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Efficacy According to Treatment Timing in Immunocompromised Patients Treated With Itraconazole Injection as an Empiric Antifungal Therapy


N/A
18 Years
N/A
Not Enrolling
Both
Hematological Malignancies, Neutropenia, Fever

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Trial Information

Efficacy According to Treatment Timing in Immunocompromised Patients Treated With Itraconazole Injection as an Empiric Antifungal Therapy


This study is a multi-center, open-label, prospective and observational study enrolling
approximately 440 patients. The primary objective of this study is to examine the fever
response rate after itraconazole IV (directly into the vein) is administered for more than 3
days to patients with neutropenic fever based on investigator's discretion. Follow-up will
be performed before and after administration and for 7 days after administration. Study
population consists of the patients who visit a study center during the study period and are
judged to have neutropenic fever associated with hematologic malignancy such as acute
leukemia, hodgkin's lymphoma, non-hodgkin's lymphoma, myelodysplastic syndrome, and multiple
myeloma. The decision to treat patients with itraconazole is as per physician discretion and
doses are determined based upon approved labeling recommendations and physician discretion.
The safety and efficacy of itraconazole administered beyond 29 days is not yet been
established in the treatment of fever in neutropenic patients suspected of systemic fungal
infection. Itraconazole 200 mg IV twice daily for 2 days, for a total of 4 doses, then 200
mg IV once daily for 12 days. After the administration for a total of 14 days, itraconazole
oral solution 200 mg (20 ml) twice daily should be continued for a total of 14 days


Inclusion Criteria:



- Patients with neutropenic fever who receive antineoplastic therapy or stem cell
transplantation for acute leukemia, hodgkin's lymphoma, non-hodgkin's lymphoma,
myelodysplastic syndrome, and multiple myeloma

- Patients who are recommended to receive itraconazole injection for treatment of acute
leukemia, hodgkin's lymphoma, non-hodgkin's lymphoma, myelodysplastic syndrome, and
multiple myeloma

Exclusion Criteria:

- Childbearing women who are pregnant or likely to be pregnant during the study period
and male patients who are neither infertile nor willing to refrain from sexual
relations but whose partner does not conduct an effective contraception (implant,
injections, oral contraceptives, intrauterine device, etc.)

- Fever due to documented deep-seated fungal infection at the entry into the study
(documented candidemia will be included)

- Significant hepatic and renal dysfunction

- Patients who, at the discretion of the investigator, are not eligible for the study
participation based on warnings, precautions and contraindicated medications as
listed in the package insert of the drug

Type of Study:

Observational

Study Design:

Observational Model: Case-Only, Time Perspective: Prospective

Outcome Measure:

Frequency rate at which fever is resolved and the time to fever resolution

Outcome Time Frame:

after completion of the treatment of 3 to 14 days and after 7 days of follow up period

Safety Issue:

No

Principal Investigator

Janssen Korea, Ltd. Clinical Trial

Investigator Role:

Study Director

Investigator Affiliation:

Janssen Korea, Ltd.

Authority:

Korea: Food and Drug Administration

Study ID:

CR015691

NCT ID:

NCT01060462

Start Date:

July 2008

Completion Date:

February 2009

Related Keywords:

  • Hematological Malignancies
  • Neutropenia
  • Fever
  • Defervescence rate
  • Defervescence timing
  • Itraconazole
  • Neoplasms
  • Neutropenia
  • Hematologic Neoplasms

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