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CompletedNCT00106288Updated Sep 18, 2014

Micafungin Versus AmBisome in Invasive Candidiasis and Candidemia

A Phase 3 interventional study of Micafungin and Liposomal Amphotericin B in Candidiasis, sponsored by Astellas Pharma Inc. Completed at 37 sites in 2 countries. Per ClinicalTrials.gov, last updated 2014-09-18.

Sponsored by Astellas Pharma Inc · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
637
Allocation
Randomized
Sex
All
01

Study summary

The purpose of this study is to determine the efficacy and safety of micafungin (FK463) versus liposomal amphotericin B (AmBisome) in treating neutropenic and non-neutropenic patients with confirmed invasive candidiasis or candidemia. Enrollment will include adult and pediatric patients.

Read the detailed description

A phase III, multicenter, double-blind, comparative, parallel, randomized study. Enrollment will include adult and pediatric patients. The adult population is sized to test for non-inferiority. For the pediatric population, descriptive analyses are planned.

02

Conditions studied

  • Candidiasis

Keywords

  • Candidaemia
  • Micafungin
03

In context

Candidiasis

265 studies on the registry are indexed under Candidiasis; 20 are open to participants now.

This study's enrollment of 637 is above the median of 99 across 186 interventional studies indexed under Candidiasis.

Browse Candidiasis studies →

Lead sponsor

Astellas Pharma Inc is the lead sponsor of 512 studies on the registry; 4 are open to participants now.

Of its 27 completed or terminated interventional studies of FDA-regulated products, 19 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

Patients either non-neutropenic with absolute neutrophil counts >= 500 cells/mm3 or neutropenic with absolute neutrophil counts \< 500 cells/mm3 must have:

  • Candidemia or invasive candidiasis,
  • Confirmation and typical clinical signs and symptoms by fungal culture and/or histology,
  • Positive culture obtained no more than four days prior to the first dose of study medication.

Exclusion criteria

Exclusion Criteria:

  • Patient is pregnant or nursing
  • Patients with evidence of liver disease as defined by: a) SGOT/AST or SGPT/ALT > 10 times the upper limit of normal (ULN); or b) Total bilirubin > 5 times ULN.
  • Patients whose sole diagnosis is oropharyngeal and/or esophageal candidiasis and/or with positive cultures of urine specimens, sputum specimens, bronchoalveolar-lavage specimens or samples from indwelling drains.
  • Patients who have received prophylactic/empiric therapy with azoles or conventional amphotericin B for more than three days within one week prior to enrollment. Neutropenic patients, however, may have received prophylactic azoles without time restrictions.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
637 participants (actual)

Study arms

  • Experimental
    1

    Drug: Micafungin

  • Active comparator
    2

    Drug: Liposomal Amphotericin B

Interventions

  • DrugMicafungin

    IV

    Also known as: Mycamine, FK463

  • DrugLiposomal Amphotericin B

    IV

    Also known as: AmBisome

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What researchers measure

Primary outcomes

  1. Investigator's assessment of overall treatment success. Success is defined as clinical (complete or partial) and mycological (eradication or presumed eradication) response at the End of Therapy.

    Time frame: 6 and 12 weeks post treatment

Secondary outcomes

  1. Clinical response (complete, partial, stabilization, progression) during the treatment period and the post-treatment period

    Time frame: During the 2 to 8 week treatment period and the 12 week post treatment followup period

  2. Mycological response (eradication, presumed eradication, persistence) during the treatment period and the post-treatment period

    Time frame: During the 2 to 8 week treatment period and the 12 week post treatment followup period

  3. Overall incidence of emergent and recurrent fungal infections at the End of Study

    Time frame: End of the 12 week post treatment followup peroid

  4. Independent Efficacy Review Committee's assessment of overall treatment success

    Time frame: Prior to database lock

  5. Peak change of estimated glomerular filtration rate during the treatment period compared to Baseline

    Time frame: During the 2 to 8 week treatment period

  6. Incidence of acute infusion related reactions as pre-defined

    Time frame: During the 2 to 8 week treatment period

  7. Patient survival at the End of Therapy and at the End of Study

    Time frame: End of the 2 to 8 week treatment period and end of the 12 week post treatment followup period

  8. Overall incidence of Adverse Events (AE)

    Time frame: Throughout study and post treatment followup period

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Study locations

37 sites
  • Birmingham, Alabama 35294-0006, United States
  • Orange, California 92868, United States
  • Denver, Colorado 80218, United States
  • Washington, DC, District of Columbia 20010-2970, United States
  • Jacksonville, Florida 32207, United States
  • Atlanta, Georgia 30322, United States
  • Hinsdale, Illinois 60521, United States
  • Maywood, Illinois 60153, United States
  • Kansas City, Kansas 66160, United States
  • Lexington, Kentucky 40536-0084, United States
  • Baltimore, Maryland 21201-1595, United States
  • Boston, Massachusetts 02115, United States
  • Boston, Massachusetts 02211, United States
  • Detroit, Michigan 48201, United States
  • Minneapolis, Minnesota 55455, United States
  • New York, New York 10021, United States
  • New York, New York 10029, United States
  • New York, New York 10032, United States
  • Rochester, New York 14642, United States
  • Valhalla, New York 10595, United States
  • Durham, North Carolina 27710, United States
  • Philadelphia, Pennsylvania 19104, United States
  • Philadelphia, Pennsylvania 19107, United States
  • Philadelphia, Pennsylvania 19140, United States
  • Houston, Texas 77030, United States
  • San Antonio, Texas 78229-3900, United States
  • Provo, Utah 84604, United States
  • Calgary, Alberta T2N 2T9, Canada
  • Vancouver, British Columbia V6Z 1Y6, Canada
  • Winnipeg, Manitoba R3A 1R9, Canada
  • Halifax, Nova Scotia B3H 2Y9, Canada
  • Hamilton, Ontario L8V 1C3, Canada
  • Toronto, Ontario M5S 2N9, Canada
  • Montreal, Quebec H1T 2M4, Canada
  • Montreal, Quebec H2L 4M1, Canada
  • Regina, Saskatchewan S4P OW5, Canada
  • Quebec, G1R 2J6, Canada
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References and documents

Publications

  • Kuse ER, Chetchotisakd P, da Cunha CA, Ruhnke M, Barrios C, Raghunadharao D, Sekhon JS, Freire A, Ramasubramanian V, Demeyer I, Nucci M, Leelarasamee A, Jacobs F, Decruyenaere J, Pittet D, Ullmann AJ, Ostrosky-Zeichner L, Lortholary O, Koblinger S, Diekmann-Berndt H, Cornely OA; Micafungin Invasive Candidiasis Working Group. Micafungin versus liposomal amphotericin B for candidaemia and invasive candidosis: a phase III randomised double-blind trial. Lancet. 2007 May 5;369(9572):1519-1527. doi: 10.1016/S0140-6736(07)60605-9. PubMed 17482982 ↗
  • Queiroz-Telles F, Berezin E, Leverger G, Freire A, van der Vyver A, Chotpitayasunondh T, Konja J, Diekmann-Berndt H, Koblinger S, Groll AH, Arrieta A; Micafungin Invasive Candidiasis Study Group. Micafungin versus liposomal amphotericin B for pediatric patients with invasive candidiasis: substudy of a randomized double-blind trial. Pediatr Infect Dis J. 2008 Sep;27(9):820-6. doi: 10.1097/INF.0b013e31817275e6. PubMed 18679151 ↗
  • Horn DL, Ostrosky-Zeichner L, Morris MI, Ullmann AJ, Wu C, Buell DN, Kovanda LL, Cornely OA. Factors related to survival and treatment success in invasive candidiasis or candidemia: a pooled analysis of two large, prospective, micafungin trials. Eur J Clin Microbiol Infect Dis. 2010 Feb;29(2):223-9. doi: 10.1007/s10096-009-0843-0. Epub 2009 Dec 15. PubMed 20013016 ↗
  • Shorr AF, Wu C, Kothari S. Outcomes with micafungin in patients with candidaemia or invasive candidiasis due to Candida glabrata and Candida krusei. J Antimicrob Chemother. 2011 Feb;66(2):375-80. doi: 10.1093/jac/dkq446. Epub 2010 Dec 8. PubMed 21147825 ↗
  • Dupont BF, Lortholary O, Ostrosky-Zeichner L, Stucker F, Yeldandi V. Treatment of candidemia and invasive candidiasis in the intensive care unit: post hoc analysis of a randomized, controlled trial comparing micafungin and liposomal amphotericin B. Crit Care. 2009;13(5):R159. doi: 10.1186/cc8117. Epub 2009 Oct 5. PubMed 19804626 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00106288
Lead sponsor
Astellas Pharma Inc
Responsible party
Sponsor
First posted
Mar 23, 2005
Start date
Jan 2003
Primary completion
Dec 2005
Completion
Dec 2005
Last update
Sep 18, 2014

Study contacts

Use Central Contact
study chair · Astellas Pharma Europe B.V.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2014. You cannot join it, but the record below documents what was studied.

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