Pediatric Safety and Effectiveness
Conditions
Brief summary
Examine the safety and effectiveness of Vfend \[voriconazole\] for pediatric under general clinical practices.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who is under 15 years old and deep mycosis infection.
Exclusion criteria
* Patients who have been previously enrolled in this study. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Reactions | 16 weeks at maximum | An adverse drug reaction (ADR) was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. A serious ADR was an ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to VFEND was assessed by the physician. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Adverse Drug Reactions Not Expected From the LPD (Unknown Adverse Drug Reaction) | 16 weeks at maximum | An adverse drug reaction (ADR) was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. Expectedness of the adverse event was determined according to the Japanese package insert. Relatedness to VFEND was assessed by the physician. |
| Incidence of Aadverse Reactions by Diagnosis (Infection) | 16 weeks at maximum | An ADR was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. Relatedness to VFEND was assessed by the physician. Participants with ADRs were counted by diagnosis (infection) to assess whether it was a risk factor for the occurrence of ADRs. |
| Overall Clinical Response | 16 weeks at maximum | Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented along with the corresponding 2-sided 95% CI. Overall clinical effectiveness of VFEND was assessed as effective, not effective, or indeterminate by the physician based on the clinical course at the end of the observation period or at the time of treatment discontinuation. |
| Clinical Response Rate by Diagnostic Name (Name of Infection) | 16 weeks at maximum | Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented along with the corresponding 2-sided 95% CI. Overall clinical effectiveness of VFEND was assessed as effective, not effective, or indeterminate by the physician based on the clinical course at the end of the observation period or at the time of treatment discontinuation. Overall effectiveness of VFEND was determined by the physician based on the clinical course. Participants achieved clinical effectiveness by Diagnosis (Infection) were counted to assess whether it contributes to the clinical effectiveness. |
Countries
Japan
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| VFEND (Voriconazole) Participants who received VFEND as indicated in the approved local product document were observed for a period of 16 weeks at maximum. The dosage can be adjusted as per physician's discretion. | 86 |
| Total | 86 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Protocol Violation | 3 |
Baseline characteristics
| Characteristic | VFEND (Voriconazole) | — |
|---|---|---|
| Age, Customized <1 month after birth | 0 Participants | — |
| Age, Customized ≥1 month and <1 year | 1 Participants | — |
| Age, Customized ≥1 to <7 years | 40 Participants | — |
| Age, Customized ≥7 to <15 years | 45 Participants | — |
| Diagnostic Name (Name of Infection) Bronchopulmonary candidiasis | 2 Participants | — |
| Diagnostic Name (Name of Infection) Candida peritonitis | 0 Participants | — |
| Diagnostic Name (Name of Infection) Candidemia | 7 Participants | — |
| Diagnostic Name (Name of Infection) Chronic necrotic pulmonary aspergillosis | 1 Participants | — |
| Diagnostic Name (Name of Infection) Cryptococcal meningitis | 0 Participants | — |
| Diagnostic Name (Name of Infection) Esophageal candidiasis | 2 Participants | — |
| Diagnostic Name (Name of Infection) Fusariosis | 0 Participants | — |
| Diagnostic Name (Name of Infection) Invasive aspergillosis | 34 Participants | — |
| Diagnostic Name (Name of Infection) Invasive fungal infections (multiple infections) | 2 Participants | — |
| Diagnostic Name (Name of Infection) Other invasive fungal infections | 20 Participants | — |
| Diagnostic Name (Name of Infection) Other than invasive fungal infections | 12 Participants | — |
| Diagnostic Name (Name of Infection) Pulmonary aspergilloma | 6 Participants | — |
| Diagnostic Name (Name of Infection) Pulmonary cryptococcosis | 0 Participants | — |
| Diagnostic Name (Name of Infection) Scedosporiosis | 0 Participants | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 37 Participants | — |
| Sex: Female, Male Male | 49 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 6 / 86 |
| other Total, other adverse events | 41 / 86 |
| serious Total, serious adverse events | 11 / 86 |
Outcome results
Number of Participants With Adverse Reactions
An adverse drug reaction (ADR) was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. A serious ADR was an ADR resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening experience (immediate risk of dying); initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly. Relatedness to VFEND was assessed by the physician.
Time frame: 16 weeks at maximum
Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and had received VFEND at least once.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| VFEND (Voriconazole) | Number of Participants With Adverse Reactions | ADRs | 23 Participants |
| VFEND (Voriconazole) | Number of Participants With Adverse Reactions | Serious ADRs | 3 Participants |
Clinical Response Rate by Diagnostic Name (Name of Infection)
Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented along with the corresponding 2-sided 95% CI. Overall clinical effectiveness of VFEND was assessed as effective, not effective, or indeterminate by the physician based on the clinical course at the end of the observation period or at the time of treatment discontinuation. Overall effectiveness of VFEND was determined by the physician based on the clinical course. Participants achieved clinical effectiveness by Diagnosis (Infection) were counted to assess whether it contributes to the clinical effectiveness.
Time frame: 16 weeks at maximum
Population: The efficacy analysis set comprised of participants in the safety analysis set who had effectiveness evaluation at the end of the observation period or at the time of treatment discontinuation. The efficacy analysis sets were 74 participants. Participants assessed as indeterminate (n=7) at the final observation were excluded from the calculation.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Invasive aspergillosis | 97.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Pulmonary aspergilloma | 75.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Chronic necrotic pulmonary aspergillosis | 0.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Candidemia | 100.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Esophageal candidiasis | 100.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Bronchopulmonary candidiasis | 100.0 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Other invasive fungal infections | 47.4 Percentage of Participants |
| VFEND (Voriconazole) | Clinical Response Rate by Diagnostic Name (Name of Infection) | Invasive fungal infections (multiple infections) | 100.0 Percentage of Participants |
Incidence of Aadverse Reactions by Diagnosis (Infection)
An ADR was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. Relatedness to VFEND was assessed by the physician. Participants with ADRs were counted by diagnosis (infection) to assess whether it was a risk factor for the occurrence of ADRs.
Time frame: 16 weeks at maximum
Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and had received VFEND at least once.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Invasive aspergillosis | 35.29 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Pulmonary aspergilloma | 33.33 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Chronic necrotic pulmonary aspergillosis | 100.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Candidemia | 0.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Esophageal candidiasis | 0.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Bronchopulmonary candidiasis | 50.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Other invasive fungal infections | 20.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Invasive fungal infections (multiple infections) | 50.00 Percentage of Participants |
| VFEND (Voriconazole) | Incidence of Aadverse Reactions by Diagnosis (Infection) | Other than invasive fungal infections | 16.67 Percentage of Participants |
Number of Participants With Adverse Drug Reactions Not Expected From the LPD (Unknown Adverse Drug Reaction)
An adverse drug reaction (ADR) was any untoward medical occurrence attributed to VFEND in a participant who received VFEND. Expectedness of the adverse event was determined according to the Japanese package insert. Relatedness to VFEND was assessed by the physician.
Time frame: 16 weeks at maximum
Population: The safety analysis set comprised of participants who satisfied the inclusion criteria and had received VFEND at least once.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| VFEND (Voriconazole) | Number of Participants With Adverse Drug Reactions Not Expected From the LPD (Unknown Adverse Drug Reaction) | 2 Participants |
Overall Clinical Response
Clinical effectiveness rate, which was defined as the percentage of participants who achieved clinical effectiveness over the total number of assessable effectiveness analysis population, was presented along with the corresponding 2-sided 95% CI. Overall clinical effectiveness of VFEND was assessed as effective, not effective, or indeterminate by the physician based on the clinical course at the end of the observation period or at the time of treatment discontinuation.
Time frame: 16 weeks at maximum
Population: The efficacy analysis set comprised of participants in the safety analysis set who had effectiveness evaluation at the end of the observation period or at the time of treatment discontinuation. The efficacy analysis sets were 74 participants. Participants assessed as indeterminate (n=7) at the final observation were excluded from the calculation.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| VFEND (Voriconazole) | Overall Clinical Response | 80.6 Parcentage of Participants |