Status:

COMPLETED

Oral Posaconazole in High Risk Patients With Gastrointestinal Dysfunction (Study P05115)

Lead Sponsor:

Merck Sharp & Dohme LLC

Conditions:

Fungal Infection

Acute Myelogenous Leukemia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is: to explore the potential for different dosing strategies of posaconazole oral suspension (POS) to increase plasma levels and to profile the pharmacokinetics of these dosi...

Eligibility Criteria

Inclusion

  • Subjects \>=18 years of age
  • High risk of poor enteral medication absorption, based on the effects of cytotoxic chemotherapy, as evidenced by, but not limited to, mucositis, nausea, vomiting, and diarrhea, at baseline.
  • High risk of invasive fungal infection (IFI) based on anticipated or documented prolonged neutropenia (absolute neutrophil count \[ANC\] \<500/mm\^3 \[0.5 x 10\^9/L\]).
  • Clinical laboratory safety tests within normal limits or clinically acceptable to the investigator or sponsor.
  • Free of any clinically significant disease (other than the primary hematologic disease) that would interfere with the study evaluations.
  • Subjects must be willing to give written informed consent and able to adhere to dosing, study visit schedule, and mandatory procedures.

Exclusion

  • Female subjects who are pregnant, intend to become pregnant, or are nursing.
  • Excluded prior treatments. Subjects receiving systemic antifungal therapy (oral, intravenous, or inhaled) for the treatment of proven or probable IFI within 30 days of Enrollment (ie, voriconazole, fluconazole \[FLU\], or itraconazole \[ITZ\]).
  • Subjects receiving posaconazole for prophylaxis against IFI 10 days prior to enrollment. (Subjects who are receiving either voriconazole or micafungin for prophylaxis against IFI should discontinue those therapies upon enrollment.)
  • Subjects with moderate or severe liver dysfunction at Baseline, defined as aspartate aminotransferase (AST) or alanine aminotransferase (ALT) levels greater than two times the upper limit of normal (ULN), or a total bilirubin level greater than two times the ULN.
  • Subjects who have taken prohibited medications more recently than the indicated washout period prior to Enrollment.
  • Subjects who must take prohibited medications during the study.
  • Subjects who are in a situation or have any condition that, in the opinion of the investigator, may interfere with optimal participation in the study.
  • Subjects who have used any investigational drugs or biologic agents other than their chemotherapy regimens within 30 days of study entry.
  • Subjects who are part of the staff personnel directly involved with this study.
  • Subjects who are a family member of the investigational study staff.
  • Prior enrollment in this study.
  • Subjects with a history of hypersensitivity or idiosyncratic reactions to azole agents.
  • Subjects with Eastern Cooperative Oncology Group (ECOG) performance status \>2 prior to induction chemotherapy for their underlying disease.
  • Subjects with proven or probable invasive or systemic fungal infection at Baseline.
  • Subjects with a history of acute lymphoblastic leukemia or chronic myelogenous leukemia without blast crisis.

Key Trial Info

Start Date :

December 1 2007

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2009

Estimated Enrollment :

75 Patients enrolled

Trial Details

Trial ID

NCT00686543

Start Date

December 1 2007

End Date

April 1 2009

Last Update

April 7 2017

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