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Caspofungin Based Combined Anti-fungal Therapy for Proven or Probable Invasive Fungal Infection

Phase 2
Conditions
Leukemia
Transplantation, Hematopoietic Stem Cell
Interventions
Drug: Caspofugin based combination therapy
Registration Number
NCT01501708
Lead Sponsor
Shanghai Jiao Tong University School of Medicine
Brief Summary

In this prospective phase II observational study, we plan to assess the efficacy and tolerability of caspofungin based combined anti-fungal therapy for proven or probable IFI in a group of patients received allo-HSCT transplantation with high risk of IFI: HLA matched unrelated donor or mismatched donor conditioning with ATG containing regimen or present III-IV aGVHD or extensive GVHD undergoing high-dose steroid treatment.

Detailed Description

Patients will recieve caspofungin with either voriconazole or amphotericin B as combination therapy for fungal infection

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
55
Inclusion Criteria
  • adult patient undergoing allogeneic hematopoietic stem cell transplantation
  • age 18-55 years
  • with inform consent
  • no contraindication for allogeneic transplantation: active infection, allergy to FLu/Bu/CTX, liver and renal function damage
  • HLA mismatched related (3~5/6) or unrelated donors (at least 8/10)
  • proven or probable IFI
Exclusion Criteria
  • age less than 18 years or over 56 years
  • HLA mismatched related donor
  • liver function/renal function damage (over 2 X upper normal range)
  • with mental disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Caspofugin based combination therapyCaspofugin based combination therapyCaspofugin based combination therapy: Patients will recieve caspofungin with voriconazole or amphotericin B
Primary Outcome Measures
NameTimeMethod
Favorable response rate12 weeks
Secondary Outcome Measures
NameTimeMethod
Overall survival12 weeks, 1 year

Trial Locations

Locations (1)

Blood & Marrow Transplantation Center, RuiJin Hospital

🇨🇳

Shanghai, China

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