Leukemia, Transplantation, Hematopoietic Stem Cell
Conditions
Keywords
caspofungin, IFI, allogeneic hematopoietic stem cell transplantation
Brief summary
In this prospective phase II observational study, we plan to assess the efficacy and tolerability of caspofungin based combined anti-fungal therapy for proven or probable IFI in a group of patients received allo-HSCT transplantation with high risk of IFI: HLA matched unrelated donor or mismatched donor conditioning with ATG containing regimen or present III-IV aGVHD or extensive GVHD undergoing high-dose steroid treatment.
Detailed description
Patients will recieve caspofungin with either voriconazole or amphotericin B as combination therapy for fungal infection
Interventions
Caspofungin: 70 mg on the first day of therapy, followed by 50 mg q.d. * All patients received azoles as prophylaxis (fluconazole as prophylaxis and itraconazole or voriconazole as secondary prophylaxis), combination with liposomal amphotericin B at a dosage 3mg/kg q.d will be given. * In case of renal function damage, combination with voriconazole 6mg/kg followed by 4 mg/kg b.i.d. will be given.
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patient undergoing allogeneic hematopoietic stem cell transplantation * age 18-55 years * with inform consent * no contraindication for allogeneic transplantation: active infection, allergy to FLu/Bu/CTX, liver and renal function damage * HLA mismatched related (3\ 5/6) or unrelated donors (at least 8/10) * proven or probable IFI
Exclusion criteria
* age less than 18 years or over 56 years * HLA mismatched related donor * liver function/renal function damage (over 2 X upper normal range) * with mental disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Favorable response rate | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival | 12 weeks, 1 year |
Countries
China