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EFRAIM II _ Empirical steroids and/or antifungals in immunocompromised patients with acute respiratory failure from undetermined etiology: a multicenter double-blind randomized controlled trial

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-514344-82-00
Acronym
APHP180584
Enrollment
420
Registered
2024-07-19
Start date
2021-02-18
Completion date
2025-10-15
Last updated
2025-01-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

patients with acute respiratory failure from undetermined etiology

Brief summary

Mortality at day 90

Detailed description

ICU mortality, hospital mortality, day 28 mortality, proportion of patients with ICU acquired microbiologically documented bacterial infections, proportion of patients with invasive fungal infection within 3 months following randomization, roportion of patients with HSV, VZV or CMV reactivation within 3 months following randomization, occurrence of severe hypokalemia (<2,5 meq/l), decompensated diabetes or severe or newly acquired hypertension, emergence of Aspergillus species with decreased sensitivity to isavuconazole, Incidence of Candida infection, incidence of post-traumatic Stress Disorder (IES-R), anxiety and depression at 6 months (HADS), quality of life at 6 months (SF36)

Interventions

DRUGMETHYLPREDNISOLONE
DRUGPlacebo of CRESEMBA
DRUGCRESEMBA 200 mg powder for concentrate for solution for infusion
DRUGPlacebo of methylprednisolone

Sponsors

Assistance Publique Hopitaux De Paris
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Mortality at day 90

Secondary

MeasureTime frame
ICU mortality, hospital mortality, day 28 mortality, proportion of patients with ICU acquired microbiologically documented bacterial infections, proportion of patients with invasive fungal infection within 3 months following randomization, roportion of patients with HSV, VZV or CMV reactivation within 3 months following randomization, occurrence of severe hypokalemia (<2,5 meq/l), decompensated diabetes or severe or newly acquired hypertension, emergence of Aspergillus species with decreased sensitivity to isavuconazole, Incidence of Candida infection, incidence of post-traumatic Stress Disorder (IES-R), anxiety and depression at 6 months (HADS), quality of life at 6 months (SF36)

Countries

France

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026