Aspergillosis, Covid19, Influenza
Conditions
Keywords
Voriconazole, Extracorporeal Membrane Oxygenation
Brief summary
Given the high burden of fungal co-infection in patients admitted to ICU and improved outcomes with prompt anti-fungal treatment, it is of vital importance that the doses of anti-fungal are optimum to improve the dismal outcome of influenza/Covid-19 Associated Pulmonary Aspergillosis. Due to the reported difficulties in dosing appropriately in ECMO patients, a prospective observational study is required to accurately evaluate the pharmacokinetics of voriconazole in patients supported on ECMO. This is to ensure that the dose of voriconazole is optimised to improve efficacy and reduce toxicity.
Detailed description
A single centre, open label, prospective, observational, pharmacokinetic study of voriconazole administered to adults (aged \> 18 years) supported on ECMO. This is a low-interventional study. There will be no treatment changes as a result of participation in this study. The decision to initiate voriconazole therapy will be taken independent of this study protocol. Intravenous voriconazole will be prescribed according to the approved dose in the SmPC. All adults requiring voriconazole therapy will be eligible for recruitment into the study. The only additional procedure in this study will be to take a total of 5 blood samples across 3 occasions/sampling windows (Day 1-4, Day 6-9 and Day 11-14) to determine plasma concentrations of voriconazole. In addition, a single buccal swab to determine the CYP2C19 genotype will be undertaken during the course of ICU stay.
Interventions
OTHER5 blood samples
5 blood samples across 3 occasions/sampling windows (Day 1-4, Day 6-9 and Day 11-14) to determine plasma concentrations of voriconazole
GENETICDetermination of CYP2C19 genotype
A single buccal swab to determine the CYP2C19 genotype will be undertaken during the course of ICU stay.
Sponsors
University Hospitals, Leicester
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Adults aged ≥18 years 2. Admitted to ICU on ECMO support 3. Positive influenza or SARS-CoV-2 PCR from nasal, throat swab, BAL or other respiratory specimen. 4. Positive invasive aspergillosis infection (positive Aspergillus species culture from respiratory specimen or positive serum galactomannan) or strong clinical suspicion of invasive aspergillosis infection based on symptoms, CT, CXR.
Exclusion criteria
1. No participants \< 18 years of age 2. Not requiring ECMO support 3. No positive influenza or SARS-CoV-2 results 4. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Plasma levels of voriconazole administered to critically ill adult patients with suspected fungal disease, receiving ECMO support. | 14 days | Primary parameter: Clearance (CL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To assess the influence of CYP2C19 genotype on the plasma levels of voriconazole | 14 days | CYP2C19 genotype: identify \*2, \*3, and \*17 mutations and any influence on plasma levels of voriconazole |
Countries
United Kingdom
Outcome results
None listed