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Trial of Two Dosing Regimens of Micafungin Versus Caspofungin for the Treatment of Esophageal Candidiasis

Phase 3
Completed
Conditions
Candidiasis, Oral
Interventions
Registration Number
NCT00665639
Lead Sponsor
Astellas Pharma Inc
Brief Summary

To determine the efficacy and safety of daily doses of IV micafungin versus IV caspofungin for the treatment of esophageal candidiasis

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
454
Inclusion Criteria
  • Esophageal candidiasis confirmed by endoscopy
  • Negative pregnancy test for female patients of childbearing potential
Exclusion Criteria
  • Pregnant or nursing female patient
  • Evidence of liver disease
  • Another active opportunistic fungal infection and/or receiving acute systemic therapy for an opportunistic fungal infection
  • Concomitant esophagitis caused by herpes simplex virus or cytomegalovirus
  • Received an oral or topical antifungal agent within 48 hours or a systemic antifungal agent within 72 hours of first dose of study drug
  • Known to be non-responsive to therapy in any prior systemic antifungal clinical trail
  • Experienced > 2 episodes of esophageal candidiasis requiring systemic antifungal therapy
  • History of anaphylaxis attributed to echinocandin class of antifungals

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
3micafunginEvery other day dose, alternating with placebo
1micafunginDaily dose
2caspofungin-
Primary Outcome Measures
NameTimeMethod
Comparative incidence of success, defined as complete clearing of esophageal lesionsEnd of Therapy
Secondary Outcome Measures
NameTimeMethod
Clinical responseEnd of Therapy
Mycological responseEnd of Therapy
Overall therapeutic responseEnd of Therapy

Trial Locations

Locations (5)

7 Sites

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Sao Paulo, Brazil

3 Sites

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Belo Horizonte, Brazil

5 Sites

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Buenos Aires, Argentina

2 Sites

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Port Elizabeth, South Africa

4 Sites

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Lima, Peru

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