Status:

RECRUITING

Efficacy of Empirical Anti-Infective Therapy in Neutropenic Febrile Patients.

Lead Sponsor:

Shanxi Bethune Hospital

Conditions:

Febrile Neutropenia

Eligibility:

All Genders

18-75 years

Brief Summary

This single-arm, open-label clinical study evaluates the efficacy and safety of a standardized empirical anti-infective escalation protocol for patients with hematological malignancies complicated by ...

Detailed Description

This study is a single-arm, open-label, observational clinical investigation focusing on patients with hematological malignancies complicated by febrile neutropenia. It aims to evaluate the overall ef...

Eligibility Criteria

Inclusion

  • Age 18-75 years.
  • Documented haematological malignancy: acute leukaemia, severe aplastic anaemia, lymphoma, or multiple myeloma.
  • Neutropenia: absolute neutrophil count (ANC) \< 0.5 × 10⁹/L, or ANC anticipated to fall below this threshold within 48 h; severe neutropenia defined as ANC \< 0.1 × 10⁹/L.
  • Fever: single oral temperature ≥ 38.3 °C (axillary ≥ 38.0 °C), or oral temperature ≥ 38.0 °C (axillary ≥ 37.7 °C) sustained for \> 1 h.
  • Eastern Cooperative Oncology Group performance status (ECOG-PS) 0-2.
  • Planned or current empirical use of ceftazidime-avibactam (CAZ-AVI) for febrile neutropenia.

Exclusion

  • Drug-related fever or fever attributable to rheumatic/autoimmune disease.
  • Concomitant intracranial haemorrhage.
  • Pregnancy, lactation, or intention to become pregnant.
  • Psychiatric disorder or any condition precluding protocol compliance.
  • Life-threatening arrhythmia or QTc \> 500 ms on electrocardiography.

Key Trial Info

Start Date :

September 22 2025

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

September 22 2027

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT07204522

Start Date

September 22 2025

End Date

September 22 2027

Last Update

October 2 2025

Active Locations (1)

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Shanxi Bethune Hospital

Taiyuan, Shanxi, China, 030000