Trial Outcomes & Findings for A Multicenter, Randomized, Double-Blind, Comparative Study to Evaluate the Safety, Tolerability, and Efficacy of 2 Dosing Regimens of an Antifungal Drug in the Treatment of Fungal Infections in Adults (0991-801)(COMPLETED) (NCT NCT00250432)

NCT ID: NCT00250432

Last Updated: 2017-03-24

Results Overview

Number of patients with at least 1 significant drug-related adverse event (serious drug-related or drug-related adverse events leading to caspofungin discontinuation) while on caspofungin study therapy or during the immediate 14-day post-caspofungin therapy period.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

204 participants

Primary outcome timeframe

90 Days

Results posted on

2017-03-24

Participant Flow

This was a Phase III study. The first patient was enrolled (FPE) on 13-Jan-2006. The last patient's last visit (LPLV) was on 13-Mar-2008. A total of 38 inpatient centers were involved in the recruitment worldwide (14 in the United States, 13 in the European Union, 7 in Central or South America, and 4 in Asia)

Participant milestones

Participant milestones
Measure
Caspofungin 70/50 mg
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
Caspofungin 150 mg IV daily
Overall Study
STARTED
104
100
Overall Study
COMPLETED
59
53
Overall Study
NOT COMPLETED
45
47

Reasons for withdrawal

Reasons for withdrawal
Measure
Caspofungin 70/50 mg
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
Caspofungin 150 mg IV daily
Overall Study
Adverse Event
25
29
Overall Study
Lack of Efficacy
2
1
Overall Study
Lost to Follow-up
6
5
Overall Study
Patient Moved
0
1
Overall Study
Protocol Violation
0
3
Overall Study
Withdrawal by Subject
6
2
Overall Study
Pt died out of posttherapy report period
6
5
Overall Study
Pt was considered untreatable
0
1

Baseline Characteristics

A Multicenter, Randomized, Double-Blind, Comparative Study to Evaluate the Safety, Tolerability, and Efficacy of 2 Dosing Regimens of an Antifungal Drug in the Treatment of Fungal Infections in Adults (0991-801)(COMPLETED)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Caspofungin 70/50 mg
n=104 Participants
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
n=100 Participants
Caspofungin 150 mg IV daily
Total
n=204 Participants
Total of all reporting groups
Age, Continuous
56.0 years
n=5 Participants
57.8 years
n=7 Participants
56.9 years
n=5 Participants
Sex: Female, Male
Female
50 Participants
n=5 Participants
40 Participants
n=7 Participants
90 Participants
n=5 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
60 Participants
n=7 Participants
114 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
70 participants
n=5 Participants
65 participants
n=7 Participants
135 participants
n=5 Participants
Race/Ethnicity, Customized
Black
11 participants
n=5 Participants
12 participants
n=7 Participants
23 participants
n=5 Participants
Race/Ethnicity, Customized
Asian
17 participants
n=5 Participants
16 participants
n=7 Participants
33 participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
4 participants
n=5 Participants
5 participants
n=7 Participants
9 participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
Site Of Invasive Candida Infection
Abscess(involving an intra-abdominal site)
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Site Of Invasive Candida Infection
Abscess (involving a non-abdominal site)
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Site Of Invasive Candida Infection
Acute disseminated candidiasis or multiple sites
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Site Of Invasive Candida Infection
Blood (candidemia)
91 Participants
n=5 Participants
81 Participants
n=7 Participants
172 Participants
n=5 Participants
Site Of Invasive Candida Infection
Chronic disseminated candidiasis (hepatosplenic)
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Site Of Invasive Candida Infection
Fungemia (non Candida)
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Site Of Invasive Candida Infection
Kidney (Pyelonephritis)
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Site Of Invasive Candida Infection
Lung (Pneumonia)
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Site Of Invasive Candida Infection
Peritoneal fluid (Peritonitis)
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Site Of Invasive Candida Infection
Pleural fluid (Empyema)
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
APACHE II Score (at Study Entry)
16.5 Units on a Scale
n=5 Participants
17.0 Units on a Scale
n=7 Participants
16.8 Units on a Scale
n=5 Participants

PRIMARY outcome

Timeframe: 90 Days

Population: All patients as treated population

Number of patients with at least 1 significant drug-related adverse event (serious drug-related or drug-related adverse events leading to caspofungin discontinuation) while on caspofungin study therapy or during the immediate 14-day post-caspofungin therapy period.

Outcome measures

Outcome measures
Measure
Caspofungin 70/50 mg
n=104 Participants
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
n=100 Participants
Caspofungin 150 mg IV daily
Number of Patients Who Develop Significant Drug-related Adverse Events.
2 Participants
3 Participants

SECONDARY outcome

Timeframe: 90 Days

Population: Full Analysis Set (FAS): Included those patients who received at least 1 full dose of caspofungin study therapy and had a documented diagnosis of invasive candidiasis from a sterile, invasive body site, as defined in the protocol.

Number of patients with a favorable overall response, defined as a clinical response of "cure" or "apparent cure" along with a microbiological response of "eradication" or "presumptive eradication" at the End of Caspofungin Therapy.

Outcome measures

Outcome measures
Measure
Caspofungin 70/50 mg
n=102 Participants
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
n=95 Participants
Caspofungin 150 mg IV daily
Number of Patients With a Favorable Overall Response.
73 Participants
74 Participants

Adverse Events

Caspofungin 70/50 mg

Serious events: 46 serious events
Other events: 69 other events
Deaths: 0 deaths

Caspofungin 150 mg

Serious events: 44 serious events
Other events: 70 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Caspofungin 70/50 mg
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
Caspofungin 150 mg IV daily
Blood and lymphatic system disorders
Leukopenia
0.00%
0/104
1.0%
1/100
Cardiac disorders
Acute Myocardial Infarction
0.96%
1/104
0.00%
0/100
Cardiac disorders
Arrhythmia
0.00%
0/104
1.0%
1/100
Cardiac disorders
Atrioventricular Block
0.00%
0/104
1.0%
1/100
Cardiac disorders
Atrioventricular Block Complete
0.96%
1/104
0.00%
0/100
Cardiac disorders
Bradycardia
0.00%
0/104
1.0%
1/100
Cardiac disorders
Cardiac Arrest
0.96%
1/104
1.0%
1/100
Cardiac disorders
Cardiac Failure Congestive
0.00%
0/104
1.0%
1/100
Cardiac disorders
Cardio-Respiratory Arrest
1.9%
2/104
0.00%
0/100
Cardiac disorders
Electromechanical Disorder
0.96%
1/104
0.00%
0/100
Gastrointestinal disorders
Gastrointestinal Haemorrhage
0.96%
1/104
1.0%
1/100
Gastrointestinal disorders
Gastrointestinal Ulcer Perforation
0.00%
0/104
1.0%
1/100
Gastrointestinal disorders
Haematemesis
0.96%
1/104
0.00%
0/100
Gastrointestinal disorders
Intestinal Obstruction
0.00%
0/104
1.0%
1/100
Gastrointestinal disorders
Intra-Abdominal Haemorrhage
0.00%
0/104
1.0%
1/100
Gastrointestinal disorders
Lower Gastrointestinal Haemorrhage
0.96%
1/104
0.00%
0/100
Gastrointestinal disorders
Peritoneal Haemorrhage
0.00%
0/104
1.0%
1/100
Gastrointestinal disorders
Vomiting
0.96%
1/104
0.00%
0/100
General disorders
Brain Death
0.96%
1/104
0.00%
0/100
General disorders
Death
1.9%
2/104
0.00%
0/100
General disorders
General Physical Health Deterioration
0.96%
1/104
0.00%
0/100
General disorders
Multi-Organ Failure
4.8%
5/104
4.0%
4/100
General disorders
Non-Cardiac Chest Pain
0.96%
1/104
0.00%
0/100
General disorders
Pyrexia
0.96%
1/104
0.00%
0/100
General disorders
Systemic Inflammatory Response Syndrome
0.00%
0/104
1.0%
1/100
Hepatobiliary disorders
Hepatitis Toxic
0.00%
0/104
1.0%
1/100
Hepatobiliary disorders
Hyperbilirubinaemia
0.00%
0/104
1.0%
1/100
Hepatobiliary disorders
Jaundice Cholestatic
0.96%
1/104
0.00%
0/100
Infections and infestations
Abdominal Sepsis
0.00%
0/104
2.0%
2/100
Infections and infestations
Bacteraemia
1.9%
2/104
0.00%
0/100
Infections and infestations
Cellulitis
1.9%
2/104
0.00%
0/100
Infections and infestations
Cholecystitis Infective
0.00%
0/104
1.0%
1/100
Infections and infestations
Clostridial Infection
0.96%
1/104
0.00%
0/100
Infections and infestations
Enterococcal Bacteraemia
0.00%
0/104
2.0%
2/100
Infections and infestations
Fungaemia
1.9%
2/104
0.00%
0/100
Infections and infestations
Fungal Sepsis
0.00%
0/104
1.0%
1/100
Infections and infestations
Klebsiella Bacteraemia
0.00%
0/104
1.0%
1/100
Infections and infestations
Lower Respiratory Tract Infection
0.00%
0/104
1.0%
1/100
Infections and infestations
Meningitis Aseptic
0.96%
1/104
0.00%
0/100
Infections and infestations
Pneumonia
2.9%
3/104
4.0%
4/100
Infections and infestations
Pneumonia Staphylococcal
0.96%
1/104
0.00%
0/100
Infections and infestations
Pseudomonal Bacteraemia
0.00%
0/104
1.0%
1/100
Infections and infestations
Sepsis
4.8%
5/104
6.0%
6/100
Infections and infestations
Septic Shock
11.5%
12/104
13.0%
13/100
Infections and infestations
Stenotrophomonas Infection
0.00%
0/104
1.0%
1/100
Infections and infestations
Systemic Candida
0.96%
1/104
1.0%
1/100
Infections and infestations
Urosepsis
0.00%
0/104
1.0%
1/100
Infections and infestations
Wound Infection
0.96%
1/104
0.00%
0/100
Injury, poisoning and procedural complications
Accidental Overdose
0.00%
0/104
1.0%
1/100
Injury, poisoning and procedural complications
Tracheal Obstruction
0.00%
0/104
1.0%
1/100
Musculoskeletal and connective tissue disorders
Joint Swelling
0.00%
0/104
1.0%
1/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Adenocarcinoma
0.00%
0/104
1.0%
1/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Chronic Myeloid Leukaemia
0.96%
1/104
0.00%
0/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon Cancer Metastatic
0.00%
0/104
1.0%
1/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases To Lung
0.96%
1/104
0.00%
0/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary Cancer Metastatic
0.96%
1/104
0.00%
0/100
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour Necrosis
0.96%
1/104
0.00%
0/100
Nervous system disorders
Cerebral Haematoma
0.96%
1/104
0.00%
0/100
Nervous system disorders
Convulsion
1.9%
2/104
0.00%
0/100
Nervous system disorders
Myasthenia Gravis
0.00%
0/104
1.0%
1/100
Nervous system disorders
Partial Seizures
0.00%
0/104
1.0%
1/100
Renal and urinary disorders
Oliguria
0.00%
0/104
1.0%
1/100
Renal and urinary disorders
Renal Failure Acute
1.9%
2/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Acute Pulmonary Oedema
0.96%
1/104
0.00%
0/100
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Distress Syndrome
1.9%
2/104
3.0%
3/100
Respiratory, thoracic and mediastinal disorders
Acute Respiratory Failure
0.96%
1/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Hypercapnia
0.96%
1/104
0.00%
0/100
Respiratory, thoracic and mediastinal disorders
Lung Infiltration
0.00%
0/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
0.00%
0/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Pneumonia Aspiration
0.96%
1/104
0.00%
0/100
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.96%
1/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Pulmonary Oedema
0.00%
0/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Respiratory Arrest
1.9%
2/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Respiratory Disorder
0.00%
0/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Respiratory Failure
5.8%
6/104
1.0%
1/100
Vascular disorders
Haemodynamic Instability
0.00%
0/104
1.0%
1/100
Vascular disorders
Peripheral Vascular Disorder
0.00%
0/104
1.0%
1/100
Vascular disorders
Shock Haemorrhage
0.00%
0/104
1.0%
1/100
Vascular disorders
Venous Thrombosis Limb
0.96%
1/104
0.00%
0/100

Other adverse events

Other adverse events
Measure
Caspofungin 70/50 mg
Caspofungin 50 mg IV daily (following a 70-mg IV loading dose on Day 1)
Caspofungin 150 mg
Caspofungin 150 mg IV daily
Blood and lymphatic system disorders
Anaemia
2.9%
3/104
4.0%
4/100
Cardiac disorders
Atrial Fibrillation
0.00%
0/104
3.0%
3/100
Cardiac disorders
Bradycardia
1.9%
2/104
2.0%
2/100
Cardiac disorders
Tachycardia
0.96%
1/104
2.0%
2/100
Cardiac disorders
Ventricular Tachycardia
2.9%
3/104
2.0%
2/100
Endocrine disorders
Adrenal Insufficiency
0.00%
0/104
2.0%
2/100
Gastrointestinal disorders
Abdominal Pain
2.9%
3/104
0.00%
0/100
Gastrointestinal disorders
Abdominal Pain Upper
1.9%
2/104
3.0%
3/100
Gastrointestinal disorders
Constipation
2.9%
3/104
3.0%
3/100
Gastrointestinal disorders
Diarrhea
5.8%
6/104
7.0%
7/100
Gastrointestinal disorders
Gastrointestinal Hemorrhage
0.96%
1/104
2.0%
2/100
Gastrointestinal disorders
Haematemesis
0.00%
0/104
2.0%
2/100
Gastrointestinal disorders
Ileus
2.9%
3/104
1.0%
1/100
Gastrointestinal disorders
Nausea
4.8%
5/104
7.0%
7/100
Gastrointestinal disorders
Vomiting
9.6%
10/104
6.0%
6/100
General disorders
Asthenia
1.9%
2/104
3.0%
3/100
General disorders
Chest Pain
0.96%
1/104
2.0%
2/100
General disorders
Generalised Oedema
2.9%
3/104
0.00%
0/100
General disorders
Hypothermia
1.9%
2/104
2.0%
2/100
General disorders
Injection Site Erythema
0.00%
0/104
2.0%
2/100
General disorders
Injection Site Phlebitis
3.8%
4/104
2.0%
2/100
General disorders
Injection Site Swelling
0.96%
1/104
2.0%
2/100
General disorders
Oedema
0.96%
1/104
2.0%
2/100
General disorders
Oedema Peripheral
3.8%
4/104
2.0%
2/100
General disorders
Pyrexia
4.8%
5/104
6.0%
6/100
Hepatobiliary disorders
Jaundice
0.00%
0/104
2.0%
2/100
Infections and infestations
Bacteraemia
2.9%
3/104
2.0%
2/100
Infections and infestations
Empyema
0.96%
1/104
2.0%
2/100
Infections and infestations
Pneumonia
1.9%
2/104
4.0%
4/100
Infections and infestations
Staphylococcal Bacteraemia
2.9%
3/104
4.0%
4/100
Infections and infestations
Urinary Tract Infection
2.9%
3/104
2.0%
2/100
Investigations
Activated Partial Thromboplastin Time Prolonged
0.00%
0/104
2.0%
2/100
Investigations
Alanine Aminotransferase Increased
3.8%
4/104
7.0%
7/100
Investigations
Aspartate Aminotransferase Increased
5.8%
6/104
9.0%
9/100
Investigations
Blood Albumin Decreased
1.9%
2/104
2.0%
2/100
Investigations
Blood Alkaline Phosphatase Increased
11.5%
12/104
9.0%
9/100
Investigations
Blood Bilirubin Increased
2.9%
3/104
2.0%
2/100
Investigations
Blood Calcium Decreased
0.96%
1/104
2.0%
2/100
Investigations
Blood Calcium Increased
0.00%
0/104
2.0%
2/100
Investigations
Blood Chloride Increased
0.00%
0/104
3.0%
3/100
Investigations
Blood Creatinine Increased
2.9%
3/104
3.0%
3/100
Investigations
Blood Glucose Decreased
2.9%
3/104
1.0%
1/100
Investigations
Blood Glucose Increased
0.96%
1/104
3.0%
3/100
Investigations
Blood Magnesium Decreased
3.8%
4/104
4.0%
4/100
Investigations
Blood Phosphorus Decreased
1.9%
2/104
2.0%
2/100
Investigations
Blood Potassium Decreased
5.8%
6/104
8.0%
8/100
Investigations
Blood Potassium Increased
1.9%
2/104
4.0%
4/100
Investigations
Blood Sodium Decreased
0.96%
1/104
3.0%
3/100
Investigations
Blood Sodium Increased
1.9%
2/104
4.0%
4/100
Investigations
Blood Urea Increased
3.8%
4/104
1.0%
1/100
Investigations
Blood Uric Acid Decreased
0.00%
0/104
2.0%
2/100
Investigations
Carbon Dioxide Decreased
0.00%
0/104
2.0%
2/100
Investigations
White Blood Cell Count Increased
0.96%
1/104
3.0%
3/100
Investigations
Hyperglycaemia
1.9%
2/104
3.0%
3/100
Investigations
Hypoglycaemia
0.96%
1/104
3.0%
3/100
Investigations
Hypokalaemia
1.9%
2/104
2.0%
2/100
Musculoskeletal and connective tissue disorders
Arthralgia
0.96%
1/104
3.0%
3/100
Musculoskeletal and connective tissue disorders
Back Pain
0.96%
1/104
2.0%
2/100
Nervous system disorders
Convulsion
2.9%
3/104
0.00%
0/100
Nervous system disorders
Headache
4.8%
5/104
4.0%
4/100
Psychiatric disorders
Agitation
2.9%
3/104
3.0%
3/100
Psychiatric disorders
Confusional State
2.9%
3/104
2.0%
2/100
Psychiatric disorders
Delirium
0.00%
0/104
2.0%
2/100
Psychiatric disorders
Depression
2.9%
3/104
1.0%
1/100
Psychiatric disorders
Insomnia
2.9%
3/104
1.0%
1/100
Renal and urinary disorders
Renal Failure
2.9%
3/104
2.0%
2/100
Renal and urinary disorders
Renal Failure Acute
0.00%
0/104
2.0%
2/100
Reproductive system and breast disorders
Vaginal Discharge
2.9%
3/104
1.0%
1/100
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.96%
1/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Dyspnoea
3.8%
4/104
3.0%
3/100
Respiratory, thoracic and mediastinal disorders
Lung Infiltration
0.00%
0/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Pleural Effusion
1.9%
2/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.00%
0/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Pulmonary Oedema
0.00%
0/104
2.0%
2/100
Respiratory, thoracic and mediastinal disorders
Tachypnoea
2.9%
3/104
1.0%
1/100
Skin and subcutaneous tissue disorders
Decubitus Ulcer
2.9%
3/104
5.0%
5/100
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/104
3.0%
3/100
Skin and subcutaneous tissue disorders
Rash
4.8%
5/104
3.0%
3/100
Vascular disorders
Haematoma
2.9%
3/104
0.00%
0/100
Vascular disorders
Hypertension
4.8%
5/104
6.0%
6/100
Vascular disorders
Hypotension
6.7%
7/104
3.0%
3/100
Vascular disorders
Jugular Vein Thrombosis
0.00%
0/104
2.0%
2/100
Vascular disorders
Phlebitis
2.9%
3/104
1.0%
1/100
Vascular disorders
Venous Thrombosis Limb
0.00%
0/104
3.0%
3/100

Additional Information

Senior Vice President, Global Clinical Development

Merck Sharp & Dohme Corp

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Results disclosure agreements

  • Principal investigator is a sponsor employee Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER