Pharmacokinetics of Caspofungin (Cancidas ®) Given Intravenously as Therapy to Patients With an Invasive Fungal Infection in the Intensive Care Unit - a Search for Co-variates

NCT ID: NCT01533558

Last Updated: 2020-12-01

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

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-06-30

Brief Summary

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The pharmacokinetics of caspofungin are expected to be different in ICU patients compared to non-ICU patients. The investigators will determine caspofungin concentrations in 20 ICU patients, who will get caspofungin as standard care.

Full PK curves will be taken on day 3 and a limited PK curve on day 7, trough levels will be taken daily.

Detailed Description

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The pharmacokinetics of caspofungin are expected to be different in ICU patients compared to non-ICU patients and healthy volunteers due to underlying disease(s). Therefore, extrapolation of data from healthy volunteers and non-ICU patients is not possible.

To be able to include 20 patients within the study duration, a multi-centre approach is necessary.

Patients will receive standard care, as stated in the SPC or according to local protocols. Blood sampling for PK analysis will be retrieved through a central venous catheter. Approximately 60mL will be drawn in total for this study. Patients will be monitored daily during the treatment period for adverse events of the study drug.

Although steady state of caspofungin will be achieved after approximately 14 days of treatment, full PK curves will be taken on day 3. As probably not all patients included will be treated with caspofungin for 14 days, taking full PK curves on day 14 is considered not feasible. These two moments of PK analysis will enable the determination steady state and enable the determination of intra-individual variability.

Conditions

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Invasive Fungal Infection

Keywords

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caspofungin pharmacokinetics invasive fungal infection candidiasis aspergillosis intensive care

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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caspofungin

caspofungin dosing

caspofungin

Intervention Type DRUG

normal dosage for caspofungin, not adapted for the study

Interventions

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caspofungin

normal dosage for caspofungin, not adapted for the study

Intervention Type DRUG

Other Intervention Names

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Cancidas

Eligibility Criteria

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Inclusion Criteria

* Patient is admitted to an ICU
* Subject is at least 18 and not older than 65 years of age on the day of the first dosing
* Subject has been treated with caspofungin for a maximum of two days before enrolment in this trial
* Is managed with a central venous catheter

Exclusion Criteria

* Is known to be hypersensitive to echinocandin antifungal agents
* Documented history of sensitivity to medicinal products or excipients similar to those found in the caspofungin preparation
* Positive HIV test or hepatitis B or C test
* History of QT time prolongation
* History of or current abuse of drugs, alcohol or solvents
* Has previously participated in this trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Radboud University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roger Brüggemann, PhD, PharmD

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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Rijnstate Hospital

Arnhem, , Netherlands

Site Status

Canisius Wilhelmina Hospital (CWZ)

Nijmegen, , Netherlands

Site Status

Radboud University Nijmegen Medical Centre

Nijmegen, , Netherlands

Site Status

University Medical Centre Utrecht

Utrecht, , Netherlands

Site Status

Countries

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Netherlands

References

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Muilwijk EW, Schouten JA, van Leeuwen HJ, van Zanten AR, de Lange DW, Colbers A, Verweij PE, Burger DM, Pickkers P, Bruggemann RJ. Pharmacokinetics of caspofungin in ICU patients. J Antimicrob Chemother. 2014 Dec;69(12):3294-9. doi: 10.1093/jac/dku313. Epub 2014 Aug 19.

Reference Type RESULT
PMID: 25139840 (View on PubMed)

Other Identifiers

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AKF UMCN 11.02

Identifier Type: -

Identifier Source: org_study_id