Non-invasive diagnosis of lung infections caused by mold in children
Official title: Non-Invasive Diagnosis of Pediatric Pulmonary Invasive Mold Infections
Run by Arkansas Children's Hospital Research Institute · NCT03827694 · Data updated 2026-11-12
This study is testing a new, non-invasive way to find lung infections caused by mold in children who are at high risk due to serious health conditions.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 120 Days to 21 Years |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | Arkansas Children's Hospital Research Institute Academic / other |
| Locations | 33 sites (Little Rock, Arkansas and 32 other locations) |
| Status | Recruiting |
| Started | October 30, 2018 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2026 |
| Registry record updated | September 25, 2024 |
| Trial ID | NCT03827694 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are children aged over 120 days and under 22 years who have conditions associated with a high incidence of invasive fungal infections.
✕Probably not a fit
Patients who do not have the specified high-risk conditions or recent radiographic evidence of pulmonary lesions may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to establish a non-invasive diagnostic approach for detecting pulmonary invasive fungal infections (PIFI) in children who are at high risk. It will evaluate clinical outcomes associated with this diagnostic method, focusing on children with conditions such as hematopoietic stem cell transplantation or malignancies. The study will involve non-invasive testing methods to identify specific radiographic signs indicative of PIFI. By utilizing advanced imaging techniques, the study seeks to improve early detection and management of these serious infections.
Why it matters
Potential benefit: If successful, this study could lead to earlier and more accurate diagnoses of pulmonary fungal infections in children, potentially improving treatment outcomes.
How similar studies have gone: Other studies have shown promise in using non-invasive methods for diagnosing pulmonary infections, but this specific approach for pediatric populations is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males or females age \> 120 days and \< 22 years at any participating site * Have at least one of the following conditions associated with a known high incidence of IFI: hematopoietic stem cell transplantation (HSCT), aplastic anemia, bone marrow failure, primary or acquired immune deficiency, or malignancy * New (last 96 hours) radiographic evidence of at least one of the following: at least one nodular lesion greater than or equal to 5 mm in size, a wedge-shaped and segmental or lobar consolidation, a cavitary lesion, a lesion with a halo sign, a lesion with a reverse halo sign, or a lesion with an air crescent sign * Prolonged neutropenia (absolute neutrophil count \< 500 cells/µl for a period of ≥ 5 consecutive days) in 30 days prior to and including the day of qualifying chest MRI or CT scan date OR currently receiving systemic therapy for acute or chronic graft-versus-host disease (GVHD) OR presence of neutrophil dysfunction because of underlying acquired or primary immune deficiency (e.g. chronic granulomatous disease) on the date of the qualifying chest MRI or CT scan * Subject consent or parental/guardian permission (informed consent) and if appropriate, child assent Exclusion Criteria: * Weight \<3 kg, so as to not exceed 3 ml/kg in a single blood draw * Previous inclusion in this study
Where it's running
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Arkansas Children's Research Institute
Little Rock, Arkansas, United States Recruiting -
Rady Children's Hospital, UCSD
La Jolla, California, United States Recruiting -
Children's Hospital of Orange County
Orange, California, United States Recruiting -
Lucile Packard Children's Hospital, Stanford University
Palo Alto, California, United States Recruiting -
Yale University
New Haven, Connecticut, United States Recruiting -
Children's National Hospital
Washington D.C., District of Columbia, United States Recruiting
Show 27 more locations
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Emory University-Children's Healthcare of Atlanta (CHOA)
Atlanta, Georgia, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago
Chicago, Illinois, United States Recruiting -
University of Chicago Medicine, Comer Children's
Chicago, Illinois, United States Recruiting -
Indiana University School of Medicine
Indianapolis, Indiana, United States Recruiting -
Boston Children's Hospital
Boston, Massachusetts, United States Recruiting -
Children's Minnesota
Saint Paul, Minnesota, United States Recruiting -
Children's Mercy
Kansas City, Missouri, United States Recruiting -
The Washington University
St Louis, Missouri, United States Recruiting -
Children's Omaha
Omaha, Nebraska, United States Recruiting -
Weil Cornell Medical College
New York, New York, United States Recruiting -
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States Recruiting -
Nationwide Children's Hospital
Columbus, Ohio, United States Recruiting -
Oregon Health and Science University
Portland, Oregon, United States Recruiting -
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States Recruiting -
St. Jude Children's Research Hospital
Memphis, Tennessee, United States Recruiting -
Monroe Carell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, United States Recruiting -
Ascension Seton Medical Center
Austin, Texas, United States Recruiting -
University of Texas Southwest Medical Center (UTSW)
Dallas, Texas, United States Recruiting -
MD Anderson
Houston, Texas, United States Recruiting -
Seattle Children's Research Institute
Seattle, Washington, United States Recruiting -
Medical College of Wisconsin
Milwaukee, Wisconsin, United States Recruiting -
The Hospital for Sick Children
Toronto, Ontario, Canada Recruiting -
University of California San Francisco, Benioff Children's Hospital
San Francisco, California, United States Withdrawn -
All Children's Research Institute
St. Petersburg, Florida, United States Active not recruiting -
University of Minnesota Medical School
Minneapolis, Minnesota, United States Active not recruiting -
Duke University Medical Center
Durham, North Carolina, United States Active not recruiting -
Cleveland Clinic
Cleveland, Ohio, United States Withdrawn
Study contacts
- Principal investigator: William Steinbach — University of Arkansas
- Study coordinator: PFN Central Coordinator
- Email: PFNClinical@uams.edu
- Phone: 501-364-3057
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PCR testing in blood and lung washings to monitor invasive pulmonary aspergillosis
This will test whether repeated PCR tests for Aspergillus fumigatus in blood and bronchoalveolar lavage fluid can track treatment response in adults with invasive pulmonary aspergillosis.
-
Breath analysis to detect fungal infections in leukemia patients
This study is testing if analyzing breath samples can help doctors detect fungal infections in leukemia patients who are at high risk due to their treatment.
-
Early diagnosis of invasive lung aspergillosis
This study is trying to see if new tests can help doctors diagnose lung infections caused by fungus earlier in critically ill patients.
-
Investigating the link between influenza and invasive pulmonary aspergillosis
This study looks at how having the flu affects patients with severe pneumonia in the ICU and whether it leads to more serious lung infections.
-
FUNGAL-P: A score to spot fungal pneumonia early in adults with pneumonia
Aimed at adults with pneumonia, this study tests a new score to help identify fungal pneumonia sooner so doctors can test appropriately and start antifungal treatment when needed.
-
Low-dose Liposomal Amphotericin B for preventing fungal infections in adults with blood cancers and prolonged neutropenia
This study tests whether giving a daily 50 mg dose of liposomal amphotericin B can help prevent invasive fungal infections in adults with blood cancers who have prolonged low white blood cell counts.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.