| Primary | Fungal-free Survival | Fungal-free survival was assessed by an independent data review panel (DRP). Fungal-free survival is defined as the percentage of participants alive at one week following the last dose of study drug with a mycological response of eradication and no requirement for alternative systemic antifungal therapy for continued treatment. Eradication was defined as culture or histologically documented absence of the infecting Candida species from all positive normally sterile sites during therapy, documented by 2 negative samples, drawn at least 24 hours apart, or for Candida meningitis and/or candiduria, 1 negative culture. | Full Analysis Set (all randomized infants who were administered any amount of study drug) | Posted | | Number | 95% Confidence Interval | percentage of participants | | One week after the last dose of study drug (maximum of 49 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
| | | Title | Denominators | Categories |
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| | | Title | Measurements |
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| - OG00060.0(36.1 to 80.9)
- OG00170.0(34.8 to 93.3)
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| Secondary | Time to Mycological Clearance of Invasive Candidiasis | Time to mycological clearance of invasive candidiasis is defined as the time from first dose to the day of mycological eradication for baseline invasive candidiasis infection. Eradication was defined as a culture or histologically documented absence of the infecting Candida species from all positive normally sterile sites during therapy, documented by 2 negative samples, drawn at least 24 hours apart, or for for Candida meningitis and/or candiduria, 1 negative culture. Infants without eradication during the treatment period and who survived were censored at one day after the end of treatment. Infants without eradication who died before completing the treatment period or were lost to follow-up during the treatment were censored at their death or last contact day. | | Posted | | Median | 95% Confidence Interval | days | | From first dose up to 30 days after the last dose of study drug (maximum of 72 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Fungal-free Survival at End of Study Drug Therapy in Infants With End-organ Dissemination | Fungal-free survival was assessed by an independent data review panel (DRP). Fungal-free survival is defined as the percentage of participants alive at the end of study drug therapy with a mycological response of eradication based upon the DRP assessment and no requirement for alternative systemic antifungal therapy for continued treatment. | Participants in the full analysis set with end-organ dissemination | Posted | | Number | 95% Confidence Interval | percentage of participants | | The end of study drug therapy; maximum of 42 days | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Fungal-free Survival One Week After Last Dose of Study Drug in Infants With End-organ Dissemination | Fungal-free survival was assessed by an independent data review panel (DRP). Fungal-free survival is defined as the percentage of participants alive one week after last dose of study drug with a mycological response of eradication based upon the DRP assessment and no requirement for alternative systemic antifungal therapy for continued treatment. | Participants in the full analysis set with end-organ dissemination | Posted | | Number | 95% Confidence Interval | percentage of participants | | One week after the last dose of study drug (maximum of 49 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Percentage of Participants With Emergent Fungal Infections | An emergent fungal infection is defined as
- An invasive fungal infection which is detected at any time during the study that is a non-Candida organism, or
- An invasive fungal infection which is detected during the treatment or post-treatment period with a Candida species identified other than those detected at Baseline. If this occurred within 96 hours of the first dose of study drug, the infection was considered part of the final diagnosis of enrolling infection and not an emergent infection.
| | Posted | | Number | 95% Confidence Interval | percentage of participants | | Up to 30 days after the last dose of study drug (maximum of 72 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Percentage of Participants With Recurrent Fungal Infections | A recurrent infection is defined as a systemic fungal infection in an infant with eradication at the end of study drug therapy, who developed positive blood cultures or a mycologically confirmed deep-seated Candida infection, with the same species as the enrolling infection. | Participants in the full analysis set with eradication at the end of study drug therapy. | Posted | | Number | 95% Confidence Interval | percentage of participants | | Up to 30 days after the last dose of study drug (maximum of 72 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Time to Positive Clinical Response | Time to a positive clinical response is defined as the time from the first dose to the day during the treatment period that a positive clinical response (defined as a complete response or partial response) is observed for the first time, assessed by the Investigator. Complete Response is defined as the resolution of all attributable signs related to fungal infection, if present at baseline and Partial Response is defined as improvement in attributable signs related to the fungal infection, if present at baseline. Infants without positive responses and who survived were censored at one day post the end of treatment. Infants without positive responses who died before completing the treatment period, or were lost to follow-up during the treatment were censored at their death or last contact day. | Full analysis set participants with clinical signs and symptoms related to the fungal Infection at Baseline | Posted | | Median | 95% Confidence Interval | days | | From first dose up to 30 days after the last dose of study drug (maximum of 72 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Clinical Response at the End of Study Drug Therapy | Clinical response assessments were based on the following definitions and assessed by the DRP:
- Complete Response: Resolution of all attributable signs related to fungal infection, if present at baseline.
- Partial Response: Improvement in attributable signs related to the fungal infection, if present at baseline.
- Stabilization: Minor improvement or no change in attributable signs related to the fungal infection, if present at baseline, and infant continued on therapy without deterioration.
- Progression: Deterioration in attributable signs related to the fungal infection, if present at baseline; or if death occurred presumably related to a fungal infection.
| Full analysis set participants with clinical signs and symptoms related to the fungal Infection at Baseline | Posted | | Number | | percentage of participants | | Baseline and end of study drug therapy; maximum of 42 days | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Clinical Response One Week After Last Dose of Study Drug | Clinical response assessments were based on the following definitions and assessed by the DRP:
- Complete Response: Resolution of all attributable signs related to fungal infection, if present at baseline.
- Partial Response: Improvement in attributable signs related to the fungal infection, if present at baseline.
- Stabilization: Minor improvement or no change in attributable signs related to the fungal infection, if present at baseline, and infant continued on therapy without deterioration.
- Progression: Deterioration in attributable signs related to the fungal infection, if present at baseline; or if death occurred presumably related to a fungal infection.
| Full analysis set participants with clinical signs and symptoms related to the fungal Infection at Baseline | Posted | | Number | | percentage of participants | | Baseline and one week after the last dose of study drug (maximum of 49 days) | | | | ID | Title | Description |
|---|
| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Mycological Response at End of Study Drug Therapy | Mycological response assessments were based on the following definitions and assessed by the DRP:
- Eradication: Culture or histologically documented absence of the infecting Candida species from all positive normally sterile sites during therapy, documented by 2 negative samples, drawn at least 24 h apart; for Candida meningitis and/or candiduria, 1 negative culture.
- Persistence: Continued isolation or histological documentation from a normally sterile site.
| | Posted | | Number | | percentage of participants | | End of study drug therapy; maximum of 42 days | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Mycological Response One Week After Last Dose of Study Drug | Mycological response assessments were based on the following definitions and assessed by the DRP:
- Eradication: Culture or histologically documented absence of the infecting Candida species from all positive normally sterile sites during therapy, documented by 2 negative samples, drawn at least 24 h apart; for Candida meningitis and/or candiduria, 1 negative culture.
- Persistence: Continued isolation or histological documentation from a normally sterile site.
| | Posted | | Number | | percentage of participants | | One week after the last dose of study drug (maximum of 49 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Follow-up Status for Infants With End-organ Assessments | End-organ dissemination was assessed through abdominal ultrasound and/or computed tomography (CT), echocardiogram, head imaging and retinal exam. Each specific finding, documented by 1 of these techniques, was evaluated as follows:
- Improvement: Improvement in size, number or density of identified lesions. Complete response was not expected but may have been documented.
- Stabilization: Minor improvement or no change in size, number or density of identified lesions.
- Worsening: Increase in size or number of identified lesions.
| Full analysis set participants with end-organ assessments | Posted | | Number | | percentage of participants | | Baseline and 30 days after the last dose of study drug (maximum of 72 days) | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. | | OG001 | Amphotericin B | Infants received amphotericin B deoxycholate (CAB) at a dose of 1.0 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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| Secondary | Plasma Micafungin Concentration | | The pharmacokinetics (PK) analysis set, including those infants who received any amount of study drug, have at least one study drug concentration, and have dosing and blood collection date and time data sufficient for inclusion in a population pharmacokinetic analysis. | Posted | | Mean | Standard Deviation | ng/mL | | 15 minutes post intravenous infusion (IV), 4-8 hours post IV and 15-24 hours post IV | | | | ID | Title | Description |
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| OG000 | Micafungin | Infants received micafungin at a dose of 10 mg/kg per day by intravenous infusion for a minimum of 21 days to a maximum of 28 days for infants without end-organ dissemination or for a maximum of 42 days for infants with end-organ dissemination. |
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