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In this prospective phase II observational study, we plan to assess the efficacy and tolerability of caspofungin based combined anti-fungal therapy for proven or probable IFI in a group of patients received allo-HSCT transplantation with high risk of IFI: HLA matched unrelated donor or mismatched donor conditioning with ATG containing regimen or present III-IV aGVHD or extensive GVHD undergoing high-dose steroid treatment.
Patients will recieve caspofungin with either voriconazole or amphotericin B as combination therapy for fungal infection
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caspofugin based combination therapy | Experimental | Caspofugin based combination therapy: Patients will recieve caspofungin with voriconazole or amphotericin B |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Caspofugin based combination therapy | Drug | Caspofungin: 70 mg on the first day of therapy, followed by 50 mg q.d.
|
| Measure | Description | Time Frame |
|---|---|---|
| Favorable response rate | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | 12 weeks, 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jiong HU, M.D. | Contact | 86-21-64370045 | 601818 | hujiong@medmail.com.cn |
| Name | Affiliation | Role |
|---|---|---|
| Ling Wang, M.D. | Rui Jin Hospital, Shanghai JiaoTong University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Blood & Marrow Transplantation Center, RuiJin Hospital | Recruiting | Shanghai | 200025 | China |
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| ID | Term |
|---|---|
| D007938 | Leukemia |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| D000077336 | Caspofungin |
| D065819 | Voriconazole |
| D000666 | Amphotericin B |
| ID | Term |
|---|---|
| D055666 | Lipopeptides |
| D008055 | Lipids |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
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|
|
| D054714 |
| Echinocandins |
| D010456 | Peptides, Cyclic |
| D014230 | Triazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D018942 | Macrolides |
| D061065 | Polyketides |
| D007783 | Lactones |
| D009930 | Organic Chemicals |