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Post Marketing Study to Evaluate the Efficacy and Safety of Micafungin Treatment on Invasive Aspergillosis

Phase 4
Terminated
Conditions
Invasive Aspergillosis
Interventions
Registration Number
NCT02646774
Lead Sponsor
Astellas Pharma China, Inc.
Brief Summary

The objective of this study is to evaluate the efficacy and safety of intravenous micafungin for the treatment of proven or probable fungal infections caused by Aspergillus sp. (Fungemia, respiratory mycosis, gastrointestinal mycosis) in adult patients in China.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
43
Inclusion Criteria
  • Patients who are diagnosed as proven or probable infections caused by aspergillus (including fungemia, respiratory mycosis and gastrointestinal mycosis) with reference to the definition of EORTC/MSG
  • Females of childbearing potential are not pregnant in the study and reliable methods of contraception should be maintained during the whole study.
  • Patients capable to understand the purposes and risks of the study, who are willing and able to participate in the study and from whom written and dated informed consent to participate in the study is obtained.
Exclusion Criteria
  • Patient received any echinocandins drug within 1 month prior to enrollment.
  • Patient was enrolled in any other clinical study within the last month.
  • AST/ALT > 5 times the upper limit of normal (ULN)
  • total bilirubin> 2.5 times ULN
  • BUN/Ccr > 3 times ULN
  • HIV positive patient
  • Patient has a history of hypersensitivity, or any serious reaction to any component of this product or other echinocandins.
  • Patient has a life expectancy of <1 month
  • Subject is unlikely to comply with the visits scheduled in the protocol in the opinion of investigator or has a history of non-compliance.
  • Pregnant women, nursing mothers, lactating women, and women of child-bearing potential who are unwilling to use reliable contraception for the duration of the study and for 6 weeks following completion of the study.
  • Patient has been previously enrolled in this study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Micafungin groupMicafunginInjection
Primary Outcome Measures
NameTimeMethod
Overall success rate for patients with no hematology diseaseAt the end of the treatment (up to a maximum of 4 weeks)

Overall success rate = number of success patients/number of patients for efficacy evaluation x 100% at end of treatment (overall success is defined as patients with complete or partial response)

Overall success rate for patients with hematology diseaseAt the end of the treatment (up to a maximum of 12 weeks)

Overall success rate = number of success patients/number of patients for efficacy evaluation x 100% at end of treatment (overall success is defined as patients with complete or partial response)

Secondary Outcome Measures
NameTimeMethod
Clinical Improvement rate for patients with hematology diseaseWeek 1 up to the end of the treatment (up to a maximum of 12 weeks)
Clinical improvement rate for patients with no hematology diseaseWeek 1 up to the end of the treatment (up to a maximum of 4 weeks)
Fungal clearance rate for patients with no hematology diseaseWeek 1 up to the end of the treatment (up to a maximum of 4 weeks)
Fungal clearance rate for patients with hematology diseaseWeek 1 up to the end of the treatment (up to a maximum of 12 weeks)
Fatality rate for patients with no hematology diseaseEnd of the treatment (up to 2 weeks, and up to 4 weeks for refractory patients)
Fatality rate for patients with hematology diseaseEnd of the treatment (up to 6 weeks, and up to 12 weeks for refractory patients)
Percentage of participants with common Aspergillus infection sitesEnd of treatment (up to 12 weeks)
Safety assessed by adverse eventsUp to 2 weeks after end of treatment (up to14 weeks)

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