Liver Transplant European Study Into the Prevention of Fungal Infection

NCT ID: NCT01058174

Last Updated: 2024-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-15

Study Completion Date

2012-05-03

Brief Summary

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Prevention of invasive fungal infection in high risk patients following liver transplant.

Detailed Description

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After receiving liver transplant, subjects will be randomized to one of the two treatment arms.

Study drugs will be administered for a period of 21 days, or until hospital discharge, whichever occurs first.

Additionally, mortality data will be collected at the Long-term Follow-up.

Conditions

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Liver Transplantation Mycoses

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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micafungin

intravenous infusion

Group Type EXPERIMENTAL

micafungin

Intervention Type DRUG

intravenous infusion

standard care

intravenous infusion

Group Type ACTIVE_COMPARATOR

fluconazole

Intervention Type DRUG

intravenous infusion

liposomal amphotericin B

Intervention Type DRUG

intravenous infusion

caspofungin

Intervention Type DRUG

intravenous infusion

Interventions

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micafungin

intravenous infusion

Intervention Type DRUG

fluconazole

intravenous infusion

Intervention Type DRUG

liposomal amphotericin B

intravenous infusion

Intervention Type DRUG

caspofungin

intravenous infusion

Intervention Type DRUG

Other Intervention Names

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Mycamine Diflucan AmBisome Cancidas

Eligibility Criteria

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Inclusion Criteria

* Undergoing orthotopic whole or split liver allograft transplantation
* Patients at 'high risk' of invasive fungal infection due to the presence of at least one of the following risk factors:

* Re-transplantation
* Acute liver failure
* Pre- or post-operative renal impairment (defined as creatinine clearance ≤40 ml/min) or need for renal replacement therapy
* Admission to Intensive Care Unit (ICU) for greater than 48 hours prior to liver transplant
* Re-operation (abdominal surgery) within 5 days of liver transplant
* Presence of choledocojejunostomy
* Perioperative colonization with fungi, defined as two or more positive clinical site surveillance cultures for Candida spp., obtained within 96 hours before or after liver transplant
* Need for prolonged mechanical ventilation for greater than 48 hours following liver transplant
* Transfusion intraoperatively of 20 or more units of cellular blood products
* Female subject of childbearing potential must have a negative urine or serum pregnancy test prior to randomization and must agree to maintain effective birth control during the study

Exclusion Criteria

* Any systemic antifungal therapy (excluding fluconazole or oral nystatin 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astellas Pharma Inc

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Use Central Contact

Role: STUDY_DIRECTOR

Astellas Pharma Europe Ltd.

Locations

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Innsbruck, , Austria

Site Status

Antwerp, , Belgium

Site Status

Brussels, , Belgium

Site Status

Brussels, , Belgium

Site Status

Ghent, , Belgium

Site Status

Paris, Villejuif Cedex, France

Site Status

Clichy, , France

Site Status

Paris, , France

Site Status

Toulouse, , France

Site Status

Berlin, , Germany

Site Status

Hamburg, , Germany

Site Status

Hanover, , Germany

Site Status

Heidelberg, , Germany

Site Status

Budapest, , Hungary

Site Status

Dublin, , Ireland

Site Status

Milan, , Italy

Site Status

Padua, , Italy

Site Status

Torino, , Italy

Site Status

Udine, , Italy

Site Status

Coimbra, , Portugal

Site Status

Porto, , Portugal

Site Status

Bucharest, , Romania

Site Status

Moscow, , Russia

Site Status

Moscow, , Russia

Site Status

Saint Petersburg, , Russia

Site Status

Riyadh, , Saudi Arabia

Site Status

Santiago de Compostela, A Coruna, Spain

Site Status

Barakald, Vicaya, Spain

Site Status

Barcelona, , Spain

Site Status

Córdoba, , Spain

Site Status

Madrid, , Spain

Site Status

Madrid, , Spain

Site Status

Valencia, , Spain

Site Status

Stockholm, , Sweden

Site Status

Birmingham, , United Kingdom

Site Status

London, , United Kingdom

Site Status

Countries

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Austria Belgium France Germany Hungary Ireland Italy Portugal Romania Russia Saudi Arabia Spain Sweden United Kingdom

References

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Saliba F, Pascher A, Cointault O, Laterre PF, Cervera C, De Waele JJ, Cillo U, Langer RM, Lugano M, Goran-Ericzon B, Phillips S, Tweddle L, Karas A, Brown M, Fischer L; TENPIN (Liver Transplant European Study Into the Prevention of Fungal Infection) Investigators; TENPIN Liver Transplant European Study Into the Prevention of Fungal Infection Investigators. Randomized trial of micafungin for the prevention of invasive fungal infection in high-risk liver transplant recipients. Clin Infect Dis. 2015 Apr 1;60(7):997-1006. doi: 10.1093/cid/ciu1128. Epub 2014 Dec 17.

Reference Type DERIVED
PMID: 25520332 (View on PubMed)

Related Links

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https://astellasclinicalstudyresults.com/study.aspx?ID=50

Link to results on Astellas Clinical Study Results website

Other Identifiers

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2008-005214-49

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

9463-EC-0001

Identifier Type: -

Identifier Source: org_study_id

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