Intermittent Liposomal Amphotericin B Primary Prophylaxis
A Randomised, Stratified, Open Label, Phase II Pilot Study on the Safety of a Daily, Intermittent, or Weekly Administration of 1, 3 or 10mg/kg of AmBisome® in Antifungal Primary Prophylaxis of High-Risk Patients With Acute Myeloid Leukaemia
1 other identifier
interventional
60
1 country
2
Brief Summary
The purpose of this trial is to see which dose of liposomal amphotericin B is the safest when used as a preventer against invasive fungal infection in patients with acute leukaemia who are undergoing chemotherapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started May 2007
Longer than P75 for phase_2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 21, 2007
CompletedFirst Posted
Study publicly available on registry
March 23, 2007
CompletedStudy Start
First participant enrolled
May 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2014
CompletedDecember 16, 2013
March 1, 2007
March 21, 2007
December 12, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Safety as defined by the incidence of all adverse events occurring by the completion of each trial prophylaxis course.
Secondary Outcomes (10)
Safety:
Incidence of renal toxicity
Incidence of hepatotoxicity
Incidence of ionic abnormalitities
Incidence of cardiovascular toxicity
- +5 more secondary outcomes
Interventions
Eligibility Criteria
You may qualify if:
- Patients fulfilling all the following criteria will be eligible:
- Male or female aged \>18years;
- Newly diagnosed with acute myeloid leukaemia and undergoing first induction chemotherapy regimen;
- Expected to have absolute neutrophil counts of \<0.5x109/L for at least 2 weeks;
- Normal high resolution chest and sinus CT scan at baseline;
- No signs or symptoms of invasive fungal infections
- No prior diagnosis of proven or probable invasive fungal infection within the last 6 months;
- Females of childbearing potential must be: surgically incapable of pregnancy; or practicing an acceptable mode of birth control and have a negative pregnancy test (blood or urine) at baseline;
- Give written informed consent prior to any study-specific procedures;
- Must have the ability and must agree to comply with all study requirements.
You may not qualify if:
- Patients with any of the following will be ineligible
- Known hypersensitivity to amphotericin B, in particular known history of anaphylactic reaction to amphotericin B;
- Patients undergoing any transplantation;
- Creatinine clearance \<60mL/min/1.72 m2;
- Patients with moderate or severe liver disease as defined by aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \> 5 times the upper limit of normal (ULN)
- Patients who are unlikely to survive more than one month;
- Patients who have received systemic antifungal therapy within the last 15 days
- Any severe cardiovascular disease ( in particular arrhythmias) which may constitute a contra-indication to LAB (AmBisome®) administration;
- Any severe diseases other than acute myeloid leukaemia which in the investigator's judgement may interfere with study evaluations or affect the patients safety;
- Pregnant or nursing females;
- Patients previously included in this study;
- Patients enrolled in a pre-emptive treatment strategy trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Bayside Healthlead
- Gilead Sciencescollaborator
Study Sites (2)
The Alfred Hosptial
Melbourne, Victoria, 3004, Australia
Box Hill Hospital, Eastern Health
Melbourne, Victoria, 3129, Australia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
C. Orla Morrissey, MB, BCh, FRACP
The Alfred Hospital, Level 2 Burnet Institute, Commercial Rd., Melbourne, 3004, Victoria, Australia
- PRINCIPAL INVESTIGATOR
Anthony P Schwarer, MB, BS, FRACP, MD, FRCPA
The Alfred Hospital, Ground Floor South Block, Commercial Rd., Melbourne, Victoria, 3004, Australia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 21, 2007
First Posted
March 23, 2007
Study Start
May 1, 2007
Study Completion
October 1, 2014
Last Updated
December 16, 2013
Record last verified: 2007-03