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 volunteersQualifiers
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
Other
Prospective
Treatments tested in this trial
PET-CT
Procedure/SurgeryThis 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
Trial outcomes
Primary outcomes
Duration of antifungal treatment
Length of anti fungal therapy
Survival
Alive at the last visit
Secondary outcomes
Resumption of chemotherapy or performance of stem cell transplantation
The infection recedes enough to allow the receipt of chemotherapy
Recurrence of invasive fungal infection
New episode of fungal infection caused by the same pathogen
Sponsors and contacts
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Puerta de Hierro University Hospital
Lead sponsor
Gilead Sciences
Collaborator