跳至主要内容
临床试验/NL-OMON52868
NL-OMON52868招募中3 期

Azole-echinocandin combination therapy for invasive aspergillosis. A randomized pragmatic superiority trial (IA-DUET) - IA-DUET/HOVON 502

Erasmus MC, Universitair Medisch Centrum Rotterdam0 个研究点目标入组 325 人开始时间: 待定最近更新:
适应症

试验速览

阶段
3 期
状态
招募中
入组人数
325

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

年龄范围
18 至 99(—)

入选标准

  • 1. 18 years or older
  • 2. Have started or will start voriconazole or isavuconazole (or posaconazole if
  • voriconazole or isavuconazole cannot be given as per treating physician*s
  • decision) as antifungal therapy on the baseline visit.
  • 3. For all patients: presence of one of the EORTC/MSG host factors or being
  • admitted to the ICU with influenza
  • 4 For non-ICU patients or ICU patients without influenza: Meet the EORTC/MSG
  • clinical criterion.
  • 5 For non-ICU patients or ICU patients without influenza: Meet the mycological
  • criterion or fulfil inclusion criterion 7.
  • 6. For ICU patients with influenza we consider an isolated positive sputum
  • culture for Aspergillus spp. insufficient as a mycological criterion.
  • Therefore, in these patients only one of the following mycological criteria are
  • acceptable; Serum galactomannan >=0.5, BAL galactomannan >=1.0 or Aspergillus
  • spp. cultured in BAL fluid.

排除标准

  • 1. Known history of allergy, hypersensitivity or serious reaction to triazole
  • or echinocandin antifungals;
  • 2.Patients with chronic invasive aspergillosis or a chronic non-invasive
  • aspergillus infection (e.g. aspergilloma) defined as the clinical or
  • radiological sign of infection being present for >28 days.
  • 3. Receipt of itraconazole, voriconazole, posaconazole as prophylaxis for at
  • least 7 days in the 14 days preceding the date of the first radiological signs
  • of the Aspergillus infection. Patients in which the most recent serum level of
  • the triazole given as prophylaxis was subtherapeutic can be included.
  • 4. Receipt of echinocandin prophylaxis for >96 hours in the preceding 7 days
  • 5 Receipt of systemic antifungal treatment with an echinocandin, a
  • triazole (except fluconazole) or amphotericin B for the current episode of
  • invasive aspergillosis for a duration of > 96 hours.
  • 6.. For patients in the Netherlands only: Diagnostic testing to exclude
  • triazole resistance will not be possible (sputum cultures are negative and BAL
  • sampling will not be performed)
  • 7. ICU patients only: Patients with a sequential organ failure assessment
  • (SOFA) score >11 at the time of screening for the study are excluded. If
  • randomization is done >24 hours after screening the calculation should be
  • repeated before the patient can be randomized (appendix 3)
  • 8. ICU patients only: Patients in which weaning from the ventilator or ECMO
  • system is deemed unlikely due to irreversible lung damage
  • 9. Patients with any condition which, in the opinion of the investigator, could
  • affect patient safety, preclude evaluation of response (e.g. because survival
  • beyond 6 weeks is unlikely due to the underlying disease status)
  • 10. Patient previously included in this study

研究者

相似试验