An Evaluation Of The Effectiveness And Safety Of Anidulafungin Compared To Caspofungin For The Treatment Of Serious Fungal Infection Due To Candida In Patients With A Dysfunctional Immune System

NCT ID: NCT00806351

Last Updated: 2012-12-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2011-10-31

Brief Summary

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The purpose of this study is to gather information on the use of anidulafungin for the treatment of Candida infection in patients with an abnormal immune system. It is expected that anidulafungin will be at least as safe and as effective as the comparator drug, caspofungin.

Detailed Description

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Conditions

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Fungemia Neutropenia Candidiasis

Keywords

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Candidiasis; Invasive Candidiasis; Candida; Candidemia; Fungal Infection; Neutropenia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Anidulafungin Arm

Subjects were randomized 2:1 (anidulafungin:caspofunin).

Group Type EXPERIMENTAL

Active Anidulafungin

Intervention Type DRUG

Subjects in this arm will receive active anidulafungin and placebo caspofungin

Caspofungin Arm

Subjects were randomized 2:1 (anidulafungin:caspofunin).

Group Type EXPERIMENTAL

Active Caspofungin

Intervention Type DRUG

Subjects in this arm will receive active caspofungin and placebo anidulafungin

Interventions

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Active Anidulafungin

Subjects in this arm will receive active anidulafungin and placebo caspofungin

Intervention Type DRUG

Active Caspofungin

Subjects in this arm will receive active caspofungin and placebo anidulafungin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Dysfunctional immune system (reduced neutrophils).
* Confirmed Candida infection, defined as growth of Candida from a normally sterile site accompanied by signs and symptoms of infection.
* Male of female ≥16 years of age.
* Expected hospitalization for at least ten (10) days.

Exclusion Criteria

* Pregnancy or breast feeding or planning to become pregnant during the study.
* Recent treatment with one of the study drugs over the last 30 days.
* Allergy to either study drug or to this class of drugs.
* Significant liver dysfunction.
* Suspected Candida osteomyelitis, endocarditis, meningitis or any other infections of the central nervous system.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Pfizer Investigational Site

Sarajevo, , Bosnia and Herzegovina

Site Status

Pfizer Investigational Site

Grenoble, , France

Site Status

Pfizer Investigational Site

Strasbourg, , France

Site Status

Pfizer Investigational Site

Bologna, , Italy

Site Status

Pfizer Investigational Site

Roma, , Italy

Site Status

Pfizer Investigational Site

Gdansk, , Poland

Site Status

Pfizer Investigational Site

Warsaw, , Poland

Site Status

Pfizer Investigational Site

Wroclaw, , Poland

Site Status

Pfizer Investigational Site

Moscow, , Russia

Site Status

Pfizer Investigational Site

Košice, , Slovakia

Site Status

Countries

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Bulgaria Canada Croatia Netherlands Romania Switzerland United States Bosnia and Herzegovina France Italy Poland Russia Slovakia

References

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De Rosa FG, Busca A, Capparella MR, Yan JL, Aram JA. Invasive Candidiasis in Patients with Solid Tumors Treated with Anidulafungin: A Post Hoc Analysis of Efficacy and Safety of Six Pooled Studies. Clin Drug Investig. 2021 Jun;41(6):539-548. doi: 10.1007/s40261-021-01024-7. Epub 2021 Apr 23.

Reference Type DERIVED
PMID: 33891293 (View on PubMed)

Kontoyiannis DP, Bassetti M, Nucci M, Capparella MR, Yan JL, Aram J, Hogan PA. Anidulafungin for the treatment of candidaemia caused by Candida parapsilosis: Analysis of pooled data from six prospective clinical studies. Mycoses. 2017 Oct;60(10):663-667. doi: 10.1111/myc.12641. Epub 2017 Jun 9.

Reference Type DERIVED
PMID: 28597967 (View on PubMed)

Kullberg BJ, Vasquez J, Mootsikapun P, Nucci M, Paiva JA, Garbino J, Yan JL, Aram J, Capparella MR, Conte U, Schlamm H, Swanson R, Herbrecht R. Efficacy of anidulafungin in 539 patients with invasive candidiasis: a patient-level pooled analysis of six clinical trials. J Antimicrob Chemother. 2017 Aug 1;72(8):2368-2377. doi: 10.1093/jac/dkx116.

Reference Type DERIVED
PMID: 28459966 (View on PubMed)

Related Links

Other Identifiers

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A8851021

Identifier Type: -

Identifier Source: org_study_id