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Changes in the Gut Microbiota of Patients Undergoing Allogeneic Stem Cell Transplantation (COLLECT) (COLLECT)

17. juli 2017 opdateret af: Maria J.G.T. Vehreschild, University of Cologne

Changes Over Time in the Gut Microbiota of High-risk Hematological Patients Undergoing Allogeneic Stem Cell Transplantation (COLLECT)

COLLECT is a monocentric, prospective, observational study, which aims to assess the association between changes in the intestinal microbiota and the incidence of gastrointestinal graft-versus-host diseases (GvHD). Patients admitted for performance of an allogeneic hematopoietic stem cell transplantation (HSCT) or patients with a first diagnosis of an acute myeloid leukemia (AML) will be enrolled and stool samples will be analyzed using next-generation sequencing. In addition to stool, blood and urine samples will be collected for cytokine and 3-indoxylsulfate analysis.

Exposure to drugs will not be influenced and remains at the discretion of the treating physician.

Studieoversigt

Status

Ukendt

Betingelser

Detaljeret beskrivelse

Documentation of patient is performed by using the web-based survey platform www.ClinicalSurveys.net which was set up by researchers of the University Hospital of Cologne. This survey platform enables an optimal performance in epidemiological, observational, and interventional trials and is characterized by layered access security and frequent data backup. It has been used for numerous registry and cohort studies with approval of competent authorities and ethics boards.

The following data items of patients with a written informed consent are prospectively documented into our database:

  • Demographics
  • Chemotherapeutic agents
  • Other immunosuppressives
  • Radiation treatment
  • Antibiotic prophylaxis and treatment
  • Bowel movement abnormalities
  • HSCT Donor and recipient information
  • Status of hematological disease
  • Days with neutropenia
  • Fever and infectious complications

The following samples of patients with a written informed consent are prospectively collected, stored and analyzed:

  • Stool samples (16S rRNA analysis)
  • Urine (3-IS analysis)
  • Ethylenediaminetetraacetic acid (EDTA) blood samples (PBMCs Fluorescence-activated cell sorting (FACS) analysis)
  • Citrate blood samples (cytokine analysis)

Undersøgelsestype

Observationel

Tilmelding (Forventet)

120

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

university hospital cologne

Beskrivelse

Inclusion Criteria:

  • Age of at least 18 years
  • Patients admitted for performance of an allogeneic HSCT OR
  • Patients with a first diagnosis of an acute myeloid leukemia
  • No contraindication for an allogeneic stem cell transplantation
  • Subject is not legally incapacitated
  • Written informed consent from the study subject has been obtained

Exclusion Criteria:

  • Active inflammatory bowel disease
  • Ongoing gastroenteritis at the time of inclusion
  • Patient has any other condition that, in the opinion of the investigator, would jeopardize the safety or rights of the patient participating in the study, would make it unlikely for the patient to complete the study, or would confound the results of the study
  • Persons with any kind of dependency on the investigator or employed by the sponsor or investigator
  • Persons held in an institution by legal or official order

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Admitted for allogeneic HSCT
Patients admitted for performance of an allogeneic HSCT after high dosis chemotherapy.
First diagnosis AML
Patients admitted with a first diagnosis of an acute myeloid leukemia for chemotherapy. Depending on factors like age or molecular risk profile some of these patients will proceed to allogeneic HSCT.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessment of the association between changes in the intestinal microbiota and the incidence of gastrointestinal GvHD
Tidsramme: 365 days
Analyse changes over time in the intestinal microbiota using 16S ribosomal ribonucleic acid (rRNA) analysis and assess microbiota diversity.
365 days

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Assessment of the association between changes in the intestinal microbiota and the incidence of non-relapse mortality
Tidsramme: 365 days
Analyse changes over time in the intestinal microbiota using 16S rRNA analysis and assess microbiota diversity.
365 days
Investigation of the influence of antibiotics and other risk factors on microbiota changes within this cohort
Tidsramme: 365 days
Analyse changes over time in the intestinal microbiota using 16S rRNA analysis and assess microbiota diversity.
365 days
Analysis of the association of 3-indoxylsulfate 3-IS in urine/blood with observed microbiota changes
Tidsramme: 365 days
3-indoxylsulfate (3-IS) concentration levels will be quantified using liquid chromatography in combination with mass spectrometry.
365 days
Assessment of the effect of microbiota dysbiosis on cytokine and lymphocyte profiles
Tidsramme: 365 days
Cytokine analysis will be performed on the collected plasma samples (citrate) using multiplex assays and read on a Luminex100™ platform.
365 days

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Cologne

Efterforskere

  • Ledende efterforsker: Maria Vehreschild, MD, University Hospital of Cologne, Department of Internal Medicine / Infectious Diseases, Cologne, Germany

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

14. juli 2017

Primær færdiggørelse (Forventet)

31. december 2019

Studieafslutning (Forventet)

31. december 2019

Datoer for studieregistrering

Først indsendt

8. maj 2017

Først indsendt, der opfyldte QC-kriterier

8. maj 2017

Først opslået (Faktiske)

10. maj 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

19. juli 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

17. juli 2017

Sidst verificeret

1. juli 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • COLLECT

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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Betingelser

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Sponsor / samarbejdspartnere

Placeringer

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