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Infectious morbidity and mortality is a major complication of AML (Acute Myeloid Leukemia) induction and consolidation chemotherapies related aplasia. The main aim of this study is to measure incidence of respiratory viral infections during AML induction and consolidation chemotherapy related aplasia. Primary end point is a positive polymerase chain reaction(PCR)associated with clinical signs.
Bacterial and fungal infection treatment is well defined with guidelines. Few data are available for viral infections and concern essentially allogeneic stem cell transplantation. These infections are associated with a high mortality and morbidity rate. Data concerning AML are essentially retrospective, pediatric and with a little number of patients. Respiratory viral infections incidence is not known. These infections may be responsible for a higher mortality rate. Different risk factors are found: age superior to 65 years, lymphopenia, co-infections. Treatment is subject to a controversy: surveillance or starting an antiviral therapy. This study aims at understanding viral infections epidemiology during long term aplasia and optimizing their management.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patient with Acute Myeloïd Leukemia | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multiplex respiratory viral PCR | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| positivity of the viral PCR in the presence of clinical signs during periods of positivity of the PCR in the presence of clinical signs | Positivity of the viral PCR in the presence of clinical signs during periods of Aplasia following chemotherapy induction and consolidation defining viral infection. | at day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| seasonal viral infection incidence measure | 18 months after inclusion | |
| risk factor of viral infections research | 18 months after inclusion | |
| viral infections related morbidity and mortality estimation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean Pierre MAROLLEAU, MD PHD | CHU AMIENS | Principal Investigator |
| FABRICE JARDIN, MD PHD | CHU ROUEN | Principal Investigator |
| OUMEDALY RENAN, MD PHD | University Hospital, Caen | Principal Investigator |
| BRUNO QUESNEL, MD PHD | CHRU LILLE | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pr Marolleau | Amiens | 80054 | France | |||
| CHU CAEN |
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| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| 18 months after inclusion |
| bacterial and fungal co-infection estimation | 18 months after inclusion |
| description of antiviral therapeutic used for treating patients | 18 months after inclusion |
| Caen |
| 14000 |
| France |
| Chru Lille | Lille | 59000 | France |
| Chu Rouen | Rouen | 76000 | France |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |