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临床试验/EUCTR2004-001491-39-AT
EUCTR2004-001491-39-AT进行中(未招募)不适用

A PHASE 3, RANDOMIZED, DOUBLE-BLIND, COMPARATIVE STUDY OF MICAFUNGIN (FK463) VERSUS CASPOFUNGIN AS ANTIFUNGAL TREATMENT IN PATIENTS WITH INVASIVE CANDIDIASIS OR CANDIDEMIA

Astellas Pharma US, Inc.0 个研究点目标入组 620 人开始时间: 2005年11月3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)
入组人数
620

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Informed consent of the patient or legally authorized representative, and HIPAA
  • Authorization for U.S. sites, or equivalent privacy language as per national regulations, must be obtained prior to entry. Unconscious / incapable patients may be enrolled provided written informed consent is obtained from the legally authorized representative prior to enrollment.
  • 2. Patients must have candidemia or invasive candidiasis, documented by at least one typical clinical sign or symptom and confirmed by fungal culture and/or histology
  • For candidemia or acute invasive candidiasis, a positive culture must be
  • documented from a sample obtained no more than 96 hours prior to the first dose of study medication.
  • For chronic invasive candidiasis, a positive culture within the last 4 weeks prior to
  • randomization is acceptable provided the patient has findings of endophthalmitis
  • or hepatosplenic lesions documented by radiographic imaging and has not received
  • greater than two days of prior systemic antifungal therapy, as defined in exclusion
  • criteria #9, within the last 7 days prior to randomization.
  • - For invasive candidiasis, culture results may be pending at the time of enrollment if histology/cytology reveals yeast.
  • - For candidemia, preliminary evidence of yeast (by staining and microscopy of
  • the blood culture sample) is required to enroll a patient.
  • - A confirmation of Candida species must be obtained within one week after enrollment.
  • 3. Patients may be of either gender. Females of childbearing potential must have a
  • negative pregnancy test. A pregnancy test should be performed within 14 days prior
  • to the first dose of study drug.
  • 4. Patients 18 years of age or older.
  • 5. Patients must have sufficient venous access to permit administration of study
  • medication and monitoring of safety variables.
  • 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

  • 1. Patient is pregnant or nursing. Females of childbearing potential must avoid
  • becoming pregnant while receiving study drug.
  • 2. Patients with a Child-Pugh Score > 9. For patients with no findings of ascites or encephalopathy and a total bilirubin < 2 mg/dL, the Child-Pugh score does not need to be calculated.
  • 3. Patients whose sole diagnosis is oropharyngeal and/or esophageal candidiasis and/or with positive cultures only of urine specimens, sputum specimens, bronchoalveolarlavage specimens or samples from indwelling drains.
  • 4. Patients with a history of allergy, hypersensitivity, or any serious reaction to the
  • echinocandin class of antifungals.
  • 5. Patients previously enrolled into this study.
  • 6. Patients with a concomitant medical condition, whose participation, in the opinion of the Investigator and/or medical adviser, may create an unacceptable additional risk.
  • 7. Patients with a life expectancy of less than five days.
  • 8. Patients who have received an echinocandin within one month prior to study entry.
  • 9. Patients who have received more than two days of prior systemic antifungal therapy for the current infection.
  • Daily dosing can not exceed the following: 1 mg/kg of body weight of
  • amphotericin B, 5 mg/kg of a lipid amphotericin B formulation, 800 mg of
  • fluconazole, 400 mg of itraconazole, or 12 mg/kg of body weight of voriconazole.
  • Combination antifungal therapy is not allowed.
  • Patients may have received prophylaxis with azoles or systemic amphotericin B
  • products without time restrictions.
  • 10. Patients with yeast or mold-like infection other than invasive candidiasis or candidemia.
  • 11. Patients receiving cyclosporine.
  • 12. Patients known, at time of study entry or within 72 hours post randomization, to have Candida endocarditis, Candida osteomyelitis, or Candida meningitis.

研究者

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