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Early diagnosis of invasive aspergillosis

Not Applicable
Completed
Conditions
Topic: National Cancer Research Network
Subtopic: Lung Cancer
Disease: Miscellaneous
Cancer
Lung cancer
Registration Number
ISRCTN85866583
Lead Sponsor
Barts and The London NHS Trust (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
300
Inclusion Criteria

1. Informed consent
2. Patients with acute myeloid leukemia (AML), myelodysplastic syndromes (MDS) and acute lymphoblastic leukemia (ALL) undergoing intensive chemotherapy (predicted neutropenia of less than 0.5 x 10^9/L for greater than 10 days) and/or receiving high dose steroids
3. Patients undergoing allogeneic haematopoietic stem cell transplantation (HSCT)
4. Patients requiring high dose steroids for graft versus host disease post HSCT
5. Patients with a history of probable or proven invasive aspergillosis and having chemotherapy, regardless of their underlying haematological malignancy
6. Aged greater than 18 years, either sex

Exclusion Criteria

1. Inability to give informed consent
2. Patients aged less than 18 years
3. Pre-existing chest disease

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
GM ELISA from serum and BALF, measured within 6 months of the conclusion of the study
Secondary Outcome Measures
NameTimeMethod
Measured within 6 months of the conclusion of the study:<br>1. To establish cut off points to rule IA in or out<br>2. GM Elisa in prognosis<br>3. Inflamatory marker and cytokine profil in EBC<br>4. Non-invasive EBC in IA<br>5. PCR for Aspergillus<br>6. PCR for Aspergillus from blood and BALF<br>7. Repeated measures over time or a combination of markers<br>8. Role of BA
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