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Completed

NCT Number: NCT05458752

Pneumocystis Jirovecii Pneumonia in Non-HIV-infected Immunocompromised Patients

Pneumocystis jirovecii pneumonia (PjP) is a rare infectiouse disease with a high level of mortality. PjP is a classical opportunistic infection which concern HIV infected and immunocompromised patients. During the past decade, several therapeutic's progresses have been done in oncology, immunology and hematology. As a consequence, patients benefited of greater treatment efficacy but are exposed to a higher risk of opportunistic infections as PjP. The investigators hypothesis is that PjP incidence increase and its form is depending of underlying immune conditions. The investigators aim to describe its incidence, the PjP forms depending on comorbidities and to identifiy pronostics factors.

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Key information

Sex eligibility

All sexes

Study type

Observational

Primary location

Université de Lorraine, CHRU Nancy and APEMAC

Vandœuvre-lès-Nancy, Lorraine, 54511, France

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Underlying immune condition at risk of Pneumocystis jirovecii pneumonia excluding HIV infection
  • Clinical, biological and radiological presentation which evoke Pneumocystis jirovecii pneumonia
  • Microbiological confirmation by respiratory specimen analyses ( specific coloration and/or IFI and/or PRC)

Exclusion criteria

  • No microbiological confirmation by respiratory specimen analyses
  • Proved HIV infection
  • Patient denied to particpate

Treatment and study plan

Primary outcomes

  1. Incidence of Pneumocystis jirovecii pneumonia in HIV-free patients

    Time frame: Between the first january 2004 and the 31th december 2021

    Number of cases / number of patients treated for a predisposing disease (heamotological or imunological disease, or cancer...)

Secondary outcomes

  1. To describe the age of giv free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    age in years

  2. To describe the body mass index of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    BMI in kg/m2 (quanti

  3. To describe the Charlson comorbidity index of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Charlson comorbidity index as a quantitative variable

  4. To describe the comoribidites of HIV-free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Comorbidities as categorial variables

  5. To describe the previous medications used by HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Medications as categorial variables

  6. To describe clinical features of Pneumocystis jirovecci pneumonia in HIV-free patients

    Time frame: Between the first january 2004 and the 31th december 2021

    Type of first symptoms as categorial variables

  7. To describe the date of the first symptoms of Pneumocystis jirovecci pneumonia in HIV-free patients

    Time frame: Between the first january 2004 and the 31th december 2021

    Date of first symptoms as quantitative variable

  8. To describe the pO2 level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    pO2 (in mmHg)

  9. To describe the PCR level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    PCR (mg/L)

  10. To describe the WBC level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    WBC (G/L)

  11. To describe the creatinine level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Creatinine (µmol/L)

  12. To describe the LDH level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    LDH (MUI/L)

  13. To describe the albumin level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    albumin (g/L)

  14. To describe the immunoglobulin level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    immunoglobulin (g/L)

  15. To describe the lymphocytes level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    lymphocytes (G/L)

  16. To describe the PCR pneumocystis level of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    PCR pneumocystis in ct

  17. To describe the immunofluorescence value of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Immunofluorescence as a categorial variable

  18. To describe the specific coloration value of HIV free patients with Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Specific coloration as a categorial variable

  19. To describe the use of nasal canula in HIV free patient with a Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Nasal canula as a categorial variable

  20. To describe the use of high flow oxygenation in HIV free patient with a Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    High flow oxygenation as a categorial variable

  21. To describe the use of mechanical ventilation in HIV free patient with a Pneumocystis jirovecci pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Mechanical ventilation as a categorial variable

  22. To describe the duration of hospitalisation of HIV free patients with Pneumocystis carinii pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    Duration in days

  23. To describe the use of cotrimoxazole for HIV free patients with Pneumocystis carinii pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    cotrimoxazole as a categorial variable

  24. To describe the use of atovaquone for HIV free patients with Pneumocystis carinii pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    atovaquone as a categorial variable

  25. To describe the use of pentamidine for HIV free patients with Pneumocystis carinii pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    pentamidine as a categorial variable

  26. To describe the use of steroïd for HIV free patients with Pneumocystis carinii pneumonia

    Time frame: Between the first january 2004 and the 31th december 2021

    steroïd as a categorial variable

Sponsors and collaborators

Lead sponsor

Central Hospital, Nancy, France

Other

Registry information

Official study title

Pneumocystis Jirovecii Pneumonia in Non-HIV-infected Immunocompromised Patients : a Prognostic Observational Retrospective Monocentre Study

Acronym: PnP-HIV-Free

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Jul 14, 2022
Registry last updated
Jul 5, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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