UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000382
Receipt number R000000474
Scientific Title Phase II study of micafungin as empirical antifungal therapy for febrile neutropenic patients (C-SHOT 0503 study)
Date of disclosure of the study information 2006/03/30
Last modified on 2013/11/23 19:18:13

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Basic information

Public title

Phase II study of micafungin as empirical antifungal therapy for febrile neutropenic patients (C-SHOT 0503 study)

Acronym

Phase II study of micafungin as empirical antifungal therapy for febrile neutropenic patients (C-SHOT 0503 study)

Scientific Title

Phase II study of micafungin as empirical antifungal therapy for febrile neutropenic patients (C-SHOT 0503 study)

Scientific Title:Acronym

Phase II study of micafungin as empirical antifungal therapy for febrile neutropenic patients (C-SHOT 0503 study)

Region

Japan


Condition

Condition

Febrile neutropenia

Classification by specialty

Hematology and clinical oncology Infectious disease

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The major objective of this study is to evaluate efficacy and feasibility of empirical antifungal therapy with micafungin for patients with febrile neutropenia unresponsive to antibacterial agents.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II


Assessment

Primary outcomes

Rate of treatment success as defined by a 4-component composite endpoint (defervescence, development of breakthrough fungal infections, discontinuation of the study drug, and death)

Key secondary outcomes

Incidence of adverse events


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Micafungin intravenously over 1 hour at a daily dose of 150 mg

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

15 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

(1) Hematologic disease;
(2) Age between 15 and 79;
(3) Axillary temperature of 38.0 C or greater;
(4) Absolute neutrophil count of less than 500/microL;
(5) Persistent or recurrent fever after at least 96 hours of antibacterial therapy;
(6) T-Bil level less than 2.0 times the upper limit of normal;
(7) Cre level less than 1.5 times the upper limit of normal;
(8) Written informed consent

Key exclusion criteria

(1) Past history of allergic reaction to the study drug;
(2) MIcrobiological documented infection;
(3) Having received systemic antifungal of antiviral therapy within 14 days;
(4) Septic shock;
(5) Allogeneic transplantation;
(6) Body weight of less than 25 kg;
(7) Positive for HIV antibody;
(8) Pregnant or lactating woman

Target sample size

80


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Tomoki Naoe

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Hematology and Oncology

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2145

Email



Public contact

Name of contact person

1st name
Middle name
Last name Emi Goto

Organization

Nagoya University Graduate School of Medicine

Division name

Department of Hematology and Oncology

Zip code


Address

65 Tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2145

Homepage URL

http://www.c-shot.or.jp/

Email

gemi@med.nagoya-u.ac.jp


Sponsor or person

Institute

Center for Supporting Hematology-Oncology Trials (C-SHOT)

Institute

Department

Personal name



Funding Source

Organization

Astellas Corporation

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 03 Month 30 Day


Related information

URL releasing protocol

http://www.c-shot.or.jp/

Publication of results

Published


Result

URL related to results and publications

http://www.ncbi.nlm.nih.gov/pubmed/23857638

Number of participants that the trial has enrolled


Results

Of the 78 evaluable patients, 54 (69 %) achieved defervescence by the time of neutrophil recovery, and 56 (72 %) completed the treatment in accordance with the provision of the protocol. Four patients developed invasive fungal infection, nine changed antifungal therapy because of lack of efficacy, and three discontinued micafungin because of drug-related adverse events. Based on the composite end point taking account of these, the overall treatment success rate was 60 %, with the lower limit of a 90 % confidence interval (50.3 %) exceeding the predefined threshold success rate (50 %).

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 02 Month 01 Day

Date of IRB


Anticipated trial start date

2006 Year 04 Month 01 Day

Last follow-up date

2010 Year 02 Month 01 Day

Date of closure to data entry

2010 Year 05 Month 01 Day

Date trial data considered complete

2010 Year 06 Month 01 Day

Date analysis concluded

2010 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 03 Month 30 Day

Last modified on

2013 Year 11 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000474


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name