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| ID | Type | Description | Link |
|---|---|---|---|
| 132240 | Registry Identifier | JAPIC-CTI |
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The study estimates the safety, efficacy, and pharmacokinetics of caspofungin (MK-0991) in Japanese children and adolescents with documented Candida or Aspergillus infections.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with Esophageal Candidiasis | Experimental | Candida infection is strongly suspected based on clinical symptoms and the participant's clinical course, white moss (plaque) is observed on the esophageal mucosa, and therapy via intravenous infusion is judged to be suitable for the present episode of esophageal candidiasis. MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 7 and 28 days, respectively. |
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| Participants with Invasive Candidiasis | Experimental | Candida infection is strongly suspected based on the presence of refractory fever not responding to an antibiotic agent, or clinical symptoms at the site of disease, or the participant's clinical course. In addition, at least 1 of the following criteria must be met: 1) Candida infection is strongly suspected based on radiographic imaging findings and positive serological test for fungus, 2) yeast is observed by direct microscopy or histopathological test of tissue biopsied from the site of disease, or 3) Candida species are observed by culture test of specimens sampled from the site of disease. MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 56 days, respectively. |
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| Participants with Aspergillosis | Experimental | Aspergillus infection is strongly suspected based on clinical symptoms and the participant's clinical course, and characteristic radiographic imaging findings are observed. In addition, at least 1 of the following criteria must be met: 1) risk factors predisposing to an Aspergillus infection, 2) positive serological test for Aspergillus, 3) acute-branching mold with separated hyphae are observed by direct microscopy or histopathological test, or 4) Aspergillus species are observed by culture test. MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 84 days, respectively. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caspofungin | Drug |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With an Overall Favorable Response to Therapy | Invasive candidiasis: favorable overall response required resolved clinical findings and negative culture test for Candida species on follow-up. If Candida species were not observed in the baseline blood culture, favorable overall response required resolved clinical findings and resolved or improved radiographic findings. Aspergillosis: favorable overall response required resolved, improved, or unchanged clinical findings and resolved or improved radiographic findings, or resolved or improved clinical findings and resolved, improved, or stable radiographic findings. | Invasive candidiasis: up to 56 days; aspergillosis: up to 84 days |
| Percentage of Participants With One or More Drug-Related Adverse Experiences | An adverse experience (AE) is defined as any unfavorable or unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an AE. A drug-related AE is one judged to be definitely, probably, or possibly related to the study drug. | Invasive candidiasis: up to 70 days; aspergillosis: up to 98 days |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25701307 | Result | Mori M, Imaizumi M, Ishiwada N, Kaneko T, Goto H, Kato K, Hara J, Kosaka Y, Koike K, Kawamoto H, Maeda N, Yoshinari T, Kishino H, Takahashi K, Kawahara S, Kartsonis NA, Komada Y. Pharmacokinetics, efficacy, and safety of caspofungin in Japanese pediatric patients with invasive candidiasis and invasive aspergillosis. J Infect Chemother. 2015 Jun;21(6):421-6. doi: 10.1016/j.jiac.2015.01.009. Epub 2015 Jan 30. |
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| ID | Type | URL | Comment |
|---|---|---|---|
| CSR Synopsis | View IPD |
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Three participants were initially enrolled but were withdrawn when their suspected fungal infections were not confirmed. These 3 participants did not receive study drug. No participants with esophageal candidiasis were identified for inclusion in the study.
Participants with documented esophageal candidiasis, invasive candidiasis, or aspergillosis and who met all of the additional inclusion and exclusion criteria were to be enrolled in the study
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| ID | Title | Description |
|---|---|---|
| FG000 | Participants With Invasive Candidiasis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 56 days, respectively. |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Participants With Aspergillosis |
MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 84 days, respectively. |
| FG002 | Participants With Esophageal Candidiasis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 7 and 28 days, respectively. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Participants With Invasive Candidiasis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 56 days, respectively. |
| BG001 | Participants With Aspergillosis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 84 days, respectively. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
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| Age, Customized | Number | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
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| Primary | Percentage of Participants With an Overall Favorable Response to Therapy | Invasive candidiasis: favorable overall response required resolved clinical findings and negative culture test for Candida species on follow-up. If Candida species were not observed in the baseline blood culture, favorable overall response required resolved clinical findings and resolved or improved radiographic findings. Aspergillosis: favorable overall response required resolved, improved, or unchanged clinical findings and resolved or improved radiographic findings, or resolved or improved clinical findings and resolved, improved, or stable radiographic findings. | The full analysis set included all enrolled participants who received >=1 dose of study drug. No participants with esophageal candidiasis were identified for inclusion in the study and assessment for response to therapy. Participants whose overall response assessment was "unable to judge" were counted as having an unfavorable response. | Posted | Number | Percentage of Participants | Invasive candidiasis: up to 56 days; aspergillosis: up to 84 days |
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| Primary | Percentage of Participants With One or More Drug-Related Adverse Experiences | An adverse experience (AE) is defined as any unfavorable or unintended change in the structure, function, or chemistry of the body temporally associated with the use of the study drug. Any worsening of a preexisting condition which is temporally associated with the use of the study drug is also an AE. A drug-related AE is one judged to be definitely, probably, or possibly related to the study drug. | The full analysis set included all enrolled participants who received >=1 dose of study drug. No participants with esophageal candidiasis were identified for inclusion in the study and assessment for safety outcomes. | Posted | Number | Percentage of Participants | Invasive candidiasis: up to 70 days; aspergillosis: up to 98 days |
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Invasive candidiasis: up to 56 days; aspergillosis: up to 84 days
No participants with esophageal candidiasis were identified for inclusion in the study and assessment for adverse events
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Participants With Invasive Candidiasis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 56 days, respectively. | 1 | 12 | 10 | 12 | ||
| EG001 | Participants With Aspergillosis | MK-0991 therapy as a single loading dose of 70 mg/m^2 intravenously on Day 1 (maximum not to exceed 70 mg), followed by 50 mg/m^2 as a single once-daily dose on all subsequent days (maximum of 70 mg daily). The minimum and maximum treatment duration was 14 and 84 days, respectively. | 2 | 8 | 5 | 8 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA version 14.0 |
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| Sepsis | Infections and infestations | MedDRA version 14.0 |
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| Hyperventilation | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.0 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
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| Anaemia | Blood and lymphatic system disorders | MedDRA version 14.0 |
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| Bone Marrow Failure | Blood and lymphatic system disorders | MedDRA version 14.0 |
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| Febrile Neutropenia | Blood and lymphatic system disorders | MedDRA version 14.0 |
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| Ocular Icterus | Eye disorders | MedDRA version 14.0 |
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| Abdominal Discomfort | Gastrointestinal disorders | MedDRA version 14.0 |
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| Abdominal Pain | Gastrointestinal disorders | MedDRA version 14.0 |
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| Diarrhoea | Gastrointestinal disorders | MedDRA version 14.0 |
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| Haematochezia | Gastrointestinal disorders | MedDRA version 14.0 |
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| Hypoaesthesia Oral | Gastrointestinal disorders | MedDRA version 14.0 |
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| Lower Gastrointestinal Haemorrhage | Gastrointestinal disorders | MedDRA version 14.0 |
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| Nausea | Gastrointestinal disorders | MedDRA version 14.0 |
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| Vomiting | Gastrointestinal disorders | MedDRA version 14.0 |
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| Malaise | General disorders | MedDRA version 14.0 |
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| Oedema | General disorders | MedDRA version 14.0 |
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| Puncture Site Pain | General disorders | MedDRA version 14.0 |
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| Pyrexia | General disorders | MedDRA version 14.0 |
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| Vessel Puncture Site Inflammation | General disorders | MedDRA version 14.0 |
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| Hepatic Function Abnormal | Hepatobiliary disorders | MedDRA version 14.0 |
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| Bacterial Infection | Infections and infestations | MedDRA version 14.0 |
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| Pseudomembranous Colitis | Infections and infestations | MedDRA version 14.0 |
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| Contusion | Injury, poisoning and procedural complications | MedDRA version 14.0 |
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| Excoriation | Injury, poisoning and procedural complications | MedDRA version 14.0 |
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| Alanine Aminotransferase Increased | Investigations | MedDRA version 14.0 |
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| Aspartate Aminotransferase Increased | Investigations | MedDRA version 14.0 |
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| Blood Bilirubin Increased | Investigations | MedDRA version 14.0 |
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| Blood Lactate Dehydrogenase Increased | Investigations | MedDRA version 14.0 |
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| Blood Urine Present | Investigations | MedDRA version 14.0 |
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| C-Reactive Protein Increased | Investigations | MedDRA version 14.0 |
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| Gamma-Glutamyltransferase Increased | Investigations | MedDRA version 14.0 |
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| Heart Rate Increased | Investigations | MedDRA version 14.0 |
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| Platelet Count Increased | Investigations | MedDRA version 14.0 |
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| White Blood Cell Count Increased | Investigations | MedDRA version 14.0 |
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| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA version 14.0 |
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| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA version 14.0 |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA version 14.0 |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA version 14.0 |
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| Headache | Nervous system disorders | MedDRA version 14.0 |
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| Renal Impairment | Renal and urinary disorders | MedDRA version 14.0 |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.0 |
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| Pulmonary Oedema | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.0 |
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| Upper Respiratory Tract Inflammation | Respiratory, thoracic and mediastinal disorders | MedDRA version 14.0 |
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| Pruritus | Skin and subcutaneous tissue disorders | MedDRA version 14.0 |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA version 14.0 |
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| Angiopathy | Vascular disorders | MedDRA version 14.0 |
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| Venoocclusive Disease | Vascular disorders | MedDRA version 14.0 |
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The sponsor must have the opportunity to review all proposed abstracts, manuscripts, or presentations regarding this study 60 days prior to publication or presentation. Any information identified by the sponsor as confidential must be deleted prior to submission.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Senior Vice President, Global Clinical Development | Merck Sharp & Dohme Corp | 1-800-672-6372 | ClinicalTrialsDisclosure@merck.com |
| ID | Term |
|---|---|
| D002177 | Candidiasis |
| D058365 | Candidiasis, Invasive |
| D001228 | Aspergillosis |
| ID | Term |
|---|---|
| D009181 | Mycoses |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
| D000072742 | Invasive Fungal Infections |
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| ID | Term |
|---|---|
| D000077336 | Caspofungin |
| ID | Term |
|---|---|
| D055666 | Lipopeptides |
| D008055 | Lipids |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D054714 | Echinocandins |
| D010456 | Peptides, Cyclic |
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| >=2 years and <12 years |
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| >=12 years and <18 years |
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| Male |
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