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临床试验/EUCTR2009-015159-26-DE
EUCTR2009-015159-26-DE进行中(未招募)不适用

KW-Inf-001: Prospective trial to evaluate pharmacokinetic, safety and efficacy of intermittent application of increased doses of caspofungin for antifungal prophylaxis in high risk patients. - CASPHYLAX

niversitaetsklinikum Wuerzburg0 个研究点目标入组 25 人开始时间: 2010年11月18日最近更新:
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
25

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Patients with acute myeloid leukemia or myelodysplastic syndrome and blast
  • crisis or acute lymphatic leukemia
  • The patient is receiving induction chemotherapy, starting within 5 days
  • before and 4 days after enrollment.
  • The patient has an expected duration of neutropenia (neutrophils < 500/µl) for
  • at least 10 days
  • The patient has no proven or probable invasive Aspergillus infection within
  • 12 months prior to enrollment
  • For women with childbearing potential, the patient has a negative serum or
  • urine pregnancy test within 48 hours of enrollment and the patient agrees to
  • use adequate birth control measures as defined by the investigator. Oral
  • contraceptives should not be used as the sole method of birth control.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • The patient received systemic antifungal therapy with liposomal amphotericin
  • B, amphotericin B deoxycholate, caspofungin, anidulafungin, micafungin,
  • voriconazole, itraconazole or posaconazole (oral or I.V. for the azoles) but
  • not fluconazole within 3 days prior to enrollment
  • The patients had a proven or probable invasive Aspergillus infection within
  • 12 months prior to enrollment.
  • The patient has a possible aspergillosis, due to the following criteria within
  • 14 days of enrollment:
  • o positive galactomannan (OD> 0.5) in serum twice or more times or at
  • least one time in bronchioalveolar fluid
  • o pulmonary infiltrates in the computer tomography of the chest suspicious
  • for fungal infection (positive halo-, air-crescent sign, nodular). Patients
  • with pulmonary infiltrates on conventional chest x-ray, should undergo
  • further evaluation with a CT scan before enrollment if clinically
  • The patient is participating in another trial with an investigational drug during
  • the last 14 days before start of prophylaxis.
  • The patient has a history of allergy, hypersensitivity or any serious reaction to
  • caspofungin or any echinocandin.
  • Women, who are pregnant or breastfeeding.
  • The patient has a positive HIV test or known HIV infection
  • The patient has a known drug abuse.
  • The patient’s weight is more than 100 kg
  • The patient has one or more of the following abnormal laboratory values
  • - Serum total bilirubin > 5 times upper limit of normal
  • - INR > 1.6 (INR > 4.0, if the patient is receiving anticoagulation)
  • - Serum ASAT (SGOT) or ALAT (SGPT) > 5 times upper limit of normal
  • The patient is receiving hemodialyses for severe renal failure
  • The patient has a moderate or severe hepatic insufficiency (Child Pugh score
  • >6), acute hepatitis or cirrhosis due to any cause
  • The patient has a life expectancy below 5 days
  • The patient is receiving rifampin, cyclosporin A, efavirenz, nevirapine,
  • carbamazepine, phenytoin.
  • The patient has any concomitant illness which, in the opinion of the
  • investigator, might confuse the results of the study or pose additional risk in
  • administering caspofungin to the patient.

研究者

发起方
niversitaetsklinikum Wuerzburg

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