Actively Recruiting

Age: 18Years - 75Years
All Genders
ID01420562

Pharmacokinetics of Posaconazole in Allogeneic Transplant Patients With Mucositis

Led by Universitaire Ziekenhuizen KU Leuven · Updated on 2024-07-15

55

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the pharmacokinetics of posaconazole in patients undergoing allogeneic hematopoietic stem cell transplantation who experience different stages of mucositis caused by chemotherapy and total body irradiation. The study aims to calculate pharmacokinetic parameters and evaluate the trough levels of posaconazole to understand how the medication behaves during mucositis. Participants will receive posaconazole either as an oral suspension or, once available, as oral tablets, both used as prophylactic agents to prevent invasive fungal infections. Blood samples will be collected on the day of transplantation (day 0), day 7, and day 14, including nine samples at each timepoint to calculate the area under the concentration-time curve (AUC). Additionally, citrulline levels will be measured to objectively assess the severity of mucositis. During the study, participants will undergo scheduled blood sampling to measure posaconazole plasma levels and evaluate mucositis severity. The main outcome measured is the posaconazole plasma levels and AUC at days 0, 7, and 14. The study will last at least two weeks post-transplantation, focusing on drug exposure and mucositis impact, with careful monitoring throughout this period.

CONDITIONS

Brief Title

Pharmacokinetics of Posaconazole in Allogeneic Transplant Patients With Mucositis

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients receiving allogeneic stem cell transplantation
  • Treated with prophylactic posaconazole: oral suspension (200mg three times daily) or tablet (300mg once daily) to prevent invasive fungal infections
  • Age between 18 and 75 years
Not Eligible

You will not qualify if you...

  • Gastroparesis
  • Vomiting or diarrhea within 2 hours after intake of posaconazole
  • Concomitant use of potent inducers of enzyme UGT1A4 (e.g., carbamazepine, phenytoin, phenobarbital, rifabutin, rifampicin)
  • Age under 18 years

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - 15 days

Participants receiving posaconazole prophylaxis are observed with blood sampling to measure drug levels and evaluate mucositis severity.

3 visits on day 0 (transplantation), day 7, and day 14

Trial Site Locations

Total: 1 location

1

University Hospitals Leuven

Leuven, Vlaams-Brabant, Belgium, 3000

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Research Team

K

Kim Vanstraelen, R.Ph.

I

Isabel Spriet, Pharm.D.

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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