Caspofungin as Prophylaxis in High Risk Liver Transplantation Recipients
CPHRLTX
Pilot Study: Efficacy of Caspofungin for Antifungal Prophylaxis for Selected High Risk Liver Transplant Patients
2 other identifiers
interventional
38
1 country
1
Brief Summary
The aim of the study is to determine viable use of caspofungin in post-OLTx patients, and to demonstrate in particular the effectiveness, understood as the ability to reduce the incidence of invasive fungal infections, and to assess the ability to reduce the risk and incidence of side effects (toxicity) which may arise in transplant patients treated with other drugs, especially in individuals recognized as high risk (e.g. renal failure).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started May 2009
Typical duration for phase_2
1 active site
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
Study Start
First participant enrolled
May 1, 2009
CompletedFirst Submitted
Initial submission to the registry
December 15, 2010
CompletedFirst Posted
Study publicly available on registry
December 16, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2012
CompletedJuly 18, 2012
July 1, 2012
3.5 years
December 15, 2010
July 17, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Invasive Fungal Infection Free follow-up
Invasive Fungal Infection free control 1 month after beginning treatment.
1 month
Secondary Outcomes (4)
Tolerance to treatment.
3 months
Study group mortality
3 months
Study group morbidity
3 months
Invasive Fungal Infection-free percentage of study group
1 month
Study Arms (1)
Caspofungin
EXPERIMENTALStudy group
Interventions
50mg/dd for 21dd, starting within 24h from Liver Transplantation.
Eligibility Criteria
You may qualify if:
- patients shortlisted for liver transplantation
- negative pregnancy test for fertile female patients 7 days prior enrollment
- patients who can adequately communicate with study responsibles, who can understand and answer to protocol requirements
- At least one of the following criteria:
- MELD score ≥25
- liver transplantation for acute liver failure
- liver re-transplantation
- fever without bacterial or viral infection
- biliodigestive
- re-laparatomy after LTx
- post LTx pancreatitis
- post LTx dialysis or renal insufficiency
You may not qualify if:
- Patients enrolled in other clinical trial or those having received other experimental drugs 4 weeks prior to enrollment
- Patients with a known fungal infection (based on the EORTC/MSG criteria)
- Patients with history of hypersensitivity to the drug, or other counterindications
- Patients with a diagnosed Severe Hepatic insufficiency (CTP \>9)
- Physical or hematochemical alterations
- Clinically relevant psychological alterations in the 2 weeks preceding enrollment such as to interfere, in the researchers opinion, with the goal of the study
- Patients being treated with Ciclosporin A
- Subjects being removed from the trial shall be replaced.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Azienda Ospedaliera di Padovalead
- Merck Sharp & Dohme LLCcollaborator
Study Sites (1)
Azienda Ospedaliera di Padova
Padua, Padova, 35128, Italy
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Umberto Cillo, MD
Azienda Ospedaliera Universitaria di Padova
- PRINCIPAL INVESTIGATOR
Daniele Neri, MD
Azienda Ospedaliera Universitaria di Padova
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Director of the Hepatobiliary Surgery and Liver Transplantation Unit
Study Record Dates
First Submitted
December 15, 2010
First Posted
December 16, 2010
Study Start
May 1, 2009
Primary Completion
November 1, 2012
Study Completion
November 1, 2012
Last Updated
July 18, 2012
Record last verified: 2012-07