Safety and Efficacy Study of Posaconazole vs. Fluconazole for Prevention of Invasive Fungal Infection (P05387 AM1)(COMPLETED)
Condition: Leukopenia
MeSH terms: Mycoses; Invasive Fungal Infections; Leukopenia
Intervention: Posaconazole; Fluconazole
Intervention description: 40 mg/mL; 200 mg (5 mL) TID
Treatment was continued with each cycle of chemotherapy until:
The onset of a proven or probable diagnosis of invasive fungal infection (IFI)
3 chemotherapy cycles or
Total treatment duration up to 12 weeks (84 days); 50 mg/capsule (2 capsules), 150 mg/capsule (2 capsules);
400 mg QD
Treatment was continued with each cycle of chemotherapy until:
The onset of a proven or probable diagnosis of invasive fungal infection (IFI)
3 chemotherapy cycles or
Total treatment duration up to 12 weeks (84 days)
Intervention MeSH terms: Fluconazole; Posaconazole
Phase: Phase 3
Study type: Interventional
Primary purpose: Prevention
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 252.0
Sex: All
Minimum age: 18 Years
Maximum age: 70 Years
Healthy volunteers: No
Keywords: high-risk leukopenic patients

Summary:

      A randomized, open label parallel controlled, multicenter study to evaluate safety and
      efficacy of Posaconazole oral suspension vs Fluconazole (capsule) in high-risk leukopenic
      patients for prevention of invasive fungal infection
    

Eligibility criteria:

        Inclusion Criteria:

          -  Participants must be 18-70 years of age of either sex

          -  Persistent neutropenia (Absolute Neutrophil Count [ANC] < 500/mm^3 [0.5x10^9/L]）or
             probable neutropenia in 3-5 days is anticipated. Neutropenia >= 7 days caused by the
             following reasons

               -  Standard or dose-intense chemotherapy, anthracyclines or other acceptable
                  chemotherapies ( any investigational drug is not permitted) for Acute Myelogenous
                  Leukemia (AML) treatment

               -  Retreatment of chemotherapy in case of AML recurrence

               -  Myelodysplastic syndrome (MDS) shifts to AML and bone marrow arrest induction
                  chemotherapy is required (not including acute phase of chronic myelogenous
                  leukemia [CML])

          -  Informed consent obtained from participant or legal guardian

        Exclusion Criteria:

          -  Participants previously treated with amphotericin B (AMB), fluconazole (FLZ), or
             itraconazole (ITZ) within 30 days of enrollment.

          -  Participants who have taken the following drugs:

               -  terfenadine, cisapride, and ebastine within 24 hours before entry

               -  astemizole at entry or within 10 days before entry

               -  cimetidine, rifampin, carbamazepine, phenytoin, rifabutin, barbiturates,
                  isoniazid atharanthine and anthracyclines within 24 hours before entry

          -  The above drugs are refrained during the investigation

          -  Serious organ diseases except hematological disorder such as cardiac or neurologic
             disorders or impairment expected to be unstable or progressive during the course of
             this study (eg, seizures or demyelinating syndromes, acute myocardial infarction
             within 3 months of study entry, myocardial ischemia, congestive heart failure, atrial
             fibrillation with ventricular rate <60/min, or history of torsades de pointes,
             symptomatic ventricular or sustained arrhythmias), unstable electrolyte abnormalities.

          -  Participants who have used any investigational drugs or biologic agents other than
             their chemotherapy regimens within 30 days of study entry.

          -  Prior enrollment in this study.

          -  Participants with known or suspected hypersensitivity or idiosyncratic reaction to
             azole agents or amphotericin B.

          -  Participants with known or suspected invasive fungal infection (IFI) at screen

          -  Participants with severe renal insufficiency (estimated creatinine clearance less than
             50 mL/minute or likely to require dialysis during the study), Alanine transaminase
             (ALT), Aspartate transaminase (AST), alkaline phosphatase or total bilirubin are >2×
             (Upper Limit of Normal) ULN.

          -  Participants having an electrocardiogram (ECG) with a prolonged QTc interval: QTc
             greater than 450 msec for men and greater than 470 msec for women.

          -  Participants with AML or CML history.

          -  Participants with a history of allogeneic hematopoietic stem cell, bone marrow
             transplantation, autologous stem cell transplantation history.

          -  Female participants who are pregnant or are nursing.

          -  Alcohol and/or drug abuse.

          -  Participants cannot be compliant in the opinion of the investigator.