A Phase 2 interventional study of Voriconazole and Voriconazole in Aspergillosis, Aspergilloma, sponsored by Pfizer. Completed at 6 sites in Japan. Open to participants aged 2 Years to 15 Years. Per ClinicalTrials.gov, last updated 2014-05-09.
Sponsored by Pfizer · Phase 2, Interventional, and Prevention
In this study we will measure the concentration of the drug called voriconazole which is used to fight infections caused by fungus in children who usually are cancer patients and have their immune system down. Since we know the dose in adults, and we think we know the matching doses in the young patients ages 2 to less than 15 years old, we will compare the amount of drug that goes into the system with what we know works in adults. We give the drug by a needle directly into the blood, then few days later we stop that and give the drug by mouth. Meanwhile, we draw a little bit of blood at certain times to measure the drug in it.
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Exclusion Criteria:
Immunocompromised children aged 2 to \<15 and 12 to \<15 years weighing \<50 kg who are at high risk for systemic fungal infection.
Drug: Voriconazole
Immunocompromised children aged 12 to \<15 years weighing more than 50 kg who are at high risk for systemic fungal infection.
Drug: Voriconazole
Study Days 1: IV voriconazole 9 mg/kg q12h. Study Days 2 to 7: IV voriconazole 8 mg/kg q12h. Study Days 8 to 14: Oral voriconazole (POS) 9 mg/kg q12h with a maximum of 350 mg q12 h. Notes: If unable to switch to oral medication on Day 8, subjects can continue with IV treatment up to Day 20 before switching to oral dose. Only morning oral dose will be given on Day 14 (or the seventh day of oral dosing if IV regimen is extended). However, if clinically indicated, voriconazole treatment may be continued up to Day 30. (IV = Intravenous; POS = Powder for oral suspension)
Also known as: UK-109,496; Vfend; Voriconazole
Study Days 1: IV voriconazole 6 mg/kg q12h. Study Days 2 to 7: IV voriconazole 4 mg/kg q12h. Study Days 8 to 14: Oral voriconazole (POS) 200 mg q12h. Notes: If unable to switch to oral medication on Day 8, subjects can continue with IV treatment up to Day 20 before switching to oral dose. Only morning oral dose will be given on Day 14 (or the seventh day of oral dosing if IV regimen is extended). However, if clinically indicated, voriconazole treatment may be continued up to Day 30. (IV = Intravenous; POS = Powder for oral suspension)
Also known as: UK-109,496; Vfend; Voriconazole
Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) Following IV Administration
AUC12,ss was obtained by the Linear/Log trapezoidal method.
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Maximum Observed Plasma Concentration at Steady State (Cmax,ss) Following IV Administration
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Time to Reach Maximum Observed Plasma Concentration (Tmax) Following IV Administration
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) Following Oral Administration
AUC12,ss was obtained by the Linear/Log trapezoidal method.
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
Maximum Observed Plasma Concentration at Steady State (Cmax,ss) Following Oral Administration
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
Time to Reach Maximum Observed Plasma Concentration (Tmax) Following Oral Administration
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
Number of Participants Assessed Near Distance Visual Acuity Test
Time frame: Screening, Day 7 (the 7th day of IV treatment), Day 8 (the 1st day of oral treatment), Day 14 (the 7th day of oral treatment), and the 30-day follow-up visit
Number of Participants Assessed Color Vision Test
Time frame: Screening, Day 7 (the 7th day of IV treatment), Day 8 (the 1st day of oral treatment), Day 14 (the 7th day of oral treatment), and the 30-day follow-up visit
Number of Participants Assessed Visual Questionnaire
Time frame: Screening, Day 7 (the 7th day of IV treatment), Day 8 (the 1st day of oral treatment), Day 14 (the 7th day of oral treatment), and the 30-day follow-up visit
Ratio of AUC12,ss Following IV Administration Relative to AUC12,ss Following Oral Administration
Ratio was calculated from the following formula; AUC12,ss Following Oral Administration over AUC12,ss Following IV Administration
Time frame: AUC12, ss for IV:Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion. AUC12,ss for oral: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing.
Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration
AUC12,ss was obtained by the Linear/Log trapezoidal method.
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Maximum Observed Plasma Concentration at Steady State (Cmax,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Time to Reach Maximum Observed Plasma Concentration (Tmax) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration
Time frame: Day 7 (up to Day 20): predose, 1 hour after the start of infusion, 10-20 minutes after the end of infusion, and 4, 6, 8, and 12 hours after the start of infusion
Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration
AUC12,ss was obtained by the Linear/Log trapezoidal method.
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
Maximum Observed Plasma Concentration at Steady State (Cmax,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
Time to Reach Maximum Observed Plasma Concentration (Tmax) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration
Time frame: Day 14 (the 7th day of oral treatment) or later: predose, and 1, 2, 4, 6, 8, and 12 hours after dosing
| Milestone | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Started | 15 | 4 | 2 |
| Completed | 12 | 3 | 1 |
| Not completed | 3 | 1 | 1 |
| Withdrew: Adverse event | 1 | 1 | 0 |
| Withdrew: Withdrawal by subject | 0 | 0 | 1 |
| Withdrew: Marketed voriconazole in post-therapy | 2 | 0 | 0 |
AUC12,ss was obtained by the Linear/Log trapezoidal method.
| μg*h/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) Following IV Administration | 51.92 ± 51 | 83.39 ± 56 | 17.27 ± 28 |
| mcg/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Maximum Observed Plasma Concentration at Steady State (Cmax,ss) Following IV Administration | 7.753 ± 38 | 9.233 ± 55 | 3.092 ± 42 |
| hrs | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) Following IV Administration | 2.96 (0.950 to 4.00) | 4.00 (2.92 to 4.20) | 1.34 (1.00 to 1.67) |
AUC12,ss was obtained by the Linear/Log trapezoidal method.
| μg*h/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) Following Oral Administration | 48.23 ± 83 | 59.42 ± 67 | 10.00 ± NA |
| mcg/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Maximum Observed Plasma Concentration at Steady State (Cmax,ss) Following Oral Administration | 7.755 ± 50 | 7.910 ± 45 | 2.030 ± NA |
| hrs | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) Following Oral Administration | 1.09 (0.917 to 3.78) | 1.00 (0.950 to 2.03) | 1.00 (1.00 to 1.00) |
| participants | All Participants |
|---|---|
| Screening | 18 |
| The 7th day of IV treatment | 18 |
| The 1st day of oral treatment | 17 |
| The 7th day of oral treatment | 15 |
| The 30 day follow up visit | 14 |
| participants | All Participants |
|---|---|
| Screening | 19 |
| The 7th day of IV treatment | 18 |
| The 1st day of oral treatment | 17 |
| The 7th day of oral treatment | 15 |
| The 30 day follow up visit | 14 |
| participants | All Participants |
|---|---|
| Screening | 19 |
| The 7th day of IV treatment | 18 |
| The 1st day of oral treatment | 17 |
| The 7th day of oral treatment | 15 |
| The 30 day follow up visit | 14 |
Ratio was calculated from the following formula; AUC12,ss Following Oral Administration over AUC12,ss Following IV Administration
| ratio | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Ratio of AUC12,ss Following IV Administration Relative to AUC12,ss Following Oral Administration | 1.077 ± 0.547 | 0.648 ± 0.015 | 0.476 ± NA |
AUC12,ss was obtained by the Linear/Log trapezoidal method.
| μg*h/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration | 66.50 ± 30 | 80.99 ± 41 | 40.00 ± 2 |
| mcg/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Maximum Observed Plasma Concentration at Steady State (Cmax,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration | 6.381 ± 28 | 8.066 ± 34 | 3.835 ± 1 |
| hrs | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of N-oxide Voriconazole Metabolite (UK-121, 265) Following IV Administration | 5.05 (2.87 to 11.8) | 4.49 (1.00 to 11.1) | 3.84 (1.67 to 6.00) |
AUC12,ss was obtained by the Linear/Log trapezoidal method.
| μg*h/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Area Under the Plasma Concentration-time Profile From Time Zero to Twelve Hours at Steady-State (AUC12,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration | 79.86 ± 36 | 90.84 ± 19 | 34.40 ± NA |
| mcg/mL | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Maximum Observed Plasma Concentration at Steady State (Cmax,ss) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration | 7.971 ± 31 | 8.912 ± 22 | 3.720 ± NA |
| hrs | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| Time to Reach Maximum Observed Plasma Concentration (Tmax) of N-oxide Voriconazole Metabolite (UK-121, 265) Following Oral Administration | 2.07 (0.000 to 7.78) | 2.03 (0.950 to 4.00) | 3.80 (3.80 to 3.80) |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Participants Aged 2 to <12 Years | — | 0/15 (0%) | 13/15 (86.7%) |
| Participants Aged 12 to<15 Years and Weighed <50 kg | — | 0/4 (0%) | 4/4 (100%) |
| Participants Aged 12 to<15 Years and Weighed ≥50 kg | — | 0/2 (0%) | 1/2 (50%) |
| Event | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg |
|---|---|---|---|
| PhotophobiaEye disorders | 5/15 | 3/4 | 1/2 |
| Febrile neutropeniaBlood and lymphatic system disorders | 10/15 | 2/4 | 1/2 |
| Anorectal disorderGastrointestinal disorders | 0/15 | 0/4 | 1/2 |
| Alanine aminotransferase increasedInvestigations | 1/15 | 2/4 | 0/2 |
| Aspartate aminotransferase increasedInvestigations | 1/15 | 2/4 | 0/2 |
| RashSkin and subcutaneous tissue disorders | 3/15 | 0/4 | 1/2 |
| ChromatopsiaEye disorders | 0/15 | 1/4 | 0/2 |
| ConjunctivitisEye disorders | 0/15 | 1/4 | 0/2 |
| KeratitisEye disorders | 0/15 | 1/4 | 0/2 |
| Vision blurredEye disorders | 0/15 | 1/4 | 0/2 |
| Age, Continuous(years) | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg | Total |
|---|---|---|---|---|
| Mean | 7.7 ± 2.8 | 12.5 ± 0.6 | 14.0 ± 0.0 | 9.2 ± 3.4 |
| Sex: Female, Male(Participants) | Participants Aged 2 to <12 Years | Participants Aged 12 to<15 Years and Weighed <50 kg | Participants Aged 12 to<15 Years and Weighed ≥50 kg | Total |
|---|---|---|---|---|
| Female | 9 | 2 | 1 | 12 |
| Male | 6 | 2 | 1 | 9 |
This study is completed, as verified in Apr 2014. You cannot join it, but the record below documents what was studied.
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