Liver TransplantationPhase 2NCT00333645
Prophylaxis With Caspofungin in High-Risk Liver Transplantation
A Phase 2 study testing Caspofungin in people with Liver Transplantation and Fungal Infection, run by Grupo de Estudio de Infecciones en Transplantados at 13 sites in Spain.
Trial summary
This is a non-comparative, open, multisite prospective estimation study to evaluate the efficacy and safety of caspofungin in the prophylactic treatment of adults who have received an orthotopic liver transplant and are at high risk of developing an invasive fungal infection. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Liver Transplantation, Fungal Infection
- What is being tested?
- Caspofungin
- How many people
- 70 participants
- Where
- 13 sitesSpain
- Study dates
- Oct 2003to Mar 2007
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18 years of age or older
- Patient has received an orthotopic liver transplantation
- Patient meets criteria, as defined per protocol, for being considered at high risk of developing an invasive fungal infection post-liver transplantation
- For women of childbearing potential, patient must have a negative serum or urine pregnancy test
Who cannot join
- Any systemic antifungal therapy (other than fluconazole for a maximum of 7 days) within 14 days of the administration of the study drug.
- Documented (proven/probable) or suspected (possible) invasive fungal infection at the time of enrollment.
- Abnormal laboratory values as defined per protocol.
- Allergy, hypersensitivity, or any serious reaction to an echinocandin antifungal.
- Patient not expected to survive at least 5 days.
- Patient is pregnant or breast feeding.
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
Spain13 sites, 12 recruiting
- Recruiting
Complejo Hospitalario Juan Canalejo
A Coruña, E-15006
Pedro Llinares, MD
- Recruiting
Hospital de Cruces
Barakaldo, E-48903
Miguel Montejo, MD
- Recruiting
Hospital Universitari Vall d'Hebron
Barcelona, E-08035
Joan Gavaldà, MD
- Withdrawn
Complejo Hospitalario Reina Sofia
Córdoba, E-14004
- Recruiting
Hospital Universitario Virgen de las Nieves
Granada, E-18014
Daniel Garrote, MD
- Recruiting
Hospital General Universitario Gregorio Marañón
Madrid, E-28007
Patricia Muñoz, MD
- Recruiting
Hospital Ramon y Cajal
Madrid, E-28034
Jesus Fortun, MD
- Recruiting
Hospital Universitario Puerta de Hierro
Madrid, E-28035
Antonio Ramos, MD
- Recruiting
Hospital 12 de Octubre
Madrid, E-28041
Rafael San Juan, MD
- Recruiting
Complejo Hospitalario Carlos Haya
Málaga, E-29010
Cesar Aragon, MD
- Recruiting
Complejo Hospitalario Universitario de Santiago
Santiago de Compostela, E-15706
Evaristo Varo, MD
- Recruiting
Hospital Universitario Virgen del Rocío
Seville, E-41013
Jose-Miguel Cisneros, MD
- Recruiting
Hospital Universitario La Fe
Valencia, E-46009
Marino Blanes, MD
About this study
Official title: Prophylaxis With Caspofungin for the Prevention of Invasive Fungal Infections in High-Risk Liver Transplant Recipients
This is a non-comparative, open, multisite prospective estimation study to evaluate the efficacy and safety of caspofungin in the prophylactic treatment of adults who have received an orthotopic liver transplant and are at high risk of developing an invasive fungal infection. It is expected that the proportion of high-risk liver transplant recipients who develop a documented (proven or probable per European Organization for Research and Treatment of Cancer/Mycoses Study Group [EORTC/MSG] modified criteria) invasive fungal infection during the first 100 days after the onset of prophylaxis with caspofungin will be lower than 15%. It is also expected that the incidence of serious drug-related adverse events will be less than 25%.
- Conditions
- Liver Transplantation, Fungal Infection
- Being tested
- Caspofungin
- Keywords
- Liver transplantation, Invasive fungal infection, Invasive aspergillosis, Prophylaxis, Caspofungin
- Medical subject headings
- Mycoses, Invasive Fungal Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CaspofunginDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Absence of breakthrough proven/probable invasive fungal infection by day +100
Secondary outcomes (4)
Absence of breakthrough proven/probable invasive aspergillosis by day +100
Discontinuation of study therapy due to a drug-related adverse event
Incidence of drug-related serious adverse event(s)
Incidence of drug-related adverse event(s)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2006 (estimated)
- Study startOct 2003
- Study completionMar 2007
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Liver TransplantationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 70 participants
Sponsor and investigators
- Lead sponsor
- Grupo de Estudio de Infecciones en Transplantados
- Sponsor type
- University, hospital or other
- Collaborators
- Merck Sharp & Dohme LLC
- Investigators
- Jesus Fortun, MD, Study director, Hospital Ramon y Cajal, Madrid, Spain
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00333645
- Sponsor's protocol ID
- GESITRA-01
- Other IDs
- 03-0409 (Spanish Drug Agency)
- Status last verified
- Dec 2006
- First submitted
- 4 Jun 2006
- Last updated
- 13 Apr 2007
- Results posted
- No
Publications
Fortun J, Muñoz P, Cisneros JM, et al. Antifungal prophylaxis with caspofungin in high-risk liver transplant recipients: a noncomparative, open-label prospective clinical trial. Clinical Microbiology & Infection 12 (suppl. 4): P684, 2006. [Abstract on an interim analysis performed on the first 15 patients enrolled in the study, presented as a poster at 2006 ECCMID meeting].
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2007. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prophylaxis With Caspofungin for the Prevention of Invasive Fungal Infections in High-Risk Liver Transplant Recipients
- ClinicalTrials.gov ID
- NCT00333645
- Acronym / sponsor ID
- GESITRA-01
- Conditions
- Liver Transplantation, Fungal Infection
- Keywords
- Liver transplantation, Invasive fungal infection, Invasive aspergillosis, Prophylaxis, Caspofungin
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 70 participants
- Lead sponsor
- Grupo de Estudio de Infecciones en TransplantadosUniversity, hospital or other
- Collaborators
- Merck Sharp & Dohme LLC
- Study start
- Oct 2003
- Study completion
- Mar 2007
- First posted
- 6 Jun 2006 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a non-comparative, open, multisite prospective estimation study to evaluate the efficacy and safety of caspofungin in the prophylactic treatment of adults who have received an orthotopic liver transplant and are at high risk of developing an invasive fungal infection. It is expected that the proportion of high-risk liver transplant recipients who develop a documented (proven or probable per European Organization for Research and Treatment of Cancer/Mycoses Study Group [EORTC/MSG] modified criteria) invasive fungal infection during the first 100 days after the onset of prophylaxis with caspofungin will be lower than 15%. It is also expected that the incidence of serious drug-related adverse events will be less than 25%.
Study design
- Primary purpose
- Prevention
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- 18 years of age or older
- Patient has received an orthotopic liver transplantation
- Patient meets criteria, as defined per protocol, for being considered at high risk of developing an invasive fungal infection post-liver transplantation
- For women of childbearing potential, patient must have a negative serum or urine pregnancy test
Key exclusion criteria (6 listed)
- Any systemic antifungal therapy (other than fluconazole for a maximum of 7 days) within 14 days of the administration of the study drug.
- Documented (proven/probable) or suspected (possible) invasive fungal infection at the time of enrollment.
- Abnormal laboratory values as defined per protocol.
- Allergy, hypersensitivity, or any serious reaction to an echinocandin antifungal.
- Patient not expected to survive at least 5 days.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Caspofungin | Drug | – |
Primary outcome
Absence of breakthrough proven/probable invasive fungal infection by day +100
4 secondary outcomes
Absence of breakthrough proven/probable invasive aspergillosis by day +100
Discontinuation of study therapy due to a drug-related adverse event
Incidence of drug-related serious adverse event(s)
Incidence of drug-related adverse event(s)
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2007.
- Results publicationFortun J, Muñoz P, Cisneros JM, et al. Antifungal prophylaxis with caspofungin in high-risk liver transplant recipients: a noncomparative, open-label prospective clinical trial. Clinical Microbiology & Infection 12 (suppl. 4): P684, 2006. [Abstract on an interim analysis performed on the first 15 patients enrolled in the study, presented as a poster at 2006 ECCMID meeting].
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jesus Fortun, MD study director
Hospital Ramon y Cajal, Madrid, Spain
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Caspofungin in people with Liver Transplantation and Fungal Infection, run by Grupo de Estudio de Infecciones en Transplantados at 13 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 13 Apr 2007. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jesus Fortun, MD, PhD (+34-670-537460, fortun@mi.madritel.es), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Absence of breakthrough proven/probable invasive fungal infection by day +100. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00333645, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2007.