suspected invasive candidiasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Treatment with caspofungin. Admission to an ICU. Age = 18 years. Suspected invasive candidiasis. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Blood sampling not possible.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determine the pharmacokinetics of caspofungin, and the optimal dosage of caspofungin at which an adequate exposure is achieved in critically ill patients.;Secondary Objective: 1) Pharmacokinetic parameters of caspofungin in critically ill patients. 2) Correlation of pharmacokinetic parameters and the plasma concentration of caspofungin with disease severity scores. 3) Correlation of the plasma concentration of caspofungin with candida eradication. 4) Correlation of the plasma concentration of caspofungin with inflammation parameters. 5) AUC/MIC ratio and Cmax/MIC ratio. 6) Constructing a pharmacokinetic model of caspofungin in critically ill patients. 7) Drug-related adverse events of caspofungin. 8) The amount of caspofungin that is lost in dialysis.;Primary end point(s): The exposure to caspofungin, an AUC of 98 mg*h/L is established as an adequate exposure;Timepoint(s) of evaluation of this end point: Day 3 (± 1 day) of treatment with caspofungin. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1) Pharmacokinetic parameters of caspofungin in critically ill patients. 2) Correlation of pharmacokinetic parameters and the plasma concentration of caspofungin with disease severity scores. 3) Correlation of the plasma concentration of caspofungin with candida eradication. 4) Correlation of the plasma concentration of caspofungin with inflammation parameters. 5) AUC/MIC ratio and Cmax/MIC ratio. 6) Constructing a pharmacokinetic model of caspofungin in critically ill patients. 7) Drug-related adverse events of caspofungin. 8) The amount of caspofungin that is lost in dialysis.;Timepoint(s) of evaluation of this end point: 1) day 3. 2) day 3. 3) day 28. 4) day 3. 5) day 28. 6) day 28. 7) day 28. 8) day 28. | — |
Countries
Netherlands
Contacts
University Medical Center Groningen