Micafungin Versus Fluconazole for Prevention of Invasive Fungal Disease in Living Donor Liver Transplant Recipients
KOPIN
Randomized, Open Label, Non-inferiority Study of Micafungin Versus Fluconazole for the Korean Prevention of Invasive Fungal Disease in Living Donor Liver Transplant Recipients
1 other identifier
interventional
172
1 country
1
Brief Summary
The purpose of this study is to demonstrate non-inferiority of micafungin at a dose of 100 mg/day versus fluconzeole for the prevention of Invasive Fungal Disease, defined according to the revised EORTC/MSG criteria, undergoing living-donor liver transplantation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Aug 2012
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 18, 2013
CompletedFirst Posted
Study publicly available on registry
November 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedNovember 1, 2013
October 1, 2013
1.8 years
October 18, 2013
October 27, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prevention of invasive fungal disease
To demonstrate non-inferiority of micafungin at a dose of 100 mg/day versus fluconzeole for the prevention of Invasive Fungal Disease, defined according to the revised EORTC/MSG criteria, undergoing living-donor liver transplantation. 'Clinical success' at the End of Prophylaxis as assessed by the investigator. Absence of a 'proven' or 'probable' IFD AND No initiation of antifungal treatment (additional antifungal medication or increase in the dose of the study drug due to lack of efficacy)
6 months
Secondary Outcomes (6)
no events of proven/probable IFD
6 months
ime to proven/probable IFD
6 months
fungal-free survival
6 months
incidence of superficial mycosis infection and colonization
6 months
saftey by variables
6 months
- +1 more secondary outcomes
Study Arms (2)
micafungin
EXPERIMENTALmicafungin sodium IV (Mycamine®)
Fluconazole
ACTIVE COMPARATORFluconazole IV (use same brand in each hospital)
Interventions
Micafungin 100 mg/day intravenous (2.0 mg/kg/day in subjects weighing \<40 kg)
Fluconazole 100\~200mg/day, IV care until oral medication becomes possible
Eligibility Criteria
You may qualify if:
- Age \> 20 years.
- Undergoing Living Donor Liver Transplantation(LDLT)
You may not qualify if:
- Any systemic antifungal therapy (excluding fluconazole or SDD for a maximum of 7 days) within 14 days prior to randomization.
- Evidence of documented ('proven' or 'probable') or suspected ('possible') IFD (according to the EORTC/MSG criteria).
- Allergy, hypersensitivity, or any serious reaction to an echinocandin antifungal, or any of the study drugs or their excipients.
- Reimplantation or orthotopic transplantation patient.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Asan Medical Center
Seoul, Seoul, 138-736, South Korea
Related Publications (1)
Kang WH, Song GW, Lee SG, Suh KS, Lee KW, Yi NJ, Joh JW, Kwon CHD, Kim JM, Choi DL, Kim JD, Kim MS. A Multicenter, Randomized, Open-Label Study to Compare Micafungin with Fluconazole in the Prophylaxis of Invasive Fungal Infections in Living-Donor Liver Transplant Recipients. J Gastrointest Surg. 2020 Apr;24(4):832-840. doi: 10.1007/s11605-019-04241-w. Epub 2019 May 7.
PMID: 31066013DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
SUNG-GYU LEE, Professor
Asan Medical Center
- PRINCIPAL INVESTIGATOR
Giwon Song, Professor
Asan Medical Center
- PRINCIPAL INVESTIGATOR
Namjoon Lee, Professor
Seoul National University
- PRINCIPAL INVESTIGATOR
Jaewon Joh, Professor
Samsung Medical Center
- PRINCIPAL INVESTIGATOR
Dong-Lak Choi, Professor
Daegu Catholic University Medical Center
- PRINCIPAL INVESTIGATOR
Myung Soo Kim, professor
Severance Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.
Study Record Dates
First Submitted
October 18, 2013
First Posted
November 1, 2013
Study Start
August 1, 2012
Primary Completion
June 1, 2014
Study Completion
December 1, 2014
Last Updated
November 1, 2013
Record last verified: 2013-10