ClinicalTrials.gg
CompletedNCT01122368INTENSEUpdated Nov 19, 2024

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

A Phase 2 interventional study of micafungin and placebo in Mycoses, sponsored by Astellas Pharma Inc. Completed at 56 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-19.

Sponsored by Astellas Pharma Inc · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
252
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the 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)
02

Conditions studied

  • Mycoses

Keywords

  • mycoses
  • Micafungin
  • intra-abdominal surgery
  • invasive fungal infection
  • intra-abdominal infection
03

In context

Mycoses

260 studies on the registry are indexed under Mycoses; 37 are open to participants now.

This study's enrollment of 252 is above the median of 68 across 164 interventional studies indexed under Mycoses.

Browse Mycoses studies →

Lead sponsor

Astellas Pharma Inc is the lead sponsor of 525 studies on the registry; 4 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 19 (68%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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 must have a negative urine or serum pregnancy test prior to randomization and must agree to maintain highly effective during the study

Exclusion criteria

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, , or any serious reaction to an echinocandin anti-fungal or any of the study drug
  • Currently receiving and/or has taken an drug within 28 days prior to randomization
  • Pregnant woman or breast-feeding mother
  • 'Do Not Resuscitate' order
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
252 participants (actual)

Study arms

  • Experimental
    1 Micafungin

    IV

    Drug: micafungin

  • Placebo comparator
    2 Placebo

    IV

    Drug: placebo

Interventions

  • IV

    Also known as: FK463, mycamine

  • Drugplacebo

    IV

06

What researchers measure

Primary outcomes

  1. The incidence of Invasive Fungal Infection

    Time frame: During treatment

  2. Time from baseline to the first confirmation of Invasive Fungal Infection

    Time frame: Baseline to End of Treatment visit

Secondary outcomes

  1. 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

  2. The emergence or persistence of fungal colonization

    Time frame: At the EOT visit

  3. The level of organ dysfunction

    Time frame: At the EOT visit

  4. To assess the requirement for additional abdominal surgery/intervention.

    Time frame: At the End of Study visit

  5. Organ failure-free days

    Time frame: From Day 1 until 28 days after end of study drug treatment

  6. Fungal-free survival

    Time frame: From Day 1 until 28 days after end of study drug treatment

  7. Intensive Care Unit (ICU)-free days

    Time frame: From Day 1 until 28 days after end of study drug treatment

  8. All-cause mortality

    Time frame: At the End of Study and Long-Term Follow Up visit

  9. Health-related quality of life

    Time frame: At the End of Study visit

  10. Assessment of the safety of micafungin when used as a pre-emptive treatment

    Time frame: At the End of Study visit

07

Study locations

56 sites
  • Innsbruck, 6020, Austria
  • Salzburg, 5020, Austria
  • Wien, 1030, Austria
  • Wien, 1090, Austria
  • Brussels, 1070, Belgium
  • Brussels, 1200, Belgium
  • Edegem, 2650, Belgium
  • Gent, 9000, Belgium
  • Liege, 4000, Belgium
  • Viborg, 8800, Denmark
  • Jyvaskyla, 40620, Finland
  • Kuopio, 70210, Finland
  • Tampere, 33521, Finland
  • Amiens, 84054, France
  • La Roche sur Yon Cedex 9, 85925, France
  • Limoges, 87042, France
  • Paris Cedex 14, 75674, France
  • Paris, 75679, France
  • Pierre Benite, 69495, France
  • Poitiers, 86021, France
  • Freiburg, 79106, Germany
  • Hannover, 30625, Germany
  • Koln, 50937, Germany
  • Leipzig, 04103, Germany
  • Lubeck, 23562, Germany
  • Athens, 12461, Greece
  • Thessaloniki, 57001, Greece
  • Thessaloniki, 57010, Greece
  • Debrecen, 4032, Hungary
  • Gyor, 9023, Hungary
  • Szeged, 6720, Hungary
  • Ramat Gan, 52621, Israel
  • Tel Aviv, 64239, Israel
  • Bologna, 40138, Italy
  • Milano, 20142, Italy
  • Monza, 20052, Italy
  • Pisa, 56126, Italy
  • Roma, 00161, Italy
  • Roma, 00168, Italy
  • Verona, 37126, Italy
  • Bucharest, 50098, Romania
  • Oradea, 410168, Romania
  • Timisoara, 300748, Romania
  • Barcelona, 08003, Spain
  • Madrid, 28006, Spain
  • Madrid, 28046, Spain
  • Valencia, 46014, Spain
  • Valladolid, 47012, Spain
  • Lausanne, 1011, Switzerland
  • Ankara, 06100, Turkey
  • Ege, 35100, Turkey
  • Eskisehir, 26480, Turkey
  • Trabzon, 61080, Turkey
  • Blackpool, FY3 8NR, United Kingdom
  • Leeds, LS1 3EX, United Kingdom
  • Leeds, LS9 7TF, United Kingdom
08

References and documents

Publications

  • 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. PubMed 32914187 ↗
  • 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. PubMed 26270686 ↗

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, Statistical analysis plan, Clinical study report

Time frame: Access to participant level data is offered to researchers after publication of the primary manuscript (if applicable) and is available as long as Astellas has legal authority to provide the data.

Access criteria: Researchers must submit a proposal to conduct a scientifically relevant analysis of the study data. The research proposal is reviewed by an Independent Research Panel. If the proposal is approved, access to the study data is provided in a secure data sharing environment after receipt of a signed Data Sharing Agreement.

Data sharing details ↗ · www.clinicaltrials.astellas.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01122368
Responsible party
Sponsor
First posted
May 13, 2010
Start date
Jul 13, 2010
Primary completion
Dec 15, 2011
Completion
Dec 15, 2011
Last update
Nov 19, 2024

Study contacts

Use Central Contact
study chair · 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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Discussion

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Studies of the drug tested here: Micafungin

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