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临床试验/EUCTR2017-003270-14-NL
EUCTR2017-003270-14-NL进行中(未招募)1 期

A phase IV, interventional, non-blinded, randomized, controlled, multicenter study of Posaconazole prophylaxis for the prevention of influenza-associated aspergillosis (IAA) in critically ill patients

Radboud University Medical Center0 个研究点目标入组 88 人开始时间: 2018年8月1日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
88

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

  • 1. Written informed consent must be obtained from the patient or his/her legal representative prior to any study procedures
  • 2. Adult patient (= 18 years)
  • 3. PCR-confirmed influenza based on nasopharyngeal swab (NS), bronchial aspirate (BA) or broncho-alveolar lavage (BAL) fluid within 7 days before ICU admission or within 48 hours after ICU admission. If PCR is not available, a positive result of a rapid antigen test is required (a negative rapid antigen test does not imply absence of influenza and thus requires confirmation by PCR)
  • 4. Influenza symptoms present for no more than 10 days before ICU admission
  • 5. Respiratory distress as the main reason for ICU admission. Respiratory distress will be defined as tachypnea with a respiratory rate = 25x/min. and a PaO2/FiO2-ratio = 300 with or without (bilateral) infiltrates on radiographic chest studies
  • 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 45
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 65

排除标准

  • 1. Pregnant women (based on a positive serum sample )
  • 2. Expected survival on ICU admission = 48h
  • 3. Patients being transferred from another hospital ward or another hospital who already have mycological evidence of IA (based on sputum, BA or BAL fluid culture, BAL fluid or serum GM; also see 2.3 Primary Endpoints for a definition of IA)
  • 4. Patients with known intolerance of or hypersensitivity to posaconazole
  • 5. Patients actively treated with antifungal agents with activity against Aspergillus species
  • 6. Patients actively treated with rifampicin or rifabutin
  • 7. Patients with a QTc interval = 500 milliseconds on electrocardiography (ECG)
  • 8. Patients with liver cirrhosis (Child-Pugh classification C)
  • 9. Participation in another interventional clinical trial
  • 10. Any disorder which, in the investigator’s opinion, might jeopardize subject’s safety or compliance with the protocol when participating in this study

研究者

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