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CompletedNCT01058174TENPINUpdated Nov 18, 2024

Liver Transplant European Study Into the Prevention of Fungal Infection

A Phase 3 interventional study of micafungin and fluconazole in Liver Transplantation and Mycoses, sponsored by Astellas Pharma Inc. Completed at 36 sites in 14 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-18.

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

Phase
Phase 3
Study type
Interventional
Enrollment
350
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Prevention of invasive fungal infection in high risk patients following liver transplant.

Read the detailed description

After receiving liver transplant, subjects will be randomized to one of the two treatment arms.

Study drugs will be administered for a period of 21 days, or until hospital discharge, whichever occurs first.

Additionally, mortality data will be collected at the Long-term Follow-up.

02

Conditions studied

  • Liver Transplantation
  • Mycoses

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Keywords

  • Prophylaxis
  • Liver transplantation
  • Invasive Fungal Infection
  • Micafungin
  • Prevention
  • Mycoses
03

In context

Mycoses

539 studies on the registry are indexed under Mycoses; 55 are open to participants now.

This study's enrollment of 350 is above the median of 46 across 358 interventional studies indexed under Mycoses.

Browse Mycoses 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Undergoing orthotopic whole or split liver allograft transplantation
  • Patients at 'high risk' of invasive fungal infection due to the presence of at least one of the following risk factors:

    • Re-transplantation
    • Acute liver failure
    • Pre- or post-operative renal impairment (defined as creatinine clearance ≤40 ml/min) or need for renal replacement therapy
    • Admission to Intensive Care Unit (ICU) for greater than 48 hours prior to liver transplant
    • Re-operation (abdominal surgery) within 5 days of liver transplant
    • Presence of choledocojejunostomy
    • Perioperative colonization with fungi, defined as two or more positive clinical site surveillance cultures for Candida spp., obtained within 96 hours before or after liver transplant
    • Need for prolonged mechanical ventilation for greater than 48 hours following liver transplant
    • Transfusion intraoperatively of 20 or more units of cellular blood products
  • Female subject of childbearing potential must have a negative urine or serum pregnancy test prior to randomization and must agree to maintain effective birth control during the study

Exclusion criteria

Exclusion Criteria:

  • Any systemic antifungal therapy (excluding fluconazole or oral nystatin for a maximum of 7 days) within 14 days prior to randomization
  • Evidence of documented ('proven' or 'probable') or suspected ('possible') IFD (according to the EORTC/MSG criteria)
  • Allergy, hypersensitivity, or any serious reaction to an echinocandin antifungal, or any of the study drugs or their excipients
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Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
350 participants (actual)

Study arms

  • Experimental
    micafungin

    intravenous infusion

    Drug: micafungin

  • Active comparator
    standard care

    intravenous infusion

    Drug: fluconazole · Drug: liposomal amphotericin B · Drug: caspofungin

Interventions

  • Drugmicafungin

    intravenous infusion

    Also known as: Mycamine

  • Drugfluconazole

    intravenous infusion

    Also known as: Diflucan

  • Drugliposomal amphotericin B

    intravenous infusion

    Also known as: AmBisome

  • Drugcaspofungin

    intravenous infusion

    Also known as: Cancidas

06

What researchers measure

Primary outcomes

  1. 'Clinical success' at the End of Prophylaxis as assessed by the Independent Data Review Board (IDRB).

    Time frame: up to 21 days

Secondary outcomes

  1. Absence of a 'proven' or 'probable' Invasive Fungal Disease (IFD) at the End of Study as assessed by the IDRB

    Time frame: 3 months

  2. Absence of 'proven' or 'probable' IFD at the End of Prophylaxis and at the End of Study as assessed by the Investigator

    Time frame: up to 21 days & 3 months

  3. Time to 'proven' or 'probable' IFD

    Time frame: up to 3 months

  4. Fungal free survival at the End of Study and at the end of Long-term Follow-up

    Time frame: 3 months & 6 months

  5. Incidence of superficial fungal infection and colonization at the End of Prophylaxis as compared to Baseline

    Time frame: up to 21 days

07

Study locations

36 sites
  • Innsbruck, 6020, Austria
  • Antwerpen, 2650, Belgium
  • Brussels, 1070, Belgium
  • Brussels, 1200, Belgium
  • Gent, 9000, Belgium
  • Paris, Villejuif Cedex 94804, France
  • Clichy, 32110, France
  • Paris, 75013, France
  • Toulouse, 31059, France
  • Berlin, 13353, Germany
  • Hamburg, 20246, Germany
  • Hannover, 30625, Germany
  • Heidelberg, 69120, Germany
  • Budapest, 1082, Hungary
  • Dublin, 4, Ireland
  • Milan, 20146, Italy
  • Padova, 35127, Italy
  • Torino, 10126, Italy
  • Udine, 33100, Italy
  • Coimbra, 3000-075, Portugal
  • Porto, 4099-001, Portugal
  • Bucharest, 22328, Romania
  • Moscow, 123182, Russian Federation
  • Moscow, 129090, Russian Federation
  • St. Petersburg, 197758, Russian Federation
  • Riyadh, Saudi Arabia
  • Santiago de Compostela, A Coruna 15706, Spain
  • Barakald, Vicaya 48903, Spain
  • Barcelona, 08036, Spain
  • Cordoba, 14004, Spain
  • Madrid, 28007, Spain
  • Madrid, 28034, Spain
  • Valencia, 46009, Spain
  • Stockholm, 14186, Sweden
  • Birmingham, B15 2TH, United Kingdom
  • London, SE5 9RS, United Kingdom
08

References and documents

Publications

  • Saliba F, Pascher A, Cointault O, Laterre PF, Cervera C, De Waele JJ, Cillo U, Langer RM, Lugano M, Goran-Ericzon B, Phillips S, Tweddle L, Karas A, Brown M, Fischer L; TENPIN (Liver Transplant European Study Into the Prevention of Fungal Infection) Investigators; TENPIN Liver Transplant European Study Into the Prevention of Fungal Infection Investigators. Randomized trial of micafungin for the prevention of invasive fungal infection in high-risk liver transplant recipients. Clin Infect Dis. 2015 Apr 1;60(7):997-1006. doi: 10.1093/cid/ciu1128. Epub 2014 Dec 17. PubMed 25520332 ↗

Individual participant data

Plan to share: Yes — Access to anonymized individual participant level data collected during the study, in addition to study-related supporting documentation, is planned for studies conducted with approved product indications and formulations, as well as products terminated during development. Studies conducted with product indications or formulations that remain active in development are assessed after study completion to determine if Individual Participant Data can be shared. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

Supporting information: Study protocol, Sap, Csr

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01058174
Lead sponsor
Astellas Pharma Inc
Responsible party
Sponsor
First posted
Jan 28, 2010
Start date
Dec 15, 2009
Primary completion
May 3, 2012
Completion
May 3, 2012
Last update
Nov 18, 2024

Study contacts

Use Central Contact
study director · Astellas Pharma Europe Ltd.

Oversight

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

Not currently enrolling

This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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