The purpose of the study is to compare the safety and efficacy of Isavuconazole versus caspofungin followed by voriconazole in the treatment of candidemia and other invasive Candida infections.

Official Title

A Phase III, Double-Blind, Randomized Study to Evaluate the Safety and Efficacy of Isavuconazole Versus Caspofungin Followed by Voriconazole in the Treatment of Candidemia and Other Invasive Candida Infections

Conditions

MycosesCandidiasis

Study Type

Interventional

Study Design

Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment

Further Details

Primary Outcome Measures:

  • Overall response: Resolution of signs and symptoms of infection plus mycological (presumed) eradication

Secondary Outcome Measures:

  • Mycological response
  • Time to first confirmed negative culture
  • All-cause mortality

Candida infections, representing approximately 80% of all major systemic fungal infections, are the fourth most common cause of nosocomial bloodstream infections, with a mortality rate of 40%. Isavuconazole is not yet approved for the treatment of fungal infections. This study investigates the efficacy and safety of intravenous and oral Isavuconazole. Patients are randomized to Isavuconazole and the reference regimen. Patients with a positive blood- or deep tissue culture of candida fungi can be included.

Study Start

December 2006

Eligibility & Criteria

  • Ages Eligible for Study: 18 Years and above
  • Genders Eligible for Study: Both

Inclusion Criteria:

  • Patients with systemic candida infection
  • Positive blood or deep tissue culture.

Exclusion Criteria:

  • Patients with a sole diagnosis of mucocutaneous candidiasis, i.e. oropharyngeal, esophageal or genital candidiasis; or candidal lower urinary tract infection or Candida isolated solely from respiratory tract specimens.
  • Patients with candidemia who failed a previous antifungal therapy for the same infection.

Total Enrolment

526

Contact Details

Australian Locations:

  • Woolloongabba, Australia; Recruiting
  • South Brisbane, Australia; Recruiting
  • Fremantle, Australia; Recruiting
  • South Brisbane, Australia; Recruiting
  • Westmead, Australia; Recruiting
  • Perth, Australia; Recruiting

Contact the study director; Markus Heep, MD: markus.heep@basilea.com

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