NCT01188759

Brief Summary

This study aims to compare the safety, tolerability, and efficacy of voriconazole and anidulafungin in combination versus voriconazole alone in pediatric subjects aged 2 to 17 years with invasive aspergillosis.

Trial Health

15
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started May 2012

Status
withdrawn

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

August 24, 2010

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 25, 2010

Completed
1.7 years until next milestone

Study Start

First participant enrolled

May 1, 2012

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2014

Completed
Last Updated

May 11, 2012

Status Verified

May 1, 2012

Enrollment Period

2.3 years

First QC Date

August 24, 2010

Last Update Submit

May 10, 2012

Conditions

Keywords

AspergillosisCombination TherapyVoriconazoleAnidulafungin

Outcome Measures

Primary Outcomes (1)

  • Safety and tolerability of voriconazole and anidulafungin in combination versus voriconazole alone as determined by rates of adverse events

    12 weeks

Secondary Outcomes (4)

  • Rate of all-cause mortality at 6 weeks

    6 weeks

  • Rate of all-cause mortality at EOT

    12 weeks

  • Global response to therapy at 6 weeks

    6 weeks

  • Global response to therapy at EOT

    12 weeks

Study Arms (2)

Voriconazole and Anidulafungin Combination

EXPERIMENTAL

Subjects in the combination arm will receive voriconazole and anidulafungin in combination for 2-4 weeks followed by voriconazole monotherapy to complete 6-12 weeks of therapy.

Drug: VoriconazoleDrug: Anidulafungin

Voriconazole Monotherapy

ACTIVE COMPARATOR

Subjects in the monotherapy arm will receive voriconazole monotherapy for 6-12 weeks of therapy.

Drug: Voriconazole

Interventions

For Children aged 2-11 years and adolescents aged 12-14 years weighing \<50 kg: Voriconazole 9 mg/kg IV load q12h x 24h, then 8 mg/kg IV q12h, with option to switch to oral voriconazole at 9 mg/kg q12h (maximum 350 mg) after 7 days. For adolescents aged 12-17 years, excluding 12-14-year-olds weighing \<50kg: Voriconazole 6 mg/kg IV q12h x 24h, then 4 mg/kg IV q12h, with an option to switch to oral voriconazole at 200 mg q12h after 7 days. Voriconazole therapy is to be given for 6-12 weeks.

Voriconazole and Anidulafungin Combination

Anidulafungin 3 mg/kg IV load q24h x 24h (maximum 200 mg), then 1.5 mg/kg q24h (maximum 100 mg). Anidulafungin therapy is to be given for 2-4 weeks in combination with voriconazole.

Voriconazole and Anidulafungin Combination

Eligibility Criteria

Age2 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Diagnosis of proven, probable, or possible invasive aspergillosis.
  • Hematologic malignancy or allogeneic hematopoetic stem cell transplant.

You may not qualify if:

  • Sarcoidosis, aspergilloma, or allergic bronchopulmonary aspergillosis.
  • Chronic invasive aspergillosis.
  • Receipt of antifungal treatment for more than 96 hours.
  • Severe liver dysfunction.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Conditions

AspergillosisInvasive Pulmonary AspergillosisNeuroaspergillosis

Interventions

VoriconazoleAnidulafungin

Condition Hierarchy (Ancestors)

MycosesBacterial Infections and MycosesInfectionsPulmonary AspergillosisInvasive Fungal InfectionsLung Diseases, FungalLung DiseasesRespiratory Tract DiseasesCentral Nervous System Fungal InfectionsCentral Nervous System InfectionsCentral Nervous System DiseasesNervous System Diseases

Intervention Hierarchy (Ancestors)

TriazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsEchinocandinsPeptides, CyclicPeptidesAmino Acids, Peptides, and Proteins

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR
0

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 24, 2010

First Posted

August 25, 2010

Study Start

May 1, 2012

Primary Completion

August 1, 2014

Study Completion

August 1, 2014

Last Updated

May 11, 2012

Record last verified: 2012-05