Trial Outcomes & Findings for Voriconazole Versus Itraconazole In Primary Prophylaxis Of Invasive Fungal Infection (IFI) In Subjects With Allogeneic Hematopoietic Stem Cell Transplants (HSCT) (NCT NCT00289991)

NCT ID: NCT00289991

Last Updated: 2015-11-20

Results Overview

Percent of responders (by randomization strata) with success of antifungal prophylaxis at 180 days after allogeneic hematopoietic stem cell transplant (HSCT). Success: alive at Day 180 (Visit 9), had not developed a breakthrough proven or probable invasive fungal infection (IFI) by Visit 9, and received full course of study drug prophylaxis without interruption of greater than 14 days in total during the prophylaxis period; defined as failure if these criteria were not met. Additionally, if subject withdrew from study completely before Visit 9, imputed as failure at Visit 9 (programmatically).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

489 participants

Primary outcome timeframe

Day 180 (Visit 9)

Results posted on

2015-11-20

Participant Flow

Subjects were stratified at the time of randomization by the following factors: conditioning regimen (myeloablative or non-myeloablative); relatedness of donor (matched/related or mismatched/unrelated).

Participant milestones

Participant milestones
Measure
Voriconazole
Voriconazole (tablet or powder for oral suspension) loading dose regimen intravenous (IV) for first 24 hours: 6 milligrams per kilogram (mg/kg) of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) twice daily (BID) or 200 mg tablet or powder for oral suspension by mouth (PO) BID (subjects greater than or equal to \[≥\] 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects less than \[\<\] 40 kg body weight).
Itraconazole
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Overall Study
STARTED
234
255
Overall Study
COMPLETED
176
175
Overall Study
NOT COMPLETED
58
80

Reasons for withdrawal

Reasons for withdrawal
Measure
Voriconazole
Voriconazole (tablet or powder for oral suspension) loading dose regimen intravenous (IV) for first 24 hours: 6 milligrams per kilogram (mg/kg) of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) twice daily (BID) or 200 mg tablet or powder for oral suspension by mouth (PO) BID (subjects greater than or equal to \[≥\] 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects less than \[\<\] 40 kg body weight).
Itraconazole
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Overall Study
Death
35
38
Overall Study
Adverse Event
15
13
Overall Study
Failure of prophylaxis
1
1
Overall Study
Fungal breakthrough infection
0
1
Overall Study
Lost to Follow-up
0
1
Overall Study
Withdrawal by Subject
2
12
Overall Study
Other
5
14

Baseline Characteristics

Voriconazole Versus Itraconazole In Primary Prophylaxis Of Invasive Fungal Infection (IFI) In Subjects With Allogeneic Hematopoietic Stem Cell Transplants (HSCT)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Voriconazole
n=234 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=255 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Total
n=489 Participants
Total of all reporting groups
Age, Customized
<18 years
9 participants
n=5 Participants
11 participants
n=7 Participants
20 participants
n=5 Participants
Age, Customized
Between 18 and 44 years
106 participants
n=5 Participants
119 participants
n=7 Participants
225 participants
n=5 Participants
Age, Customized
Between 45 and 64 years
104 participants
n=5 Participants
115 participants
n=7 Participants
219 participants
n=5 Participants
Age, Customized
>=65 years
15 participants
n=5 Participants
10 participants
n=7 Participants
25 participants
n=5 Participants
Age, Continuous
43.3 years
STANDARD_DEVIATION 14.4 • n=5 Participants
42.7 years
STANDARD_DEVIATION 14.6 • n=7 Participants
43.0 years
STANDARD_DEVIATION 14.5 • n=5 Participants
Sex: Female, Male
Female
96 Participants
n=5 Participants
100 Participants
n=7 Participants
196 Participants
n=5 Participants
Sex: Female, Male
Male
138 Participants
n=5 Participants
155 Participants
n=7 Participants
293 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 180 (Visit 9)

Population: Modified Intent to Treat (MITT): primary analysis population; all randomized subjects: received at least 1 dose of randomized study drug and had allogeneic HSCT; data from 1 site excluded due to Good Clinical Practice (GCP) deviations; (n)=number of subjects with analyzable data at observation for voriconazole and itraconazole, respectively.

Percent of responders (by randomization strata) with success of antifungal prophylaxis at 180 days after allogeneic hematopoietic stem cell transplant (HSCT). Success: alive at Day 180 (Visit 9), had not developed a breakthrough proven or probable invasive fungal infection (IFI) by Visit 9, and received full course of study drug prophylaxis without interruption of greater than 14 days in total during the prophylaxis period; defined as failure if these criteria were not met. Additionally, if subject withdrew from study completely before Visit 9, imputed as failure at Visit 9 (programmatically).

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Success at Day 180: Percent of Responders (Randomization Strata)
Myeloablative/mismatched unrelated (n=59, 58)
52.5 percent of participants
25.9 percent of participants
Success at Day 180: Percent of Responders (Randomization Strata)
Non-myeloablative/matched related (n=58, 57)
34.5 percent of participants
28.1 percent of participants
Success at Day 180: Percent of Responders (Randomization Strata)
Non-myeloablative/mismatched unrelated (n=41, 41)
46.3 percent of participants
26.8 percent of participants
Success at Day 180: Percent of Responders (Randomization Strata)
Myeloablative/matched related (n=66, 85)
59.1 percent of participants
44.7 percent of participants

SECONDARY outcome

Timeframe: Day 100 (Visit 7)

Population: MITT; data from 1 site excluded due to GCP deviations; (n)=number of subjects with analyzable data at observation for voriconazole and itraconazole, respectively.

Percent of responders (by randomization strata) with success of antifungal prophylaxis at 100 days after allogeneic HSCT. Success defined as: alive at Day 100 (Visit 7), had not developed a breakthrough proven or probable IFI by Visit 7, and received full course of study drug prophylaxis without an interruption of \>14 days in total during the prophylaxis period; defined as failure if these criteria were not met. Additionally, if subject withdrew from study completely before Visit 7, imputed as failure at Visit 7 (programmatically).

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Success at Day 100: Percent of Responders (Randomization Strata)
Myeloablative/mismatched unrelated (n=59, 58)
55.9 percent of participants
27.6 percent of participants
Success at Day 100: Percent of Responders (Randomization Strata)
Non-myeloablative/mismatched unrelated (n=41, 41)
48.8 percent of participants
36.6 percent of participants
Success at Day 100: Percent of Responders (Randomization Strata)
Myeloablative/matched related (n=66, 85)
65.2 percent of participants
50.6 percent of participants
Success at Day 100: Percent of Responders (Randomization Strata)
Non-myeloablative/matched related (n=58, 57)
43.1 percent of participants
38.6 percent of participants

SECONDARY outcome

Timeframe: Day 1 up to Day 180 (Visit 9)

Population: MITT; data from 1 site excluded due to GCP deviations. Analysis excludes additional data on IFIs that were only captured on European Organization for Research and Treatment of Cancer/Mycoses Study Group (EORTC/MSG) worksheets (not on Case Report Forms or in the database). Times were summarized only for subjects who experienced a breakthrough IFI.

Summary of time (in days) from start of prophylaxis to first recorded occurrence of breakthrough proven or probable IFI.

Outcome measures

Outcome measures
Measure
Voriconazole
n=3 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=4 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Time to Breakthrough Invasive Fungal Infection (IFI)
119.0 days
95% Confidence Interval 28.58 • Interval 48.0 to 190.0
77.0 days
95% Confidence Interval 77.08 • Interval 0.0 to 199.6

SECONDARY outcome

Timeframe: Day 1 up to Day 100 (Visit 7) and Day 180 (Visit 9)

Population: MITT; data from 1 site excluded due to GCP deviations. Analysis excludes additional data on IFIs that were only captured on EORTC/MSG worksheets (not on Case Report Forms or in the database).

Percent of subjects with occurrence of breakthrough IFI (proven or probable). Included all subjects in the MITT population.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Percent of Subjects With Occurrence of Breakthrough IFI
Day 100
0.9 percent of participants
1.2 percent of participants
Percent of Subjects With Occurrence of Breakthrough IFI
Day 180
1.3 percent of participants
1.7 percent of participants

SECONDARY outcome

Timeframe: Day 1 up to Day 180 (Visit 9)

Population: MITT; data from 1 site excluded due to GCP deviations. Analysis does not include any deaths recorded in the long-term follow-up data (not available at time of analysis).

Percent of subjects who died at or before Day 180, derived from the crude death rate. All subjects in the MITT population included in this proportion.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Survival: Percent of Subjects Who Died at or Before Day 180
15.6 percent of participants
15.4 percent of participants

SECONDARY outcome

Timeframe: Day 1 up to Day 180 (Visit 9)

Population: MITT; data from 1 site excluded due to GCP deviations.

Time in days to discontinuation of study treatment defined as the number of days from first dose to last dose inclusive as recorded in the dosing log.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Time to Discontinuation of Study Treatment
88.7 days
95% Confidence Interval 61.41 • Interval 80.6 to 96.8
71.5 days
95% Confidence Interval 52.21 • Interval 64.9 to 78.2

SECONDARY outcome

Timeframe: Day 1 up to 1 year (Day 365)

Population: MITT; data from 1 site excluded due to GCP deviations. Typically, subjects received first dose study treatment on the day of their transplant; however, some subjects started treatment up to 48 hours after transplant. Data summarized with first day of study medication defined as Day 1.

Percent of subjects who died within 1 year after transplant, derived from the crude death rate. All subjects in the MITT population included in this proportion. Only deaths up until and including 365 days after first dose of study medication included in the analysis.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Survival: Percent of Subjects Who Died Within 1 Year
25.9 percent of participants
30.7 percent of participants

SECONDARY outcome

Timeframe: Day 1 up to Day 180

Population: MITT; data from 1 site excluded due to GCP deviations.

Median duration in days of treatment. Treatment is defined as the total number of days on which subjects took medication.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Duration of Treatment
96.0 days
Interval 1.0 to 258.0
68.0 days
Interval 3.0 to 223.0

SECONDARY outcome

Timeframe: Day 1 up to Day 180

Population: MITT; data from 1 site excluded due to GCP deviations. Subjects who developed a breakthrough proven or probable IFI were identified only from the study database, not the EORTC/MSG worksheet. In addition, all agents identified to be antifungals were considered to be systemic.

Percent of subjects who used other systemic antifungal agents as empirical or therapeutic treatment, defined as either empirical: subject took a systemic antifungal agent at any time after the day of first dose of medication and did not develop a breakthrough proven or probable IFI during the study or therapeutic: subject developed a breakthrough proven or probable IFI.

Outcome measures

Outcome measures
Measure
Voriconazole
n=224 Participants
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=241 Participants
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Percent of Subjects With Use of Other Systemic Antifungal Agents as Empirical or Therapeutic Treatment
40.6 percent of participants
49.4 percent of participants

Adverse Events

Voriconazole

Serious events: 111 serious events
Other events: 228 other events
Deaths: 0 deaths

Itraconazole

Serious events: 95 serious events
Other events: 252 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Voriconazole
n=234 participants at risk
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=255 participants at risk
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Blood and lymphatic system disorders
Anaemia
0.43%
1/234
0.00%
0/255
Blood and lymphatic system disorders
Bone marrow failure
0.00%
0/234
0.39%
1/255
Blood and lymphatic system disorders
Pancytopenia
1.3%
3/234
0.78%
2/255
Blood and lymphatic system disorders
Haemolysis
0.43%
1/234
0.00%
0/255
Blood and lymphatic system disorders
Autoimmune thrombocytopenia
0.43%
1/234
0.00%
0/255
Blood and lymphatic system disorders
Thrombocytopenia
0.43%
1/234
0.00%
0/255
Blood and lymphatic system disorders
Febrile neutropenia
0.85%
2/234
1.6%
4/255
Blood and lymphatic system disorders
Neutropenia
0.43%
1/234
0.00%
0/255
Cardiac disorders
Cardio-respiratory arrest
0.43%
1/234
0.00%
0/255
Cardiac disorders
Supraventricular tachycardia
0.43%
1/234
0.00%
0/255
Cardiac disorders
Tachycardia
0.43%
1/234
0.00%
0/255
Cardiac disorders
Cardiac failure
0.00%
0/234
0.39%
1/255
Cardiac disorders
Cardiopulmonary failure
0.00%
0/234
0.39%
1/255
Eye disorders
Optic ischaemic neuropathy
0.43%
1/234
0.00%
0/255
Eye disorders
Photopsia
0.43%
1/234
0.00%
0/255
Eye disorders
Vision blurred
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Disbacteriosis
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Caecitis
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Colitis
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Oesophagitis
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Diarrhoea
3.4%
8/234
3.5%
9/255
Gastrointestinal disorders
Abdominal pain
0.43%
1/234
0.78%
2/255
Gastrointestinal disorders
Abdominal tenderness
0.43%
1/234
0.00%
0/255
Gastrointestinal disorders
Nausea
0.85%
2/234
2.4%
6/255
Gastrointestinal disorders
Retching
0.00%
0/234
0.39%
1/255
Gastrointestinal disorders
Vomiting
0.43%
1/234
2.7%
7/255
Gastrointestinal disorders
Ileus
0.43%
1/234
0.00%
0/255
Gastrointestinal disorders
Intestinal obstruction
0.00%
0/234
0.39%
1/255
General disorders
Hyperthermia
0.43%
1/234
0.00%
0/255
General disorders
Pyrexia
8.1%
19/234
4.3%
11/255
General disorders
Asthenia
0.00%
0/234
0.39%
1/255
General disorders
Chest pain
0.00%
0/234
0.39%
1/255
General disorders
Chills
0.43%
1/234
0.00%
0/255
General disorders
Disease progression
0.43%
1/234
0.39%
1/255
General disorders
Fatigue
0.00%
0/234
0.78%
2/255
General disorders
General physical health deterioration
0.00%
0/234
0.39%
1/255
General disorders
Mucosal inflammation
0.00%
0/234
0.78%
2/255
General disorders
Multi-organ failure
1.3%
3/234
1.2%
3/255
General disorders
Oedema
0.00%
0/234
0.39%
1/255
General disorders
Pain
0.00%
0/234
0.39%
1/255
General disorders
Performance status decreased
0.00%
0/234
0.39%
1/255
General disorders
Drug intolerance
0.00%
0/234
0.39%
1/255
General disorders
Drug withdrawal syndrome
0.00%
0/234
0.39%
1/255
Hepatobiliary disorders
Biliary colic
0.43%
1/234
0.00%
0/255
Hepatobiliary disorders
Cholecystitis
0.43%
1/234
0.00%
0/255
Hepatobiliary disorders
Cholecystitis acute
0.85%
2/234
0.00%
0/255
Hepatobiliary disorders
Chronic hepatitis
0.43%
1/234
0.00%
0/255
Hepatobiliary disorders
Cytolytic hepatitis
0.43%
1/234
0.39%
1/255
Hepatobiliary disorders
Hepatic function abnormal
0.85%
2/234
0.00%
0/255
Hepatobiliary disorders
Hepatitis toxic
0.43%
1/234
0.00%
0/255
Hepatobiliary disorders
Hepatorenal syndrome
0.43%
1/234
0.00%
0/255
Hepatobiliary disorders
Hepatotoxicity
1.7%
4/234
0.39%
1/255
Hepatobiliary disorders
Hyperbilirubinaemia
0.85%
2/234
0.39%
1/255
Hepatobiliary disorders
Venoocclusive liver disease
0.85%
2/234
0.39%
1/255
Immune system disorders
Acute graft versus host disease
0.85%
2/234
2.7%
7/255
Immune system disorders
Acute graft versus host disease in intestine
2.1%
5/234
2.4%
6/255
Immune system disorders
Acute graft versus host disease in liver
2.1%
5/234
0.39%
1/255
Immune system disorders
Acute graft versus host disease in skin
0.43%
1/234
0.00%
0/255
Immune system disorders
Bone marrow transplant rejection
0.43%
1/234
0.00%
0/255
Immune system disorders
Chronic graft versus host disease
0.43%
1/234
1.2%
3/255
Immune system disorders
Graft versus host disease
3.8%
9/234
3.1%
8/255
Immune system disorders
Transplant rejection
0.00%
0/234
0.39%
1/255
Infections and infestations
Bacterial infection
0.00%
0/234
0.39%
1/255
Infections and infestations
Clostridial infection
0.00%
0/234
0.39%
1/255
Infections and infestations
Clostridium difficile colitis
0.43%
1/234
0.00%
0/255
Infections and infestations
Escherichia sepsis
0.43%
1/234
0.39%
1/255
Infections and infestations
Klebsiella infection
0.43%
1/234
0.00%
0/255
Infections and infestations
Klebsiella sepsis
0.43%
1/234
0.00%
0/255
Infections and infestations
Lung infection pseudomonal
0.43%
1/234
0.00%
0/255
Infections and infestations
Pseudomonal bacteraemia
0.00%
0/234
0.78%
2/255
Infections and infestations
Pseudomonal sepsis
0.00%
0/234
0.39%
1/255
Infections and infestations
Pseudomonas infection
0.00%
0/234
0.39%
1/255
Infections and infestations
Staphylococcal bacteraemia
0.43%
1/234
0.00%
0/255
Infections and infestations
Staphylococcal infection
0.43%
1/234
0.78%
2/255
Infections and infestations
Stenotrophomonas infection
0.43%
1/234
0.00%
0/255
Infections and infestations
Aspergillosis
0.00%
0/234
0.39%
1/255
Infections and infestations
Bronchopulmonary aspergillosis
0.00%
0/234
0.78%
2/255
Infections and infestations
Fungal infection
0.43%
1/234
0.39%
1/255
Infections and infestations
Pneumocystis jiroveci pneumonia
0.43%
1/234
0.00%
0/255
Infections and infestations
Bacteraemia
0.43%
1/234
0.00%
0/255
Infections and infestations
Catheter related infection
0.00%
0/234
0.78%
2/255
Infections and infestations
Central line infection
1.3%
3/234
0.00%
0/255
Infections and infestations
Ear infection
0.00%
0/234
0.78%
2/255
Infections and infestations
Gastroenteritis
0.43%
1/234
0.00%
0/255
Infections and infestations
Lung infection
0.43%
1/234
0.39%
1/255
Infections and infestations
Neutropenic sepsis
0.00%
0/234
1.2%
3/255
Infections and infestations
Pneumonia
1.7%
4/234
1.6%
4/255
Infections and infestations
Respiratory tract infection
0.43%
1/234
0.00%
0/255
Infections and infestations
Sepsis
1.3%
3/234
1.6%
4/255
Infections and infestations
Septic shock
0.43%
1/234
1.6%
4/255
Infections and infestations
Sinusitis
0.00%
0/234
0.39%
1/255
Infections and infestations
Urinary tract infection
0.43%
1/234
0.00%
0/255
Infections and infestations
BK virus infection
0.00%
0/234
0.39%
1/255
Infections and infestations
Bronchiolitis
0.00%
0/234
0.39%
1/255
Infections and infestations
Cytomegalovirus gastrointestinal infection
0.43%
1/234
0.00%
0/255
Infections and infestations
Cytomegalovirus infection
3.8%
9/234
4.3%
11/255
Infections and infestations
Cytomegalovirus viraemia
0.43%
1/234
0.39%
1/255
Infections and infestations
Herpes zoster
0.00%
0/234
0.39%
1/255
Infections and infestations
Human herpesvirus 6 infection
0.43%
1/234
0.39%
1/255
Infections and infestations
Meningoencephalitis herpetic
0.43%
1/234
0.00%
0/255
Infections and infestations
Metapneumovirus infection
0.00%
0/234
0.39%
1/255
Infections and infestations
Oral herpes
0.00%
0/234
0.39%
1/255
Infections and infestations
Respiratory syncytial virus infection
0.00%
0/234
0.78%
2/255
Infections and infestations
Viral infection
0.00%
0/234
0.39%
1/255
Injury, poisoning and procedural complications
Lumbar vertebral fracture
0.00%
0/234
0.39%
1/255
Injury, poisoning and procedural complications
Lung injury
0.00%
0/234
0.39%
1/255
Injury, poisoning and procedural complications
Transplant failure
0.85%
2/234
0.39%
1/255
Investigations
Electrocardiogram QT prolonged
0.43%
1/234
0.00%
0/255
Investigations
Blood alkaline phosphatase increased
0.00%
0/234
0.39%
1/255
Investigations
Haematocrit decreased
0.00%
0/234
0.39%
1/255
Investigations
Haemoglobin decreased
0.00%
0/234
0.39%
1/255
Investigations
Alanine aminotransferase increased
0.85%
2/234
1.2%
3/255
Investigations
Aspartate aminotransferase increased
0.43%
1/234
0.78%
2/255
Investigations
Blood bilirubin increased
0.00%
0/234
0.39%
1/255
Investigations
Hepatic enzyme increased
0.43%
1/234
0.00%
0/255
Investigations
Liver function test abnormal
1.7%
4/234
0.00%
0/255
Investigations
Cytomegalovirus antigen positive
0.00%
0/234
0.39%
1/255
Investigations
Cytomegalovirus test
0.85%
2/234
0.78%
2/255
Investigations
Cytomegalovirus test positive
0.85%
2/234
0.39%
1/255
Investigations
Gram stain positive
0.00%
0/234
0.39%
1/255
Investigations
Respiratory syncytial virus test positive
0.43%
1/234
0.00%
0/255
Investigations
Weight
0.00%
0/234
0.39%
1/255
Investigations
Weight decreased
0.85%
2/234
0.39%
1/255
Investigations
Blood creatinine increased
0.43%
1/234
0.00%
0/255
Investigations
Serum ferritin increased
0.43%
1/234
0.39%
1/255
Metabolism and nutrition disorders
Metabolic acidosis
0.00%
0/234
0.39%
1/255
Metabolism and nutrition disorders
Anorexia
0.00%
0/234
0.78%
2/255
Metabolism and nutrition disorders
Diabetic ketoacidosis
0.00%
0/234
0.39%
1/255
Metabolism and nutrition disorders
Dehydration
0.43%
1/234
0.00%
0/255
Metabolism and nutrition disorders
Fluid retention
0.00%
0/234
0.39%
1/255
Metabolism and nutrition disorders
Hyponatraemia
0.43%
1/234
0.00%
0/255
Metabolism and nutrition disorders
Diabetes mellitus
0.43%
1/234
0.39%
1/255
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/234
0.39%
1/255
Musculoskeletal and connective tissue disorders
Muscle twitching
0.00%
0/234
0.39%
1/255
Musculoskeletal and connective tissue disorders
Muscular weakness
0.43%
1/234
0.00%
0/255
Musculoskeletal and connective tissue disorders
Myopathy
0.43%
1/234
0.00%
0/255
Musculoskeletal and connective tissue disorders
Rhabdomyolysis
0.43%
1/234
0.00%
0/255
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.43%
1/234
0.00%
0/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute leukaemia
0.43%
1/234
0.00%
0/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia
0.43%
1/234
0.00%
0/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Acute myeloid leukaemia recurrent
0.85%
2/234
1.6%
4/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukaemia
0.43%
1/234
0.00%
0/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Leukaemia recurrent
0.43%
1/234
1.2%
3/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Myelodysplastic syndrome
0.00%
0/234
0.39%
1/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Disseminated large cell lymphoma
0.00%
0/234
0.39%
1/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lymphoma
0.43%
1/234
0.39%
1/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Non-Hodgkin's lymphoma
0.85%
2/234
0.00%
0/255
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Multiple myeloma
0.43%
1/234
0.00%
0/255
Nervous system disorders
Haemorrhage intracranial
0.43%
1/234
0.00%
0/255
Nervous system disorders
Meningorrhagia
0.43%
1/234
0.00%
0/255
Nervous system disorders
Subarachnoid haemorrhage
0.00%
0/234
0.39%
1/255
Nervous system disorders
Leukoencephalopathy
0.43%
1/234
0.00%
0/255
Nervous system disorders
Headache
0.43%
1/234
0.00%
0/255
Nervous system disorders
Cognitive disorder
0.00%
0/234
0.39%
1/255
Nervous system disorders
Monoplegia
0.43%
1/234
0.00%
0/255
Nervous system disorders
Parkinsonism
0.00%
0/234
0.39%
1/255
Nervous system disorders
Dizziness
0.43%
1/234
0.00%
0/255
Nervous system disorders
Lethargy
0.43%
1/234
0.00%
0/255
Nervous system disorders
Loss of consciousness
0.43%
1/234
0.39%
1/255
Nervous system disorders
Nervous system disorder
0.43%
1/234
0.00%
0/255
Nervous system disorders
Presyncope
0.00%
0/234
0.78%
2/255
Nervous system disorders
Neuropathy peripheral
0.43%
1/234
0.00%
0/255
Nervous system disorders
Convulsion
0.85%
2/234
0.00%
0/255
Psychiatric disorders
Confusional state
0.00%
0/234
0.78%
2/255
Psychiatric disorders
Depression
0.00%
0/234
0.39%
1/255
Psychiatric disorders
Hallucination, visual
0.85%
2/234
0.00%
0/255
Renal and urinary disorders
Cystitis haemorrhagic
1.3%
3/234
2.4%
6/255
Renal and urinary disorders
Renal failure
0.85%
2/234
0.78%
2/255
Renal and urinary disorders
Renal failure acute
1.3%
3/234
0.39%
1/255
Renal and urinary disorders
Renal impairment
0.00%
0/234
0.78%
2/255
Renal and urinary disorders
Dysuria
0.43%
1/234
0.00%
0/255
Respiratory, thoracic and mediastinal disorders
Bronchospasm
0.00%
0/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Obliterative bronchiolitis
0.43%
1/234
0.00%
0/255
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema
0.85%
2/234
0.00%
0/255
Respiratory, thoracic and mediastinal disorders
Lung infiltration
0.00%
0/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Organising pneumonia
0.43%
1/234
0.00%
0/255
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/234
0.78%
2/255
Respiratory, thoracic and mediastinal disorders
Pneumothorax
0.00%
0/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.43%
1/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Cough
0.43%
1/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.85%
2/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Lung disorder
0.00%
0/234
1.2%
3/255
Respiratory, thoracic and mediastinal disorders
Respiratory arrest
0.43%
1/234
0.00%
0/255
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
0.00%
0/234
0.39%
1/255
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.85%
2/234
2.0%
5/255
Skin and subcutaneous tissue disorders
Dermatitis bullous
0.00%
0/234
0.39%
1/255
Skin and subcutaneous tissue disorders
Dry skin
0.43%
1/234
0.00%
0/255
Skin and subcutaneous tissue disorders
Rash
0.43%
1/234
0.78%
2/255
Surgical and medical procedures
Subdural haematoma evacuation
0.43%
1/234
0.00%
0/255
Vascular disorders
Extremity necrosis
0.43%
1/234
0.00%
0/255
Vascular disorders
Hypotension
0.43%
1/234
0.39%
1/255
Vascular disorders
Jugular vein thrombosis
0.43%
1/234
0.00%
0/255
Vascular disorders
Subclavian vein thrombosis
0.43%
1/234
0.00%
0/255
Vascular disorders
Thrombosis
0.00%
0/234
0.39%
1/255
Vascular disorders
Vena cava thrombosis
0.43%
1/234
0.00%
0/255
Vascular disorders
Venous thrombosis
0.43%
1/234
0.00%
0/255

Other adverse events

Other adverse events
Measure
Voriconazole
n=234 participants at risk
Voriconazole (tablet or powder for oral suspension) loading dose regimen IV for first 24 hours: 6 mg/kg of body weight every 12 hours; maintenance dose (after first 24 hours) 4 mg/kg of body weight (IV) BID or 200 mg tablet or powder for oral suspension PO BID (subjects ≥ 40 kg body weight) or 100 mg tablet or powder for oral suspension twice daily (subjects \< 40 kg body weight).
Itraconazole
n=255 participants at risk
Itraconazole (Sporanox™ Liquid) oral solution 200 mg PO BID. Loading dose as IV formulation on Days 0 and 1.
Blood and lymphatic system disorders
Anaemia
12.8%
30/234
11.8%
30/255
Blood and lymphatic system disorders
Thrombocytopenia
15.0%
35/234
16.1%
41/255
Blood and lymphatic system disorders
Febrile neutropenia
21.8%
51/234
26.7%
68/255
Blood and lymphatic system disorders
Neutropenia
9.0%
21/234
11.8%
30/255
Cardiac disorders
Tachycardia
5.6%
13/234
2.4%
6/255
Eye disorders
Visual impairment
6.4%
15/234
0.78%
2/255
Gastrointestinal disorders
Constipation
17.5%
41/234
8.2%
21/255
Gastrointestinal disorders
Diarrhoea
42.7%
100/234
51.8%
132/255
Gastrointestinal disorders
Abdominal discomfort
5.1%
12/234
2.0%
5/255
Gastrointestinal disorders
Abdominal pain
19.2%
45/234
19.6%
50/255
Gastrointestinal disorders
Abdominal pain upper
9.8%
23/234
8.2%
21/255
Gastrointestinal disorders
Dyspepsia
10.7%
25/234
8.6%
22/255
Gastrointestinal disorders
Nausea
36.8%
86/234
35.7%
91/255
Gastrointestinal disorders
Vomiting
33.3%
78/234
40.4%
103/255
Gastrointestinal disorders
Haemorrhoids
5.1%
12/234
3.9%
10/255
Gastrointestinal disorders
Oral pain
6.4%
15/234
4.7%
12/255
Gastrointestinal disorders
Stomatitis
7.3%
17/234
6.7%
17/255
General disorders
Catheter related complication
4.7%
11/234
5.1%
13/255
General disorders
Catheter site erythema
6.8%
16/234
3.9%
10/255
General disorders
Pyrexia
44.9%
105/234
39.6%
101/255
General disorders
Asthenia
8.1%
19/234
12.2%
31/255
General disorders
Chest pain
5.6%
13/234
4.3%
11/255
General disorders
Chills
7.3%
17/234
9.0%
23/255
General disorders
Fatigue
15.0%
35/234
7.5%
19/255
General disorders
Mucosal inflammation
49.1%
115/234
55.7%
142/255
General disorders
Oedema
5.6%
13/234
5.1%
13/255
General disorders
Oedema peripheral
15.8%
37/234
16.5%
42/255
Hepatobiliary disorders
Cholestasis
6.0%
14/234
3.9%
10/255
Hepatobiliary disorders
Cytolytic hepatitis
6.4%
15/234
3.1%
8/255
Hepatobiliary disorders
Hepatotoxicity
8.1%
19/234
3.1%
8/255
Hepatobiliary disorders
Hyperbilirubinaemia
2.1%
5/234
5.1%
13/255
Immune system disorders
Acute graft versus host disease
5.1%
12/234
6.3%
16/255
Immune system disorders
Graft versus host disease
15.4%
36/234
14.1%
36/255
Infections and infestations
Folliculitis
5.1%
12/234
4.3%
11/255
Infections and infestations
Upper respiratory tract infection
5.1%
12/234
3.1%
8/255
Infections and infestations
Cytomegalovirus infection
9.4%
22/234
6.7%
17/255
Investigations
Haemoglobin decreased
5.6%
13/234
3.1%
8/255
Investigations
Alanine aminotransferase increased
5.1%
12/234
1.6%
4/255
Investigations
Liver function test abnormal
7.3%
17/234
3.5%
9/255
Investigations
Weight increased
4.3%
10/234
5.1%
13/255
Metabolism and nutrition disorders
Anorexia
8.1%
19/234
9.8%
25/255
Metabolism and nutrition disorders
Decreased appetite
3.8%
9/234
7.1%
18/255
Metabolism and nutrition disorders
Hypomagnesaemia
9.0%
21/234
11.8%
30/255
Metabolism and nutrition disorders
Fluid overload
1.7%
4/234
6.7%
17/255
Metabolism and nutrition disorders
Fluid retention
6.0%
14/234
7.1%
18/255
Metabolism and nutrition disorders
Hypokalaemia
5.1%
12/234
11.8%
30/255
Metabolism and nutrition disorders
Diabetes mellitus
5.1%
12/234
4.7%
12/255
Musculoskeletal and connective tissue disorders
Bone pain
5.1%
12/234
3.1%
8/255
Musculoskeletal and connective tissue disorders
Arthralgia
7.7%
18/234
8.6%
22/255
Musculoskeletal and connective tissue disorders
Back pain
14.1%
33/234
10.6%
27/255
Musculoskeletal and connective tissue disorders
Pain in extremity
9.0%
21/234
9.4%
24/255
Nervous system disorders
Headache
26.9%
63/234
27.1%
69/255
Nervous system disorders
Tremor
4.7%
11/234
7.5%
19/255
Nervous system disorders
Dizziness
5.6%
13/234
3.5%
9/255
Nervous system disorders
Paraesthesia
6.0%
14/234
2.0%
5/255
Psychiatric disorders
Anxiety
6.4%
15/234
7.1%
18/255
Psychiatric disorders
Insomnia
9.8%
23/234
6.7%
17/255
Renal and urinary disorders
Renal failure
8.1%
19/234
4.7%
12/255
Renal and urinary disorders
Dysuria
5.6%
13/234
5.9%
15/255
Respiratory, thoracic and mediastinal disorders
Cough
19.2%
45/234
16.5%
42/255
Respiratory, thoracic and mediastinal disorders
Dyspnoea
7.3%
17/234
5.1%
13/255
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
9.0%
21/234
8.6%
22/255
Respiratory, thoracic and mediastinal disorders
Rhinorrhoea
6.8%
16/234
6.3%
16/255
Respiratory, thoracic and mediastinal disorders
Epistaxis
8.5%
20/234
11.8%
30/255
Skin and subcutaneous tissue disorders
Dry skin
6.8%
16/234
4.7%
12/255
Skin and subcutaneous tissue disorders
Erythema
18.4%
43/234
15.3%
39/255
Skin and subcutaneous tissue disorders
Pruritus
10.7%
25/234
9.4%
24/255
Skin and subcutaneous tissue disorders
Rash
20.5%
48/234
17.6%
45/255
Skin and subcutaneous tissue disorders
Petechiae
3.0%
7/234
5.1%
13/255
Vascular disorders
Hypotension
6.8%
16/234
7.1%
18/255
Vascular disorders
Hypertension
18.8%
44/234
19.2%
49/255

Additional Information

Pfizer ClinicalTrials.gov Call Center

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Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of \< 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), \< 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER