Micafungin Versus Fluconazole for Prevention of Invasive Fungal Disease in Living Donor Liver Transplant Recipients

NCT ID: NCT01974375

Last Updated: 2013-11-01

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to demonstrate non-inferiority of micafungin at a dose of 100 mg/day versus fluconzeole for the prevention of Invasive Fungal Disease, defined according to the revised EORTC/MSG criteria, undergoing living-donor liver transplantation.

Detailed Description

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This is Randomized, Open label, Non-inferiority Study of Micafungin versus Fluconazole for the Korean Prevention of Invasive Fungal Disease in Living Donor Liver Transplant Recipients

After transplant subjects will be randomized to one of the following treatment arms:

* Micafungin 100 mg/day intravenous (2.0 mg/kg/day in subjects weighing \<40 kg)
* Fluconazole 100\~200mg/day, IV care until oral medication becomes possible

Stratification according to centers. Antifungal prophylaxis will be administered once daily for a period of 21 days, or until hospital discharge, whichever occurs first.

This is an open label study; Study center personnel will not be blinded to treatment.

Conditions

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Liver Transplant Recipient

Keywords

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Living donor Liver transplant antifungal prevention

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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micafungin

micafungin sodium IV (Mycamine®)

Group Type EXPERIMENTAL

micafungin

Intervention Type DRUG

Micafungin 100 mg/day intravenous (2.0 mg/kg/day in subjects weighing \<40 kg)

Fluconazole

Fluconazole IV (use same brand in each hospital)

Group Type ACTIVE_COMPARATOR

Fluconazole

Intervention Type DRUG

Fluconazole 100\~200mg/day, IV care until oral medication becomes possible

Interventions

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micafungin

Micafungin 100 mg/day intravenous (2.0 mg/kg/day in subjects weighing \<40 kg)

Intervention Type DRUG

Fluconazole

Fluconazole 100\~200mg/day, IV care until oral medication becomes possible

Intervention Type DRUG

Other Intervention Names

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Mycamine

Eligibility Criteria

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Inclusion Criteria

* Age \> 20 years.
* Undergoing Living Donor Liver Transplantation(LDLT)

Exclusion Criteria

* Any systemic antifungal therapy (excluding fluconazole or SDD for a maximum of 7 days) within 14 days prior to randomization.
* Evidence of documented ('proven' or 'probable') or suspected ('possible') IFD (according to the EORTC/MSG criteria).
* Allergy, hypersensitivity, or any serious reaction to an echinocandin antifungal, or any of the study drugs or their excipients.
* Reimplantation or orthotopic transplantation patient.
Minimum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Giwon Song

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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SUNG-GYU LEE, Professor

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Giwon Song, Professor

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Namjoon Lee, Professor

Role: PRINCIPAL_INVESTIGATOR

Seoul National University

Jaewon Joh, Professor

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Dong-Lak Choi, Professor

Role: PRINCIPAL_INVESTIGATOR

Daegu Catholic University Medical Center

Myung Soo Kim, professor

Role: PRINCIPAL_INVESTIGATOR

Severance Hospital

Locations

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Asan Medical Center

Seoul, Seoul, South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Giwon Song, Professor

Role: CONTACT

Phone: +82-10-8794-8701

Email: [email protected]

Facility Contacts

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Giwon Song, Professor

Role: primary

References

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Kang WH, Song GW, Lee SG, Suh KS, Lee KW, Yi NJ, Joh JW, Kwon CHD, Kim JM, Choi DL, Kim JD, Kim MS. A Multicenter, Randomized, Open-Label Study to Compare Micafungin with Fluconazole in the Prophylaxis of Invasive Fungal Infections in Living-Donor Liver Transplant Recipients. J Gastrointest Surg. 2020 Apr;24(4):832-840. doi: 10.1007/s11605-019-04241-w. Epub 2019 May 7.

Reference Type DERIVED
PMID: 31066013 (View on PubMed)

Other Identifiers

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MYC-LT-01

Identifier Type: -

Identifier Source: org_study_id