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Phase 3 N=527 Randomized Double-blind Treatment

Isavuconazole (BAL8557) for Primary Treatment of Invasive Aspergillosis

Aspergillosis · Invasive Fungal Infection

Enrolled (actual)
527
Serious AEs
54.8%
Results posted
Mar 2015
Primary outcome: Primary: All-cause Mortality Through Day 42 — 18.6; 20.2 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Isavuconazole (Drug); Voriconazole (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Astellas Pharma Inc
Primary completion
Mar 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
All-cause Mortality Through Day 42
18.6; 20.2
SECONDARY
Percentage of Participants With an Overall Outcome of Success Evaluated by the Data Review Committee (DRC)
35.7; 35.7; 25.2; 32.6; 35.0; 36.4
SECONDARY
All-cause Mortality Through Day 84
29.1; 31.0
SECONDARY
Percentage of Participants With an Overall Outcome of Success Evaluated by Investigator
SECONDARY
Percentage of Participants With a Clinical Response Assessed by the DRC
64.0; 57.5; 46.1; 44.4; 62.0; 60.3
SECONDARY
Percentage of Participants With a Mycological Response Assessed by the DRC
39.9; 39.5; 28.0; 36.4; 37.8; 41.1
SECONDARY
Percentage of Participants With a Radiological Response Assessed by the DRC
28.4; 34.4; 22.0; 29.7; 29.1; 33.1
SECONDARY
Percentage of Participants With a Clinical Response Assessed by the Investigator
64.2; 61.7; 41.4; 44.3; 62.0; 64.5
SECONDARY
Percentage of Participants With a Mycological Response Assessed by the Investigator
52.3; 50.0; 35.7; 37.6; 50.5; 55.0
SECONDARY
Percentage of Participants With a Radiological Response Assessed by the Investigator
45.1; 51.6; 38.3; 41.4; 43.3; 47.7
SECONDARY
Number of Participants With Adverse Events, Reported by System Organ Class
247; 255; 174; 180; 152; 158

Summary

The purpose of this study is to compare the efficacy and safety of isavuconazole versus voriconazole in the treatment of patients with invasive aspergillosis.

Eligibility Criteria

Inclusion Criteria

  • Patients must have proven, probable or possible invasive fungal disease caused by Aspergillus species or other filamentous fungi
  • Female patients must be non-lactating and at no risk for pregnancy

Exclusion Criteria

  • Patients with invasive fungal infections other than Aspergillus species or other filamentous fungi
  • Evidence of hepatic dysfunction at Baseline or moderate to severe renal dysfunction
  • Patients with chronic aspergillosis, or aspergilloma or allergic bronchopulmonary aspergillosis
  • Patients who have received more than 4 days of systemic antifungal therapy other than fluconazole within the 7 days prior to the first administration of study medication
  • Patients previously enrolled in a Phase III study with isavuconazole
  • Patients with a body weight </= 40 kg
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00412893). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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