A Study of the Safety, Tolerance, and Pharmacokinetics of Oral Posaconazole in Immunocompromised Children (P03579)

NCT ID: NCT01716234

Last Updated: 2018-08-27

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

142 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-04-17

Study Completion Date

2015-04-01

Brief Summary

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The purpose of this dose-escalation study is to evaluate the pharmacokinetics, safety, and tolerability of oral posaconazole in immunocompromised children with neutropenia or expected neutropenia.

Detailed Description

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Conditions

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Fungal Infections

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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POS 12 BID 2 to <7 Years

Participants aged 2 to \<7 years received posaconazole oral suspension 12 mg/kg/day divided into 2 doses (BID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 12 mg/kg/day BID

Intervention Type DRUG

Posaconazole oral suspension 12 mg/kg/day divided into 2 doses (BID) (maximum 800 mg/day)

POS 12 BID 7 to <18 Years

Participants aged 7 to \<18 years received posaconazole oral suspension 12 mg/kg/day divided into 2 doses (BID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 12 mg/kg/day BID

Intervention Type DRUG

Posaconazole oral suspension 12 mg/kg/day divided into 2 doses (BID) (maximum 800 mg/day)

POS 18 BID 2 to <7 Years

Participants aged 2 to \<7 years received posaconazole oral suspension 18 mg/kg/day divided into 2 doses (BID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 18 mg/kg/day BID

Intervention Type DRUG

Posaconazole oral suspension 18 mg/kg/day divided into 2 doses (BID) (maximum 1200 mg/day)

POS 18 BID 7 to <18 Years

Participants aged 7 to \<18 years received posaconazole oral suspension 18 mg/kg/day divided into 2 doses (BID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 18 mg/kg/day BID

Intervention Type DRUG

Posaconazole oral suspension 18 mg/kg/day divided into 2 doses (BID) (maximum 1200 mg/day)

POS 18 TID 2 to <7 Years

Participants aged 2 to \<7 years received posaconazole oral suspension 18 mg/kg/day divided into 3 doses (TID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 18 mg/kg/day TID

Intervention Type DRUG

Posaconazole oral suspension 18 mg/kg/day divided into 3 doses (TID) (maximum 1200 mg/day)

POS 18 TID 7 to <18 Years

Participants aged 7 to \<18 years received posaconazole oral suspension 18 mg/kg/day divided into 3 doses (TID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 18 mg/kg/day TID

Intervention Type DRUG

Posaconazole oral suspension 18 mg/kg/day divided into 3 doses (TID) (maximum 1200 mg/day)

POS 12 TID 3 months to <2 Years

Participants aged 3 months to \<2 years received posaconazole oral suspension 12 mg/kg/day divided into 3 doses (TID) until recovery from neutropenia or up to 28 days.

Group Type EXPERIMENTAL

Posaconazole 12 mg/kg/day TID

Intervention Type DRUG

Posaconazole oral suspension 12 mg/kg/day divided into 3 doses (TID) (maximum 800 mg/day)

Interventions

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Posaconazole 12 mg/kg/day BID

Posaconazole oral suspension 12 mg/kg/day divided into 2 doses (BID) (maximum 800 mg/day)

Intervention Type DRUG

Posaconazole 18 mg/kg/day BID

Posaconazole oral suspension 18 mg/kg/day divided into 2 doses (BID) (maximum 1200 mg/day)

Intervention Type DRUG

Posaconazole 18 mg/kg/day TID

Posaconazole oral suspension 18 mg/kg/day divided into 3 doses (TID) (maximum 1200 mg/day)

Intervention Type DRUG

Posaconazole 12 mg/kg/day TID

Posaconazole oral suspension 12 mg/kg/day divided into 3 doses (TID) (maximum 800 mg/day)

Intervention Type DRUG

Other Intervention Names

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SCH 056592 MK-5592 Noxafil® SCH 056592 MK-5592 Noxafil® SCH 056592 MK-5592 Noxafil® SCH 056592 MK-5592 Noxafil®

Eligibility Criteria

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Inclusion Criteria

* Documented or anticipated neutropenia expected to last at least 7 days and only in the following clinical situations: acute leukemia; myelodysplasia; severe aplastic anemia; autologous hematopoietic stem cell transplantation (HSCT) recipients; high risk neuroblastoma; advanced stage non-Hodgkin's lymphoma; recipients of allogeneic HSCT during the pre-engraftment (neutropenia) period
* Participants of child-bearing potential must use a medically accepted method of

contraception throughout the study and for at least 30 days after stopping study medication, unless they are surgically or medically sterile or agree to remain abstinent.

Exclusion Criteria

* Proven invasive fungal infection (IFI) before study entry
* Severe nausea and/or vomiting at screening
* Received posaconazole within 10 days before screening
* Unable to receive study drug by mouth or via an intestinal (enteral) tube
* Females who are pregnant, intend to become pregnant during the study, or are breastfeeding
* History of anaphylaxis attributed to the azole class of antifungal agents
Minimum Eligible Age

3 Months

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

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Arrieta AC, Sung L, Bradley JS, Zwaan CM, Gates D, Waskin H, Carmelitano P, Groll AH, Lehrnbecher T, Mangin E, Joshi A, Kartsonis NA, Walsh TJ, Paschke A. A non-randomized trial to assess the safety, tolerability, and pharmacokinetics of posaconazole oral suspension in immunocompromised children with neutropenia. PLoS One. 2019 Mar 26;14(3):e0212837. doi: 10.1371/journal.pone.0212837. eCollection 2019.

Reference Type DERIVED
PMID: 30913226 (View on PubMed)

Other Identifiers

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2007-004645-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MK-5592-032

Identifier Type: OTHER

Identifier Source: secondary_id

P03579

Identifier Type: -

Identifier Source: org_study_id

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