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Open, Pharmacokinetic Study of Caspofungin Acetate in Immunocompromised Young Children With Febrile Neutropenia (0991-042)

Phase 2
Completed
Conditions
Fungal Infection
Interventions
Registration Number
NCT00292071
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

This is an open-label study of MK0991 in children between 3 to 24 months of age with new onset fever and neutropenia. The purpose of the study is to investigate plasma drug levels of caspofungin.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
16
Inclusion Criteria
  • Patient is 3 to 24 months of age with one or more of the following conditions:
  • Leukemia, lymphoma, or other cancers
  • Bone marrow or peripheral stem transplantation
  • High dose chemotherapy leading to a decrease in white blood cells
  • Aplastic anemia
  • Patient has an absolute neutrophil count <500 mm3 (a specific type of white blood cell that fights infection) AND at least one recording of fever > 38 degreesC (oral or oral equivalent) within 72 hours of screening.
Exclusion Criteria
  • Patient is <3 months or >24 months of age at the time of study drug administration
  • Patient has proven or probable invasive fungal infection at the time of enrollment
  • Patient has certain blood clotting or liver function abnormalities
  • Patient is hemodynamically unstable, exhibits hemodynamic compromise or is not expected to survive at least 5 days
  • Patient is taking rifampin, cyclosporin A, phenytoin, carbamazepine, or phenobarbital.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
1caspofungin acetateIV caspofungin acetate (50 mg/m²/day)
2caspofungin acetateIV caspofungin acetate (70 mg/m²/day)
Primary Outcome Measures
NameTimeMethod
Plasma drug-level observed in children 3 to 24 months of age is similar to the levels observed in adults.28 Days
Secondary Outcome Measures
NameTimeMethod
Caspofungin is generally safe and well tolerated in children 3 to 24 months of age.28 Days
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