Posaconazole (MK-5592) Intravenous and Oral in Children With Invasive Aspergillosis (IA) (MK-5592-104)

NCT ID: NCT04218851

Last Updated: 2025-01-14

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-02

Study Completion Date

2023-12-18

Brief Summary

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This study will evaluate the safety, efficacy, and pharmacokinetics of posaconazole (POS) intravenous (IV) and oral formulations in pediatric participants 2 to \<18 years of age with invasive aspergillosis (IA).

Detailed Description

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Conditions

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Invasive Aspergillosis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Posaconazole

On Day 1 participants receive 2 administrations of posaconazole (POS) 6 mg/kg body weight by intravenous (IV) infusion. On Days 2 through 7, participants receive POS 6 mg/kg body weight once daily by IV infusion. Beginning at Day 8 up to Day 84, participants may transition to receiving an oral formulation, or they may remain on the IV formulation.

Group Type EXPERIMENTAL

Posaconazole IV

Intervention Type DRUG

Posaconazole (POS) 6 mg/kg body weight by IV infusion

Posaconazole PFS

Intervention Type DRUG

Dosing based on weight-band taken orally

Posaconazole tablet

Intervention Type DRUG

POS tablet 300 mg taken orally

Interventions

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Posaconazole IV

Posaconazole (POS) 6 mg/kg body weight by IV infusion

Intervention Type DRUG

Posaconazole PFS

Dosing based on weight-band taken orally

Intervention Type DRUG

Posaconazole tablet

POS tablet 300 mg taken orally

Intervention Type DRUG

Other Intervention Names

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

Eligibility Criteria

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Inclusion Criteria

* Has a diagnosis of possible, probable, or proven IA per modified 2008/2020 European Organization for Research and Treatment of Cancer/Mycoses Study Group (EORTC/MSG) disease definitions
* Has one or more of pre-defined risks as per modified 2008 EORTC/MSG disease definitions
* Has a central line (e.g., central venous catheter, peripherally-inserted central catheter) in place or planned to be in place prior to beginning IV study treatment.
* Has clinical symptoms consistent with an acute episode of IA, defined as duration of clinical syndrome of \<30 days.
* Participants weigh at least 10 kg, and may be of any race/ethnicity.
* During the intervention period and for at least 30 days after the last dose of study treatment, males agree to be abstinent from heterosexual intercourse or use contraception unless confirmed to be azoospermic (vasectomized or secondary to medical cause).
* Female is not pregnant or breastfeeding, and is not a woman of child bearing potential (WOCBP) or is a WOCBP using a highly effective contraceptive method. A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 24 hours before the first dose of study intervention.

Exclusion Criteria

* Has chronic (≥30 days' duration) IA, relapsed/recurrent IA, or refractory IA that has not responded to prior antifungal treatment.
* Has cystic fibrosis, pulmonary sarcoidosis, aspergilloma, or allergic bronchopulmonary aspergillosis
* Has a known hypersensitivity or other serious adverse reaction to any azole antifungal therapy, or to any other ingredient of the study treatment used.
* Has any known history of torsade de pointes, unstable cardiac arrhythmia or proarrhythmic conditions, a history of recent myocardial infarction, congenital or acquired QT prolongation, or cardiomyopathy in the context of cardiac failure within 90 days of time of first dose of study treatment.
* Has known hereditary fructose intolerance.
* Has a known hereditary problem of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption.
* Is or has an immediate family member (eg, spouse, parent/legal guardian, sibling, or child) who is investigational site or Sponsor staff directly involved with this study.
* Is on artificial ventilation at the time of first dose of study treatment.
* Has received any treatment prohibited by the protocol.
* Has enrolled previously in the current study and been discontinued.
* Is not expected, in the opinion of the investigator, to survive for at least 1 month after the initiation of study treatment.
Minimum Eligible Age

2 Years

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

Locations

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Children's Hospital of Orange County ( Site 1409)

Orange, California, United States

Site Status

Rady Children's Hospital-San Diego ( Site 1401)

San Diego, California, United States

Site Status

Ann & Robert H. Lurie Children's Hospital of Chicago ( Site 1402)

Chicago, Illinois, United States

Site Status

Washington University ( Site 1403)

St Louis, Missouri, United States

Site Status

UCL St Luc ( Site 1000)

Brussels, Bruxelles-Capitale, Region de, Belgium

Site Status

UZ Gent ( Site 1002)

Ghent, Oost-Vlaanderen, Belgium

Site Status

UZ Leuven ( Site 1001)

Leuven, Vlaams-Brabant, Belgium

Site Status

Athens Childrens Hospital Aglaia Kyriakou ( Site 1052)

Athens, Attica, Greece

Site Status

University General Hospital of Thessaloniki "AHEPA" ( Site 1053)

Thessaloniki, Central Macedonia, Greece

Site Status

General Hospital of Thessaloniki "Ippokrateio" ( Site 1050)

Thessaloniki, , Greece

Site Status

BAZ Megyei Korhaz. Klinikai Onkologia es Sugarterapias Centrum ( Site 1101)

Miskolc, Borsod-Abauj Zemplen county, Hungary

Site Status

Heim Pal Orszagos Gyermekgyogyaszati Intezet ( Site 1103)

Budapest, , Hungary

Site Status

Del-pesti Centrumkorhaz Orszagos Hematologiai es Infektologiai Intezet ( Site 1102)

Budapest, , Hungary

Site Status

Rambam Medical Center ( Site 1125)

Haifa, , Israel

Site Status

Hadassah Ein Karem Hebrew University Medical Center ( Site 1127)

Jerusalem, , Israel

Site Status

Chaim Sheba Medical Center ( Site 1126)

Ramat Gan, , Israel

Site Status

Sourasky Medical Center ( Site 1128)

Tel Aviv, , Israel

Site Status

Ospedale Regina Margherita ( Site 1150)

Torino, , Italy

Site Status

Azienda Ospedaliera Universitaria Integrata ( Site 1151)

Verona, , Italy

Site Status

Hospital Universitario "Dr. Jose Eleuterio Gonzalez"-Infectologia ( Site 1204)

Monterrey, Nuevo León, Mexico

Site Status

Instituto Nacional de Pediatria ( Site 1200)

Mexico City, , Mexico

Site Status

Instituto Nacional de Enfermedades Neoplásicas ( Site 1251)

Lima, , Peru

Site Status

Hospital Nacional Edgardo Rebagliati Martins ( Site 1250)

Lima, , Peru

Site Status

Almazov National Medical Research Centre ( Site 1284)

Saint Petersburg, Leningradskaya Oblast', Russia

Site Status

Dmitry Rogachev National Research Center ( Site 1275)

Moscow, Moscow, Russia

Site Status

Institute of Invasive Mycosis ( Site 1282)

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Institute of Child Hematology and Transpl n.a.R.M.Gorbacheva ( Site 1281)

Saint Petersburg, Sankt-Peterburg, Russia

Site Status

Seoul National University Hospital ( Site 1326)

Seoul, , South Korea

Site Status

The Catholic University of Korea. Seoul St. Mary s Hospital ( Site 1325)

Seoul, , South Korea

Site Status

Countries

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United States Belgium Greece Hungary Israel Italy Mexico Peru Russia South Korea

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-5592-104

Identifier Type: OTHER

Identifier Source: secondary_id

2019-002267-10

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

5592-104

Identifier Type: -

Identifier Source: org_study_id

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