Study Comparing Itraconazole and Nebulised Amphotericin B with Itraconazole Alone for Patients with Chronic Pulmonary Aspergillosis

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What is this study about?

This clinical trial is focused on studying the treatment of Chronic Pulmonary Aspergillosis, a lung condition caused by a type of fungus called Aspergillus. The study aims to compare the effectiveness of two treatment approaches over a six-month period. One group of patients will receive a combination of two medications: itraconazole, which is taken orally, and AmBisome, which is inhaled. The other group will receive only itraconazole. The purpose of the study is to determine which treatment is more effective in improving the health of patients with this condition.

Participants in the study will be monitored for six months while receiving their assigned treatment. During this time, doctors will assess both clinical and radiological improvements, which means they will look for signs of better health and changes in lung images. After the treatment period, there will be a follow-up for 24 months to observe any long-term effects or relapses. The study will also evaluate the quality of life of participants using a questionnaire and track any major health events or hospital visits related to respiratory symptoms.

The study is designed for patients who are not severely immunocompromised, meaning their immune systems are not significantly weakened. It excludes those with a single aspergilloma, which is a specific type of fungal growth in the lungs. The trial is conducted in a single-blind manner, meaning that the patients do not know which treatment group they are in, but the researchers do. This helps ensure that the results are unbiased and reliable.

1 joining the study

Upon joining the study, you will be randomly assigned to one of two treatment groups. This process is called randomization and ensures that each participant has an equal chance of receiving either treatment option.

2 treatment initiation

If assigned to the first group, you will receive a combination of itraconazole and nebulized AmBisome. Itraconazole is taken orally in the form of 100 mg capsules. The dosage and frequency will be determined by the study team.

If assigned to the second group, you will receive itraconazole alone, taken orally in the form of 100 mg capsules. The dosage and frequency will be determined by the study team.

3 treatment duration

The treatment will last for a period of six months. During this time, you will be required to take the medication as prescribed and attend regular follow-up visits.

4 follow-up visits

You will have scheduled visits at the clinic to monitor your progress. These visits will occur at regular intervals, including at three months and six months into the treatment.

During these visits, your clinical and radiological progress will be assessed to determine the effectiveness of the treatment.

5 end of treatment

At the end of the six-month treatment period, your condition will be evaluated to assess the overall therapeutic efficacy, which includes both clinical improvement and radiological improvement.

6 post-treatment follow-up

After completing the treatment, there will be a follow-up period of 24 months. During this time, you will have periodic assessments to monitor for any relapse or major events related to your condition.

You will also be asked to complete questionnaires to evaluate your quality of life and any changes in your condition.

Who Can Join the Study?

  • Patient with an Aspergillus bronchopulmonary infection, which can be cavitary, fibrotic, necrotizing (also known as Semi Invasive Aspergillosis), or nodular, and confirmed by a compatible chest CT scan.
  • Must meet one of the following criteria:
    • Positive detection of anti-Aspergillus IgG and/or precipitating anti-Aspergillus antibodies, based on the laboratory’s positivity threshold.
    • Positive direct examination or culture of Aspergillus from lung samples (such as sputum or endoscopic aspiration).
    • Presence of aspergillar hyphae/filaments in tissue samples.
  • Men or women aged 18 years or older.
  • Women of childbearing age must have a negative blood pregnancy test, use highly effective contraception, and agree to continue it for at least the first 12 months of the study.
  • Patient must be legally free and not under any custody, guardianship, or similar measures.
  • Patient must be affiliated with the national health care system.
  • Patient must provide free and informed consent by signing a consent form.

Who Cannot Join the Study?

  • Patients with a single aspergilloma cannot participate. An aspergilloma is a clump of fungus that can form in the lungs.
  • Patients who are severely immunocompromised are not eligible. Being immunocompromised means having a weakened immune system, which makes it harder for the body to fight infections.
  • Patients who are part of a vulnerable population are excluded. This generally refers to groups who may be at higher risk of harm or exploitation.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Hôpital Foch Suresnes France
Centre Hospitalier Intercommunal Creteil Creteil France
Centre Hospitalier Universitaire De Bordeaux Bordeaux France
Centre Hospitalier Universitaire De Lille Lille France
Centre Hospitalier Regional Et Universitaire De Brest Brest France
Oncopole Claudius Regaud Toulouse France
CHU Grenoble Alpes La Tronche France

Other Sites

Site Name City Country Status
Centre Hospitalier Universitaire Rouen Rouen France
Centre Hospitalier Universitaire De Poitiers Poitiers France
Hopital D’Instruction Des Armees Percy Clamart France
Centre Hospitalier Regional Universitaire Besançon France
Centre Hospitalier Universitaire d’Orléans Orléans France
Centre Hospitalier Le Mans Le Mans France
Centre Hospitalier Universitaire De Montpellier Montpellier France
Centre Hospitalier Universitaire De Nantes Nantes France
Hopital Saint Joseph Marseille France
Hopital NOVO Pontoise France
Centre Hospitalier De Perigueux Perigueux France
Centre Hospitalier Universitaire Amiens Picardie Amiens France
Centre Hospitalier Universitaire De Rennes Rennes France
Centre Hospitalier De Dax Dax France
Centre Hospitalier Lyon Sud Pierre Benite France
Hopital Beaujon Clichy France
Hopital Nord Franche-Comte Belfort France
Centre Hospitalier Universitaire De Caen Normandie Caen France
Cdaagb Htjffwycjdg Uprhuvcijpkyg Rxdkx Reims France
Cuefkm Hbmopjkzxss Rrixasrq Duybfcbkesdlok Angers France
Cyciwe Hsxuxagftfz Ea Uxswyoyibrout Dr Lhtukcj Limoges France
Citqxc Hqkqcaoyuai Uqnfixalguugo Dd Dyaqh Dijon France
Auuzgmdhoq Ptqpiqre Hqaxvedm Dp Mtujpuguv Marseille France
Cwrbia Hjxdmabomoz Rumappmf Ubbxzmrnawttt Dc Trmyh Tours France
Hgtdfoym Uclfhprfykdlsk Syrfmmsqji &mshjvk Hnrueam dj Hgmtrguigpm STRASBOURG, Alsace France

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Recruiting
19.12.2018

Trial locations

Itraconazole is a medication used to treat fungal infections. In this clinical trial, it is being used to help manage Chronic Pulmonary Aspergillosis, a lung condition caused by a type of fungus. The medication works by stopping the growth of the fungus, helping to reduce symptoms and improve lung function over a six-month treatment period.

Ambisome® is a form of amphotericin B that is given through a nebulizer, which means it is inhaled directly into the lungs. This medication is also used to treat fungal infections and is being tested in combination with itraconazole in this trial. The goal is to see if using both medications together is more effective in treating Chronic Pulmonary Aspergillosis than using itraconazole alone. Ambisome® works by attacking the fungus in the lungs, helping to clear the infection and improve breathing.

Chronic Pulmonary Aspergillosis – Chronic Pulmonary Aspergillosis is a long-term fungal infection of the lungs caused by the Aspergillus species. It typically occurs in individuals with pre-existing lung conditions or mild immune system compromise. The disease progresses slowly, with symptoms that may include persistent cough, weight loss, fatigue, and shortness of breath. Over time, the infection can lead to the formation of cavities in the lungs, which may contain fungal balls known as aspergillomas. The condition can cause significant lung damage if not managed, leading to further respiratory complications. The progression of the disease varies, with periods of stability and potential exacerbations.

Trial ID:
2024-517004-11-00
Protocol code:
CPAAARI
NCT ID:
NCT03656081
Trial Phase:
Therapeutic confirmatory (Phase III)

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