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Micafungin Salvage Mono-therapy in Invasive Aspergillosis

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Astellas

Status and phase

Terminated
Phase 2

Conditions

Invasive Aspergillosis

Treatments

Drug: Systemic antifungal therapy
Drug: Micafungin

Study type

Interventional

Funder types

Industry

Identifiers

NCT00376337
FG463-21-20

Details and patient eligibility

About

To evaluate the efficacy and safety of micafungin in patients with proven invasive aspergillosis and who are refractory or intolerant to previous systemic antifungal therapy. To compare the efficacy and safety of the micafungin therapy with the active control arm

Full description

This is a phase II, multicentre, prospective, active-controlled, open-label, 2:1 randomised and parallel group clinical study.

Patients will be stratified according to the baseline infection status and the baseline neutropenic status:

  • Intolerant to previous antifungal therapy
  • Refractory to previous antifungal therapy; progression of infection
  • Refractory to previous antifungal therapy; failure to improve In case, criteria for both intolerant and refractory are fulfilled at the same time the patient will be considered as refractory.
  • Neutropenic (absolute neutrophil count (ANC < 500 cells/mm3)
  • Non neutropenic (ANC >= 500 cells/mm3)

Enrollment

17 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult patients with HSCT, acute leukaemia or myelodysplastic syndrome, with proven (probable only in case of pulmonary aspergillosis) invasive aspergillosis and refractory or intolerant to amphotericin B or voriconazole products

Exclusion criteria

  • Patients with allergic bronchopulmonary aspergillosis, chronic pulmonary aspergillosis, aspergilloma, sinus aspergillosis or external otitis; patient with previous salvage therapy for the current episode of fungal infection

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

17 participants in 2 patient groups

1
Active Comparator group
Description:
infusion for 3-12 weeks
Treatment:
Drug: Systemic antifungal therapy
2
Experimental group
Description:
infusion for 3-12 weeks
Treatment:
Drug: Micafungin

Trial contacts and locations

48

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Data sourced from clinicaltrials.gov

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