PTX3-targeted Antifungal Prophylaxis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBochud Pierre-Yves

About this trial

This is a prospective genetically-stratified randomized double-blind event-driven multicentre clinical trial to assess the efficacy of posaconazole-based antifungal prophylaxis allocation strategies for patients with acute myeloid leukemia who receive induction chemotherapy. Allocation strategy based on an invasive mold infection genetic risk will be double-blinded.

Eligibility criteria

Qualifiers

Signed Informed Consent according to national/local regulations.

Age ≥18 years.

Diagnosis of Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome in transformation (MDSit) treated with an intensive chemotherapy regimen, including induction / consolidation / salvage remission chemotherapy.

Planned hospital admission for the duration of the neutropenic phase (absolute neutrophils count <500 cells/mm3).

Disqualifiers

Patients with neutropenia (absolute neutrophils count<500 cells/mm3) upon presentation and prior to chemotherapy initiation.

Patients with a diagnosis of acute promyelocytic leukemia (APL) or AML-M3.

Patients with known history of allergy, hypersensitivity or serious reaction to azole antifungals

Women who are pregnant (positive blood/urine pregnancy test within 10 days before randomization) or breast-feeding.

Trial design

Treatments tested in this trial

  • Posaconazole
  • Fluconazole

Treatment groups

410 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Bochud Pierre-Yves

Lead sponsor

Centre Hospitalier Universitaire Vaudois

Sponsor institution

Swiss National Science Foundation

Collaborator