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A study that will help in determining the best antifungal in medicines that are used for preventing fungal infection in children receiving treatment for blood cancer

Childhood Leukemia Antifungal Prophylaxis (CLAP) study: A Prospective, multi-arm multi stage randomized phase III, open label study

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/02/080943
Enrollment
720
Registered
2025-02-20
Start date
Unknown
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

Health Condition 1: C919- Lymphoid leukemia, unspecified

Interventions

Intervention1: Voriconazole: Voriconazole is used to treat serious fungal or yeast infections, such as aspergillosis (fungal infection in the lungs), candidemia (fungal infection in the blood), esopha

Sponsors

Tata Memorial Hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: High risk B-acute lymphoblastic leukemia Intermediate risk B Cell Acute Lymphoblastic Leukemia. B Cell lymphoblastic lymphoma. T Cell Acute Lymphoblastic Leukemia T Cell Lymphoblastic Lymphoma. During induction phase of therapy. Total bilirubin should be less than 1.5 x upper limit of normal for age. SGOT or SGPT less than 5 x ULN for age

Exclusion criteria

Exclusion criteria: Standard risk Acute Lymphoblastic Leukemia Patients with ALL for whom risk-group is unavailable. Patients with a history of allergy to any of the study drugs. A documented history of Invasive Fungal Infection within 30 days prior to randomization. Patients on treatment for Invasive Fungal Infection. Patients not consenting for the study.

Design outcomes

Primary

MeasureTime frame
To estimate the efficacy of various antifungal prophylaxis in preventing IFI in children with acute lymphoblastic leukemia during the induction and consolidation phases of therapy.Timepoint: Assessments will be done on at the start and end of the induction and consolidation phases of therapy

Secondary

MeasureTime frame
To asses mortality due to any cause.Timepoint: During the course of antifungal treatment.;To assess proven or probable IFI related invasive fungal infection related mortality.Timepoint: During the course of antifungal treatment.;To assess the incidence of IFI, including invasive aspergillosis, candidiasis, mucor and any other IFI.Timepoint: During the course of antifungal treatment.;To assess prophylaxis failure. This would be defined as a development of proven or probable IFI as defined above or the occurrence of an adverse event possibly or probably related to the study treatment, resulting in discontinuation of treatment, inability to deliver drug due to any reason for greater than 25% of the stipulated study duration or receipt of any other systemic antifungal agent for 5 days or more for persistent fever or suspected IFITimepoint: During the course of antifungal treatment or post discontinuation.;Corelate voriconazole and posaconazole serum levels whenever available with drug doses and breakthrough IFI.Timepoint: During the course of antifungal treatment.

Countries

India

Contacts

Public ContactDr Shyam Srinivasan

Tata Memorial Hospital

srinivas.shyam@gmail.com

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Sep 19, 2026