Comparative Trial of Micafungin Versus Fluconazole for Treating Esophageal Candidiasis

To determine the efficacy and safety of IV Micafungin versus IV Fluconazole in the treatment of patients with Esophageal...

Date First Received: April 22, 2008

Last Updated: June 26, 2008

Verified by: Astellas Pharma Inc, June 2008

Clinical Trial Phase: Phase 3 | Start Date: August 2003

Overall Status: Completed

Estimated Enrollment: 523

Brief Summary

Official Title: “A Phase 3, Randomized, Double-Blind, Comparative Trial of Micafungin Versus Fluconazole for the Treatment of Esophageal Candidiasis”

Condition Keyword(s):

To determine the efficacy and safety of IV Micafungin versus IV Fluconazole in the treatment of patients with Esophageal Candidiasis

Study Type: Interventional

Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Parallel Assignment, Safety/Efficacy Study

Study Primary Completion Date: February 2004

Intervention(s) in this Clinical Trial

  • Drug: Micafungin
    • IV
  • Drug: Fluconazole
    • IV

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
  • Active Comparator: 2

Outcome Measures for this Clinical Trial

Primary Measures

  • Endoscopic cure rate, defined as a mucosal grade of zero at the end of the therapy
    • Time Frame: End of Therapy
      Safety Issue?: No

Secondary Measures

  • Clinical response at end of therapy of cleared or improved
    • Time Frame: End of Therapy
      Safety Issue?: No
  • Mucosal response at end of therapy of cleared or improved
    • Time Frame: End of Therapy
      Safety Issue?: No

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Diagnosis of esophageal candidiasis confirmed by endoscopy
  • Negative pregnancy test in females of childbearing potential

Exclusion Criteria:

  • Pregnant or nursing
  • Evidence of liver disease
  • Presence of another active opportunistic fungal infection and/or receiving acute systemic therapy for an opportunistic fungal infection
  • Concomitant esophagitis caused by herpes simplex virus or cytomegalovirus
  • Receipt of an oral or topical antifungal agent within 48 hours or a systemic agent within 72 hours of first dose of study drug
  • Non-responsive to therapy in any prior systemic antifungal clinical trail
  • History of > 2 episodes of esophageal candidiasis requiring systemic antifungal therapy
  • History of anaphylaxis attributed to azole compounds or echinocandin class of antifungals

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: 16 Years

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: Astellas Pharma Inc

Overall Clinical Trial Officials and Contacts

Use central contact Study Director Astellas Pharma US, Inc.  

Additional Information

Information obtained from ClinicalTrials.gov on September 05, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00666185

Study ID Number: 03-7-005

ClinicalTrials.gov Identifier: NCT00666185

Health Authority: South Africa: National Health Research Ethics Council

Link to results on ClinicalStudyResults.org

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