Febrile Neutropenia, Drug-Induced
Conditions
Brief summary
CALIF study is a monocentric observational study which aim is to analyse the value of adding procalcitonin (PCT, a pre-hormon increased in bacterial infection and septicaemia) in the management of chemo-induced febrile neutropenia occurring in patient with solid tumour. Febrile neutropenia will be managed according to international guidelines. PCT will be dosed at initial presentation. Primary objective is to determine the optimal value of PCT for the detection of septicaemia in low risk (according to MASCC score). The investigators plan also to compare two risk stratification scores: the validated MASCC score and a recently developed score which includes PCT and other more objective items.
Interventions
The predictive value of ProCalcitonin in patients with solid tumors presenting a febrile neutropenia due to chemotherapy at emergency unit will be a factor to detect the level of bacteria.
Sponsors
Study design
Eligibility
Inclusion criteria
* more than 18 years old * Patients with solid malignant tumor treated by chemotherapy (neoadjuvant, concomittant, adjuvant or metastatic) * Febrile neutropenia chemo-induced (fever \> 38°C, neutrophils \< 500 /microliter or nadir \< 500 /microliter) * Patients non hospitalized at the event (when he presented febrile neutropenia) * Informed consent signed
Exclusion criteria
* Thyroid medullar carcinoma * Patient not able to understand protocol (mental retardation, psychiatric disorders, .... )
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Minimum level of ProCalcitonin | at day 0 | Bacteria detection will be determined by the optimal value of ProCalcitonin in patients with solid tumors treated by chemotherapy and at low MASCC risk |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare the MASCC score and the Anh & al score | up to 1 week | Based on the chareteristics of the two scores |
Countries
Belgium