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A Prospective, Observational Analysis of Voriconazole (VOR) Therapeutic Drug Concentration Monitoring, Pharmacogenomics and Clinical Outcome Correlations in High-risk Hematology Patients at Princess Margaret Hospital


N/A
N/A
N/A
Not Enrolling
Both
Acute Leukemia

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Trial Information

A Prospective, Observational Analysis of Voriconazole (VOR) Therapeutic Drug Concentration Monitoring, Pharmacogenomics and Clinical Outcome Correlations in High-risk Hematology Patients at Princess Margaret Hospital


Inclusion Criteria:



- Acute leukemia (including myelogenous and lymphocytic) patients for remission
induction chemotherapy, reinduction chemotherapy and consolidation chemotherapy whose
antifungal treatment include voriconazole.

- Patients have been subscribed voriconazole for probable or proven fungal infections
by microbiological/cytohistological evidence from fine needle aspirate or
bronchoalveolarlavage means.

- Patients will also have imaging positive from lose dose CT results depicting halo
signs or crescent signs suggestive of invasive fungal infections.

- Patients must be able to tolerate oral intake of medications.

Exclusion Criteria:

- Patients unable to tolerate oral administration with any combinations of severe
mucositis (> or = grade 3), nausea/vomiting (> or = grade 3), diarrhea (> or =grade
2), neutropenic enterocolitis (> or = grade3).

Type of Study:

Observational

Study Design:

Observational Model: Cohort, Time Perspective: Prospective

Outcome Measure:

To determine whether clinical responses (complete/partial/failure) directly correlate with patients' blood voriconazole levels.

Outcome Description:

The primary outcome measure is defined by the following endpoints: abefrile for at least 48 hours no breakthrough fungal infection resolution or improvement of radiological findings

Outcome Time Frame:

4 years

Safety Issue:

No

Principal Investigator

Jack Seki, P.Ph, PharmD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University Health Network, Toronto

Authority:

Canada: Ethics Review Committee

Study ID:

PMH-VOR

NCT ID:

NCT01321372

Start Date:

June 2007

Completion Date:

June 2011

Related Keywords:

  • Acute Leukemia
  • Leukemia

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