Febrile neutropenia with persistent fever in patients with hematological disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients aged >= 16 years were eligible to participate if they had an absolute neutrophil count < 500/ uL for >=96 hours and fever (>=38 degrees C) within 24 hours before antifungal treatment in spite of antibacterial therapy for >=72 hours. 2) after obtaining signed informed consent.
Exclusion criteria
Exclusion criteria: 1) AST/ALT/total bilirubin > 5 times the upper limit of normal(at each institution). 2) Creatinine clearance <= 30ml/min or serum creatinine >=2mg/dl. 3) History of allergy or hypersensitivity to L-AMB or MCFG. 4) Pregnancy or lactation. 5) Patients who are regarded as inadequate subjects by physician in charge.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy assessed by 1) Successful treatment of any baseline fungal infection, 2) Absence of any breakthrough fungal infection during therapy or within seven days after the completion of therapy, 3) Survival for seven days after the completion of therapy, 4) No premature discontinuation of study therapy because of lack of efficacy or drug-related toxicity and 5) Resolution of fever (defined as a temperature below 38 degrees C for at least 48 hours) during neutropenia | — |
Secondary
| Measure | Time frame |
|---|---|
| Safety assessed by 1) Discontinuation of therapy because of lack of efficacy or drug-related toxicity and 2) Incidence of drug-related adverse events | — |
Countries
Japan
Contacts
Iwate Medical University Hematology/Oncology