Pharmacokinetics of Micafungin Given Twice Weekly Intravenously Compared to Micafungin Given Daily to Patients at Risk for Developing an Invasive Fungal Disease

NCT ID: NCT02172768

Last Updated: 2020-12-08

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

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-10-31

Study Completion Date

2016-07-31

Brief Summary

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The primary objective of this trial is as follows:

To determine the pharmacokinetics of micafungin given twice weekly in patients at risk for developing an invasive fungal disease (patients who are being treated for acute or chronic graft versus host disease; patients receiving reduced intensity conditioning for Stem Cell Transplant (SCT); receiving first remission induction chemotherapy for Acute Myeloid Leucaemia (AML)/MyeloDysplasticSyndrome (MDS)) compared to the pharmacokinetics of micafungin given daily.

The secondary objective of this trial is as follows:

To determine whether adequate exposure of micafungin is attained. To determine the safety of micafungin in this patient population

Detailed Description

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Micafungin has been shown to be a reasonable option for treating invasive aspergillosis in hematopoietic stem cell transplantation (HSCT) recipients and has proven as effective as fluconazole for prophylaxis. Whilst micafungin has much to offer, little is known about its pharmacokinetic profile in specific patient populations, specifically concerning alternate dosing strategies with increased dosages over a prolonged dosing interval. Sufficient data are lacking up to now for twice weekly administration of micafungin as antifungal prophylaxis. Decreasing the dosing frequency to twice weekly seems a reasonable approach considering the long terminal elimination life (i.e. 10-17 h) and considering the data available from murine models that support the use of less frequent dosing with higher dosages.

It will enable us to characterize both the pharmacokinetics of micafungin in the hematology cohort and directly compare the exposure to the alternate dosing strategy.

Conditions

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Acute Graft Versus Host Disease Grade II-IV Allogeneic Stem Cell Transplant Acute Myeloid Leucaemia Myelo Dysplastic Syndrome

Keywords

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pharmacokinetics alternate dosing micafungin

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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alternate dosing

treatment for 8 days with intravenous micafungin twice weekly

Group Type EXPERIMENTAL

alternate dosing

Intervention Type OTHER

treatment for 8 days with intravenous micafungin twice weekly

micafungin

Intervention Type DRUG

daily dosing

micafungin daily for 8 days

Group Type ACTIVE_COMPARATOR

daily dosing

Intervention Type OTHER

micafungin daily for 8 days

micafungin

Intervention Type DRUG

Interventions

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alternate dosing

treatment for 8 days with intravenous micafungin twice weekly

Intervention Type OTHER

daily dosing

micafungin daily for 8 days

Intervention Type OTHER

micafungin

Intervention Type DRUG

Other Intervention Names

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micafungin

Eligibility Criteria

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Inclusion Criteria

* Patient receives immunosuppressive therapy for acute GvHD grade II-IV or reduced intensity conditioning regimens for allogeneic stem cell transplant, or patients receiving first remission induction chemotherapy for AML/MDS.
* Subject is at least 18 of age on the day of providing informed consent.
* Has no signs or symptoms of invasive fungal disease
* If a woman, is neither pregnant nor able to become pregnant and is not nursing an infant.
* Less than 1 week of immunosuppressive therapy for grade II-IV acute GvHD.
* Is managed with a central venous catheter (preferably a quadruple Arrow-Howes™ Quad-Lumen 8.5,5 French; Arrow International).
* Subject is able and willing to sign the Informed Consent before screening evaluations.

Exclusion Criteria

* Documented history of sensitivity to medicinal products or excipients similar to those found in the micafungin preparation.
* History of or current abuse of drugs, alcohol or solvents.
* Inability to understand the nature of the trial and the procedures required.
* Has not 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

Role: PRINCIPAL_INVESTIGATOR

Radboud University Medical Center

Locations

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UZ Leuven

Leuven, , Belgium

Site Status

Radboudumc

Nijmegen, , Netherlands

Site Status

Countries

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Belgium Netherlands

References

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Muilwijk EW, Maertens JA, van der Velden WJFM, Ter Heine R, Colbers A, Burger DM, Andes D, Theunissen K, Blijlevens NMA, Bruggemann RJM. Pharmacokinetics of extended dose intervals of micafungin in haematology patients: optimizing antifungal prophylaxis. J Antimicrob Chemother. 2018 Nov 1;73(11):3095-3101. doi: 10.1093/jac/dky324.

Reference Type RESULT
PMID: 30137340 (View on PubMed)

Other Identifiers

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MATADOR

Identifier Type: -

Identifier Source: org_study_id