Efficacy of Interferon-gamma in Combination With Anidulafungin for the Treatment of Candidemia

NCT ID: NCT01270490

Last Updated: 2012-02-14

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Brief Summary

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The purpose of this study is to assess the feasibility and preliminary efficacy of interferon-gamma in combination with anidulafungin for the treatment of candidemia

Detailed Description

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Conditions

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Candidemia

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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Interferon-gamma

Group Type EXPERIMENTAL

Interferon-gamma, Recombinant

Intervention Type DRUG

Interferon 50 mcg/m2 to be administered three times per week during two weeks

No intervention

No adjunctive treatment

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Interferon-gamma, Recombinant

Interferon 50 mcg/m2 to be administered three times per week during two weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Males or non-pregnant females (who must agree to use barrier methods of contraception during the study therapy period, women of childbearing age must have a negative urine pregnancy or serum test at baseline).
* Subjects who are 18 years of age or older
* Subjects with at least one positive blood culture isolation of Candida species from a specimen drawn within 96 hours prior to study entry.
* Subjects who have clinical evidence of infection AT SOME TIME WITHIN 96 HOURS PRIOR TO ENROLLMENT, including AT LEAST ONE of the following:

* Temperature \>37.8 ˚C on 2 occasions at least 4 hours apart or one measurement \> 38.2 ˚C
* Systolic blood pressure \<90 or a \>30 mmHg decrease in systolic BP from the subject's normal baseline.
* Signs of inflammation (swelling, heat, erythema, purulent drainage) from a site infected with Candida (eg, joint, skin, eye, bone, esophagus)
* Radiologic findings of invasive candidiasis
* Subject or their legal representative must sign a written informed consent form.

Exclusion Criteria

* Subjects with a history of allergy or intolerance to echinocandins or IFNgamma
* Subjects with a history of documented epileptic seizures
* Subjects with severe renal impairment (creatinine clearance less than 30/mL/min)
* Subjects with severe liver failure (impaired synthesis of proteins such as coagulation factors manifested by increased prothrombin time)
* Subjects with an absolute neutrophil count of less than 500/mm3 at study entry
* Women who are pregnant or lactating
* Subjects who are unlikely to survive more than 24 hours
* Subjects who have failed previous systemic antifungal therapy for the Candida spp. infection which is being studied.
* Subjects who have received more than 48 hours of systemic antifungal therapy for the current episode, within 96 hours prior to study entry
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioMérieux

INDUSTRY

Sponsor Role collaborator

Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Corine Delsing

Drs

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mihai Netea, MD PhD

Role: STUDY_DIRECTOR

Radboud University Medical Center

Corine Delsing, MD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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Radboud University Medical Centre Nijmegen

Nijmegen, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Corine Delsing, MD

Role: CONTACT

+31-24-3618819

Mihai Netea, MD. PhD

Role: CONTACT

+31-24-3618819

Facility Contacts

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Corine Delsing, MD

Role: primary

+31-24-3618819

References

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Delsing CE, Gresnigt MS, Leentjens J, Preijers F, Frager FA, Kox M, Monneret G, Venet F, Bleeker-Rovers CP, van de Veerdonk FL, Pickkers P, Pachot A, Kullberg BJ, Netea MG. Interferon-gamma as adjunctive immunotherapy for invasive fungal infections: a case series. BMC Infect Dis. 2014 Mar 26;14:166. doi: 10.1186/1471-2334-14-166.

Reference Type DERIVED
PMID: 24669841 (View on PubMed)

Other Identifiers

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2009-014600-66

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NL28823.091.10

Identifier Type: OTHER

Identifier Source: secondary_id

Interferon-gamma 001

Identifier Type: -

Identifier Source: org_study_id

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