Using Xerava to prevent infections in patients with blood cancers and low white blood cell counts
Official title: Prospective Evaluation of Xerava™ (Eravacycline) Prophylaxis in Hematological Malignancy Patients With Prolonged Neutropenia
Run by West Virginia University · NCT05537896 · Data updated 2026-11-12
This study is testing if the antibiotic Xerava can help prevent infections in patients with blood cancers who have low white blood cell counts during their treatment.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 55 (estimated) |
| Sponsor | West Virginia University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Morgantown, West Virginia) |
| Status | Recruiting |
| Started | February 19, 2024 |
| Main results expected | February 2028 |
| Study ends | February 2028 |
| Registry record updated | April 16, 2026 |
| Trial ID | NCT05537896 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients receiving induction chemotherapy for acute leukemia or those preparing for hematopoietic stem cell transplantation with expected prolonged neutropenia.
✕Probably not a fit
Patients with uncontrolled infections, certain recent infections, or known hypersensitivity to eravacycline or related antibiotics 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 clinical trial evaluates the use of Xerava™ (eravacycline) as a prophylactic antibiotic in patients with hematological malignancies undergoing chemotherapy or hematopoietic stem cell transplantation who are at risk of prolonged neutropenia. The study aims to assess the incidence of breakthrough infections during eravacycline prophylaxis in this vulnerable population. Eravacycline is chosen for its broad-spectrum activity against multi-drug resistant bacteria, making it a promising alternative for infection prevention. Participants will be monitored for adverse effects and the effectiveness of the treatment in reducing infection rates.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of infections in patients with blood cancers undergoing intensive treatment.
How similar studies have gone: While the use of eravacycline in this specific prophylactic setting is novel, similar studies have shown promise in using alternative antibiotics for infection prevention in neutropenic patients.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All patients receiving induction chemotherapy for treatment of acute leukemia or receiving preparative regimen for HSCT * Patient must provide informed consent. * Bilirubin ≤ 3 x the ULN and AST/ALT ≤ 5 x ULN Exclusion Criteria: * Uncontrolled bacterial, viral or fungal infection at the time of study enrollment. * Urinary tract infection receiving active treatment * Acute pancreatitis (not necessary to work-up unless symptomatic) * History of known hypersensitivity to eravacycline, tetracycline, doxycycline, minocycline, tigecycline, sarecycline, oxytetracycline, or omadacycline * Pseudomonas infection within 30 days prior to study enrollment * Receiving strong inhibitors or inducers of cytochrome P450 3A4 will be excluded from the study (see Appendix B for complete list of medications) * Pregnant or lactating women
Where it's running
-
Aaron Cumpston
Morgantown, West Virginia, United States Recruiting
Study contacts
- Principal investigator: Aaron Cumpston, PharmD, BCOP — West Virginia University
- Study coordinator: Aaron Cumpston, PharmD, BCOP
- Email: cumpstona@wvumedicine.org
- Phone: 3045984000
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Middle East study of bloodstream infections in blood cancer patients and HSCT recipients
This is an observational study to see how bloodstream infections affect adults with blood cancers or after stem cell transplants across several Middle East countries.
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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.
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Low-dose liposomal amphotericin B to prevent invasive fungal infections in neutropenic children
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This trial tests whether adding standardized Withaferin A to standard GvHD prevention can help people 18 and older with blood cancers who are getting a matched related donor stem cell transplant.
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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.