ClinicalTrials.gg
Not yet recruitingNCT07559032Updated Apr 30, 2026

Amphotericin B for Breakthrough Fungal Infections After Triazole Prophylaxis in Hematological Patients

An interventional study of Amphotericin B in Invasive Fungal Disease, sponsored by Peking University People's Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by Peking University People's Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if amphotericin B works to treat breakthrough invasive fungal disease (IFD) in patients with hematological diseases who have received azole-based prophylaxis. It will also learn about the safety of amphotericin B in this population.

The main questions it aims to answer are:

  1. What is the overall response rate (complete remission + partial remission) of amphotericin B in treating breakthrough IFD after azole prophylaxis?
  2. What medical problems do participants have when taking amphotericin B?
  3. What is the 6-week (42-day) overall survival rate after starting treatment?

This is a single-arm, prospective study. Participants will:

  1. Receive intravenous liposomal amphotericin B (3-5 mg/kg daily) for 4-6 weeks.
  2. Undergo weekly clinical and laboratory assessments, including serum G/GM tests, microbiology tests, and imaging (CT) at 2, 4, and 6 weeks.
  3. Have safety monitoring including liver and kidney function, electrolytes, and ECG.
  4. Be followed for treatment response and survival.
02

Conditions studied

  • Invasive Fungal Disease

Keywords

  • Breakthrough fungal infection
  • Invasive fungal disease
  • Triazole prophylaxis
  • Amphotericin B
  • Hematological diseases
03

In context

Invasive Fungal Infections

136 studies on the registry are indexed under Invasive Fungal Infections; 33 are open to participants now.

This study's planned enrollment of 15 is below the median of 70 across 67 interventional studies indexed under Invasive Fungal Infections.

Browse Invasive Fungal Infections studies →

Lead sponsor

Peking University People's Hospital is the lead sponsor of 609 studies on the registry; 247 are open to participants now.

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

  1. Age ≥ 18 years old.
  2. Diagnosed with hematological diseases and receiving triazole prophylaxis.
  3. Confirmed or suspected breakthrough invasive fungal disease (IFD) according to EORTC/MSG 2020 criteria.
  4. Able to understand and sign the form voluntarily.

Exclusion criteria

Exclusion Criteria:

  1. Severe liver or renal dysfunction (/AST > 3×, Cr > 2×ULN).
  2. Known allergy to amphotericin B or any component of the study drug.
  3. Pregnant or lactating women.
  4. Severe underlying diseases with expected survival \< 3 months.
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (estimated)

Study arms

  • Experimental
    Amphotericin B Treatment

    Drug: Amphotericin B

Interventions

  • Amphotericin B is a polyene antifungal drug used to treat breakthrough fungal infections. The dosage and duration will be determined based on pathogen results and clinical guidelines.

06

What researchers measure

Primary outcomes

  1. Overall Response Rate of Antifungal Therapy at 6 Weeks (42 Days)

    The overall response rate will be assessed at 6 weeks (42 days) after the initiation of amphotericin B treatment, evaluated according to the EORTC/MSG 2020 criteria for invasive fungal disease, including complete response, partial response, stable disease, and progressive disease.

    Time frame: 6 weeks (42 days) after treatment initiation

Secondary outcomes

  1. Overall Survival Rate at 6 Weeks

    Proportion of participants alive at 6 weeks (42 days) after initiation of amphotericin B therapy.

    Time frame: 6 weeks (42 days) after treatment initiation

  2. Change in serum G test level

    Change from baseline in serum (1,3)-β-D-glucan level. Unit of measure: pg/mL.

    Time frame: From enrollment to the end of 6-week treatment

  3. Change in serum GM test level

    Change from baseline in serum galactomannan test value. Unit of measure: ug/L.

    Time frame: From enrollment to the end of 6-week treatment

  4. Microbiological clearance

    Proportion of participants with negative conversion of baseline positive microbiological evidence (e.g., blood culture, sputum culture, mNGS, or site smear/culture).

    Time frame: From enrollment to the end of 6-week treatment

  5. Change in chest CT findings

    Change from baseline in chest CT lesion characteristics (e.g., reduction in size, new lesions, complete resolution).

    Time frame: Baseline to 6 weeks after treatment initiation

  6. Proportion of participants with treatment-emergent adverse events (AEs)

    Proportion of participants experiencing any AE, graded according to WHO toxicity criteria (grade 3 or higher AEs leading to drug discontinuation).

    Time frame: From first dose to 30 days after last dose.

  7. Proportion of participants discontinuing amphotericin B due to adverse events

    Proportion of participants who permanently stop amphotericin B because of any AE.

    Time frame: During treatment period (up to 6 weeks).

  8. Change in serum alanine aminotransferase (ALT)

    Change from baseline in ALT level. Unit of measure: U/L.

    Time frame: Baseline to end of treatment up to 6 weeks (twice weekly).

  9. Change in serum aspartate aminotransferase (AST)

    Change from baseline in AST level. Unit of measure: U/L.

    Time frame: Baseline to end of treatment up to 6 weeks (twice weekly).

  10. Change in serum total bilirubin

    Change from baseline in total bilirubin level. Unit of measure: μmol/L.

    Time frame: Baseline to end of treatment up to 6 weeks (twice weekly).

  11. Change in serum creatinine

    Description: Change from baseline in serum creatinine level. Unit of measure: μmol/L.

    Time frame: Baseline to end of treatment up to 6 weeks (twice weekly).

  12. Change in serum electrolyte levels (potassium, sodium, calcium, magnesium)

    Change from baseline in serum levels of potassium, sodium, calcium, and magnesium. Each electrolyte will be reported separately as absolute change (mmol/L) from baseline.

    Time frame: Baseline to end of treatment up to 6 weeks (twice weekly).

  13. Change in electrocardiogram (ECG) findings

    Change from baseline in ECG parameters (e.g., QTc interval).

    Time frame: Baseline to end of treatment up to 6 weeks (weekly).

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07559032
Responsible party
Xiao-Jun Huang (Professor, Peking University People's Hospital) — Principal investigator
First posted
Apr 30, 2026
Start date
Apr 2026 (estimated)
Primary completion
Dec 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Apr 30, 2026

Study contacts

Rui Ma
Contact
marui_pku_ed@163.com
+86 18834948122

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Amphotericin B

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