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Brief Title: Changes in the Gut Microbiota of Patients Undergoing Allogeneic Stem Cell Transplantation (COLLECT)
Official Title: Changes Over Time in the Gut Microbiota of High-risk Hematological Patients Undergoing Allogeneic Stem Cell Transplantation (COLLECT)
Study ID: NCT03148197
Brief Summary: COLLECT is a monocentric, prospective, observational study, which aims to assess the association between changes in the intestinal microbiota and the incidence of gastrointestinal graft-versus-host diseases (GvHD). Patients admitted for performance of an allogeneic hematopoietic stem cell transplantation (HSCT) or patients with a first diagnosis of an acute myeloid leukemia (AML) will be enrolled and stool samples will be analyzed using next-generation sequencing. In addition to stool, blood and urine samples will be collected for cytokine and 3-indoxylsulfate analysis. Exposure to drugs will not be influenced and remains at the discretion of the treating physician.
Detailed Description: Documentation of patient is performed by using the web-based survey platform www.ClinicalSurveys.net which was set up by researchers of the University Hospital of Cologne. This survey platform enables an optimal performance in epidemiological, observational, and interventional trials and is characterized by layered access security and frequent data backup. It has been used for numerous registry and cohort studies with approval of competent authorities and ethics boards. The following data items of patients with a written informed consent are prospectively documented into our database: * Demographics * Chemotherapeutic agents * Other immunosuppressives * Radiation treatment * Antibiotic prophylaxis and treatment * Bowel movement abnormalities * HSCT Donor and recipient information * Status of hematological disease * Days with neutropenia * Fever and infectious complications The following samples of patients with a written informed consent are prospectively collected, stored and analyzed: * Stool samples (16S rRNA analysis) * Urine (3-IS analysis) * Ethylenediaminetetraacetic acid (EDTA) blood samples (PBMCs Fluorescence-activated cell sorting (FACS) analysis) * Citrate blood samples (cytokine analysis)
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University Hospital of Cologne, Cologne, , Germany
Name: Maria Vehreschild, MD
Affiliation: University Hospital of Cologne, Department of Internal Medicine / Infectious Diseases, Cologne, Germany
Role: PRINCIPAL_INVESTIGATOR