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A Study of Empirical Antifungal Therapy With Itraconazole

Completed
Conditions
Neutropenia
Interventions
Registration Number
NCT01706562
Lead Sponsor
Janssen Korea, Ltd., Korea
Brief Summary

The purpose of this study is to investigate the overall success rate of itraconazole intravenous treatment for a period of more than 7 days.

Detailed Description

This is a retrospective study ie, a study that looks backward in time, usually using medical records and interviews with patients who are already known to have a disease, in patients with itraconazole intravenous prescription as an empirical (based on practical experience) antifungal agent. This study collects baseline information about underlying disease, sign of fungal infection, neutropenia (a decrease in white blood cells), neutropenic fever duration and the reason for discontinuation. Neutropenia is defined as a neutrophil (white blood cell) count of ≤500 cells/mm3 or a count of ≤1000 cells/mm3 with a predicted decrease to ≤500 cells/mm3. Fever is defined as a body temperature ≥38.3 Celsius degrees at least once a day with no definite external factor or a body temperature of ≥38 Celsius degrees continued for at least 1 hour.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
138
Inclusion Criteria
  • Patients with neutropenic fever who receive therapy for inhibiting or preventing development of neoplasms (abnormal growth of tissue) or stem cell transplantation (stem cell is a cell whose daughter cells may differentiate into other cell types) for hematologic malignancies (cancers that affect blood, bone marrow and lymph nodes)
  • Patients who receive itraconazole intravenous (IV) treatment for more than 7 days
Exclusion Criteria
  • Childbearing women who are pregnant or likely to be pregnant during the study period and men who are neither infertile nor willing to refrain from sexual relations but whose partner does not conduct an effective contraception
  • Fever due to documented fungal infection
  • Hepatic dysfunction
  • Kidney abnormalities
  • Patients who are not eligible for the study participation based on warnings, precautions and contra medications in the package insert of the study drug at the investigator's discretion

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
ItraconazoleItraconazole-
Primary Outcome Measures
NameTimeMethod
Success rate of itraconazole treatment when used for more than 7 daysFrom 7 days to approximately 2 weeks

Treatment success is achieved when neutropenia is resolved, ie, when the blood cells count is within the normal reference range.

Secondary Outcome Measures
NameTimeMethod
Success rate of itraconazole treatment until neutropenia is resolvedApproximately 2 weeks

Treatment success is achieved when neutropenia is resolved, ie, when the blood cells count is within the normal reference range.

Drop out rate due to the lack of efficacy of itraconazole treatmentApproximately 2 weeks
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