Open-label Study of Isavuconazole in the Treatment of Participants With Aspergillosis and Renal Impairment or of Participants With Invasive Fungal Disease Caused by Rare Moulds, Yeasts or Dimorphic Fungi

CompletadoFase 3ClinicalTrials.gov

ID: NCT00634049Tipo: INTERVENTIONALInicio: 22 de abr de 2008Fin estimado: 5 de may de 2016

Traducción no disponible, mostrando original

Resumen

The purpose of this study is to investigate the efficacy and safety of isavuconazole in the treatment of renally impaired participants with invasive fungal infections caused by Aspergillus and participants with invasive fungal disease caused by rare fungi.

Descripción detallada

Acute invasive fungal infections caused by aspergillus, rare moulds, yeasts or dimorphic fungi are life threatening diseases. Early treatment with highly effective anti-fungals reduces mortality. This study investigates the safety and efficacy of isavuconazole in participants with aspergillosis and renal impairment, and in participants suffering from invasive infections from rare fungi.

Elegibilidad

Edad mínima: 18 YearsSexo: ALL

Criterios de inclusión

•Participants meeting EORTC/MSG (European Organization for the Research and Treatment of Cancer/Mycoses Study Group) definition of proven or culture positive probable IFD (invasive fungal disease) caused by rare moulds, yeasts, or dimorphic fungi (i.e. fungal pathogens other than Aspergillus fumigatus or Candida species) whether renally impaired or not (including dialysis) who require primary therapy for their IFD at the time of enrollment.
OR
•Participants who had proven or probable zygomycosis, whether renally impaired or not (including dialysis), who require primary therapy. Zygomycosis must be documented by culture or histology / cytology.
OR
•Participants meeting EORTC/MSG definition of proven or culture positive probable IFD caused by rare moulds, yeasts, or dimorphic fungi (i.e., fungal pathogens other than Aspergillus fumigatus or Candida species), whether RI or not (including dialysis), who were refractory to current treatment defined as,
Clear documentation of progression of disease. Note: radiological progression only in association with white blood cell (WBC) count recovery was not acceptable.
Failure to improve clinically despite receiving at least 7 days of standard antifungal regimen. Prior to enrolling patients who fell into this category, the Medical Monitor was contacted for approval.
OR
• Participants meeting EORTC/MSG definition of proven or culture positive probable IFD caused by rare moulds, yeasts, or dimorphic fungi (i.e., fungal pathogens other than Aspergillus fumigatus or Candida species), whether RI or not (including dialysis), who were intolerant to current treatment for example:
Doubling of serum creatinine value to higher than the upper limit of normal (ULN) within 48 hours.
Serum creatinine \> 2.0 mg/mL and current treatment with polyene or IV voriconazole.
Other significant drug-related adverse reaction(s) to the current antifungal agent, resulting in discontinuation of the treatment, e.g., persistence of visual disturbance, allergic reaction, phototoxicity or severe infusion reaction (hypertensive crisis, severe chills or shock).
Documented inability to achieve adequate blood levels of posaconazole, voriconazole or itraconazole.

Criterios de exclusión

A known condition of the participants that may jeopardize adherence to the protocol requirements
Participants who are unlikely to survive 30 days
Participants with a body weight \< 40 kg
Women who are pregnant or breastfeeding

Intervenciones

drug

isavuconazole

Administration of 200 mg isavuconazole 3 times a day in the vein (IV) or oral as a capsule for 2 days, followed by daily administration of 200 mg isavuconazole (IV) or oral

Ubicaciones

Hospital Italiano de Buenos Aires

Ciudad Autonoma, Argentina

Instituto Medico Especializado Alexander Fleming

Ciudad Autonoma, Argentina

Hospital Nuestra Senora de la Misericordia

Córdoba, Argentina

Hospital San Roque

Córdoba, Argentina

Centro Polivalente de Asistencia e Investigación Clínica - CER San Juan

San Juan, Argentina

Patrocinadores

PrincipalAstellas Pharma Inc

ColaboradorBasilea Pharmaceutica International Ltd

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