Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

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.

More Neutropenia trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment55 (estimated)
SponsorWest Virginia University
Academic / other
Drugs / interventionschemotherapy
Locations1 site (Morgantown, West Virginia)
StatusRecruiting
StartedFebruary 19, 2024
Main results expectedFebruary 2028
Study endsFebruary 2028
Registry record updatedApril 16, 2026
Trial IDNCT05537896 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.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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.