Usefulness of PET-CT for Invasive Fungal Infection

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorPuerta de Hierro University Hospital

About this trial

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. 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. 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).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18-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.

Disqualifiers

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.

Trial population

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

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • PET-CT

    Procedure/Surgery

    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

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Duration of antifungal treatment

Length of anti fungal therapy

Time frame
6 months
2

Survival

Alive at the last visit

Time frame
6 months

Secondary outcomes

1

Resumption of chemotherapy or performance of stem cell transplantation

The infection recedes enough to allow the receipt of chemotherapy

Time frame
6 months
2

Recurrence of invasive fungal infection

New episode of fungal infection caused by the same pathogen

Time frame
6 months

Other outcomes

Sponsors and contacts

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