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临床试验/EUCTR2006-001936-30-DE
EUCTR2006-001936-30-DE进行中(未招募)不适用

A phase II dose escalation study of caspofungin in patients with invasive aspergillosis - Caspofungin MTD

niversität zu Köln0 个研究点目标入组 48 人开始时间: 2006年10月24日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
发起方
入组人数
48

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Adults =18 years
  • Immunocompromised due to hematologic malignancies, bone marrow failure syndromes, hematopoietic stem cell transplantation, solid organ transplantation, other conditions resulting in severe neutropenia, HIV infection, prolonged corticosteroid therapy (=20 mg Prednisone or equivalent for = 3 weeks), treatment with other immunosuppressive medications, or other immunocompromising conditions that place patients at risk for invasive fungal infections (IFIs).
  • Evidence of proven or probable invasive aspergillosis, by modified EORTC criteria.
  • Female patients of childbearing age must have a negative pregnancy test at study entry and take adequate contraceptive measures throughout the study.
  • Written informed consent given by the patient or his/her legal guardian prior to enrollment in the study.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Pregnant or breast-feeding female patients.
  • Patients with the following pathological laboratory findings:
  • oSerum bilirubin > 3x upper limit of the age-adjusted normal range
  • oSGOT or SGPT > 5x the upper limit of the age-adjusted normal range
  • oAlkaline phosphatase > 5x the upper limit of the age-adjusted normal range
  • Patients who have undergone hematopoietic stem-cell transplantation with clinical or laboratory evidence of active veno-occlusive disease (VOD). VOD is characterized by early elevation of serum transaminases and subsequent persistent elevation of serum bilirubin, tenderness of the liver, increase in body weight, and ascites.
  • Hemodynamically unstable patients or patients with an expected survival time of <5 days.
  • Patients previously enrolled in the study.
  • Patients with concomitant diseases or conditions which, in the opinion of the principle investigator, could distort the results of the study or which could entail an additional risk for a patient receiving the study medication.
  • Patients concurrently receiving efavirenz, nevirapin, rifampicin, dexamethasone, phenytoin, carbamazepine, phenobarbital or cyclosporin A. Topical use of dexamethasone, e.g. as eye drops, is allowed.
  • Patients with a documented history of intolerance to echinocandin antifungal agents.
  • Concomitant other systemic antifungal agents are not permitted on study.
  • Chronic invasive fungal infection, defined as signs/symptoms of invasive fungal infection present for > 4 weeks preceding entry into study
  • Prior systemic therapy of = 4 days with any polyene anti-fungal agent within 14 days of study enrollment
  • Prior systemic therapy of = 4 days with non-polyenes (i.e., azole or echinochandin derivatives) for the current, documented IFI. (Prior systemic anti-fungal therapy with azole derivatives for prophylaxis or as empiric therapy for febrile neutropenia is permissible. Fluconazole is permissible.)

研究者

发起方
niversität zu Köln

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