Unique ID issued by UMIN | UMIN000006106 |
---|---|
Receipt number | R000007227 |
Scientific Title | Comparison study of liposomal amphotericin B and micafungin in treatment of deep candidasis in surgical and emergency domains |
Date of disclosure of the study information | 2011/08/03 |
Last modified on | 2015/09/29 14:00:25 |
Comparison study of liposomal amphotericin B and micafungin in treatment of deep candidasis in surgical and emergency domains
Comparison study of liposomal amphotericin B and micafungin in treatment of deep candidasis in surgical and emergency domains
Comparison study of liposomal amphotericin B and micafungin in treatment of deep candidasis in surgical and emergency domains
Comparison study of liposomal amphotericin B and micafungin in treatment of deep candidasis in surgical and emergency domains
Japan |
Invasive Candidiasis
Gastroenterology | Hepato-biliary-pancreatic medicine | Cardiology |
Pneumology | Endocrinology and Metabolism | Nephrology |
Neurology | Clinical immunology | Infectious disease |
Surgery in general | Gastrointestinal surgery | Hepato-biliary-pancreatic surgery |
Vascular surgery | Chest surgery | Endocrine surgery |
Breast surgery | Obstetrics and Gynecology | Ophthalmology |
Dermatology | Oto-rhino-laryngology | Urology |
Anesthesiology | Neurosurgery | Cardiovascular surgery |
Plastic surgery | Emergency medicine | Intensive care medicine |
Others
NO
"Guideline for the Diagnosis and Treatment of Deep Mycosis 2007" in Japan and "Clinical Practice Guidelines for the Management of Candidiasis: 2009 Update by the Infectious Diseases Society of America" 2 in the United States have been recently presented for diagnosis and treatment of deep candidiasis and recommend micafungin and liposomal amphotericin B as initial therapy for patients with invasive candidiasis. The clinical usefulness of L-AMB and MCFG on such deep candidiasis is studied.
Efficacy
Confirmatory
Pragmatic
Phase IV
Clinical effect (efficacy ratio) at the end or discontinuation of administration
Clinical symptoms between 4 and 7 days after the start of administration
Clinical symptoms between 5 and 10 days after the end of administration
Mycological effect
Serological effect
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
NO
NO
Numbered container method
2
Treatment
Medicine |
L-AMB group
The recommended dose is 2.5-5.0 mg/kg body weight administered intravenously over 1-3 hours once a day.
Depending on the patient condition, the dose can be increased or decreased within a range of up to 5.0 mg once a day as appropriate (the treatment can be even discontinued).
MCFG group
The recommended dose is 150 mg administered intravenously over one hour once a day.
The dose can be increased up to 300 mg once a day in patients with severe candidiasis.
16 | years-old | <= |
Not applicable |
Male and Female
Patient with Invasive Candidiasis or Suspected Invasive Candidiasis
(1) Cases treated with L-AMB or MCFG of those enrolled in this study.
(2) Patients with a history of hypersensitivity to the ingredients of this product, such as shock
(3) Children (younger than 16 years old)
(4) Patients undergoing treatment (leukocyte transfusion) that is contraindicated for use in combination with L-AMB.
(5)Pregnant or lactating patients or possibly pregnant patients.
(6)Patients with a present illness of serious liver diseases not caused by infections or a past history of them.
(7) Patients with neutrophil counts of <500 cells/mm3.
(8)Patients with serious underlying diseases or infections who are not expected to live throughout the study period.
(9) Other patients judged to be unsuitable as subjects by the physicians in charge
100
1st name | |
Middle name | |
Last name | Yuka Yamagishi |
Aichi Medical University Hospital
Department of Infection Control and Prevention
1-1 Yazakokarimata,Nagakute,Aichi,480-1195, Japan
0561-62-3311
1st name | |
Middle name | |
Last name | Yuka Yamagishi |
Aichi Medical University Hospital
Department of Infection Control and Prevention
1-1 Yazakokarimata,Nagakute,Aichi,480-1195, Japan
0561-62-3311
yymgs@aichi-med-u.ac.jp
Department of Infection Control and Prevention, Aichi Medical University Hospital
None
Self funding
None
NO
中濃厚生病院(岐阜県)、京都第二赤十字病院(京都府)、京都桂病院(京都府)、関西医科大学附属枚方病院(大阪府)、倉敷中央病院(岡山県)、川崎医科大学(岡山県)、鹿児島市医師会病院(鹿児島県)
2011 | Year | 08 | Month | 03 | Day |
Unpublished
Completed
2011 | Year | 06 | Month | 30 | Day |
2011 | Year | 09 | Month | 01 | Day |
2013 | Year | 03 | Month | 01 | Day |
2011 | Year | 08 | Month | 03 | Day |
2015 | Year | 09 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007227