跳至主要内容
临床试验/EUCTR2011-003938-14-LT
EUCTR2011-003938-14-LT进行中(未招募)1 期

A Phase 3 Randomized Study of the Efficacy and Safety of Posaconazole versus Voriconazole for the Treatment of Invasive Aspergillosis in Adults and Adolescents (Phase 3; Protocol No. MK- 5592-069)

Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc.0 个研究点目标入组 600 人开始时间: 2013年2月15日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
600

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

入选标准

  • 1. Each subject must be willing and able to provide written informed
  • consent for the trial. The legal representative (e.g. parent or guardian)
  • for a subject under the age of legal consent or who otherwise is unable
  • to provide independent consent may provide written informed consent
  • for the subject. Each subject of the age of assent must be willing and
  • able to provide assent in addition to consent from the legal
  • representative to participate in the trial.
  • 2. Each subject must be =18 years of age weighing >40 kg [88 lb] and =
  • 150 kg [330 lb] at the time of randomization. Subjects may be of either
  • sex and of any race/ethnicity.
  • 3. Each subject must meet the criteria for proven, probable, or possible
  • IA as per 2008 EORTC/MSG disease definitions at the time of
  • randomization. Proven IA will include those subjects with the
  • demonstration of fungal elements (by cytology, microscopy, or culture)
  • in diseased tissue (sterile sampling). Probable IA includes subjects with
  • at least 1 host factor, clinical criteria, as well as mycological criteria
  • including both direct and indirect (i.e., detection of serum, or BAL fluid Aspergillus galactomannan antigen by sandwich EIA) methods. If using
  • the galactomannan test for diagnosis, a positive test results is defined as
  • two consecutive serum values of =0.5 or a single serum value =1.0.
  • Similarly, a single value of =1.0 in a BAL sample would qualify the
  • subject for meeting the criteria as probable IA. For subjects receiving
  • piperacillin/tazobactam within 72 hours of serum galactomannan
  • sampling, serum galactomannan criteria for probable IA will not meet
  • the criteria for probable IA. Possible IA includes subjects with at least 1
  • host factor and clinical criteria but without mycological criteria. See
  • Appendix 3 for tables of diagnostic criteria.
  • 4. Each subject with possible IA at time of randomization must be willing
  • or be in process of an ongoing diagnostic work up which is anticipated to
  • result in a mycological diagnosis of proven or probable IA within 7 days
  • post-randomization.
  • 5. Each subject must have a central line (e.g., central venous catheter,
  • peripherally-inserted central catheter, etc.) in place or planned to be in
  • place prior to beginning IV study therapy. Subjects without central
  • catheter access must be clinically stable and able to receiving oral study
  • 6. Each subject must have acute IA defined as duration of clinical
  • syndrome of <30 days.
  • 7. Each subject must be willing to adhere to dosing, study visit schedule,
  • and mandatory procedures as outlined in the protocol. The subject must
  • be willing to continue on study therapy for up to 12 weeks and remain in
  • the study through the 3-month follow-up.
  • 8. The subject must have the ability to transition to oral study therapy
  • during the course of the study.

排除标准

  • 1. The subject has chronic (>1 month duration) IA, relapsed/recurrent
  • IA, or refractory IA which has not responded to prior antifungal therapy.
  • 2. The subject has sarcoidosis, aspergilloma, or allergic
  • bronchopulmonary aspergillosis (ABPA).
  • 3. The subject has a known mixed invasive mold fungal infection
  • including Zygomycetes, and/or a known invasive Aspergillus fungal
  • infection in which either study drug may not be considered active.
  • 4. The subject has received any systemic (oral, intravenous, or inhaled)
  • antifungal therapy for this infection episode for 4 or more consecutive
  • days immediately prior to randomization.
  • 5. The subject has developed the current episode of IA infection
  • (possible, probable, or proven infection) during the receipt of more than
  • 13 days of antifungal prophylaxis that is considered to be a mold-active
  • antifungal agent (including itraconazole, posaconazole, voriconazole,
  • isavuconazole, inhaled or systemic amphotericin or lipid-associated
  • amphotericin, and echinocandin agents).
  • 6. The subject has received POS or VOR as empirical treatment for this
  • infection for 4 days (96 hours) or more within the 15 days immediately
  • prior to randomization.

研究者

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