each day of interest (at Day 3, Day 7, Day 14 and Day 28), values of OD obtained with an in-house immunoenzymatic sandwich microplate assay for the detection of a specific carbohydrate epitope of Mucorales will be reported for each sera.
Number of participant with unfavorable clinical evolution (death at D28)
Description of the clinical evolution (death or survival at D28) in parallel with the kinetic of the biomarker value
Sponsors and contacts
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University Hospital, Lille
Lead sponsor
Plateforme PAGés, Analyses Glycoconjugués
Collaborator
Région Hauts de France, France
Collaborator
SATT Nord
Collaborator