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临床试验/NL-OMON54920
NL-OMON54920撤回2 期

Prospective validation and clinical evaluation of a new posaconazole dosing regimen for children and adolescents with cystic fibrosis and Aspergillus infection - A new posaconazole dosing regimen for children with cystic fibrosis

IRCCS Ospendale Pediatrico Bambino Gesu0 个研究点目标入组 18 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
撤回
发起方
入组人数
18

研究概览

简要总结

Trial never started

研究设计

研究类型
Interventional

入排标准

年龄范围
2 至 17(—)

入选标准

  • 135 children and adolescents will be included. We strive to include 45 children
  • each in the following weight bands: 20-30 kg; 30-40 kg; >40 kg body weight
  • Inclusion criteria for the screening phase of the study (n<=1500):
  • Subjects must meet the following criteria to be eligible for participation in
  • the screening phase:
  • 1. Diagnosed with CF (genetic diagnosis and/or abnormal sweat test and clinical
  • phenotype of lung disease).
  • 2. Age * 8 yrs and < 18 yrs.
  • 3. Able to produce sputum sample (spontaneous or induced sputum).
  • 4. Informed Consent given.
  • Inclusion criteria for the posaconazole trial
  • 1. Diagnosed with CF (genetic diagnosis and clinical phenotype of lung disease).
  • 2. Age * 8 yrs and < 18 yrs.
  • 3. Body weight *20 kg
  • 4. Signs of Aspergillus infection as defined for this study.
  • 5. Clinically stable condition without a significant change in lung function
  • (FEV1 +/- 10%) or significant worsening of respiratory symptoms in the month
  • preceding signing of the ICF
  • 6. Able to perform lung function test (FEV1%).
  • 7. Able to produce a sputum sample (spontaneous or induced sputum)
  • 8. Informed Consent given.
  • 9. If female and of childbearing age must be using highly effective
  • contraception (and must agree to continue for 7 days after the last dose of
  • investigational medicinal product

排除标准

  • Exclusion criteria for the screening phase of the study (n=1500):
  • 1. Non-CF lung disorder
  • 2. Age < 8 yrs of age or * 18 yrs of age
  • 3. Body weight <20 kg
  • 4. Not able to provide sputum sample
  • 5. Informed Consent not given
  • Exclusion criteria for the posaconazole trial (n=135)
  • 1. Non-CF lung disorder
  • 2. Age < 8 yrs or * 18 yrs
  • 3. Body weight < 20 kg
  • 4. Not able to perform lung function test (FEV1%)
  • 5. Unable to produce a sputum sample (spontaneous or induced sputum)
  • 6. Clinically unstable condition with significant change in lung function or
  • significant worsening of respiratory symptoms
  • 7. Unable to tolerate oral medication
  • 8. Known hypersensitivity to itraconazole or posaconazole, or it*s excipients.
  • 9. On active transplant list or transplant recipient
  • 10. Azole resistant Aspergillus sp. cultured
  • 11. Patients receiving terfenadine, ergot alkaloids, astemizole, cisapride,
  • pimozide, halofantrine, quinidine, or HMG-CoA reductase inhibitors metabolised
  • through CYP3A4 (eg. simvastatin, lovastatin, and atorvastatin)
  • 12. Patients receiving omalizumab
  • 13. Received systemic mould-active antifungals in the last month
  • 14. Shortened or elongated QT interval
  • 15. Cardiac failure
  • 16. ALT * 200 U/L
  • 17. AST * 225 U/L
  • 18. Alkaline phosphatase * 460 U/L
  • 19. Bilirubin * 50 umol/L
  • 20. eGFR < 20 ml/min/1.73 m2 (calculated with the Schwartz formula
  • 21. Patients with known glucose-galactose malabsorption problems
  • 22. Pregnancy2 or breastfeeding
  • 23. Females of childbearing age who do not intend to use contraception measures.
  • 24. Informed Consent not given

研究者

发起方
IRCCS Ospendale Pediatrico Bambino Gesu

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