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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02666716
Other study ID # UMCN-AKF14.06
Secondary ID
Status Completed
Phase
First received
Last updated
Start date May 2015
Est. completion date March 2016

Study information

Verified date December 2020
Source Radboud University
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The pharmacokinetics of fluconazole are expected to be different in ICU patients compared to non-ICU patients. The investigators will determine fluconazole and free fluconazole concentrations in 20 ICU patients, who will get intravenous fluconazole as standard care. Switching to oral/enteral fluconazol is allowed after day 3. A full pharmacokinetic curve will be taken on day 3 of iv therapy and limited pharmacokinetic curves on day 7 of iv therapy and/or on day 3 of oral therapy; trough levels will be taken daily after intravenous therapy.


Description:

The pharmacokinetics of fluconazole are expected to be different in ICU patients compared to non-ICU patients and healthy volunteers due to underlying disease(s). Therefore, extrapolation of data from healthy volunteers and non-ICU patients is not possible. To be able to include 20 patients within the study duration, a multi-centre approach is necessary. Patients will receive standard care, as stated in the product characteristics or according to local protocols. Blood sampling for pharmacokinetic analysis will be retrieved through a central venous catheter. A maximum of 62 milliliter blood in total will be drawn for this study. Patients will be monitored daily during the treatment period for adverse events of the study drug. Full pharmacokinetic curves will be taken on day 3 of iv therapy. Limited pharmacokinetic curves will be taken on day 7 of iv therapy. These two moments of pharmacokinetic analysis will enable the determination steady state and enable the determination of intra-individual variability. As probably not all patients included will be treated with iv fluconazole for 7 days, switching to oral/enteral therapy is allowed after day 3. To assess bioavailability limited pharmacokinetic curves will be taken on day 3 of oral/enteral therapy.


Recruitment information / eligibility

Status Completed
Enrollment 20
Est. completion date March 2016
Est. primary completion date March 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Patient is admitted to an ICU 2. Subject is at least 18 years of age on the day of the first dosing 3. Subject is managed with a central venous or arterial catheter Exclusion Criteria: 1. Is known to be hypersensitive to azole antifungal agents 2. Documented history of sensitivity to medicinal products or excipients similar to those found in the fluconazole preparation 3. Has previously participated in this trial

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
fluconazole
Dose according to summary of product characteristics (SPC) or local protocols

Locations

Country Name City State
Netherlands Canisius Wilhelmina Ziekenhuis Nijmegen
Netherlands Radboud university medical center Nijmegen
Netherlands University Medical Center Utrecht Utrecht

Sponsors (1)

Lead Sponsor Collaborator
Radboud University

Country where clinical trial is conducted

Netherlands, 

References & Publications (1)

Muilwijk EW, de Lange DW, Schouten JA, Wasmann RE, Ter Heine R, Burger DM, Colbers A, Haas PJ, Verweij PE, Pickkers P, Brüggemann RJ. Suboptimal Dosing of Fluconazole in Critically Ill Patients: Time To Rethink Dosing. Antimicrob Agents Chemother. 2020 Se — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Area under the curve Full pharmacokinetic curves will be taken op Day 3 and Day 7 (fluconazole). Days 3 and 7
Secondary body weight Identifying influence of body weight on the pharmacokinetics of fluconazole. Days 3 and 7
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