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Study Summary
No. 2007-0020:.......Infection; Other Supportive......Issam Raad......Infection Control/Infectious Diseases & Employee Health
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Study Summary Title
Study Summary
Number:
2007-0020
Study Title:Phase III, Open Label Randomized Comparative Clinical Trial of Oral Posaconazole Three Times Per Day versus Weekly High Dose Amphotericin B Lipid Complex (ABLC) for The Prevention of Invasive Fungal Infections In Patients with Hematologic Malignancies and Hematopoietic Stem Cell Transplant.
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Physician New Patient Referral
Name:Issam RaadPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Infection Control/Infectious Diseases & Employee HealthReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-7943
Contact us about clinical trials
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General Information
Disease Group:Infection
Other Supportive
Supported By:Enzon Pharmaceuticals
Phase of Study:Phase IIIReturn
Visit:
Return Visits:
At EOT and Last Follow Up ( LFU) visits and as clinically indicated.
Treatment
Agents:
Amphotericin B Lipid Complex
Posaconazole
Home Care:Both ABLC and Posaconazole could be given at home if possible and if home
health service can be arranged by primary team.
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
As clinically indicated per primary services
Description/
Intervention:
The goal of this clinical research study is to compare Noxafil (posaconazole)
to Amphotericin B Liquid Complex (ABLC). In patients who have blood cancer
and/or have had a recent or upcoming bone marrow transplant, researchers want
to learn if posaconazole will provide the same or better results as ABLC in
terms of preventing IFIs. The safety of these drugs will also be studied.
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Study Objectives / Outcomes
The objective of this study is to compare the safety and efficacy of ABLC versus oral Posaconazole in the prevention of invasive fungal infections in high risk patients with hematologic malignancies or hematopoietic stem cell transplant.

Primary objective is to demonstrate the low toxicity rate and low rate of invasive fungal infections associated with ABLC or Posaconazole prophylaxis.

Secondary objective will be to compare the cost effectiveness of these two prophylactic regimens.
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Study Status Information
Study Activation / Registration Date:06/24/2008
IRB Review and Approval Date:01/23/2008
Study Type:Phase Iii
Recruitment Status:Closed
Projected Accrual:N/A
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Subjects: 18 years of age or above.

2) Any allogeneic hematopoietic stem cell transplant (HSCT) patient who is at risk of invasive fungal infection (IFI) within 6 months of the transplant will be eligible for the study according to HSCT institutional anti-fungal prophylaxis guidelines.

3) Subjects must be willing to give written informed consent and able to adhere to dosing and study visit schedule.

4) Female subjects of childbearing potential must have a negative serum pregnancy test (beta-human chorionic gonadotropin [hCG]) at Baseline or within 96 hours before the start of study drug.

5) Female subjects of childbearing potential must agree to use a medically accepted method of contraception prior to screening, while receiving protocol-specified medication, and for 30 days after stopping the medication. Acceptable methods of contraception include condoms with/without a spermicidal agent, diaphragm or cervical cap with spermicide, medically prescribed IUD (intrauterine device), oral/injectable hormonal contraceptive, surgical sterilization (e.g. hysterectomy/tubal ligation).

Exclusion Criteria:1) Subjects previously treated with antifungal therapy (voriconazole, fluconazole, or itraconazole) for proven or probable IFI within 30 days of enrollment.

2) Subjects who have taken the following drugs: terfenadine, cisapride, primazide, and ebastine; that are known to interact with azoles and that may lead to life-threatening side effects, within 24 hours before study drug administration. And astemizole within 7 days before study drug administration.

3) Subjects who have taken the following drugs: cimetidine, rifampin, carbamezapine, phenytoin, rifabutin, barbiturates, isoniazid, and vinca alkaloids (vincristine, vinblastine); that are known to lower the serum concentration/efficacy of azole antifungal agents, within 24 hours before study drug administration.

4) Subjects with a history of hypersensitivity or idiosyncratic reactions to azole agents or Amphotericin B.

5) Subjects on other nephrotoxic agents (e.g. foscarnet).

6) Patients who are unable to take pills.

7) Subjects with proven or probable invasive fungal infection.

8) Subjects with renal insufficiency (estimated creatine clearance less than 50mL/minute at Baseline or likely to require dialysis during the study).

9) Subjects having ECG with a prolonged QTc interval by manual reading: QTc greater than 500 msec. at Baseline.

10) Subjects with moderate or severe liver dysfunction at baseline, defined as aspartate amniotransfererase (AST), alanine amniotransfererase (ALT) and / or a total bilirubin level greater than 3 times the upper limit of normal (ULN).

11) Women who are breast feeding, pregnant, or intend to become pregnant during the course of the study.

12) Prior enrollment in this study.

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Links
Registration Number: NCT00750737
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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