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Micafungin

Generic Name
Micafungin
Brand Names
Mycamine
Drug Type
Small Molecule
Chemical Formula
C56H71N9O23S
CAS Number
235114-32-6
Unique Ingredient Identifier
R10H71BSWG
Background

Micafungin is an antifungal drug. It belongs to the antifungal class of compounds known as echinocandins and exerts its effect by inhibiting the synthesis of 1,3-beta-D-glucan, an integral component of the fungal cell wall.

Indication

Indicated for the treatment of candidemia, acute disseminated candidiasis, and certain other invasive Candida infections, as well as esophageal candidiasis, and prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation. Micafungin is also used as an alternative for the treatment of oropharyngeal candidiases and has been used with some success as primary or salvage therapy, alone or in combination with other antifungals, for the treatment of invasive aspergillosis.

Indicated for the prophylaxis of Candida infections in patients undergoing hematopoietic stem cell transplantation.

Associated Conditions
Abscesses, Aspergillosis, Candidemia, Candidiasis, Esophageal Candidiasis, Fungal Infections, Fungal peritonitis caused by Candida, Acute disseminated Candidiasis

A Study to Compare Efficacy and Safety of Mycamine® and Itraconazole for Preventing Fungal Infections

Phase 3
Completed
Conditions
Fungemia
Fungal Infections
Interventions
First Posted Date
2008-11-20
Last Posted Date
2016-03-28
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
288
Registration Number
NCT00794703

Comparative Trial of Micafungin Versus Fluconazole for Treating Esophageal Candidiasis

Phase 3
Completed
Conditions
Candidiasis, Oral
Interventions
First Posted Date
2008-04-24
Last Posted Date
2014-09-18
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
523
Registration Number
NCT00666185
Locations
🇿🇦

2 Sites, Port Elizabeth, South Africa

🇵🇪

4 Sites, Lima, Peru

🇧🇷

8 Sites, Sao Paulo, Brazil

and more 2 locations

Trial of Two Dosing Regimens of Micafungin Versus Caspofungin for the Treatment of Esophageal Candidiasis

Phase 3
Completed
Conditions
Candidiasis, Oral
Interventions
First Posted Date
2008-04-24
Last Posted Date
2014-08-20
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
454
Registration Number
NCT00665639
Locations
🇧🇷

7 Sites, Sao Paulo, Brazil

🇧🇷

3 Sites, Belo Horizonte, Brazil

🇦🇷

5 Sites, Buenos Aires, Argentina

and more 2 locations

Study of Mycamine® in Children With Fungal Infections to Evaluate Safety and Blood Levels of the Drug

Phase 1
Completed
Conditions
Oropharyngeal Candidiasis
Candidemia
Invasive Candidiasis
Esophageal Candidiasis
Interventions
First Posted Date
2008-02-06
Last Posted Date
2024-11-18
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
84
Registration Number
NCT00608335
Locations
🇺🇸

Children's Hospital of Orange County, Orange, California, United States

🇺🇸

University of California Los Angeles Medical Center, Los Angeles, California, United States

🇺🇸

University of Texas Southwestern, Dallas, Texas, United States

and more 10 locations

Study of Mycamine® in Infants and Toddlers With Fungal Infections to Evaluate Safety and Blood Levels of the Drug

Phase 1
Completed
Conditions
Oropharyngeal Candidiasis
Invasive Candidiasis
Esophageal Candidiasis
Candidemia
Interventions
First Posted Date
2008-02-06
Last Posted Date
2014-08-20
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
9
Registration Number
NCT00607763

A Study of Safety and Pharmacokinetics of Repeated Dose of Micafungin as Antifungal Prophylaxis in Children and Adolescents Who Undergo Hematopoietic Stem Cell Transplant

Phase 1
Completed
Conditions
Fungal Infections
Interventions
First Posted Date
2008-02-01
Last Posted Date
2014-08-21
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
42
Registration Number
NCT00606268

A Study to Evaluate the Effectiveness of Voriconazole + Micafungin Versus Voriconazole Alone for Invasive Aspergillosis

Phase 4
Withdrawn
Conditions
Aspergillosis/Blood
Aspergillosis/Invasive
First Posted Date
2007-01-18
Last Posted Date
2015-09-02
Lead Sponsor
Astellas Pharma Inc
Registration Number
NCT00423163

Micafungin Salvage Mono-therapy in Invasive Aspergillosis

Phase 2
Terminated
Conditions
Invasive Aspergillosis
Interventions
Drug: Systemic antifungal therapy
First Posted Date
2006-09-14
Last Posted Date
2013-09-05
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
17
Registration Number
NCT00376337

Fluconazole Versus Micafungin for Candida Bloodstream Infection in Non-Neutropenic Patients

Phase 4
Withdrawn
Conditions
Sepsis
Candidiasis
Interventions
First Posted Date
2006-03-20
Last Posted Date
2024-06-14
Lead Sponsor
Kyoto University
Registration Number
NCT00304772
Locations
🇯🇵

Department of Clinical Laboratory Medicine, Kyoto University Hospital, Kyoto, Japan

Micafungin Versus Fluconazole in the Treatment of Invasive Candidiasis and Candidemia

Phase 3
Completed
Conditions
Candidemia
Invasive Candidiasis
Interventions
First Posted Date
2005-09-19
Last Posted Date
2008-01-02
Lead Sponsor
Astellas Pharma Inc
Target Recruit Count
24
Registration Number
NCT00189709
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