Micafungin Versus Intravenous Itraconazole as Empirical Antifungal Therapy for Febrile Neutropenic Patients With Hematological Diseases

NCT ID: NCT01344681

Last Updated: 2014-12-08

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

PHASE2

Total Enrollment

153 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2014-03-31

Brief Summary

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This study of chemotherapy occurred during the neutropenic fever in patients with antibiotic refractory fever. The investigators evaluate efficacy and safety of micafungin sodium (mycamine ® Injection) 100mg dose compare to itraconazole (Sporanox ® Injection) 200mg as a control and this study is prospective, randomized, non-inferiority trials.

Therefore, this study was planned for review of the safety and efficacy in korean patients.

Detailed Description

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Conditions

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Febrile Neutropenia Hematological Diseases

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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Arm A

Micafungin sodium

Group Type EXPERIMENTAL

Micafungin sodium

Intervention Type DRUG

1. Treatment period (active treatment): an average 14 days
2. Dosage:

\- Study Drug: Micafungin sodium (mycamine ® injections 50mg/vial) 2 vials (100mg / day)
3. Administration Method:

* Study Drug: 3-5 days after fever begins. Infusion one time a day (one hour). Termination of treatment after maintaining fever for three days or the recovery of neutrophils with no fever.

Arm B

Itraconazole

Group Type ACTIVE_COMPARATOR

Itraconazole

Intervention Type DRUG

1. Treatment period (active treatment): an average 14 days
2. Dosage:

\- Active Comparator: Itraconazole (Sporanox ® injection) 200 mg 2 times(400mg / day)
3. Administration Method:

* Active Comparator: 200 mg two times(400 mg) a day, total of 4 times for 2 days and then one times (200 mg) a day for 12 days. Termination of treatment after keeping fever for three days or the recovery of neutrophils with no fever.

Interventions

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Micafungin sodium

1. Treatment period (active treatment): an average 14 days
2. Dosage:

\- Study Drug: Micafungin sodium (mycamine ® injections 50mg/vial) 2 vials (100mg / day)
3. Administration Method:

* Study Drug: 3-5 days after fever begins. Infusion one time a day (one hour). Termination of treatment after maintaining fever for three days or the recovery of neutrophils with no fever.

Intervention Type DRUG

Itraconazole

1. Treatment period (active treatment): an average 14 days
2. Dosage:

\- Active Comparator: Itraconazole (Sporanox ® injection) 200 mg 2 times(400mg / day)
3. Administration Method:

* Active Comparator: 200 mg two times(400 mg) a day, total of 4 times for 2 days and then one times (200 mg) a day for 12 days. Termination of treatment after keeping fever for three days or the recovery of neutrophils with no fever.

Intervention Type DRUG

Other Intervention Names

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Mycamine® Sporanox®

Eligibility Criteria

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Inclusion Criteria

* The male and female patients over 18 years
* To participate in clinical trials and voluntary written consent requirement to comply with a patient
* Chemotherapy with a variety of hematologic malignancies or patients undergoing stem cell transplantation
* Fever (temperature ≥ 38.4 ℃) showing Neutropenia (absolute neutrophil count \<500/mm3) patients
* Combined antibiotic therapy 72 hours after the expiration of term lasts three patients

Exclusion Criteria

* Of clinical trials of breast-feeding or pregnant women of childbearing age with intent to
* Adapted species (candida genus, aspergillus genus) Colitis caused by fungi other than the patients with fungal infection
* HIV-positive patient serum
* This test within 30 days of assignment to the other patients participating in clinical trials
* Within 72 hours of registration before the patients treated with systemic antifungal agents
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dong-A Medical Center

Busan, , South Korea

Site Status

Severance Hospital

Seoul, , South Korea

Site Status

Korea University Guro Hospital

Seoul, , South Korea

Site Status

ASAN Medical Center

Seoul, , South Korea

Site Status

Ewha Womans University Mokdong Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Ajou University Medical Center

Suwon, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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4-2011-0794

Identifier Type: -

Identifier Source: org_study_id