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Clinical Trials/CTIS2024-511507-42-00
CTIS2024-511507-42-00
Active, not recruiting
Phase 1

Study of posaconazole prophylaxis in patients receiving hematopoietic stem cell allograft (allo-HSC) at high risk of invasive fungal infection (IFI): POSALLO study

Centre Hospitalier Universitaire De Nantes0 sites30 target enrollmentStarted: June 4, 2024Last updated:

Overview

Phase
Phase 1
Status
Active, not recruiting
Sponsor
Centre Hospitalier Universitaire De Nantes
Enrollment
30

Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Ages
18 to 65+ (—)
Sex
All

Inclusion Criteria

  • Patient \= 18 years of age. There is no maximum age for inclusion., Allo\-HSC transplant for any type of hematological malignancy or benign disease with one or more high\-risk IFI criteria: \*alternative donor (haploidentical intra\-family donor, mismatch file donor, placental blood) \- \*sequential conditioning for disease not in remission at the time of transplantation, \-\*use of post\-transplant cyclophosphamide (PTCY) for GVH prophylaxis, \-\* patient who has previously received a HSC allograft, Written informed consent prior to protocol initiation, ECOG \<\=2, Female of childbearing age with negative pregnancy test and on highly effective contraception during treatment and for 12 months after posaconazole discontinuation, Men of childbearing age with highly effective contraception during treatment and for 6 months after stopping posaconazole., Hepatitis B, C and HIV serologies negative, Social security affiliation

Exclusion Criteria

  • Patients with a history of IFI, whether active or resolved at the time of allografting, Women or men of childbearing age without effective contraception, Serious, uncontrolled concomitant infections, Yellow fever vaccination within the last year, Patient protected by law (guardianship, curatorship, safeguard of justice), Psychological, family, sociological or geographical conditions that may hinder compliance with the study protocol and follow\-up schedule, Patient who does not speak or understand French, Participation in any other therapeutic study with an exclusion period still in effect at the time of inclusion or planned participation in another therapeutic study while taking posaconazole, Patient with known intolerance to posaconazole, Patients with concomitant treatments FORBIDDING association with posaconazole: ergot alkaloids, CYP3A4 substrates (terfenadine, astemizole, cisapride, pimozide, halofantrine or quinidine), HMG\-CoA reductase inhibitors (simvastatin, lovastatin and atorvastatin) or any other contraindicated treatment listed in VIDAL, patients with congenital or acquired QTc prolongation (QTc \>470ms), Cardiac: systolic ejection fraction \< 50% by transthoracic ultrasound or isotopic method (isotopic gamma\-angiography), Respiratory: DLCOc \<40% of theoretical on EFR, Renal: creatinine clearance \< 50 ml/min (assessed using MDRD method), Hepatic: transaminases greater than 5 times normal or bilirubin greater than 2 times normal, Pregnant or breast\-feeding women

Investigators

Sponsor
Centre Hospitalier Universitaire De Nantes

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