Spots Global Cancer Trial Database for Effect of Steroids During Pneumocystis Infection Among Non HIV Immunocompromised Patients

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Trial Identification

Brief Title: Effect of Steroids During Pneumocystis Infection Among Non HIV Immunocompromised Patients

Official Title: Intérêt de la corticothérapie Dans la Pneumocystose Grave du Patient immunodéprimé Non VIH. Essai Prospectif Multicentrique Randomisé Contrôlé : PIC

Study ID: NCT02944045

Conditions

Pneumocystis

Steroids

Immunocompromised Patient

Hematologic Neoplasms

Immunosuppressive Agents

Neoplasms

Interventions

Methylprednisolone

Placebo

Study Description

Brief Summary: Pneumocystis jiroveci pneumonia (PcP) increased in non HIV immunocompromised patients. Mortality remains high for those patients with comorbidities (50% for patients with the most severe Pneumocystis pneumonia). Physiopathology, characteristics and outcome of PcP in non-HIV patients remains different from those in HIV patients. Steroids in HIV patients with PcP has been associated with decreased mortality but in non-HIV patients, adjunctive steroids remains controversy. Some retrospective studies in that field did not find any beneficial effects of steroids ((1mg/kg/jour d'Equivalent Prednisone (EP)). However, all the studies were retrospective, non randomised studies including various underlying disease and severity of PcP was variable. Moreover, dosage and delay of steroids were variable leading difficult to interpret all the results. The investigators want to demonstrate the beneficial effect of steroid during PcP in non-HiV immunocompromised patients with a double blinded randomised clinical trials comparing adjunctive steroids to placebo.

Detailed Description: