Fungal Infection Clinical Trial
Official title:
Prospective Trial to Evaluate Pharmacokinetic, Safety and Efficacy of Intermittent Application of Increased Doses of Caspofungin for Antifungal Prophylaxis in High Risk Patients
The study is a pilot phase II, prospective, non-comparative, single center trial aimed to evaluate pharmacokinetic and safety of an intermittent dosing schedule for antifungal prophylaxis in high risk patients.
Pharmacokinetic and safety of caspofungin, in an intermittent dosing schedule, for
prophylaxis of invasive fungal (IFI) infections will be evaluated in patients receiving
induction chemotherapy for treatment of acute myeloid leukemia, myelodysplastic syndrome
with blast crisis or acute lymphatic leukemia.
For prophylaxis caspofungin once daily will be given three times a week after a loading
phase of three days. For drug monitoring serum samples will be collected from the first day
of trial medication till one day after end of therapy (EOT). Invasive fungal infections will
be diagnosed analog the criteria defined by the European organization for Research and
Treatment of Cancer and the Mycosis Study Group (EORTC/MSG), revised in 2008.
Caspofungin prophylaxis will be stopped after the end of neutropenia, in case of documented
proven or probable invasive fungal disease and in case of a serious adverse event
attributable to the study drug, for which in view of the investigator further usage of the
study drug should be avoided.
;
Endpoint Classification: Pharmacokinetics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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