NIH-funded research R01 grant

Safer antibiotic choices for people with blood cancers and reported penicillin/beta‑lactam allergy

Official title: Optimizing antibiotic selection in hematologic malignancy patients with reported beta-lactam allergy

Funded at University of Pennsylvania · NIH-11261247 · Data updated 2026-11-12

This project helps people with blood cancers who report a penicillin or related antibiotic allergy learn whether they can safely use those drugs so they can get the most effective antibiotics.

More Allergy research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Pennsylvania
NIH-funded
Lab location1 site (Philadelphia, United States)
Project startMay 1, 2024
Project endFebruary 28, 2029
Funding year2026
Award (this year)$489,499
NIH project number5R01HS029879-03
Project IDNIH-11261247 on NIH RePORTER

Who could benefit from this research

Could help

Ideal candidates are adults with hematologic malignancies who are hospitalized and report a penicillin or other beta‑lactam allergy.

Less likely to help

Patients without a reported beta‑lactam allergy or those with a clear, recent life‑threatening anaphylactic reaction to beta‑lactams may not be eligible or benefit.

What this research studies

If you have a blood cancer and are labeled as allergic to penicillin or other beta‑lactam antibiotics, this work will offer careful allergy evaluation including a detailed history, skin testing, and supervised oral challenge when appropriate. The goal is to remove incorrect allergy labels so you can receive preferred beta‑lactam antibiotics for infections. The team will follow participants' antibiotic choices, hospital length of stay, adverse events, and short‑term outcomes to see if delabeling improves care. Procedures are performed in a controlled clinical setting by allergy and infectious disease specialists.

Why it matters

Potential benefit: If successful, more patients could safely use first‑line beta‑lactam antibiotics, which may reduce infection complications, decrease use of broader or more toxic drugs, and shorten hospital stays.

How similar studies have gone: Previous delabeling programs in general hospitalized patients have safely removed beta‑lactam allergy labels in 85–95% of cases and improved antibiotic selection, though this approach has been less studied specifically in people with blood cancers.

Where this research is happening

  • University of Pennsylvania
    Philadelphia, United States
    Active

Researchers

  • Principal investigator: Lautenbach, Ebbing — University of Pennsylvania
  • Study coordinator: Lautenbach, Ebbing

Related research

Other NIH-funded projects on the same topics.

  • Improving antibiotic choices for cancer patients with reported penicillin allergies

    This study is looking to help patients with blood cancers who are at risk for infections by finding better ways to choose antibiotics, especially for those who might have been wrongly labeled as allergic to certain medications, so they can receive safer and more effective treatments.

    NIH research University of Pennsylvania · Philadelphia, United States · NIH-11077256

  • How early gut bacteria affect the risk of fever and infections in blood cancer patients

    This study is looking at how the bacteria in your gut might affect your chances of getting fevers and infections while you're being treated for blood cancers, so we can tailor antibiotic treatments just for you and help you feel better faster.

    NIH research University of Pennsylvania · Philadelphia, United States · NIH-10765642

  • New Horizons in preventing and treating food allergy

    A Johns Hopkins-led effort aims to advance how we prevent and treat food allergies across all ages by coordinating high-quality studies and developing better therapies.

    NIH research Johns Hopkins University · Baltimore, United States · NIH-11600582

  • Understanding antibiotic allergy to improve care for patients

    Scientists are testing new ideas to understand why some people develop severe allergic reactions to antibiotics and how to prevent or treat them.

    NIH research Brigham and Women's Hospital · Boston, United States · NIH-11593203

  • Antibiotic Allergy: Types, Triggers, and How they Work

    This grant aims to better understand why certain antibiotics trigger immediate allergic reactions and how to improve testing and diagnosis for patients with suspected antibiotic allergies.

    NIH research Mayo Clinic Jacksonville · Jacksonville, United States · NIH-11592359

  • Understanding alpha-gal meat allergy and how the body's immune system reacts

    This grant studies why some people develop a dangerous allergy to meat due to a molecule called alpha-gal and how it triggers life-threatening reactions.

    NIH research Univ of North Carolina Chapel Hill · Chapel Hill, United States · NIH-11588253

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.