Trial Outcomes & Findings for Effect of Inflammation on Pharmacokinetics of Posaconazole (NCT NCT02492802)

NCT ID: NCT02492802

Last Updated: 2019-08-06

Results Overview

Posaconazole drug exposure during treatment in different stages of inflammation. To determine the differences in concentrations between patients a random additive effect was used. Additionally, to correct for differences in intervals between observations a first-order autoregressive correlation was used. The Wald type III test was used to assess the influence of inflammation on posaconazole concentration.

Recruitment status

COMPLETED

Target enrollment

64 participants

Primary outcome timeframe

6 months after start of treatment

Results posted on

2019-08-06

Participant Flow

Participant milestones

Participant milestones
Measure
Patients on Posaconazole
Hematology patients receiving posaconazole for routine care.
Overall Study
STARTED
64
Overall Study
COMPLETED
64
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effect of Inflammation on Pharmacokinetics of Posaconazole

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Patients on Posaconazole
n=64 Participants
Patient characteristics and drug dosing information (oral and intravenous dosing, daily dose of posaconazole)
Age, Continuous
62 years
n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
41 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
64 Participants
n=5 Participants
Weight (kg)
79 kg
n=5 Participants
Height (cm)
178 cm
n=5 Participants
Acute myeloid leukemia
40 Participants
n=5 Participants
Myelodysplastic syndrome
10 Participants
n=5 Participants
Other underlying disease
14 Participants
n=5 Participants
Allogeneic stem cell transplant
22 Participants
n=5 Participants
Autologous stem cell transplant
2 Participants
n=5 Participants
No stem cell transplant received
39 Participants
n=5 Participants
Oral posaconazole
59 Participants
n=5 Participants
Intravenous and oral posaconazole
5 Participants
n=5 Participants
Daily dose of posaconazole (mg/kg)
4.5 mg/kg
n=5 Participants
Both stem cell transplantations received
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months after start of treatment

Posaconazole drug exposure during treatment in different stages of inflammation. To determine the differences in concentrations between patients a random additive effect was used. Additionally, to correct for differences in intervals between observations a first-order autoregressive correlation was used. The Wald type III test was used to assess the influence of inflammation on posaconazole concentration.

Outcome measures

Outcome measures
Measure
Posaconazole
n=64 Participants
Patients who received posaconazole for routine care
C Reactive Protein Levels in mg/L (CRP) on Posaconazole Concentrations in mg/L
C reactive protein
23.5 mg/L
Interval 5.0 to 75.0
C Reactive Protein Levels in mg/L (CRP) on Posaconazole Concentrations in mg/L
Posaconazole concentration
1.8 mg/L
Interval 1.0 to 2.9

Adverse Events

Posaconazole

Serious events: 0 serious events
Other events: 3 other events
Deaths: 5 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Posaconazole
n=64 participants at risk
Route of administration: Oral (MDR tablet), intravenous (infusion) Daily dose (mg/kg body weight): 3.75 (3.4-4.9)
Blood and lymphatic system disorders
Blood and lymphatic system disorders
1.6%
1/64 • Number of events 1 • Adverse events (AEs) were evaluated from the start of the treatment up to 1 year.
Adverse Events were monitored/assessed without regard to the specific Adverse Event Term.
Hepatobiliary disorders
Hepatobiliary disorders
1.6%
1/64 • Number of events 1 • Adverse events (AEs) were evaluated from the start of the treatment up to 1 year.
Adverse Events were monitored/assessed without regard to the specific Adverse Event Term.

Additional Information

Jan-Willem Alffenaar, PhD

University Medical Center Groningen

Phone: +31503614035

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place