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Observational Evaluation of Infective Risk in Myelodysplastic Syndrome Patients

Completed
Conditions
Myelodysplastic Syndrome
Interventions
Drug: Antibiotic and antifungal drugs
Registration Number
NCT01951430
Lead Sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Brief Summary

The purpose of this study is to observe the number of new cases of infections per population in a given time period and their characteristics in a pathology (myelodysplastic syndrome, MDS)that involves ineffective production (or dysplasia) of a class of blood cells.

Detailed Description

The scarcity and the inadequacy of data make impossible the writing of evidence-based recommendations for prevention and management of infections in myelodysplastic syndrome.

The aim of this study is to evaluate the incidence and the spectrum of the infections of MDS patients. Will be also evaluated potential risk factors.

This study could help the definition of the optimal management of MDS patients in terms of prophylaxis of the infective complications and in terms of the correct administration of growth factors.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
229
Inclusion Criteria
  • All adult patients (>18 years) with newly diagnosed myelodysplastic syndrome or patients who have undergone a bone marrow reevaluation;
  • Signed written informed consent;
Exclusion Criteria
  • Psychiatric patients;
  • Patients with life expectancy less than three months.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Myelodysplastic syndrome patientsAntibiotic and antifungal drugsPatients affected by myelodysplastic syndrome enrolled in the observational study
Primary Outcome Measures
NameTimeMethod
Number of infectious events in myelodysplastic syndrome patientsat 1 year from study entry

Infectious events are fungal and antibiotic events

Secondary Outcome Measures
NameTimeMethod
Number of patients that needed granulocyte growth factorsat 1 year from study entry
Number of MDS patients with a febrile event treated with antibiotic, antifungal and antiviral therapyat 1 year from study entry
Level of neutropeniaat 1 year from study entry
Number of patients who don't develop bacterial infectionat 1 year from study entry
Length of the hospitalizationat 1 year from study entry
Number of patients who recover from infectionat 1 year from study entry
Number of patient who don't develop viral infectionat 1 year from study entry
Number of patients without MDS progressionat 1 year from study entry
Level of iron overloadAt one year from study entry.
Number of patients recovered from infection out of the total of patients with documented infection during the observational periodat 1 year from study entry
Number of patient who don't develop fungal infectionat 1 year from study entry
Number of patients that needed iron sequestrating therapy caused by iron overloadat 1 year from study entry
Number of patients responding to therapy according to the administered treatmentat 1 year from study entry
Need for hospitalizationat 1 year from study entry
Level of International Prognostic Scoring System (IPSS)-revisedAt one year from study entry
Number of MDS patients aliveat 1 year from study entry
Level transfusion dependenceAt one year from study entry
Level of MDS subtypeAt one year from study entry
Level of risk of International Prognostic Scoring System (IPSS)At one year from study entry
Weeks of MDS suspension treatmentat 1 year from study entry

Trial Locations

Locations (25)

ASL N.8 - Ospedale "A. Businco" - Struttura Complessa di Ematologia e CTMO

🇮🇹

Cagliari, Italy

Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia

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Napoli, Italy

S.C.D.U. Ematologia - DIMECS e Dipartimento Oncologico - Università del Piemonte Orientale Amedeo Avogadro

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Novara, Italy

Università degli Studi di Padova - Ematologia ed Immunologia Clinica

🇮🇹

Padova, Italy

U.O. di Ematologia con trapianto - Centro di Riferimento Regionale per le coagulopatie rare nel bambino e nell'adulto Dipart. Biomedico di Medicina Interna - A.U. Policlinico "Paolo Giaccone"

🇮🇹

Palermo, Italy

Div. di Ematologia di Muraglia - CTMO Ospedale San Salvatore

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Pesaro, Italy

U.O. di Ematologia - Centro Oncologico Basilicata

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Rionero in Vulture, Italy

S.O.C. di Ematologia - Azienda Ospedaliera - SS. Antonio e Biagio e Cesare Arrigo

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Alessandria, Italy

UO Ematologia con trapianto-Università degli Studi di Bari Aldo Moro

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Bari, Italy

Divisione di Ematologia Ospedale A. Perrin

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Brindisi, Italy

Azienda Ospedaliera - Nuovo Ospedale 'Torrette'

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Ancona, Italy

IRCCS_AOU San Martino-IST-Ematologia 1-Monoblocco 11°piano- lato ponente

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Genova, Italy

Policlinico di Careggi

🇮🇹

Firenze, Italy

ASL Le/1 P.O. Vito Fazzi - U.O. di Ematologia ed UTIE

🇮🇹

Lecce, Italy

Med. Int. ed Oncologia Medica IRCCS Policlinico S. Matteo

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Pavia, Italy

Cattedra di Ematologia CTMO Università degli Studi di Parma

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Parma, Italy

U.O. Ematologia Clinica - Azienda USL di Pescara

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Pescara, Italy

Unità Operativa Ematologia e Centro Trapianti - Dipartimento di Oncologia ed Ematologia - AUSL Ospedale di Piacenza

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Piacenza, Italy

Università degli Studi - Policlinico di Tor Vergata

🇮🇹

Roma, Italy

Complesso Ospedaliero S. Giovanni Addolorata

🇮🇹

Roma, Italy

U.O.C. Ematologia - Ospedale S.Eugenio

🇮🇹

Roma, Italy

Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza

🇮🇹

San Giovanni Rotondo, Italy

Università Cattolica del Sacro Cuore - Policlinico A. Gemelli

🇮🇹

Roma, Italy

Clinica Ematologica-Centro Trapianti e Terapie cellulari Azienda Ospedaliero-Universitaria, Udine

🇮🇹

Udine, Italy

Dipartimento di Oncologia ed Ematologia S.C. Ematologia 2 A.O. Città della Salute e della Scienza di Torino San Giovanni Battista

🇮🇹

Torino, Italy

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