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A Study to Evaluate Pre-emptive Treatment for Invasive Candidiasis in High Risk Surgical Subjects (INTENSE)

Primary Purpose

Mycoses

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
micafungin
placebo
Sponsored by
Astellas Pharma Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Mycoses focused on measuring mycoses, Micafungin, intra-abdominal surgery, invasive fungal infection, intra-abdominal infection

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Intra-abdominal infection requiring surgery and Intensive Care Unit stay
  • If Community Acquired Intra-Abdominal Infection, at least 72 hours (but not more than 120 hours) of Intensive Care Unit stay, counted from the end of surgery, and a further expected duration of Intensive Care Unit stay of ≥ 48 hours
  • If Nosocomial Intra-Abdominal Infection, duration of Intensive Care Unit stay ≤ 48 hours, counted from the end of surgery, and a further expected duration of Intensive Care Unit stay of ≥ 48 hours
  • Female subject of childbearing potential must have a negative urine or serum pregnancy test prior to randomization and must agree to maintain highly effective birth control during the study

Exclusion Criteria:

  • Acute pancreatitis
  • Neutropenia (ANC <1,000/mm3) at the time of randomization
  • Infected intra-peritoneal dialysis
  • Patients undergoing solid organ transplantation
  • Documented invasive candidiasis at the time of randomization
  • Expected survival < 48 hours
  • Any systemically active anti-fungal within 14 days prior to administration of the study drug
  • Allergy, hypersensitivity, or any serious reaction to an echinocandin anti-fungal or any of the study drug excipients
  • Currently receiving and/or has taken an investigational drug within 28 days prior to randomization
  • Pregnant woman or breast-feeding mother
  • 'Do Not Resuscitate' order

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1 Micafungin

2 Placebo

Arm Description

IV

IV

Outcomes

Primary Outcome Measures

The incidence of Invasive Fungal Infection
Time from baseline to the first confirmation of Invasive Fungal Infection

Secondary Outcome Measures

The incidence during the treatment period and the time to confirmation of the composite endpoint (defined as confirmation of Invasive Fungal Infection and/or administration of alternative anti-fungal therapy)
The emergence or persistence of fungal colonization
The level of organ dysfunction
To assess the requirement for additional abdominal surgery/intervention.
Organ failure-free days
Fungal-free survival
Intensive Care Unit (ICU)-free days
All-cause mortality
Health-related quality of life
Assessment of the safety of micafungin when used as a pre-emptive treatment

Full Information

First Posted
May 10, 2010
Last Updated
August 31, 2017
Sponsor
Astellas Pharma Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01122368
Brief Title
A Study to Evaluate Pre-emptive Treatment for Invasive Candidiasis in High Risk Surgical Subjects
Acronym
INTENSE
Official Title
An Exploratory Study to Compare the Efficacy and Safety of Micafungin as a Pre-emptive Treatment of Invasive Candidiasis Versus Placebo in High Risk Surgical Subjects - A Multicentre, Randomized, Double-blind Study
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
July 13, 2010 (Actual)
Primary Completion Date
December 15, 2011 (Actual)
Study Completion Date
December 15, 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Astellas Pharma Inc

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Subjects with intra-abdominal infection requiring surgery and Intensive Care Unit stay will be treated early with micafungin or placebo to determine the incidence and time to confirmation of fungal infection.
Detailed Description
Subjects will be assessed at the following visits: Baseline (after surgery, prior to randomization) End of Treatment (EOT) visit (EOT is defined as: requires alternative antifungal, sufficient improvement of surgical condition, confirmed fungal infection or death) End of Study visit (28 days after the EOT visit) Long-term Follow up visit (90 days after the EOT visit)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mycoses
Keywords
mycoses, Micafungin, intra-abdominal surgery, invasive fungal infection, intra-abdominal infection

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
252 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1 Micafungin
Arm Type
Experimental
Arm Description
IV
Arm Title
2 Placebo
Arm Type
Placebo Comparator
Arm Description
IV
Intervention Type
Drug
Intervention Name(s)
micafungin
Other Intervention Name(s)
FK463, mycamine
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
placebo
Intervention Description
IV
Primary Outcome Measure Information:
Title
The incidence of Invasive Fungal Infection
Time Frame
During treatment
Title
Time from baseline to the first confirmation of Invasive Fungal Infection
Time Frame
Baseline to End of Treatment visit
Secondary Outcome Measure Information:
Title
The incidence during the treatment period and the time to confirmation of the composite endpoint (defined as confirmation of Invasive Fungal Infection and/or administration of alternative anti-fungal therapy)
Time Frame
At the EOT visit
Title
The emergence or persistence of fungal colonization
Time Frame
At the EOT visit
Title
The level of organ dysfunction
Time Frame
At the EOT visit
Title
To assess the requirement for additional abdominal surgery/intervention.
Time Frame
At the End of Study visit
Title
Organ failure-free days
Time Frame
From Day 1 until 28 days after end of study drug treatment
Title
Fungal-free survival
Time Frame
From Day 1 until 28 days after end of study drug treatment
Title
Intensive Care Unit (ICU)-free days
Time Frame
From Day 1 until 28 days after end of study drug treatment
Title
All-cause mortality
Time Frame
At the End of Study and Long-Term Follow Up visit
Title
Health-related quality of life
Time Frame
At the End of Study visit
Title
Assessment of the safety of micafungin when used as a pre-emptive treatment
Time Frame
At the End of Study visit

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Intra-abdominal infection requiring surgery and Intensive Care Unit stay If Community Acquired Intra-Abdominal Infection, at least 72 hours (but not more than 120 hours) of Intensive Care Unit stay, counted from the end of surgery, and a further expected duration of Intensive Care Unit stay of ≥ 48 hours If Nosocomial Intra-Abdominal Infection, duration of Intensive Care Unit stay ≤ 48 hours, counted from the end of surgery, and a further expected duration of Intensive Care Unit stay of ≥ 48 hours Female subject of childbearing potential must have a negative urine or serum pregnancy test prior to randomization and must agree to maintain highly effective birth control during the study Exclusion Criteria: Acute pancreatitis Neutropenia (ANC <1,000/mm3) at the time of randomization Infected intra-peritoneal dialysis Patients undergoing solid organ transplantation Documented invasive candidiasis at the time of randomization Expected survival < 48 hours Any systemically active anti-fungal within 14 days prior to administration of the study drug Allergy, hypersensitivity, or any serious reaction to an echinocandin anti-fungal or any of the study drug excipients Currently receiving and/or has taken an investigational drug within 28 days prior to randomization Pregnant woman or breast-feeding mother 'Do Not Resuscitate' order
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Use Central Contact
Organizational Affiliation
Astellas Pharma Europe Ltd.
Official's Role
Study Chair
Facility Information:
City
Innsbruck
ZIP/Postal Code
6020
Country
Austria
City
Salzburg
ZIP/Postal Code
5020
Country
Austria
City
Wien
ZIP/Postal Code
1030
Country
Austria
City
Wien
ZIP/Postal Code
1090
Country
Austria
City
Brussels
ZIP/Postal Code
1070
Country
Belgium
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
City
Gent
ZIP/Postal Code
9000
Country
Belgium
City
Liege
ZIP/Postal Code
4000
Country
Belgium
City
Viborg
ZIP/Postal Code
8800
Country
Denmark
City
Jyvaskyla
ZIP/Postal Code
40620
Country
Finland
City
Kuopio
ZIP/Postal Code
70210
Country
Finland
City
Tampere
ZIP/Postal Code
33521
Country
Finland
City
Amiens
ZIP/Postal Code
84054
Country
France
City
La Roche sur Yon Cedex 9
ZIP/Postal Code
85925
Country
France
City
Limoges
ZIP/Postal Code
87042
Country
France
City
Paris Cedex 14
ZIP/Postal Code
75674
Country
France
City
Paris
ZIP/Postal Code
75679
Country
France
City
Pierre Benite
ZIP/Postal Code
69495
Country
France
City
Poitiers
ZIP/Postal Code
86021
Country
France
City
Freiburg
ZIP/Postal Code
79106
Country
Germany
City
Hannover
ZIP/Postal Code
30625
Country
Germany
City
Koln
ZIP/Postal Code
50937
Country
Germany
City
Leipzig
ZIP/Postal Code
04103
Country
Germany
City
Lubeck
ZIP/Postal Code
23562
Country
Germany
City
Athens
ZIP/Postal Code
12461
Country
Greece
City
Thessaloniki
ZIP/Postal Code
57001
Country
Greece
City
Thessaloniki
ZIP/Postal Code
57010
Country
Greece
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
City
Gyor
ZIP/Postal Code
9023
Country
Hungary
City
Szeged
ZIP/Postal Code
6720
Country
Hungary
City
Ramat Gan
ZIP/Postal Code
52621
Country
Israel
City
Tel Aviv
ZIP/Postal Code
64239
Country
Israel
City
Bologna
ZIP/Postal Code
40138
Country
Italy
City
Milano
ZIP/Postal Code
20142
Country
Italy
City
Monza
ZIP/Postal Code
20052
Country
Italy
City
Pisa
ZIP/Postal Code
56126
Country
Italy
City
Roma
ZIP/Postal Code
00161
Country
Italy
City
Roma
ZIP/Postal Code
00168
Country
Italy
City
Verona
ZIP/Postal Code
37126
Country
Italy
City
Bucharest
ZIP/Postal Code
50098
Country
Romania
City
Oradea
ZIP/Postal Code
410168
Country
Romania
City
Timisoara
ZIP/Postal Code
300748
Country
Romania
City
Barcelona
ZIP/Postal Code
08003
Country
Spain
City
Madrid
ZIP/Postal Code
28006
Country
Spain
City
Madrid
ZIP/Postal Code
28046
Country
Spain
City
Valencia
ZIP/Postal Code
46014
Country
Spain
City
Valladolid
ZIP/Postal Code
47012
Country
Spain
City
Lausanne
ZIP/Postal Code
1011
Country
Switzerland
City
Ankara
ZIP/Postal Code
06100
Country
Turkey
City
Ege
ZIP/Postal Code
35100
Country
Turkey
City
Eskisehir
ZIP/Postal Code
26480
Country
Turkey
City
Trabzon
ZIP/Postal Code
61080
Country
Turkey
City
Blackpool
ZIP/Postal Code
FY3 8NR
Country
United Kingdom
City
Leeds
ZIP/Postal Code
LS1 3EX
Country
United Kingdom
City
Leeds
ZIP/Postal Code
LS9 7TF
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Details of the IPD sharing plan for this study can be found at www.clinicalstudydatarequest.com.
Citations:
PubMed Identifier
32914187
Citation
White PL, Posso R, Parr C, Price JS, Finkelman M, Barnes RA. The Presence of (1-->3)-beta-D-Glucan as Prognostic Marker in Patients After Major Abdominal Surgery. Clin Infect Dis. 2021 Oct 5;73(7):e1415-e1422. doi: 10.1093/cid/ciaa1370.
Results Reference
derived
PubMed Identifier
26270686
Citation
Knitsch W, Vincent JL, Utzolino S, Francois B, Dinya T, Dimopoulos G, Ozgunes I, Valia JC, Eggimann P, Leon C, Montravers P, Phillips S, Tweddle L, Karas A, Brown M, Cornely OA. A randomized, placebo-controlled trial of preemptive antifungal therapy for the prevention of invasive candidiasis following gastrointestinal surgery for intra-abdominal infections. Clin Infect Dis. 2015 Dec 1;61(11):1671-8. doi: 10.1093/cid/civ707. Epub 2015 Aug 13.
Results Reference
derived
Links:
URL
https://astellasclinicalstudyresults.com/study.aspx?ID=211
Description
Link to results on the Astellas Clinical Study Results website.

Learn more about this trial

A Study to Evaluate Pre-emptive Treatment for Invasive Candidiasis in High Risk Surgical Subjects

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