Study of Periodontitis and Blood Stream Infection in AML Patients Receiving Chemotherapy
Effect of Periodontitis on the Risk of Bloodstream Infection During Intensive Chemotherapy in Patients With Acute Myeloid Leukemia
調査の概要
詳細な説明
Once eligibility is confirmed, participants will undergo a specialized baseline periodontal examination, gingival sulcus microbiota sampling and saliva sample at baseline before starting chemotherapy.
Patients will be separated into 2 cohorts, with periodontitis (Arm A) and without periodontitis (Arm B). All patients will receive standard oncologic supportive care including antibiotic prophylaxis. Serum samples will be obtained at baseline, at the onset of neutropenic fever, and weekly until day 28 or discharge (whichever sooner).
Study participation will continue during the duration of standard of care chemotherapy for 28 days or until discharge from hospital, whichever later.
研究の種類
入学 (実際)
連絡先と場所
研究場所
-
-
Minnesota
-
Minneapolis、Minnesota、アメリカ、55455
- Masonic Cancer Center, University of Minnesota
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
説明
Inclusion Criteria:
- Age >18 years
- Diagnosis of AML, new diagnosis or relapsed/refractory disease
- Planned intensive inpatient chemotherapy, defined as expected hospitalization for 4 weeks or longer
- Sufficient time to perform periodontal examination and treatment by the end of day 1 of chemotherapy without delaying chemotherapy
- Written informed consent prior to performance of any research related activities
Exclusion Criteria:
- Unstable for transfer to the School of Dentistry
- Fever at the time of enrollment
- Documented blood stream infection at the time of enrollment
- Inherited bleeding diathesis
- Periodontitis requiring treatment before starting chemotherapy
- ANC <0.5 x 10^9/L at the time of enrollment
- Unstable for transfer to the School of Dentistry
- Fever at the time of enrollment
- Documented blood stream infection at the time of enrollment
- Inherited bleeding diathesis
- Periodontitis requiring treatment before starting chemotherapy
研究計画
研究はどのように設計されていますか?
デザインの詳細
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Arm A: with Periodontitis
Patients with periodontitis
|
standard oncologic supportive care including antibiotic prophylaxis
|
|
Arm B: without Periodontitis
Patients without periodontitis
|
standard oncologic supportive care including antibiotic prophylaxis
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of participants with Blood stream infections
時間枠:Day 28 of chemotherapy
|
Number of participants experiencing Blood stream infections (BSI) by day 28 of chemotherapy
|
Day 28 of chemotherapy
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Number of participants with Neutropenic fever
時間枠:Day 28 of chemotherapy
|
Number of participants experiencing Neutropenic fever (NF) by day 28 of chemotherapy
|
Day 28 of chemotherapy
|
|
Number of participants exposed to different antibiotics
時間枠:Day 28 of chemotherapy
|
Number of participants with antibiotic exposure by day 28 of chemotherapy
|
Day 28 of chemotherapy
|
|
Length of hospitalization
時間枠:Day 28 of chemotherapy
|
Number of days the patients were hospitalized
|
Day 28 of chemotherapy
|
|
Number of participants who died
時間枠:Day 28 of chemotherapy
|
Number of participants who died by day 28 of chemotherapy
|
Day 28 of chemotherapy
|
協力者と研究者
捜査官
- 主任研究者:Armin Rashidi, MD, PhD、Masonic Cancer Center, University of Minnesota
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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