Voriconazole And Anidulafungin Combination For Invasive Aspergillosis In Pediatric Subjects

NCT ID: NCT01188759

Last Updated: 2012-05-11

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2014-08-31

Brief Summary

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This study aims to compare the safety, tolerability, and efficacy of voriconazole and anidulafungin in combination versus voriconazole alone in pediatric subjects aged 2 to 17 years with invasive aspergillosis.

Detailed Description

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Conditions

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Aspergillosis Invasive Pulmonary Aspergillosis Neuroaspergillosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Voriconazole and Anidulafungin Combination

Subjects in the combination arm will receive voriconazole and anidulafungin in combination for 2-4 weeks followed by voriconazole monotherapy to complete 6-12 weeks of therapy.

Group Type EXPERIMENTAL

Voriconazole

Intervention Type DRUG

For Children aged 2-11 years and adolescents aged 12-14 years weighing \<50 kg:

Voriconazole 9 mg/kg IV load q12h x 24h, then 8 mg/kg IV q12h, with option to switch to oral voriconazole at 9 mg/kg q12h (maximum 350 mg) after 7 days.

For adolescents aged 12-17 years, excluding 12-14-year-olds weighing \<50kg:

Voriconazole 6 mg/kg IV q12h x 24h, then 4 mg/kg IV q12h, with an option to switch to oral voriconazole at 200 mg q12h after 7 days.

Voriconazole therapy is to be given for 6-12 weeks.

Anidulafungin

Intervention Type DRUG

Anidulafungin 3 mg/kg IV load q24h x 24h (maximum 200 mg), then 1.5 mg/kg q24h (maximum 100 mg).

Anidulafungin therapy is to be given for 2-4 weeks in combination with voriconazole.

Voriconazole Monotherapy

Subjects in the monotherapy arm will receive voriconazole monotherapy for 6-12 weeks of therapy.

Group Type ACTIVE_COMPARATOR

Voriconazole

Intervention Type DRUG

For Children aged 2-11 years and adolescents aged 12-14 years weighing \<50 kg:

Voriconazole 9 mg/kg IV load q12h x 24h, then 8 mg/kg IV q12h, with option to switch to oral voriconazole at 9 mg/kg q12h (maximum 350 mg) after 7 days.

For adolescents aged 12-17 years, excluding 12-14-year-olds weighing \<50kg:

Voriconazole 6 mg/kg IV q12h x 24h, then 4 mg/kg IV q12h, with an option to switch to oral voriconazole at 200 mg q12h after 7 days.

Voriconazole therapy is to be given for 6-12 weeks.

Interventions

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Voriconazole

For Children aged 2-11 years and adolescents aged 12-14 years weighing \<50 kg:

Voriconazole 9 mg/kg IV load q12h x 24h, then 8 mg/kg IV q12h, with option to switch to oral voriconazole at 9 mg/kg q12h (maximum 350 mg) after 7 days.

For adolescents aged 12-17 years, excluding 12-14-year-olds weighing \<50kg:

Voriconazole 6 mg/kg IV q12h x 24h, then 4 mg/kg IV q12h, with an option to switch to oral voriconazole at 200 mg q12h after 7 days.

Voriconazole therapy is to be given for 6-12 weeks.

Intervention Type DRUG

Anidulafungin

Anidulafungin 3 mg/kg IV load q24h x 24h (maximum 200 mg), then 1.5 mg/kg q24h (maximum 100 mg).

Anidulafungin therapy is to be given for 2-4 weeks in combination with voriconazole.

Intervention Type DRUG

Voriconazole

For Children aged 2-11 years and adolescents aged 12-14 years weighing \<50 kg:

Voriconazole 9 mg/kg IV load q12h x 24h, then 8 mg/kg IV q12h, with option to switch to oral voriconazole at 9 mg/kg q12h (maximum 350 mg) after 7 days.

For adolescents aged 12-17 years, excluding 12-14-year-olds weighing \<50kg:

Voriconazole 6 mg/kg IV q12h x 24h, then 4 mg/kg IV q12h, with an option to switch to oral voriconazole at 200 mg q12h after 7 days.

Voriconazole therapy is to be given for 6-12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of proven, probable, or possible invasive aspergillosis.
* Hematologic malignancy or allogeneic hematopoetic stem cell transplant.

Exclusion Criteria

* Sarcoidosis, aspergilloma, or allergic bronchopulmonary aspergillosis.
* Chronic invasive aspergillosis.
* Receipt of antifungal treatment for more than 96 hours.
* Severe liver dysfunction.
Minimum Eligible Age

2 Years

Maximum Eligible Age

17 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

Related Links

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Other Identifiers

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A1501095

Identifier Type: -

Identifier Source: org_study_id

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