Micafungin Versus Intravenous Itraconazole as Empirical Antifungal Therapy for Febrile Neutropenic Patients With Hematological Diseases
A Randomized Phase II, Multi-center, Non-inferiority Clinical Trial for Efficacy and Safety of Micafungin Versus Intravenous Itraconazole as Empirical Antifungal Therapy for Febrile Neutropenic Patients With Hematological Diseases
1 other identifier
interventional
153
1 country
7
Brief Summary
This study of chemotherapy occurred during the neutropenic fever in patients with antibiotic refractory fever. The investigators evaluate efficacy and safety of micafungin sodium (mycamine ® Injection) 100mg dose compare to itraconazole (Sporanox ® Injection) 200mg as a control and this study is prospective, randomized, non-inferiority trials. Therefore, this study was planned for review of the safety and efficacy in korean patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jun 2011
7 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
April 25, 2011
CompletedFirst Posted
Study publicly available on registry
April 29, 2011
CompletedStudy Start
First participant enrolled
June 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedDecember 8, 2014
December 1, 2014
2.8 years
April 25, 2011
December 4, 2014
Conditions
Outcome Measures
Primary Outcomes (1)
Responses to therapy
1. definition of 'treatment success': (5 Items to meet all your success) * Within 7 days after stopping study medication if there is no fungal infection * 7 days after stopping study medication if you are alive * Neutropenia period of serious adverse events or lack of effective medication is not stopped * If fever during neutropenia (temperature \<37.5 ℃) * Treatment until the end of the existing fungal infection is treated completely or partially 2. definition of 'treatment failure': - If you failed any of 5 Items in 'treatment success'
7 days after stopping study medication
Study Arms (2)
Arm A
EXPERIMENTALMicafungin sodium
Arm B
ACTIVE COMPARATORItraconazole
Interventions
1. Treatment period (active treatment): an average 14 days 2. Dosage: \- Study Drug: Micafungin sodium (mycamine ® injections 50mg/vial) 2 vials (100mg / day) 3. Administration Method: * Study Drug: 3-5 days after fever begins. Infusion one time a day (one hour). Termination of treatment after maintaining fever for three days or the recovery of neutrophils with no fever.
1. Treatment period (active treatment): an average 14 days 2. Dosage: \- Active Comparator: Itraconazole (Sporanox ® injection) 200 mg 2 times(400mg / day) 3. Administration Method: * Active Comparator: 200 mg two times(400 mg) a day, total of 4 times for 2 days and then one times (200 mg) a day for 12 days. Termination of treatment after keeping fever for three days or the recovery of neutrophils with no fever.
Eligibility Criteria
You may qualify if:
- The male and female patients over 18 years
- To participate in clinical trials and voluntary written consent requirement to comply with a patient
- Chemotherapy with a variety of hematologic malignancies or patients undergoing stem cell transplantation
- Fever (temperature ≥ 38.4 ℃) showing Neutropenia (absolute neutrophil count \<500/mm3) patients
- Combined antibiotic therapy 72 hours after the expiration of term lasts three patients
You may not qualify if:
- Of clinical trials of breast-feeding or pregnant women of childbearing age with intent to
- Adapted species (candida genus, aspergillus genus) Colitis caused by fungi other than the patients with fungal infection
- HIV-positive patient serum
- This test within 30 days of assignment to the other patients participating in clinical trials
- Within 72 hours of registration before the patients treated with systemic antifungal agents
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Dong-A Medical Center
Busan, South Korea
Severance Hospital
Seoul, 120-752, South Korea
Korea University Guro Hospital
Seoul, 152-703, South Korea
ASAN Medical Center
Seoul, South Korea
Ewha Womans University Mokdong Hospital
Seoul, South Korea
Samsung Medical Center
Seoul, South Korea
Ajou University Medical Center
Suwon, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 25, 2011
First Posted
April 29, 2011
Study Start
June 1, 2011
Primary Completion
March 1, 2014
Study Completion
March 1, 2014
Last Updated
December 8, 2014
Record last verified: 2014-12